62nd annual meeting of the american association for the study of liver diseases and american college of rheumatology annual meeting.

نویسنده

  • Walter Alexander
چکیده

daily. Patients receiving alisporivir as IFN-free treatment who achieved undetectable HCV–RNA levels (below 25 IU/mL) at week 4 continued with initial treatment. Patients with detectable HCV–RNA levels were given add-on IFN and continued with ALV plus PR triple therapy from week 6 to week 24. Dr. Pawlotsky reported a greater than 3 log reduction in mean HCV–RNA levels over the first 4 weeks with alisporivirbased, IFN-free therapy. Rapid virological responses (RVRs) were also achieved by 28% of the ALV1,000 patients, by 37% of ALV600R patients, and by 42% of those in the ALV800R group. Patients achieving RVRs with IFN-free treatment maintained responses to week 12, with a minimal incidence of viral rebound. From weeks 4 to 6, the proportion of patients who achieved un detectable HCV–RNA levels with alisporivir-based, IFN-free therapy further increased to 32%, 49%, and 46% in the ALV1000, ALV600R, and ALV800R groups, respectively. More patients had undetectable HCV–RNA levels with alisporivir plus ribavirin than with alisporivir alone. The rate was 71% for patients with lower baseline HCV–RNA levels (less than 800,000 IU/mL). However, for alisporivir patients who did not achieve RVRs by week 4, add-on IFN as triple therapy (alisporivir 600 mg daily + PR + IFN) from week 6 resulted in rapid HCV clearance, with more than 90% of patients having undetectable HCV–RNA levels at week 12. Markedly lower rates of flu-like symptoms (fatigue, pyrexia, myalgia, and arthralgia) were reported with alisporivir-based, IFN-free therapy, compared with treatment that included IFN. Overall, fewer AEs were reported in the alisporivir arm. There were no reports of grade 3 or 4 anemia. Dr. Pawlotsky commented, “Alisporivir once daily shows promise to become the first interferon-free oral treatment for a substantial proportion of treatment-naive G2/3 HCV patients.”

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عنوان ژورنال:
  • P & T : a peer-reviewed journal for formulary management

دوره 36 12  شماره 

صفحات  -

تاریخ انتشار 2011