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[基于索磷布韦的治疗方案在中国慢性丙型肝炎治疗中的潜在应用]

[Potential application of sofosbuvir-based treatment for chronic hepatitis C in China].

作者信息

Zhang Q F, Zhang D Z

机构信息

Department of Infectious Diseases, the Second Hospital Affiliated to Chongqing Medical University, Chongqing 400010, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2018 Mar 20;26(3):233-237. doi: 10.3760/cma.j.issn.1007-3418.2018.03.012.

Abstract

Chronic hepatitis C (CHC) has a prevalence rate of 0.43% in China and approximately 10 million chronically infected people are in urgent need of treatment. Since the beginning of 2013, pan-genotypic sofosbuvir (SOF) with its potent antiviral activity, minimal drug resistance, less drug-drug interactions and good safety has created a new era in HCV treatment. Its combination with ribavirin, in single tablet regimen with either ledipasvir or velpatasvir has been widely used in about 1.6 million patients worldwide. Furthermore, SOF-based therapy is proven to be effective and safe in serious or terminal illness such as decompensated cirrhosis, liver or kidney transplantation, HIV or HBV co-infections, bleeding disorders, intravenous drug users, adolescents, and elderly. Therefore, SOF-based regimens would fill the unmet medical needs of our patients with HCV.

摘要

慢性丙型肝炎(CHC)在中国的患病率为0.43%,约1000万慢性感染者急需治疗。自2013年初以来,泛基因型索磷布韦(SOF)凭借其强大的抗病毒活性、极低的耐药性、较少的药物相互作用及良好的安全性开创了丙型肝炎病毒(HCV)治疗的新纪元。它与利巴韦林联合,与来迪派韦或维帕他韦组成单片复方制剂,已在全球约160万患者中广泛应用。此外,基于索磷布韦的疗法在诸如失代偿期肝硬化、肝或肾移植、HIV或HBV合并感染、出血性疾病、静脉吸毒者、青少年及老年人等严重或终末期疾病中被证明是有效且安全的。因此,基于索磷布韦的治疗方案将满足HCV患者尚未满足的医疗需求。

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