Help
Subscribe


Submit Videos to GastroHep Read For FREE - Our full range of review articles
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Guido Tytgat Profile of Pete Peterson Profile of Peter Cotton Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Effectiveness of antiviral treatment for Hepatitis C virus infection in adults

This month's publication of the Annals of Internal Medicine compares the effectiveness of antiviral treatment for Hepatitis C virus infection in adults.

News image

Dr Roger Chou and colleagues compared benefits and harms of antiviral regimens for chronic HCV infection in treatment-naive adults.

The team searched for English-language literature from MEDLINE, the Cochrane Library Database, Embase, Scopus, PsychINFO, and clinical trial registries.

The research team identified randomized trials of antiviral treatments, and cohort studies examining associations between sustained virologic response after therapy and clinical outcomes.

Several investigators abstracted study details and quality by using predefined criteria.

The researchers noted that no trial evaluated effectiveness of treatment on long-term clinical outcomes.

PEG-interferon alfa-2b plus ribavirin was associated with a lower sustained virologic response
Annals of Internal Medicine

Dual therapy with pegylated interferon alfa-2b plus ribavirin was associated with a lower likelihood of sustained virologic response than was pegylated interferon alfa-2a plus ribavirin.

For genotype 2 or 3 infection, dual therapy for 12 to 16 weeks was associated with a lower likelihood of sustained virologic response than was therapy for 24 weeks, and lower doses of pegylated interferon alfa-2b were less effective than standard doses.

The doctors found that for genotype 1 infection, fair-quality trials reported that triple therapy with pegylated interferon, ribavirin, and either boceprevir or telaprevir was associated with a higher likelihood of sustained virologic response than was dual therapy.

Compared with dual therapy, boceprevir triple therapy increased risk for hematologic adverse events, and telaprevir triple therapy increased risk for anemia and rash.

The research team noted that a large well-designed cohort study and 18 smaller cohort studies found that an sustained virologic response after antiviral therapy was associated with lower risk for all-cause mortality than was no sustained virologic response.

Trials involved highly selected populations.

The team found that observational studies did not always adequately control for confounders.

Dr Chou's team commented, "Sustained virologic response rates for genotype 1 infection are higher with triple therapy that includes a protease inhibitor than with standard dual therapy."

"A sustained virologic response after antiviral therapy appears associated with improved clinical outcomes." 

Ann Intern Med 2013; 158(2): 114-123
28 January 2013

Go to top of page Email this page Email this page to a colleague

 30 August 2015

Advanced search
 28 August 2015 
Statin use and survival in pancreatic cancer
 28 August 2015 
Bacterial endotoxin and NAFLD
 28 August 2015 
Interferon-free regimens for Hep C
 27 August 2015 
HCV in Egypt
 27 August 2015 
Gene expression for hepatocellular carcinoma
 27 August 2015 
Liver abnormalities in celiac disease
 26 August 2015 
Medical management of diverticular disease
 26 August 2015 
Treatment of erosive esophagitis
 26 August 2015 
Dermatological complications of anti-TNF therapy in IBD
 25 August 2015 
Markers for colorectal cancer screening
 25 August 2015 
Long-term PPI use and serum gastrin levels
 25 August 2015 
Treatment for HCV and HIV-1 co-infection
 24 August 2015 
Treatment for HCV and HIV-1 co-infection
 24 August 2015 
Cirrhosis in Hepatitis C patients
 24 August 2015 
Aspirin use and colorectal cancer survival
 21 August 2015 
Activity indexes in ulcerative colitis
 21 August 2015 
Coffee and gallstone disease
 21 August 2015 
Alcoholic cirrhosis in relapse after liver transplant
 20 August 2015 
Cirrhosis in the USA
 20 August 2015 
Mortality causes in liver cirrhosis
 20 August 2015 
Risk of death in IBD
 19 August 2015 
Predicting intestinal surgery in Crohn's disease
 19 August 2015 
Improved screening colonoscopy quality
 19 August 2015 
Sleep positioning device reduces reflux
 18 August 2015 
Health insurance influences HCV screening outcomes
 18 August 2015 
Somatostatin analogues in polycystic liver disease
 18 August 2015 
Global consensus report on H. pylori gastritis
 17 August 2015 
Biomarker of fibrosis stage in NAFLD
 17 August 2015 
Prognostic score for primary biliary cirrhosis
 17 August 2015 
Measuring subjective health in patients with IBS
 14 August 2015 
Factors that influence ulcerative colitis procedure type
 14 August 2015 
H. pylori in African American and Hispanic veterans
 14 August 2015 
Hep E virus in decompensated chronic liver disease
 13 August 2015 
H. pylori in drinking water
 13 August 2015 
Sofosbuvir-regimens in HCV
 13 August 2015 
IBS among Japanese adolescents
 12 August 2015 
Infliximab in patients in IBD
 12 August 2015 
Peritoneal carcinomatosis in colorectal cancer
 12 August 2015 
Predictors of severity of IBD
 11 August 2015 
H. pylori and immune thrombocytopenic purpura
 11 August 2015 
Chemotherapy and intestinal microbiomes
 11 August 2015 
Sexual dysfunction after rectal cancer treatment
 10 August 2015 
Scoring systems to predict alcoholic hepatitis outcomes
 10 August 2015 
Sofosbuvir-based regimens in veterans with HCV
 10 August 2015 
Predicting lymph node metastasis in T1 colorectal cancer
 07 August 2015 
Factors associated with changes in ulcerative colitis
 07 August 2015 
Bariatric surgery and NASH in obese patients
 07 August 2015 
Caffeine and fibrosis in Hep C
 06 August 2015 
Disparities in colonoscopic examination
 06 August 2015 
Weight loss and NASH
 06 August 2015 
Diagnosis of IBS
 05 August 2015 
Gender differences in fecal immunochemical tests
 05 August 2015 
Adenoma detection rates with a screening colonoscopy program
 05 August 2015 
Extraintestinal manifestations in IBD diagnosis
 04 August 2015 
IBD environmental risk factors
 04 August 2015 
Measuring disease activity in Crohn's
 04 August 2015 
Gastric emptying and hyperglycemia in diabetes
 03 August 2015 
Vaccinations and IBD
 03 August 2015 
Lack of response to therapy in severe ulcerative colitis
 03 August 2015 
Nutritional vs biological therapy in Crohn's

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2015 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us