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Efficacy and Safety of Ombitasvir/Paritaprevir/Ritonavir Plus Dasabuvir in Treating HCV Genotypes 1 and 4 in Patients with Advanced Chronic Kidney Disease.奥比他韦/帕立普韦/利托那韦联合达沙布韦治疗晚期慢性肾脏病患者丙型肝炎病毒1型和4型的疗效与安全性
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High Efficacy of ombitasvir/paritaprevir/ritonavir plus dasabuvir in hepatitis C genotypes 4 and 1-infected patients with severe chronic kidney disease.奥比他韦/帕利瑞韦/利托那韦联合达萨布韦治疗合并严重慢性肾脏病的基因 4 型和 1 型丙型肝炎患者的高效性。
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J Hepatol. 2016 Jan;64(1):19-28. doi: 10.1016/j.jhep.2015.08.015. Epub 2015 Aug 29.
4
Ombitasvir/paritaprevir/ritonavir and dasabuvir±ribavirin for chronic HCV infection in US veterans with psychiatric disorders.奥比他韦/帕利瑞韦/利托那韦和达萨布韦±利巴韦林治疗伴有精神障碍的美国退伍军人慢性 HCV 感染。
J Med Virol. 2020 Dec;92(12):3459-3464. doi: 10.1002/jmv.25655. Epub 2020 Feb 17.
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Kidney Int Rep. 2018 Oct 9;4(2):257-266. doi: 10.1016/j.ekir.2018.10.003. eCollection 2019 Feb.
6
Therapy with ombitasvir/paritaprevir/ritonavir plus dasabuvir is effective and safe for the treatment of genotypes 1 and 4 hepatitis C virus (HCV) infection in patients with severe renal impairment: A multicentre experience.ombitasvir/paritaprevir/ritonavir联合达沙布韦治疗对重度肾功能不全的1型和4型丙型肝炎病毒(HCV)感染患者有效且安全:一项多中心经验。
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Real-world safety and effectiveness of ombitasvir/paritaprevir/ritonavir ± dasabuvir ± ribavirin in hepatitis C virus genotype 1- and 4-infected patients with diverse comorbidities and comedications: A pooled analysis of post-marketing observational studies from 13 countries.在患有不同合并症和合并用药的丙型肝炎病毒基因型 1 和 4 感染患者中,奥比他韦/帕利他韦/利托那韦±达萨布韦±利巴韦林的真实世界安全性和有效性:来自 13 个国家的上市后观察性研究的 pooled 分析。
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引用本文的文献

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Development of an electrochemical sensor using molecularly imprinted polymers for the specific determination of the antiretroviral drug ritonavir.一种使用分子印迹聚合物的电化学传感器的开发,用于抗逆转录病毒药物利托那韦的特异性测定。
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本文引用的文献

1
Health Indicators for Renal Replacement Therapy in Saudi Arabia.沙特阿拉伯肾脏替代治疗的健康指标
Transplant Proc. 2019 Mar;51(2):509-511. doi: 10.1016/j.transproceed.2019.01.011. Epub 2019 Jan 4.
2
Efficacy and Safety of Ombitasvir/Paritaprevir/Ritonavir in Patients With Hepatitis C Virus Genotype 1 or 4 Infection and Advanced Kidney Disease.奥比他韦/帕利瑞韦/利托那韦治疗丙型肝炎病毒1型或4型感染合并晚期肾病患者的疗效与安全性
Kidney Int Rep. 2018 Oct 9;4(2):257-266. doi: 10.1016/j.ekir.2018.10.003. eCollection 2019 Feb.
3
Grazoprevir plus elbasvir in HCV genotype-1 or -4 infected patients with stage 4/5 severe chronic kidney disease is safe and effective.格拉瑞韦联合艾尔巴韦格拉瑞韦治疗 4/5 期重度慢性肾脏病合并 HCV 基因型 1 或 4 感染患者是安全有效的。
Kidney Int. 2018 Jul;94(1):206-213. doi: 10.1016/j.kint.2018.02.019. Epub 2018 May 5.
4
Glecaprevir and Pibrentasvir in Patients with HCV and Severe Renal Impairment.格卡瑞韦和哌仑他韦治疗丙型肝炎病毒合并严重肾功能损害患者。
N Engl J Med. 2017 Oct 12;377(15):1448-1455. doi: 10.1056/NEJMoa1704053.
5
Global prevalence and genotype distribution of hepatitis C virus infection in 2015: a modelling study.2015 年全球丙型肝炎病毒感染的流行率和基因型分布:一项建模研究。
Lancet Gastroenterol Hepatol. 2017 Mar;2(3):161-176. doi: 10.1016/S2468-1253(16)30181-9. Epub 2016 Dec 16.
6
Therapy with ombitasvir/paritaprevir/ritonavir plus dasabuvir is effective and safe for the treatment of genotypes 1 and 4 hepatitis C virus (HCV) infection in patients with severe renal impairment: A multicentre experience.ombitasvir/paritaprevir/ritonavir联合达沙布韦治疗对重度肾功能不全的1型和4型丙型肝炎病毒(HCV)感染患者有效且安全:一项多中心经验。
J Viral Hepat. 2017 Jun;24(6):464-471. doi: 10.1111/jvh.12664. Epub 2017 Jan 20.
7
Real-world effectiveness and safety of ombitasvir/paritaprevir/ritonavir ± dasabuvir ± ribavirin in hepatitis C: AMBER study.奥贝他韦/帕利瑞韦/利托那韦 ± 达萨布韦 ± 利巴韦林治疗丙型肝炎的真实世界疗效和安全性:AMBER 研究。
Aliment Pharmacol Ther. 2016 Nov;44(9):946-956. doi: 10.1111/apt.13790. Epub 2016 Sep 9.
8
SASLT guidelines: Update in treatment of Hepatitis C virus infection.《SASLT指南:丙型肝炎病毒感染治疗的更新》
Saudi J Gastroenterol. 2016 Aug;22 Suppl(Suppl 2):S25-57. doi: 10.4103/1319-3767.188067.
9
Efficacy of Direct-Acting Antiviral Combination for Patients With Hepatitis C Virus Genotype 1 Infection and Severe Renal Impairment or End-Stage Renal Disease.直接作用抗病毒药物联合治疗方案对丙型肝炎病毒 1 型感染且伴有严重肾功能损害或终末期肾病患者的疗效。
Gastroenterology. 2016 Jun;150(7):1590-1598. doi: 10.1053/j.gastro.2016.02.078. Epub 2016 Mar 11.
10
Grazoprevir plus elbasvir in treatment-naive and treatment-experienced patients with hepatitis C virus genotype 1 infection and stage 4-5 chronic kidney disease (the C-SURFER study): a combination phase 3 study.格拉瑞韦联合艾尔巴韦在初治和经治的丙型肝炎病毒基因型 1 感染和 4-5 期慢性肾脏病患者中的疗效(C-SURFER 研究):一项联合 III 期研究。
Lancet. 2015 Oct 17;386(10003):1537-45. doi: 10.1016/S0140-6736(15)00349-9. Epub 2015 Oct 5.

奥比他韦/帕立普韦/利托那韦联合达沙布韦治疗晚期慢性肾脏病患者丙型肝炎病毒1型和4型的疗效与安全性

Efficacy and Safety of Ombitasvir/Paritaprevir/Ritonavir Plus Dasabuvir in Treating HCV Genotypes 1 and 4 in Patients with Advanced Chronic Kidney Disease.

作者信息

Aljarallah Badr M

机构信息

Department of Medicine, Division of Gastroenterology and Hepatology, College of Medicine, Qassim University, Buraydah, Saudi Arabia.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2224-S2227. doi: 10.4103/jpbs.jpbs_143_24. Epub 2024 Jul 5.

DOI:10.4103/jpbs.jpbs_143_24
PMID:39346174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426834/
Abstract

This study assessed the efficacy and safety of ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) combined with dasabuvir (DSV) for treating hepatitis C genotype 4 (GT4) and genotype 1 (GT1) in patients with stage 4 or 5 chronic kidney disease (CKD). Among 88 patients, including treatment-naïve and Peginterferon/Ribavirin (RBV)-experienced, treated with OBV/PTV/r±RBV (dosed between 200 mg per week to daily) and additional DSV for GT1, 94.3% achieved sustained virologic response at 12 weeks (SVR12), demonstrating high efficacy. RBV was used at the discretion of the treating physician. The treatment was well-tolerated, with two non-treatment-related deaths reported. The findings suggest that a 12-week regimen of OBV/PTV/r±DSV is highly effective and safe for GT1 and GT4 patients with advanced CKD, regardless of baseline characteristics.

摘要

本研究评估了奥比他韦/帕利哌韦/利托那韦(OBV/PTV/r)联合达沙布韦(DSV)治疗4期或5期慢性肾脏病(CKD)患者丙型肝炎基因4型(GT4)和基因1型(GT1)的疗效和安全性。在88例患者中,包括初治患者和曾接受聚乙二醇干扰素/利巴韦林(RBV)治疗的患者,接受OBV/PTV/r±RBV(剂量为每周200 mg至每日给药)及额外的GT1 DSV治疗,94.3%的患者在12周时实现了持续病毒学应答(SVR12),显示出高疗效。RBV由治疗医生酌情使用。治疗耐受性良好,报告了两例与治疗无关的死亡病例。研究结果表明,无论基线特征如何,为期12周的OBV/PTV/r±DSV方案对晚期CKD的GT1和GT4患者具有高度有效性和安全性。