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格卡瑞韦/哌仑他韦用于治疗慢性丙型肝炎病毒感染。

Glecaprevir/pibrentasvir for the treatment of chronic hepatitis C virus infection.

机构信息

Department of Clinical Development Infectious Diseases, AbbVie Inc., North Chicago, IL 60064, USA.

Department of Statistics, AbbVie Inc., North Chicago, IL 60064, USA.

出版信息

Future Microbiol. 2019 Jan;14:89-110. doi: 10.2217/fmb-2018-0233. Epub 2018 Nov 30.

Abstract

In recent years, management of chronic hepatitis C virus (HCV) infection has been revolutionized by the availability of oral direct-acting antivirals (DAAs), which have significantly better efficacy and safety profiles than interferon-containing regimens. Simple, short-duration DAA therapies will facilitate expansion of HCV treatment to nonspecialist providers, which will be vital to achieve the WHO target of eliminating chronic HCV as a major public health threat by 2030. Coformulated glecaprevir/pibrentasvir is the only 8-week, pan-genotypic, 2-DAA regimen recommended by international guidelines as a first-line regimen in treatment-naive, noncirrhotic HCV genotype 1-6 patients. This review provides a comprehensive summary of the pharmacodynamic and pharmacokinetic parameters, efficacy, safety and place in the HCV treatment paradigm for glecaprevir/pibrentasvir.

摘要

近年来,由于口服直接作用抗病毒药物(DAAs)的出现,慢性丙型肝炎病毒(HCV)感染的管理发生了革命性变化,这些药物在疗效和安全性方面明显优于含干扰素的方案。简单、短疗程的 DAA 治疗将促进 HCV 治疗向非专业提供者扩展,这对于实现世界卫生组织到 2030 年消除慢性 HCV 作为主要公共卫生威胁的目标至关重要。复方制剂 glecaprevir/pibrentasvir 是唯一一种被国际指南推荐的 8 周、泛基因型、2 种 DAA 方案,作为无肝硬化的 HCV 基因型 1-6 患者初治的一线方案。这篇综述全面总结了 glecaprevir/pibrentasvir 的药效学和药代动力学参数、疗效、安全性及其在 HCV 治疗模式中的地位。

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