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首页> 外文期刊>The Journal of Clinical Pharmacology: Official Journal of the American College of Clinical Pharmacology >Efficacy and Safety of Elbasvir‐Grazoprevir Fixed Dose in the Management of Polytreated HCV Patients: Evidence From Real‐Life Clinical Practice
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Efficacy and Safety of Elbasvir‐Grazoprevir Fixed Dose in the Management of Polytreated HCV Patients: Evidence From Real‐Life Clinical Practice

机译:Elbasvir-Grazoprevir固定剂量在聚处理HCV患者管理中的功效和安全性:来自现实生活临床实践的证据

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Abstract Chronic hepatitis C virus (HCV) infection represents a global public health challenge, and new drugs have been authorized for its treatment. In this study, we evaluated both the clinical efficacy and safety of elbasvir‐grazoprevir fixed‐dose combination in HCV patients. We performed a prospective single‐blind study on patients admitted to the Regional Center for HCV Treatment of the University of Catanzaro from March 1, 2017, to December 31, 2017, in patients 30 years old with a history of chronic HCV infection. During the study period, we enrolled 29 HCV patients (18 women and 11 men; age, 62.5?±?14 years, range 36‐82; HCV‐RNA: 2 384 859?±?2 487 747 IU/mL, range, 60?400???8?930?000 IU/mL genotype 1b). In 28 of 29 patients (96.5%) we documented a rapid and complete remission of HCV infection 4 weeks after the beginning of the treatment, while in 1 patient it was reached in 8 weeks. During the study, we did not record any serious adverse drug reaction or drug interaction and no patients discontinued the treatment. However, 4 patients (13.8%) developed an asymptomatic plasma transaminase increase that appeared at 8 weeks after the beginning of the treatment and disappeared 4 weeks later in 3 patients and 8 weeks later in 1 patient. In conclusion, we documented that in real life the development of plasma transaminase increase in 4 elderly women 70 years old, suggesting that more attention must be focused on this age population.
机译:摘要慢性丙型肝炎病毒(HCV)感染代表全球公共卫生挑战,新药已被授权治疗。在本研究中,我们评估了HCV患者中Elbasvir-Grazophir固定剂组合的临床疗效和安全性。我们对2017年3月1日至2017年3月1日至2017年12月31日,患者为2017年12月31日,患者对患者进行了预期单盲研究,患者> 30岁,患有慢性HCV感染的历史。在研究期间,我们注册了29例HCV患者(18名女性和11名男性;年龄,62.5?±14岁,范围36-82; HCV-RNA:2 384 859?±2 487 747 IU / ML,范围, 60?400 ??? 8?930?000 iu / ml基因型1b)。在29例患者中的28例(96.5%)中,我们记录了在治疗开始后4周快速和完全缓解HCV感染,而在8周内达到1例患者。在研究期间,我们没有记录任何严重的药物反应或药物相互作用,没有患者停止治疗。然而,4名患者(13.8%)在治疗开始后8周后出现了无症状的血浆转氨酶增加,并在3名患者中和8周后8周后消失了8周。总之,我们记录了,在现实生活中,在4岁的老年女性中增加了血浆转氨酶酶的发展; 70岁,表明必须关注这个年龄的人口。

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