Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C

Algeron (cepeginterferon alfa-2b) is a new pegylated form of interferon alfa containing linear polyethylene glycol (molecular weight 20 kDa). Pharmacokinetic profile of Algeron allows once weekly administration. In phase II–III study 150 treatment-naive patients with compensated liver function were...

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Main Authors: O. O. Znoyko, M. V. Maevskaya, E. A. Klimova, S. L. Maksimov, S. N. Kizhlo, N. A. Petrochenkova, F. I. Nagimova, R. A. Ivanov, Yu. N. Linkova, T. V. Chernovskaya
Format: Article
Language:Russian
Published: Journal Infectology 2014-09-01
Series:Журнал инфектологии
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Online Access:https://journal.niidi.ru/jofin/article/view/158
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author O. O. Znoyko
M. V. Maevskaya
E. A. Klimova
S. L. Maksimov
S. N. Kizhlo
N. A. Petrochenkova
F. I. Nagimova
R. A. Ivanov
Yu. N. Linkova
T. V. Chernovskaya
author_facet O. O. Znoyko
M. V. Maevskaya
E. A. Klimova
S. L. Maksimov
S. N. Kizhlo
N. A. Petrochenkova
F. I. Nagimova
R. A. Ivanov
Yu. N. Linkova
T. V. Chernovskaya
author_sort O. O. Znoyko
collection DOAJ
description Algeron (cepeginterferon alfa-2b) is a new pegylated form of interferon alfa containing linear polyethylene glycol (molecular weight 20 kDa). Pharmacokinetic profile of Algeron allows once weekly administration. In phase II–III study 150 treatment-naive patients with compensated liver function were randomized into 3 groups: Algeron 1,5 μg/kg/week, Algeron 2,0 μg/kg/week, and a reference group of PegIntron 1.5 μg/kg/week in combination with ribavirin 800– 1400 mg/day. Comparative ITT -analysis of early virologic response (EVR) showed absence of differences between groups in frequency of EVR. In Algeron groups (regardless of a dose – 1,5 or 2,0 μg/kg) EVR was observed in 94%, in PegIntron group – – in 88% of patients. Complete EVR (HCV RNA≤15 I I U/mL) was recorded in 88% and 84% of patients receiving Algeron 1,5 and 2,0 μg/kg, respectively, in the reference group – – in 84% of patients. There were no statistically significant differences between groups where patients received Algeron in different doses and the reference group, with or without genotype stratification. Adverse events occurring during the treatment with Algeron are dose-dependent; however, their frequency is no more than in patients receiving standard doses of PegIntron. Based on the absence of differences in efficacy and more favorable safety profile of a lower dose of the study drug, the therapeutic dose of Algeron was selected to be 1,5 μg/kg/week.
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spelling doaj-art-8309c85f05cb4ce69fe7e97dad55ad442025-08-20T04:00:07ZrusJournal InfectologyЖурнал инфектологии2072-67322014-09-0151839010.22625/2072-6732-2013-5-1-83-90172Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis CO. O. Znoyko0M. V. Maevskaya1E. A. Klimova2S. L. Maksimov3S. N. Kizhlo4N. A. Petrochenkova5F. I. Nagimova6R. A. Ivanov7Yu. N. Linkova8T. V. Chernovskaya9Moscow State University of Medicine and Dentistry, MoscowThe First Moscow State Medical University named after I.M. Sechenov, MoscowMoscow State University of Medicine and Dentistry, MoscowMoscow State University of Medicine and Dentistry, MoscowSaint-Petersburg Center for Prevention and Control of AIDS and Infectious Diseases, Saint-PetersburgSmolensk State Medical Academy, SmolenskRepublic Center for Prevention and Control of AIDS and Infectious Diseases, KazanCJSC «BIOCAD», Saint-PetersburgCJSC «BIOCAD», Saint-PetersburgCJSC «BIOCAD», Saint-PetersburgAlgeron (cepeginterferon alfa-2b) is a new pegylated form of interferon alfa containing linear polyethylene glycol (molecular weight 20 kDa). Pharmacokinetic profile of Algeron allows once weekly administration. In phase II–III study 150 treatment-naive patients with compensated liver function were randomized into 3 groups: Algeron 1,5 μg/kg/week, Algeron 2,0 μg/kg/week, and a reference group of PegIntron 1.5 μg/kg/week in combination with ribavirin 800– 1400 mg/day. Comparative ITT -analysis of early virologic response (EVR) showed absence of differences between groups in frequency of EVR. In Algeron groups (regardless of a dose – 1,5 or 2,0 μg/kg) EVR was observed in 94%, in PegIntron group – – in 88% of patients. Complete EVR (HCV RNA≤15 I I U/mL) was recorded in 88% and 84% of patients receiving Algeron 1,5 and 2,0 μg/kg, respectively, in the reference group – – in 84% of patients. There were no statistically significant differences between groups where patients received Algeron in different doses and the reference group, with or without genotype stratification. Adverse events occurring during the treatment with Algeron are dose-dependent; however, their frequency is no more than in patients receiving standard doses of PegIntron. Based on the absence of differences in efficacy and more favorable safety profile of a lower dose of the study drug, the therapeutic dose of Algeron was selected to be 1,5 μg/kg/week.https://journal.niidi.ru/jofin/article/view/158chronic hepatitis ctreatmentearly virologic responsepegylated interferon alfacepeginterferon alfa-2balgeron
spellingShingle O. O. Znoyko
M. V. Maevskaya
E. A. Klimova
S. L. Maksimov
S. N. Kizhlo
N. A. Petrochenkova
F. I. Nagimova
R. A. Ivanov
Yu. N. Linkova
T. V. Chernovskaya
Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
Журнал инфектологии
chronic hepatitis c
treatment
early virologic response
pegylated interferon alfa
cepeginterferon alfa-2b
algeron
title Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
title_full Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
title_fullStr Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
title_full_unstemmed Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
title_short Early virologic response to сеpeginterferon alfa-2b in combination with ribavirin in treatment of patients with chronic hepatitis C
title_sort early virologic response to сеpeginterferon alfa 2b in combination with ribavirin in treatment of patients with chronic hepatitis c
topic chronic hepatitis c
treatment
early virologic response
pegylated interferon alfa
cepeginterferon alfa-2b
algeron
url https://journal.niidi.ru/jofin/article/view/158
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