Hepatitis C Virus Current and Evolving Treatments for Genotypes 2 and 3

被引:16
作者
Ampuero, Javier
Romero-Gomez, Manuel [1 ]
机构
[1] Virgen Macarena Virgen Rocio Univ Hosp, Unit Clin Management Digest Dis, Seville 41017, Spain
关键词
Hepatitis C; Genotype; 2; 3; Direct-acting antiviral; Sustained virologic response; DACLATASVIR PLUS SOFOSBUVIR; COST-EFFECTIVENESS; RIBAVIRIN; PEGINTERFERON; STEATOSIS; INFECTION; THERAPY; COMBINATION; INHIBITOR; REGIMENS;
D O I
10.1016/j.gtc.2015.07.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Hepatitis C virus (HCV) genotypes 2 and 3 have previously been classified as easy-to-treat genotypes, because sustained virologic responses (SVRs) up to 80% have been achieved with 24-week peginterferon and ribavirin. More detailed studies have shown differences between HCV genotypes 2 and 3, indicating that genotype 3 has become the most difficult-to-treat genotype. With new drugs, new challenges are emerging regarding relapse rates, the role of ribavirin, and optimal duration of therapy. Sofosbuvir remains the backbone of genotype 3 therapy, whereas this drug is not an option in patients with creatinine clearance lower than 30 mL/min.
引用
收藏
页码:845 / +
页数:14
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