作者: Mitchell L. Shiffman , Rafael Esteban
DOI: 10.1111/J.1478-3231.2011.02718.X
关键词:
摘要: Boceprevir and telaprevir are the first two protease inhibitors available for treatment of patients infected with hepatitis C virus (HCV) genotype 1. A sustained virological response (SVR) 70-80% is observed when either these utilized pegylated interferon (PEG-IFN) ribavirin (RBV) in naive patients. Both agents also highly effective who failed to achieve a SVR during previous PEG-IFN/RBV. rapid (RVR) 56-60% Patients RVR can be treated shorter course therapy (24-28 weeks) still rate 90% or higher. do not RVR, those cirrhosis certain prior non-responders should 48 weeks. Although rates boceprevir quite similar both globally within sub-populations, algorithms unique. The decision which inhibitor use assess several factors including scheme, duration therapy, adverse event profile, cost likelihood achieving RVR. latter dependent upon IFN sensitivity IL28B genotype.