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Efficacy of re-treatment with TMC435 as combination therapy in hepatitis C virus-infected patients following TMC435 monotherapy.

Identifieur interne : 000811 ( Main/Exploration ); précédent : 000810; suivant : 000812

Efficacy of re-treatment with TMC435 as combination therapy in hepatitis C virus-infected patients following TMC435 monotherapy.

Auteurs : Oliver Lenz [Belgique] ; Joep De Bruijne ; Leen Vijgen ; Thierry Verbinnen ; Christine Weegink ; Herwig Van Marck ; Ina Vandenbroucke ; Monika Peeters ; Kenneth Simmen ; Greg Fanning ; Rene Verloes ; Gaston Picchio ; Hendrik Reesink

Source :

RBID : pubmed:22885330

English descriptors

Abstract

In the TMC435-C101 study, 6 patients infected with hepatitis C virus genotype 1 were treated with the protease inhibitor TMC435 (200 mg once daily) as monotherapy for 5 days. Approximately 1.5 years later, 5 of these patients were re-treated with TMC435 (200 mg once daily) plus pegylated interferon alfa-2a and ribavirin (PegIFNα-2a and RBV) for 4 weeks, followed by PegIFNα-2a and RBV until week 48 (in the Optimal Protease inhibitor Enhancement of Response to therApy [OPERA-1] study). TMC435-resistant variants, which emerged in all 5 patients during the TMC435-C101 study, were no longer detected at the beginning of the OPERA-1 study based on virus population sequencing. During the OPERA-1 study, 3 patients had a sustained virologic response; deep sequencing indicated low-level persistence of resistant variants in the remaining 2 patients, which might have affected their response to re-treatment.

DOI: 10.1053/j.gastro.2012.07.117
PubMed: 22885330


Affiliations:


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Le document en format XML

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<name sortKey="Van Marck, Herwig" sort="Van Marck, Herwig" uniqKey="Van Marck H" first="Herwig" last="Van Marck">Herwig Van Marck</name>
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<name sortKey="Vandenbroucke, Ina" sort="Vandenbroucke, Ina" uniqKey="Vandenbroucke I" first="Ina" last="Vandenbroucke">Ina Vandenbroucke</name>
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<name sortKey="Verloes, Rene" sort="Verloes, Rene" uniqKey="Verloes R" first="Rene" last="Verloes">Rene Verloes</name>
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<name sortKey="Picchio, Gaston" sort="Picchio, Gaston" uniqKey="Picchio G" first="Gaston" last="Picchio">Gaston Picchio</name>
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<title level="j">Gastroenterology</title>
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<term>Antiviral Agents (therapeutic use)</term>
<term>Drug Resistance, Viral</term>
<term>Drug Therapy, Combination</term>
<term>Genotype</term>
<term>Hepacivirus (genetics)</term>
<term>Hepatitis C (blood)</term>
<term>Hepatitis C (drug therapy)</term>
<term>Hepatitis C (virology)</term>
<term>Heterocyclic Compounds, 3-Ring (therapeutic use)</term>
<term>Humans</term>
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<term>RNA, Viral (blood)</term>
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<term>Antiviral Agents</term>
<term>Heterocyclic Compounds, 3-Ring</term>
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<term>Ribavirin</term>
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<div type="abstract" xml:lang="en">In the TMC435-C101 study, 6 patients infected with hepatitis C virus genotype 1 were treated with the protease inhibitor TMC435 (200 mg once daily) as monotherapy for 5 days. Approximately 1.5 years later, 5 of these patients were re-treated with TMC435 (200 mg once daily) plus pegylated interferon alfa-2a and ribavirin (PegIFNα-2a and RBV) for 4 weeks, followed by PegIFNα-2a and RBV until week 48 (in the Optimal Protease inhibitor Enhancement of Response to therApy [OPERA-1] study). TMC435-resistant variants, which emerged in all 5 patients during the TMC435-C101 study, were no longer detected at the beginning of the OPERA-1 study based on virus population sequencing. During the OPERA-1 study, 3 patients had a sustained virologic response; deep sequencing indicated low-level persistence of resistant variants in the remaining 2 patients, which might have affected their response to re-treatment.</div>
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<name sortKey="De Bruijne, Joep" sort="De Bruijne, Joep" uniqKey="De Bruijne J" first="Joep" last="De Bruijne">Joep De Bruijne</name>
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