Abstract:
BACKGROUND:Ribavirin augments sustained virological response when administered with pegylated interferon for the treatment of chronic HCV infection. The impact of ribavirin plasma concentration on outcome in individuals receiving interferon-free regimens has not been evaluated. METHODS:Stored plasma samples were retrieved for 47 treatment-naive subjects who received sofosbuvir and weight-based ribavirin for 12-24 weeks in the Phase IIb QUANTUM study. Week 1, 4 and 8 ribavirin plasma concentrations (mg/l) were quantified using high-performance liquid chromatography with UV detection. RESULTS:Sustained virological response at 12 weeks post treatment was observed in 55% with all treatment failures due to relapse. The median ribavirin plasma concentration increased from week 1 (1.58 mg/l, IQR 1.44-2.24) to week 4 (2.23 mg/l, IQR 1.69-2.87) and week 8 (2.67 mg/l, IQR 2.10-3.26) with wide variability at steady state. Median week 4 ribavirin plasma concentration was 2.25 mg/l (IQR 1.63-3.05) in those with a sustained virological response as compared to 2.07 mg/l (IQR 1.79-2.86) in those with treatment failure (OR 1.35; 95% CI 0.76, 2.39; P=0.3). No significant association between ribavirin plasma concentration and treatment response was noted at weeks 1 or 8. CONCLUSIONS:We found no evidence of an association between ribavirin plasma concentrations and relapse suggesting that, as opposed to interferon-based therapy, suboptimal ribavirin plasma concentrations did not explain the high rate of virological failure with this regimen. Our findings suggest that in interferon-free ribavirin-containing regimens, concerns over ribavirin dosing to achieve previously determined target plasma concentrations are unnecessary.
journal_name
Antivir Therjournal_title
Antiviral therapyauthors
Martinello M,Schteinman A,Alavi M,Williams K,Dore GJ,Day R,Matthews GVdoi
10.3851/IMP2984subject
Has Abstractpub_date
2016-01-01 00:00:00pages
127-32issue
2eissn
1359-6535issn
2040-2058journal_volume
21pub_type
杂志文章abstract:BACKGROUND:We aimed to investigate the extent of pharmacokinetic drug interactions between bosentan and a fixed combination of lopinavir/ritonavir. METHODS:This was a three-way crossover study in 12 healthy male participants treated with bosentan (125 mg twice daily) and lopinavir/ritonavir (400/100 mg twice daily) al...
journal_title:Antiviral therapy
pub_type: 杂志文章,随机对照试验
doi:10.3851/IMP1506
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To study decay rates of productively and latently infected cells in peripheral blood and lymph nodes during triple antiretroviral therapy and the possible impact of interleukin-2 (IL-2) on viral kinetics. METHODS:In this non-randomized study, nine antiretroviral-naive HIV-positive patients received either sa...
journal_title:Antiviral therapy
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:The H275Y neuraminidase mutation conferring oseltamivir resistance has been reported in several pandemic A/H1N1 (pH1N1) isolates. We sought to evaluate transmission of this mutant virus through the direct contact and the airborne (aerosol and droplet) routes in the ferret model. METHODS:Groups of four ferre...
journal_title:Antiviral therapy
pub_type: 杂志文章
doi:10.3851/IMP1794
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Drug-resistant HBV mutants frequently arise during nucleoside/nucleotide analogue (NA) therapy, while the resistance mutations on polymerase also have consequent changes in the S protein. The enrichment of immune-escape mutations was negatively correlated with hepatitis B surface antigen (HBsAg) clearance un...
journal_title:Antiviral therapy
pub_type: 杂志文章
doi:10.3851/IMP3156
更新日期:2017-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,随机对照试验,评审
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更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Potential drug-drug interactions (PDDIs) might expand with new combination antiretroviral therapies (ART) and polypharmacy related to increasing age and comorbidities. We investigated the prevalence of comedications and PDDIs within a large HIV cohort, and their effect on ART efficacy and tolerability. METH...
journal_title:Antiviral therapy
pub_type: 杂志文章
doi:10.3851/IMP1540
更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:
更新日期:1996-08-01 00:00:00
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journal_title:Antiviral therapy
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更新日期:2016-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00
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journal_title:Antiviral therapy
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doi:10.3851/IMP3372
更新日期:2020-10-22 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:10.3851/IMP1509
更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2015-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
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更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.3851/IMP1931
更新日期:2011-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-01-01 00:00:00
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doi:10.3851/IMP1558
更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,随机对照试验
doi:
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更新日期:2017-01-01 00:00:00
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更新日期:2014-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,评审
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更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,随机对照试验
doi:10.3851/IMP3049
更新日期:2016-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:10.3851/IMP1557
更新日期:2010-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
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更新日期:2009-01-01 00:00:00
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journal_title:Antiviral therapy
pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00