Prakt. Lékáren. 2017; 13(1e) [Interní Med. 2016; 18(5): 226-230]

Possibilities of IFN-free therapy of hepatitis C

Petr Husa, Petr Husa ml.
Klinika infekčních chorob Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice Brno

Chronic hepatitis C therapy using Directly Acting Antivirals (DAA) has high efficacy (till 100 %), minimum contra-indications and extraordinarilyfavorable safety profile. Primarily, it is necessary to pay attention to drug-drug interactions. However they are well documented and successfullyresolvable already in general clinical practice. Current possibilities of interferon-free therapy represent combinations of sofosbuvir withother DAA or with ribavirin and combination of paritaprevir boosted by ritonavir + ombitasvir ± dasabuvir. Fixed combinaton of elbasvir andgrazoprevir is already available in some countries of the world.

Keywords: chronic hepatitis C, sofosbuvir, ledipasvir, velpatasvir, paritaprevir, ombitasvir, dasabuvir, elbasvir, grazoprevir

Published: April 1, 2017  Show citation

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Husa P, Husa P. Possibilities of IFN-free therapy of hepatitis C. Praktické lékárenství. 2017;13(E-verze 1/17):.
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References

  1. European Association for the Study of Liver. EASL recommendations on treatment of hepatitis C 2014. J Hepatol, 2014; 61: p. 73-95. Go to original source... Go to PubMed...
  2. European Association for the Study of Liver. EASL recommendations on treatment of hepatitis C 2015. J Hepatol, 2015; 63: p. 199-236. Go to original source... Go to PubMed...
  3. European Association for the Study of Liver. EASL recommendations on treatment of hepatitis C 2015. Summary. Dostupné na: www.easl.eu/medias/cpg/HCV2016/Summary.pdf. Staženo 30.9.2016.
  4. AASLD recommendation for testing, managing, and treating hepatitis C. Dostupné na www.hcvguidelines.org. Staženo 15.8.2016.
  5. Urbánek P, Husa P, Šperl J, et al. Standardní diagnostický a terapeutický postup chronické infekce virem hepatitidy C (HCV). Klin mikrobiol inf lek 2015; 21(3): 83-98.
  6. University of Liverpool. Drug interactions charts. Dostupné na www.hep-druginteractions.com.
  7. HARVONI. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/003850/WC500177995.pdf. Staženo 15.8.2016.
  8. SOVALDI. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/002798/WC500160597.pdf. Staženo 15.8.2016.
  9. EPCLUSA. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/004210/WC500211151.pdf. Staženo 15.8.2016.
  10. VIEKIRAX. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/003839/WC500183997.pdf. Staženo 15.8.2016.
  11. EXVIERA. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/003837/WC500182233.pdf. Staženo 15.8.2016.
  12. Feld JJ, Kowdley KV, Coakley E, et al. Treatment of HCV with ABT-450/r-ombitasvir and dasabuvir with ribavirin. N Engl J Med, 2014; 370: p. 1594-1603. Go to original source... Go to PubMed...
  13. Ferenci P, Bernstein D, Lalezari J, et al. ABT-450/r ombitasvir and dasabuvir with or without ribavirin for HCV. N Engl J Med, 2014; 370: p. 1983-1992. Go to original source... Go to PubMed...
  14. Wyles DL, Sulkowski MS, Eron JJ, et al. TURQUOISE-I: 94% SVR12 in HCV/HIV-1 coinfected patients treated with ABT-450/r/ombitasvir, dasabuvir and ribavirin. Hepatology, 2014; 60: p. 1136A.
  15. Zeuzem S, Jacobson IM, Baykal T, et al. Retreatment of HCV with ABT-450/r-ombitasvir and dasabuvir with ribavirin. N Engl J Med, 2014; 370: p. 1604-1614. Go to original source... Go to PubMed...
  16. Andreone P, Colombo MG, Enejosa JV, et al. ABT-450, ritonavir, ombitasvir, and dasabuvir achieves 97% and 100% sustained virologic response with or without ribavirin in treatment experienced patients with HCV genotype 1b infection. Gastroenterology, 2014; 147: p. 359-365. Go to original source... Go to PubMed...
  17. Poordad F, Hezode C, Trinh R, et al. ABT-450/r-ombitasvir and dasabuvir with ribavirin for hepatitis C with cirrhosis. N Engl J Med, 2014; 370: p. 1973-1982. Go to original source... Go to PubMed...
  18. Pol S, Reddy KR, Baykal T, et al. Interferon-free regimens of ombitasvir and ABT-450/r with or without ribavirin in patients with HCV genotype 4 infection: PEARL-I study results. Hepatology, 2014; 60: p. 1129A. Go to original source...
  19. Urbánek P. Exviera, Viekirax. Gastroent Hepatol, 2015; 69: p. 75-80. Go to original source...
  20. ZEPATIER. Souhrn údajů o přípravku. Dostupné na: http://www.ema.europa.eu/docs/cs_CZ/document_library/EPAR_-_Product_Information/human/004126/WC500211235.pdf. Staženo 15.8.2016.




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