Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy

Detalhes bibliográficos
Autor(a) principal: Parise, E.
Data de Publicação: 2006
Outros Autores: Cheinquer, H., Crespo, D., Meirelles, A., Martinelli, A., Sette, H., Gallizi, J., Silva, R., Lacet, C., Correa, E., Cotrim, Helma Pinchemel, Fonseca, J., Paraná, Raymundo, Spinelli, V., Amorim, Welma Wildes, Tatsch, Fernando, Pessoa, M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/6946
Resumo: p.11-16
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spelling Parise, E.Cheinquer, H.Crespo, D.Meirelles, A.Martinelli, A.Sette, H.Gallizi, J.Silva, R.Lacet, C.Correa, E.Cotrim, Helma PinchemelFonseca, J.Paraná, RaymundoSpinelli, V.Amorim, Welma WildesTatsch, FernandoPessoa, M.Parise, E.Cheinquer, H.Crespo, D.Meirelles, A.Martinelli, A.Sette, H.Gallizi, J.Silva, R.Lacet, C.Correa, E.Cotrim, Helma PinchemelFonseca, J.Paraná, RaymundoSpinelli, V.Amorim, Welma WildesTatsch, FernandoPessoa, M.2012-10-15T18:34:28Z2012-10-15T18:34:28Z2006-021413-8670http://www.repositorio.ufba.br/ri/handle/ri/6946v. 10, n. 1p.11-16Peginterferon alfa plus ribavirin is currently the treatment of choice for chronic hepatitis C. Peginterferon alfa-2a (40KD) plus ribavirin has given an overall sustained virological response of 18% in F3/F4 previous nonresponder US patients. We evaluated the effectiveness of peginterferon alfa-2a (40KD) plus ribavirin in Brazilian patients who were relapsers or nonresponders to previous interferon-based therapy. One-hundred-thirty-four patients with biopsy-proven chronic hepatitis C, HCV RNA positive, elevated ALT and who were either relapsers (n=37) or nonresponders (n=97) to at least 24 weeks of conventional interferon/ribavirin therapy were retreated with peginterferon alfa-2a (40KD) 180mg/qw and ribavirin 800mg bid for 48 weeks. Efficacy was assessed as virological response (defined as undetectable HCV RNA) at the end of treatment (EoT) and at the end of follow-up (SVR - Sustained Virological Response). Safety assessments consisted of clinical and laboratory evaluations. In the patient sample, 72% were genotype 1 and 34% were cirrhotic. In an intention-to-treat analysis, relapser patients showed 78% EoT response and 51% SVR. Nonresponders showed 57% EoT response and 26% SVR. Positive predictive factors of SVR were non-1 genotype and relapser state. Six percent of the patients interrupted treatment because of adverse events and 45% had dose reduction (mainly associated with leucopenia and anemia). Brazilian patient relapsers and nonresponders to conventional interferon and ribavirin treatment can achieve a sustained virological response when retreated with peginterferon alfa-2a (40KD) and ribavirin. The safety profile is similar to that of naive patients.Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-10-15T18:34:28Z No. of bitstreams: 1 Parise, E..pdf: 577473 bytes, checksum: e51e0dc9a8014dbbd6c8612bd8775dad (MD5)Made available in DSpace on 2012-10-15T18:34:28Z (GMT). No. of bitstreams: 1 Parise, E..pdf: 577473 bytes, checksum: e51e0dc9a8014dbbd6c8612bd8775dad (MD5) Previous issue date: 2006-02SalvadorThe Brazilian Journal of Infectious Diseases and Contexto Publishinghttp://dx.doi.org/10.1590/S1413-86702006000100003reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPeginterferon alfaRibavirinHepatitis CSafetyEfficacyPeginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapyBrazilian Journal of Infectious Diseasesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINALParise, E..pdfParise, E..pdfapplication/pdf577473https://repositorio.ufba.br/bitstream/ri/6946/1/Parise%2c%20E..pdfe51e0dc9a8014dbbd6c8612bd8775dadMD51LICENSElicense.txtlicense.txttext/plain1809https://repositorio.ufba.br/bitstream/ri/6946/2/license.txt8bb3e3eb871f5854a9ec419f68651b60MD52TEXTParise, E..pdf.txtParise, E..pdf.txtExtracted texttext/plain26382https://repositorio.ufba.br/bitstream/ri/6946/3/Parise%2c%20E..pdf.txt10b0c2093d445f0f4698b0fa65b6480bMD53ri/69462022-07-05 14:03:10.594oai:repositorio.ufba.br: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ório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:10Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
dc.title.alternative.pt_BR.fl_str_mv Brazilian Journal of Infectious Diseases
title Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
spellingShingle Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
Parise, E.
Peginterferon alfa
Ribavirin
Hepatitis C
Safety
Efficacy
title_short Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
title_full Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
title_fullStr Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
title_full_unstemmed Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
title_sort Peginterferon alfa-2a (40KD) (PEGASYS®) plus ribavirin (COPEGUS®) in retreatment of chronic hepatitis C patients, nonresponders and relapsers to previous conventional interferon plus ribavirin therapy
author Parise, E.
author_facet Parise, E.
Cheinquer, H.
Crespo, D.
Meirelles, A.
Martinelli, A.
Sette, H.
Gallizi, J.
Silva, R.
Lacet, C.
Correa, E.
Cotrim, Helma Pinchemel
Fonseca, J.
Paraná, Raymundo
Spinelli, V.
Amorim, Welma Wildes
Tatsch, Fernando
Pessoa, M.
author_role author
author2 Cheinquer, H.
Crespo, D.
Meirelles, A.
Martinelli, A.
Sette, H.
Gallizi, J.
Silva, R.
Lacet, C.
Correa, E.
Cotrim, Helma Pinchemel
Fonseca, J.
Paraná, Raymundo
Spinelli, V.
Amorim, Welma Wildes
Tatsch, Fernando
Pessoa, M.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Parise, E.
Cheinquer, H.
Crespo, D.
Meirelles, A.
Martinelli, A.
Sette, H.
Gallizi, J.
Silva, R.
Lacet, C.
Correa, E.
Cotrim, Helma Pinchemel
Fonseca, J.
Paraná, Raymundo
Spinelli, V.
Amorim, Welma Wildes
Tatsch, Fernando
Pessoa, M.
Parise, E.
Cheinquer, H.
Crespo, D.
Meirelles, A.
Martinelli, A.
Sette, H.
Gallizi, J.
Silva, R.
Lacet, C.
Correa, E.
Cotrim, Helma Pinchemel
Fonseca, J.
Paraná, Raymundo
Spinelli, V.
Amorim, Welma Wildes
Tatsch, Fernando
Pessoa, M.
dc.subject.por.fl_str_mv Peginterferon alfa
Ribavirin
Hepatitis C
Safety
Efficacy
topic Peginterferon alfa
Ribavirin
Hepatitis C
Safety
Efficacy
description p.11-16
publishDate 2006
dc.date.issued.fl_str_mv 2006-02
dc.date.accessioned.fl_str_mv 2012-10-15T18:34:28Z
dc.date.available.fl_str_mv 2012-10-15T18:34:28Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/6946
dc.identifier.issn.none.fl_str_mv 1413-8670
dc.identifier.number.pt_BR.fl_str_mv v. 10, n. 1
identifier_str_mv 1413-8670
v. 10, n. 1
url http://www.repositorio.ufba.br/ri/handle/ri/6946
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv The Brazilian Journal of Infectious Diseases and Contexto Publishing
publisher.none.fl_str_mv The Brazilian Journal of Infectious Diseases and Contexto Publishing
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S1413-86702006000100003
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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reponame_str Repositório Institucional da UFBA
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