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无干扰素直接作用抗病毒药物治疗丙型肝炎。

Interferon free therapy with direct acting antivirals for HCV.

机构信息

Hepatology Department, AP-HP, University Paris Diderot 7 and INSERM U773, CRB3, Beaujon Hospital, Clichy, France.

出版信息

Liver Int. 2013 Feb;33 Suppl 1:93-104. doi: 10.1111/liv.12076.

Abstract

The current treatment for hepatitis C virus (HCV) genotype 1 chronic infection is the addition of direct-acting antivirals (DAA) with a protease inhibitor (telaprevir or boceprevir) to the pegylated interferon (PEG-IFN) plus ribavirin (RBV) regimen. Major progress has been made in the past few years: numerous ongoing trials with different compounds, increasing sustained virological response (SVR) rates with oral regimens and shortened treatment duration. Combinations of antivirals with additive potency that lack cross-resistance and with a good safety profile may provide new regimens in the future to make HCV the first chronic viral infection to be eradicated worldwide with a finite duration of combination DAA therapy without IFN.

摘要

目前治疗丙型肝炎病毒(HCV)基因 1 型慢性感染的方法是在聚乙二醇干扰素(PEG-IFN)加利巴韦林(RBV)方案中添加直接作用抗病毒药物(DAA)加蛋白酶抑制剂(特拉匹韦或博赛匹韦)。在过去几年中取得了重大进展:正在进行许多不同化合物的试验,口服药物治疗方案的持续病毒学应答(SVR)率提高,治疗时间缩短。缺乏交叉耐药性且安全性良好的具有附加效力的抗病毒药物联合治疗可能会在未来提供新的治疗方案,使丙型肝炎成为首个可通过有限疗程的联合 DAA 治疗而在全球范围内消除的慢性病毒感染,无需 IFN。

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