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10.1177/1756283X15587481

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C4530432!4530432!26327920
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suck abstract from ncbi


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pmid26327920      Therap+Adv+Gastroenterol 2015 ; 8 (5): 298-312
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  • The changing landscape of hepatitis C virus therapy: focus on interferon-free treatment #MMPMID26327920
  • Lam BP; Jeffers T; Younoszai Z; Fazel Y; Younossi ZM
  • Therap Adv Gastroenterol 2015[Sep]; 8 (5): 298-312 PMID26327920show ga
  • Chronic hepatitis C (CHC) affects over 185 million individuals worldwide, approximately 3% of the world?s population. CHC can lead to quality of life impairment, cirrhosis, hepatocellular carcinoma (HCC), liver failure and liver-related death. While CHC has been associated with increases in HCC, liver-related mortality and all-cause mortality, being cured of CHC is associated with improvement in these outcomes. Older interferon-based regimens were complex and toxic and required 6?12 months of therapy, with cure rates averaging around 40?45% for HCV genotype 1. Newer interferon-free regimens are now available in the US, Europe, Japan and in other countries. These regimens have short durations, minimal side effects, low pill burden and efficacy approaching 90?100%. We may eventually see single-tablet regimens lasting no more than 4?6 weeks. This review will summarize the data regarding these interferon-free regimens, including Gilead?s Harvoni (sofosbuvir/ledipasvir), AbbVie?s Viekira Pak (paritaprevir/ritonavir/ombitasvir with dasabuvir), and Janssen?s Olysio (simeprevir) with sofosbuvir. Some practical considerations as we move into an interferon-free era will also be discussed, such as patient adherence and drug?drug interactions.
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