Cytopenias during treatment of HIV-HCV-coinfection with pegylated interferon and ribavirin: safety analysis of the OPERA study.
Identifieur interne : 000C06 ( Ncbi/Curation ); précédent : 000C05; suivant : 000C07Cytopenias during treatment of HIV-HCV-coinfection with pegylated interferon and ribavirin: safety analysis of the OPERA study.
Auteurs : Emanuele Pontali [Italie] ; Elena Angeli ; Anna M. Cattelan ; Ivana Maida ; Paola Nasta ; Gabriella Verucchi ; Antonietta Caputo ; Claudio Iannacone ; Massimo PuotiSource :
- Antiviral therapy ; 2015.
English descriptors
- KwdEn :
- Adult, Anemia (chemically induced), Anemia (pathology), Antiviral Agents (administration & dosage), Antiviral Agents (adverse effects), Cell Count, Coinfection, Female, HIV Infections (drug therapy), HIV Infections (pathology), HIV Infections (virology), HIV-1 (drug effects), HIV-1 (physiology), Hepacivirus (drug effects), Hepacivirus (physiology), Hepatitis C, Chronic (drug therapy), Hepatitis C, Chronic (pathology), Hepatitis C, Chronic (virology), Humans, Interferon-alpha (administration & dosage), Interferon-alpha (adverse effects), Male, Middle Aged, Neutropenia (chemically induced), Neutropenia (pathology), Polyethylene Glycols (administration & dosage), Polyethylene Glycols (adverse effects), Recombinant Proteins (administration & dosage), Recombinant Proteins (adverse effects), Ribavirin (administration & dosage), Ribavirin (adverse effects), Thrombocytopenia (chemically induced), Thrombocytopenia (pathology), Viral Load (drug effects).
- MESH :
- chemical , administration & dosage : Antiviral Agents, Interferon-alpha, Polyethylene Glycols, Recombinant Proteins, Ribavirin.
- chemical , adverse effects : Antiviral Agents, Interferon-alpha, Polyethylene Glycols, Recombinant Proteins, Ribavirin.
- chemically induced : Anemia, Neutropenia, Thrombocytopenia.
- drug effects : HIV-1, Hepacivirus, Viral Load.
- drug therapy : HIV Infections, Hepatitis C, Chronic.
- pathology : Anemia, HIV Infections, Hepatitis C, Chronic, Neutropenia, Thrombocytopenia.
- physiology : HIV-1, Hepacivirus.
- virology : HIV Infections, Hepatitis C, Chronic.
- Adult, Cell Count, Coinfection, Female, Humans, Male, Middle Aged.
Abstract
Until recently, recommendations for HCV treatment in HIV-coinfected patients have been combination therapy with pegylated interferon (PEG-IFN) and ribavirin (RBV). However, this treatment is often accompanied with cytopenias which lead to drug-dose reduction/discontinuation, therefore influencing sustained virological response (SVR). This study aimed at evaluating incidence and predictors of cytopenias and to define their impact on SVR in Italian HIV-HCV-coinfected patients undergoing PEG-IFN/RBV treatment.
DOI: 10.3851/IMP2781
PubMed: 24831457
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pubmed:24831457Le document en format XML
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<author><name sortKey="Pontali, Emanuele" sort="Pontali, Emanuele" uniqKey="Pontali E" first="Emanuele" last="Pontali">Emanuele Pontali</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Infectious Diseases, Galliera Hospital, Genoa</wicri:regionArea>
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<author><name sortKey="Angeli, Elena" sort="Angeli, Elena" uniqKey="Angeli E" first="Elena" last="Angeli">Elena Angeli</name>
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<author><name sortKey="Cattelan, Anna M" sort="Cattelan, Anna M" uniqKey="Cattelan A" first="Anna M" last="Cattelan">Anna M. Cattelan</name>
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<author><name sortKey="Angeli, Elena" sort="Angeli, Elena" uniqKey="Angeli E" first="Elena" last="Angeli">Elena Angeli</name>
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<author><name sortKey="Cattelan, Anna M" sort="Cattelan, Anna M" uniqKey="Cattelan A" first="Anna M" last="Cattelan">Anna M. Cattelan</name>
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<author><name sortKey="Maida, Ivana" sort="Maida, Ivana" uniqKey="Maida I" first="Ivana" last="Maida">Ivana Maida</name>
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<author><name sortKey="Nasta, Paola" sort="Nasta, Paola" uniqKey="Nasta P" first="Paola" last="Nasta">Paola Nasta</name>
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<author><name sortKey="Caputo, Antonietta" sort="Caputo, Antonietta" uniqKey="Caputo A" first="Antonietta" last="Caputo">Antonietta Caputo</name>
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<author><name sortKey="Iannacone, Claudio" sort="Iannacone, Claudio" uniqKey="Iannacone C" first="Claudio" last="Iannacone">Claudio Iannacone</name>
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<author><name sortKey="Puoti, Massimo" sort="Puoti, Massimo" uniqKey="Puoti M" first="Massimo" last="Puoti">Massimo Puoti</name>
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<series><title level="j">Antiviral therapy</title>
<idno type="e-ISSN">2040-2058</idno>
<imprint><date when="2015" type="published">2015</date>
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<term>Anemia (chemically induced)</term>
<term>Anemia (pathology)</term>
<term>Antiviral Agents (administration & dosage)</term>
<term>Antiviral Agents (adverse effects)</term>
<term>Cell Count</term>
<term>Coinfection</term>
<term>Female</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (pathology)</term>
<term>HIV Infections (virology)</term>
<term>HIV-1 (drug effects)</term>
<term>HIV-1 (physiology)</term>
<term>Hepacivirus (drug effects)</term>
<term>Hepacivirus (physiology)</term>
<term>Hepatitis C, Chronic (drug therapy)</term>
<term>Hepatitis C, Chronic (pathology)</term>
<term>Hepatitis C, Chronic (virology)</term>
<term>Humans</term>
<term>Interferon-alpha (administration & dosage)</term>
<term>Interferon-alpha (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neutropenia (chemically induced)</term>
<term>Neutropenia (pathology)</term>
<term>Polyethylene Glycols (administration & dosage)</term>
<term>Polyethylene Glycols (adverse effects)</term>
<term>Recombinant Proteins (administration & dosage)</term>
<term>Recombinant Proteins (adverse effects)</term>
<term>Ribavirin (administration & dosage)</term>
<term>Ribavirin (adverse effects)</term>
<term>Thrombocytopenia (chemically induced)</term>
<term>Thrombocytopenia (pathology)</term>
<term>Viral Load (drug effects)</term>
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<term>Interferon-alpha</term>
<term>Polyethylene Glycols</term>
<term>Recombinant Proteins</term>
<term>Ribavirin</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiviral Agents</term>
<term>Interferon-alpha</term>
<term>Polyethylene Glycols</term>
<term>Recombinant Proteins</term>
<term>Ribavirin</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Anemia</term>
<term>Neutropenia</term>
<term>Thrombocytopenia</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>HIV-1</term>
<term>Hepacivirus</term>
<term>Viral Load</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term>
<term>Hepatitis C, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anemia</term>
<term>HIV Infections</term>
<term>Hepatitis C, Chronic</term>
<term>Neutropenia</term>
<term>Thrombocytopenia</term>
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<term>Hepacivirus</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>HIV Infections</term>
<term>Hepatitis C, Chronic</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Cell Count</term>
<term>Coinfection</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Until recently, recommendations for HCV treatment in HIV-coinfected patients have been combination therapy with pegylated interferon (PEG-IFN) and ribavirin (RBV). However, this treatment is often accompanied with cytopenias which lead to drug-dose reduction/discontinuation, therefore influencing sustained virological response (SVR). This study aimed at evaluating incidence and predictors of cytopenias and to define their impact on SVR in Italian HIV-HCV-coinfected patients undergoing PEG-IFN/RBV treatment.</div>
</front>
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