Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C

The aim of review. To analyze data of the clinical studies on chronic hepatitis C (CHC) treatment with application of new modes of combined therapy, including selective inhibitor of viral protease.Key points. New algorithms of antiviral therapy for patients infected by the 1-st virus genotype not tr...

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Main Author: S. N. Batskikh
Format: Article
Language:Russian
Published: Gastro LLC 2012-11-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1332
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author S. N. Batskikh
author_facet S. N. Batskikh
author_sort S. N. Batskikh
collection DOAJ
description The aim of review. To analyze data of the clinical studies on chronic hepatitis C (CHC) treatment with application of new modes of combined therapy, including selective inhibitor of viral protease.Key points. New algorithms of antiviral therapy for patients infected by the 1-st virus genotype not treated earlier, and after treatment failure, implicate presence or absence of so-called «induction phase», the kernel of which is application of pegilated interferon-α and ribavirin combination at the beginning of treatment with subsequent addition of the third agent (the direct action antiviral agent). Triple therapy with induction phase strategy is recommended at application of boceprevir as the third agent. Another antiviral drug with direct action – telaprevir is recommended for prescription from first day of treatment.Conclusion. Taking into account an apparent positive effect of induction phase for boceprevir modes of treatment and absence of that evidence for telaprevir application, both new antiviral strategies are justified for clinical application in CHC patients.
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institution Kabale University
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spelling doaj-art-64fa85ad90d64173b16ec1ef44d2df552025-02-10T16:14:32ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732012-11-012262226904Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis CS. N. Batskikh0Federal Budget Institution of Science «Central Research Institute of Epidemiology» of the Federal Service on Customers' Rights Protection and Human Well-being SurveillanceThe aim of review. To analyze data of the clinical studies on chronic hepatitis C (CHC) treatment with application of new modes of combined therapy, including selective inhibitor of viral protease.Key points. New algorithms of antiviral therapy for patients infected by the 1-st virus genotype not treated earlier, and after treatment failure, implicate presence or absence of so-called «induction phase», the kernel of which is application of pegilated interferon-α and ribavirin combination at the beginning of treatment with subsequent addition of the third agent (the direct action antiviral agent). Triple therapy with induction phase strategy is recommended at application of boceprevir as the third agent. Another antiviral drug with direct action – telaprevir is recommended for prescription from first day of treatment.Conclusion. Taking into account an apparent positive effect of induction phase for boceprevir modes of treatment and absence of that evidence for telaprevir application, both new antiviral strategies are justified for clinical application in CHC patients.https://www.gastro-j.ru/jour/article/view/1332hepatitis cantiviral therapypeginterferon-αribavirinprotease inhibitorstelaprevirboceprevir
spellingShingle S. N. Batskikh
Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
hepatitis c
antiviral therapy
peginterferon-α
ribavirin
protease inhibitors
telaprevir
boceprevir
title Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
title_full Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
title_fullStr Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
title_full_unstemmed Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
title_short Two ways to one goal: new strategy of antiviral therapy for chronic hepatitis C
title_sort two ways to one goal new strategy of antiviral therapy for chronic hepatitis c
topic hepatitis c
antiviral therapy
peginterferon-α
ribavirin
protease inhibitors
telaprevir
boceprevir
url https://www.gastro-j.ru/jour/article/view/1332
work_keys_str_mv AT snbatskikh twowaystoonegoalnewstrategyofantiviraltherapyforchronichepatitisc