Vinaixa Carmen, Aguilera Victoria, Berenguer Marina
Sección de Hepatología y Trasplante Hepático, Servicio de Medicina Digestiva, Hospital Universitario La Fe, Valencia, España; Centro de Investigación Biomédica en Red: enfermedades hepáticas y digestivas (CIBERehd), Valencia, España.
Med Clin (Barc). 2013 Nov 16;141(10):447-52. doi: 10.1016/j.medcli.2013.01.041. Epub 2013 Apr 17.
Recent approval of new protease inhibitors (boceprevir and telaprevir) for the treatment of chronic hepatitis C, genotype 1, has meant a significant increase in the sustained viral response both in naive and previously treated patients. However, such efficacy increase has been accompanied by an increase in adverse events, sometimes serious, and new practical issues including different approaches to stop treatment and drug interactions that recommend a close follow-up of patients. The efficacy and safety of triple therapy in special populations such as cirrhotic and transplanted patients is less known and has some particulars, meaning that its administration requires an exhaustive monitoring.
近期,新型蛋白酶抑制剂(博赛匹韦和特拉匹韦)获批用于治疗基因1型慢性丙型肝炎,这意味着初治患者和经治患者的持续病毒学应答率均显著提高。然而,疗效提高的同时,不良事件也有所增加,有时甚至较为严重,还出现了新的实际问题,包括不同的停药方法和药物相互作用,这就需要对患者进行密切随访。三联疗法在肝硬化和移植患者等特殊人群中的疗效和安全性尚鲜为人知,且有一些特殊情况,这意味着其应用需要进行详尽的监测。