Treatment of chronic hepatitis C virus infection at the beginning of a new era
Authors:
P. Urbánek
Authors‘ workplace:
Interní klinika 1. lékařské fakulty UK a ÚVN Praha, přednosta prof. MU Dr. Miroslav Zavoral, Ph. D.
Published in:
Vnitř Lék 2013; 59(7): 612-617
Category:
Overview
After 2010 the therapy of chronic HCV infection entered a completely new era – the era that is marked with the gradual introduction of the so ‑ called directly acting antivirals into treatment schemes of this serious disease. The term directly acting antivirals (DAA) covers low ‑ molecular substances that inhibit viral non‑structural proteins – enzymes involved in the HCV replication cycle. At present, the first 2 representatives of DAA, Boceprevir and Telaprevir, have been approved for chronic HCV infection indication. The synoptic article pays the greatest attention to these 2 representatives, along with mentioning some other substances that are under later phases of clinical development and are likely to be approved in the near future.
Key words:
chronic hepatitis C – pegylated interferon – ribavirin – boceprevir – telaprevir
Sources
1. Ge D, Fellay J, Thompson AJ et al. Genetic variation in IL28B predicts hepatitis C treatment‑induced viral clearance. Nature 2009; 461 : 399 – 401.
2. Bacon BR, Gordon SC, Lawitz E et al. Boceprevir for previously treated chronic HCV genotype 1 infection. N Engl J Med 2011; 364 : 1207 – 1217.
3. Zeuzem S, Andreone P, Pol S. Telaprevir for retreatment of HCV infection. N Engl J Med 2011; 364 : 2417 – 2428.
4. Poordad F, McCone J Jr, Bacon BR et al. Boceprevir for untreated chronic HCV genotype 1 infection. N Engl J Med 2011; 364 : 1195 – 1206.
5. Jacobson IM, McHutchison JG, Dusheiko G et al. Telaprevir for previously untreated chronic hepatitis C virus infection. N Engl J Med 2011; 364 : 2405 – 2416.
6. Sherman KE, Flamm SL, Afdhal NH et al. Response ‑ guided telaprevir combination treatment for hepatitis C virus infection. N Engl J Med 2011; 365 : 1014 – 1024.
7. European Association for the Study of the Liver. EASL Clinical Practice Guidelines: management of hepatitis C virus infection. J Hepatol 2011; 55 : 245 – 264.
8. Ghany MG, Nelson DR, Strader DB et al. An update on treatment of genotype 1 chronic hepatitis C virus infection: 2011 practice guideline by the American Association for the Study of Liver Diseases. Hepatology 2011; 54 : 1433 – 1444.
9. Urbánek P, Husa P, Galský J et al. Standardní diagnostický a terapeutický postup u chronické infekce virem hepatitidy C (HCV). Gastroent Hepatol 2012; 26 : 214 – 229.
10. Lalezari LP, Nelson DR, Hyland RH et al. Once daily sofosbuvir plus ribavirin for 12 and 24 weeks in treatment ‑ naive patients with HCV infection: the QUANTUM study. Abstracts 48th Annual Meeting of the European Association for the Study of the Liver. Amsterdam 24. – 28. 4. 2013. Abstract 845.
11. Sulkowski MS, Gardiner DF, Rodroguez ‑ Torres M et al. Sustained virologic response with daclatasvir plus sofosbuvir ± ribavirin (RBV) in chronic HCV genotype (GT) 1 – infected patients who previously failed telaprevir (TVR) or boceprevir (BOC). Abstracts 48th Annual Meeting of the European Association for the Study of the Liver. Amsterdam 24. – 28. 4. 2013. Abstract 1417.
12. Kowdley KV, Lawitz E, Poordad F et al. Safety and efficacy of interferon‑free regimens of ABT ‑ 450/ R, ABT ‑ 267, ABT ‑ 333 ± ribavirin in patients with chronic HCV GT1 infection: results from the AVIATOR study. Abstracts 48th Annual Meeting of the European Association for the Study of the Liver. Amsterdam 24. – 28. 4. 2013. Abstract 3.
13. Kowdley KV, Lawitz E, Poordad F et al. A 12‑week interferon‑free treatment regimen with ABT ‑ 450/ r, ABT ‑ 267, ABT ‑ 333, and ribavirin achieves SVR12 rates (observed data) of 99% in treatment ‑ naive patients and 93% in prior null responders with HCV genotype 1 infection. Abstracts 63rd Annual Meeting of the American Association for the Study of Liver Diseases. Boston 9. – 13. 11. 2012. Abstract LB ‑ 1.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine

2013 Issue 7
Most read in this issue
- Relationship of bilirubin to diseases caused by increased oxidative stress
- Cystic tumors of the pancreas – our experience with diagnostics
- Liver disorders in diabetic patients
- Acute pancreatitis – new developments in treatment