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Poordad, Fred; Hezode, Christophe; Trinh, Roger; Kowdley, Kris V; Zeuzem, Stefan; Agarwal, Kosh; Shiffman, Mitchell L; Wedemeyer, Heiner; Berg, Thomas; Yoshida, Eric M; Forns, Xavier; Lovell, Sandra S; Da Silva-Tillmann, Barbara; Collins, Christine A; Campbell, Andrew L; Podsadecki, Thomas; Bernstein, Barry
The New England journal of medicine, 05/2014, Volume: 370, Issue: 21Journal Article
In patients with HCV genotype 1 infection and cirrhosis, the rate of sustained virologic response was 92% with three new antiviral agents plus ribavirin for 12 weeks and 96% with the same regimen for 24 weeks. Two percent of patients discontinued treatment because of adverse events. An estimated 184 million people worldwide have hepatitis C virus (HCV) infection, 1 a leading cause of chronic liver disease and the leading indication for liver transplantation globally. 2 , 3 Approximately 25% of persons with HCV infection in the United States have cirrhosis, and this number is expected to rise to 37% by 2020. 4 , 5 Eradication of HCV with antiviral therapy reduces the risk of hepatic decompensation, hepatocellular carcinoma, and death from a liver-related cause or any cause. 6 – 10 Among patients with HCV infection and cirrhosis in whom peginterferon–ribavirin treatment has failed, rates of sustained virologic response to retreatment with interferon-containing regimens . . .
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