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10.3748/wjg.v22.i22.5285

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suck abstract from ncbi


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pmid27298572
      World+J+Gastroenterol 2016 ; 22 (22 ): 5285-92
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  • Hepatitis C virus genotype 3: Meta-analysis on sustained virologic response rates with currently available treatment options #MMPMID27298572
  • Ampuero J ; Reddy KR ; Romero-Gomez M
  • World J Gastroenterol 2016[Jun]; 22 (22 ): 5285-92 PMID27298572 show ga
  • AIM: To address the therapeutic efficacy of various treatment regimens in genotype 3 selecting randomized clinical trials and prospective National Cohort Studies. METHODS: (1) PEG-INF-based therapy including sofosbuvir (SOF) + RBV for 12 wk vs SOF + RBV 24 wk; (2) SOF + RBV therapy 12 wk/16 wk vs 24 wk; and (3) the role of RBV in SOF + daclatasvir (DCV) and SOF + ledipasvir (LDV) combinations. This meta-analysis provides robust information with the intention of addressing treatment strategy for hepatitis C virus genotype 3. RESULTS: A combination treatment including SOF + RBV + PEG-IFN for 12 wk notes better SVR than with only SOF + RBV for 12 wk, although its association with more frequent adverse effects may be a limiting factor. Longer duration therapy with SOF + RBV (24 wk) has achieved higher SVR rates than shorter durations (12 or 16 wk). SOF + LDV are not an ideal treatment for genotype 3. CONCLUSION: Lastly, SOF + DCV combination is probably the best oral therapy option and the addition of RBV does not appear to be needed to increase SVR rates substantially.
  • |Administration, Oral [MESH]
  • |Antiviral Agents/administration & dosage/adverse effects/*therapeutic use [MESH]
  • |Carbamates [MESH]
  • |Drug Resistance, Viral/genetics [MESH]
  • |Drug Therapy, Combination [MESH]
  • |Genotype [MESH]
  • |Hepacivirus/*drug effects/*genetics/pathogenicity [MESH]
  • |Hepatitis C/diagnosis/*drug therapy/virology [MESH]
  • |Humans [MESH]
  • |Imidazoles/therapeutic use [MESH]
  • |Odds Ratio [MESH]
  • |Prospective Studies [MESH]
  • |Pyrrolidines [MESH]
  • |Randomized Controlled Trials as Topic [MESH]
  • |Ribavirin/therapeutic use [MESH]
  • |Sofosbuvir/therapeutic use [MESH]
  • |Sustained Virologic Response [MESH]
  • |Time Factors [MESH]


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