USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS

<p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 35.4pt; line-height: 200%; text-align: justify; mso-pagination: none; mso-layout-grid-align: none;"><span style="mso-ansi-language: EN-GB;" lang="EN-GB"><span styl...

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Main Authors: Claudio Ucciferri, Katia Falasca, Paola Mancino, Eligio Pizzigallo, Jacopo Vecchiet
Format: Article
Language:English
Published: PAGEPress Publications 2010-02-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://www.mjhid.org/article/view/5582
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author Claudio Ucciferri
Katia Falasca
Paola Mancino
Eligio Pizzigallo
Jacopo Vecchiet
author_facet Claudio Ucciferri
Katia Falasca
Paola Mancino
Eligio Pizzigallo
Jacopo Vecchiet
author_sort Claudio Ucciferri
collection DOAJ
description <p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 35.4pt; line-height: 200%; text-align: justify; mso-pagination: none; mso-layout-grid-align: none;"><span style="mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;"><span style="font-family: Times New Roman;">Haematological abnormalities are common during combination antiviral therapy for chronic hepatitis C. Although dose reduction or discontinuation can easily treat these side effects, they can adversely affect the efficacy of combination antiviral therapy reducing the likelihood of a sustained viral response (SVR). To avoid potentially diminishing a patient’s chance of response, many physicians have begun using growth factors off-label to manage anaemia and neutropenia in hepatitis C. Haematopoietic growth factors are generally well tolerated and they may be useful for managing haematological side effects of anti-HCV therapy improving patients’ quality of life. To date, the role and benefit of these agents during anti-HCV therapy and their positive impact on SVR have not conclusively determined in the published studies. However, the possibility of a benefit to individual outpatients remains, and an individualized approach is recommended. This review explores the incidence, clinical significance, and management of anaemia, neutropenia and thrombocytopenia associated with combination therapy for HCV infection.</span></span></span></p>
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spelling doaj-art-eb2471d05c4d4b53ba13dc43051e60d02025-08-20T01:47:47ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062010-02-0121e2010003e2010003USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITISClaudio UcciferriKatia FalascaPaola MancinoEligio PizzigalloJacopo Vecchiet<p class="MsoNormal" style="margin: 0cm 0cm 0pt; text-indent: 35.4pt; line-height: 200%; text-align: justify; mso-pagination: none; mso-layout-grid-align: none;"><span style="mso-ansi-language: EN-GB;" lang="EN-GB"><span style="font-size: small;"><span style="font-family: Times New Roman;">Haematological abnormalities are common during combination antiviral therapy for chronic hepatitis C. Although dose reduction or discontinuation can easily treat these side effects, they can adversely affect the efficacy of combination antiviral therapy reducing the likelihood of a sustained viral response (SVR). To avoid potentially diminishing a patient’s chance of response, many physicians have begun using growth factors off-label to manage anaemia and neutropenia in hepatitis C. Haematopoietic growth factors are generally well tolerated and they may be useful for managing haematological side effects of anti-HCV therapy improving patients’ quality of life. To date, the role and benefit of these agents during anti-HCV therapy and their positive impact on SVR have not conclusively determined in the published studies. However, the possibility of a benefit to individual outpatients remains, and an individualized approach is recommended. This review explores the incidence, clinical significance, and management of anaemia, neutropenia and thrombocytopenia associated with combination therapy for HCV infection.</span></span></span></p>http://www.mjhid.org/article/view/5582HepatitisThrombocytopeniaInterferon
spellingShingle Claudio Ucciferri
Katia Falasca
Paola Mancino
Eligio Pizzigallo
Jacopo Vecchiet
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
Mediterranean Journal of Hematology and Infectious Diseases
Hepatitis
Thrombocytopenia
Interferon
title USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
title_full USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
title_fullStr USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
title_full_unstemmed USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
title_short USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
title_sort use of hematopoietic growth factor in the management of hematological side effects associated to antiviral treatment for hcv hepatitis
topic Hepatitis
Thrombocytopenia
Interferon
url http://www.mjhid.org/article/view/5582
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AT katiafalasca useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis
AT paolamancino useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis
AT eligiopizzigallo useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis
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