New agents for the treatment of Hepatitis C

被引:5
作者
Buti, Maria [1 ]
Horns, Maria [2 ]
机构
[1] Hosp Univ Vall dHebron, Serv Med Interna Hepatol, Vall Dhebron, Spain
[2] Hosp Univ Vall dHebron, Serv Bioquim, Vall Dhebron, Spain
来源
ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA | 2012年 / 30卷 / 03期
关键词
Chronic Hepatitis C; Protease inhibitors; Sustained virological response; Antiviral resistances; VIRUS EPIDEMIOLOGY; TELAPREVIR; REPLICATION; BOCEPREVIR; RIBAVIRIN; PROTEASE;
D O I
10.1016/j.eimc.2011.09.012
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The current treatment of Chronic Hepatitis C (CHC) is based on the combination of peginterferon alpha 2a or 2b and ribavirin. This treatment achieves Sustained Virological Response (SVR) rates in more than 50% of the patients. The SVR rates are higher in genotype 2 and 3 patients than in genotype 1, which account for more than 50%. For this reason, the development of new drugs is needed. The knowledge of Hepatitis C Virus (HCV) replication cycle and the characterisation of the viral enzymes allow targets to be defined with the ability to inhibit HCV enzymes. The present overview analyses the first two NS3/NS4 protease inhibitors approved for the treatment of CHC, boceprevir and telaprevir. Both increase rates of SVR in naive and in previously treated patients with the advantage that in some cases therapy can be shortened. However, these drugs have new side effects such as a rash and an increase in the rate of anaemia. (C) 2011 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:147 / 150
页数:4
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