Boceprevir and Telaprevir in the Management of Hepatitis C Virus-Infected Patients

被引:71
作者
Butt, Adeel A. [1 ,2 ,3 ]
Kanwal, Fasiha [4 ,5 ]
机构
[1] Univ Pittsburgh, Sch Med, Div Infect Dis, Dept Med, Pittsburgh, PA 15213 USA
[2] VA Pittsburgh Healthcare Syst, Pittsburgh, PA USA
[3] Ctr Hlth Equ Res & Promot, Pittsburgh, PA USA
[4] St Louis Univ, Sch Med, St Louis Vet Affairs Med Ctr, St Louis, MO 63103 USA
[5] St Louis Univ, Sch Med, Dept Med, Div Gastroenterol & Hepatol, St Louis, MO 63103 USA
关键词
PROTEASE INHIBITOR; ANTIVIRAL THERAPY; PLUS RIBAVIRIN; INTERFERON; RESISTANCE;
D O I
10.1093/cid/cir774
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Recent approval of direct-acting antiviral agents (DAAs) against hepatitis C virus (HCV) offers a major advance in the management of HCV infection. These DAAs, boceprevir and telaprevir, when given with pegylated interferon alfa (Peg-IFN) and ribavirin (RBV), result in a much higher sustained virologic response rate compared with Peg-IFN and RBV. The DAA-containing regimens are approved for HCV genotype 1 infection in HCV treatment-naive and HCV treatment-experienced patients. In this review, we present an overview of pharmacology, efficacy, adverse events, and emergence of resistance-associated variants with the use of these agents. As with all drugs, especially newly approved drugs, clinicians must consult the package insert for detailed prescribing information, list of all reported adverse events, contraindications, and drug interactions.
引用
收藏
页码:96 / 104
页数:9
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