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Final Results of the Telaprevir Access Program: FibroScan Values Predict Safety and Efficacy in Hepatitis C Patients with Advanced Fibrosis or Cirrhosis.

Identifieur interne : 002932 ( PubMed/Corpus ); précédent : 002931; suivant : 002933

Final Results of the Telaprevir Access Program: FibroScan Values Predict Safety and Efficacy in Hepatitis C Patients with Advanced Fibrosis or Cirrhosis.

Auteurs : Antonia Lepida ; Massimo Colombo ; Inmaculada Fernandez ; Djamal Abdurakhmanov ; Paulo Abrao Ferreira ; Simone I. Strasser ; Petr Urbanek ; Alessandra Mangia ; José L. Calleja ; Wafae Iraqi ; Ralph Demasi ; Isabelle Lonjon-Domanec ; Christophe Moreno ; Heiner Wedemeyer

Source :

RBID : pubmed:26398503

English descriptors

Abstract

Liver stiffness determined by transient elastography is correlated with hepatic fibrosis stage and has high accuracy for detecting severe fibrosis and cirrhosis in chronic hepatitis C patients. We evaluated the clinical value of baseline FibroScan values for the prediction of safety and efficacy of telaprevir-based therapy in patients with advanced fibrosis and cirrhosis in the telaprevir Early Access Program HEP3002.

DOI: 10.1371/journal.pone.0138503
PubMed: 26398503

Links to Exploration step

pubmed:26398503

Le document en format XML

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<term>Health Services Accessibility</term>
<term>Hepacivirus (drug effects)</term>
<term>Hepacivirus (physiology)</term>
<term>Hepatitis C (complications)</term>
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<div type="abstract" xml:lang="en">Liver stiffness determined by transient elastography is correlated with hepatic fibrosis stage and has high accuracy for detecting severe fibrosis and cirrhosis in chronic hepatitis C patients. We evaluated the clinical value of baseline FibroScan values for the prediction of safety and efficacy of telaprevir-based therapy in patients with advanced fibrosis and cirrhosis in the telaprevir Early Access Program HEP3002.</div>
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<DateCreated>
<Year>2015</Year>
<Month>09</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>05</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1932-6203</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>10</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2015</Year>
</PubDate>
</JournalIssue>
<Title>PloS one</Title>
<ISOAbbreviation>PLoS ONE</ISOAbbreviation>
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<ArticleTitle>Final Results of the Telaprevir Access Program: FibroScan Values Predict Safety and Efficacy in Hepatitis C Patients with Advanced Fibrosis or Cirrhosis.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Liver stiffness determined by transient elastography is correlated with hepatic fibrosis stage and has high accuracy for detecting severe fibrosis and cirrhosis in chronic hepatitis C patients. We evaluated the clinical value of baseline FibroScan values for the prediction of safety and efficacy of telaprevir-based therapy in patients with advanced fibrosis and cirrhosis in the telaprevir Early Access Program HEP3002.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">1,772 patients with HCV-1 and bridging fibrosis or cirrhosis were treated with telaprevir plus pegylated interferon-α and ribavirin (PR) for 12 weeks followed by PR alone, the total treatment duration depending on virological response and previous response type. Liver fibrosis stage was determined either by liver biopsy or by non-invasive markers. 1,282 patients (72%) had disease stage assessed by FibroScan; among those 46% were classified as Metavir F3 at baseline and 54% as F4.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 1,139 patients (64%) achieved a sustained virological response (SVR) by intention-to-treat analysis. Baseline FibroScan values were tested for association with SVR and the occurrence of adverse events. By univariate analysis, higher baseline FibroScan values were predictive of lower sustained virological response rates and treatment-related anemia. By multivariate analysis, FibroScan was no longer statistically significant as an independent predictor, but higher FibroScan values were correlated with the occurrence of infections and serious adverse events.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">FibroScan has a limited utility as a predictor of safety and efficacy in patients treated with telaprevir-based triple therapy. Nevertheless it can be used in association with other clinical and biological parameters to help determine patients who will benefit from the triple regiments.</AbstractText>
<AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">ClinicalTrials.gov NCT01508286.</AbstractText>
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</AffiliationInfo>
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<Affiliation>Department of Medicine, Division of Gastroenterology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Universita' degli Studi di Milano, Milan, Italy.</Affiliation>
</AffiliationInfo>
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<ForeName>Paulo Abrao</ForeName>
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<Affiliation>Outpatient Clinic to HIV and Viral Hepatitis Division of Infectious Disease, Federal University of São Paulo, São Paulo, Brazil.</Affiliation>
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<LastName>Strasser</LastName>
<ForeName>Simone I</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Internal Medicine, First Medical Faculty, Charles University, and Central Military Hospital Prague, Prague, Czech Republic.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Mangia</LastName>
<ForeName>Alessandra</ForeName>
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<Affiliation>Liver Unit, IRCCS Hospital 'Casa Sollievo della Sofferenza', San Giovanni Rotondo, Italy.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Iraqi</LastName>
<ForeName>Wafae</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Janssen Pharmaceuticals, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>DeMasi</LastName>
<ForeName>Ralph</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Janssen Research and development, Titusville, New Jersey, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lonjon-Domanec</LastName>
<ForeName>Isabelle</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Janssen Pharmaceuticals, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Moreno</LastName>
<ForeName>Christophe</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Liver Unit, Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Wedemeyer</LastName>
<ForeName>Heiner</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Medizinische Hochschule Hannover, Hannover, Germany.</Affiliation>
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<RefSource>J Antimicrob Chemother. 2010 Oct;65(10):2204-11</RefSource>
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<RefSource>JAMA. 2012 Dec 26;308(24):2584-93</RefSource>
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