학술논문

A US multicenter study of hepatitis C treatment of liver transplant recipients with protease-inhibitor triple therapy
Document Type
article
Source
Journal of Hepatology. 61(3)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Clinical Trials and Supportive Activities
Digestive Diseases
Organ Transplantation
Hepatitis - C
Liver Disease
Transplantation
Chronic Liver Disease and Cirrhosis
Emerging Infectious Diseases
Infectious Diseases
Hepatitis
Clinical Research
Genetics
Evaluation of treatments and therapeutic interventions
6.1 Pharmaceuticals
Infection
Good Health and Well Being
Adult
Aged
Cohort Studies
Drug Therapy
Combination
Female
Genotype
Hepacivirus
Hepatitis C
Humans
Interferon-alpha
Male
Middle Aged
Oligopeptides
Polyethylene Glycols
Proline
Protease Inhibitors
RNA
Viral
Recombinant Proteins
Retrospective Studies
Ribavirin
Treatment Outcome
United States
Telaprevir
Boceprevir
Antiviral therapy
Interferon
Public Health and Health Services
Gastroenterology & Hepatology
Clinical sciences
Language
Abstract
Background & aimsNS3/4A protease inhibitors, boceprevir or telaprevir, combined with peginterferon and ribavirin was the standard treatment for HCV genotype 1 and remains the only available direct antiviral drug based therapy in some countries. Efficacy and safety data in liver transplant recipients are limited.MethodsThis was a retrospective cohort study of 81 patients with genotype 1 HCV treated with boceprevir (10%) or telaprevir (90%) plus peginterferon and ribavirin at 6 US transplant centers (53% stage 3-4/4 fibrosis, 57% treatment experienced). The primary end point was undetectable HCV RNA 12 weeks after treatment completion (SVR12).ResultsThe intent-to-treat SVR12 rate was 63% (51/81). Patients with an extended rapid virologic response, (undetectable HCV RNA at 4 and 12 weeks after starting boceprevir or telaprevir), had a higher rate of SVR12 than all other patients (85% vs. 15%, p