原文:Sofosbuvir and Ribavirin for Hepatitis C Genotype 1 in Patients With Unfavorable Treatment Characteristics
8月28日, 2013, Vol 310, No. 8------《美国医学会杂志》
说明:
本次参加测试人员总数为60人,分为两部分,10人和50人,种族:白人、黑人、西班牙裔
**肝病程度:皆为肝纤维化程度以上,4人为肝硬(肝穿活检确定级别)
用药时间:索菲+利巴 24周
Il28b 分型:cc型,11人,ct/tt型 48人
第一部分:参加试验10人,完成9人,肝纤维化0-1级(轻微),**未经治疗
9人获得svr24,即用药结束后24周病毒未检测到。治愈率90%
第二部分:分为两组,各25人,肝纤维化3-4级或肝硬化
一组:索菲1片+标准剂量利巴韦林(1000mg-1200mg)完成试验24人。停药24周后(SVR24),治愈率为68%
二组:索菲1片+低剂量利巴韦林(600mg)完成试验22人。停药24周后(SVR24),治愈率为48%
Results
In the first part of the study, 9 participants achieved SVR24.
In the second part, 7 participants (28%) in the weight-based group and 10 (40%) in the low-dose group relapsed after treatment completion leading to SVR24 rates of 68% in the weight-based group and 48% in the low-dose group.
总结:本次试验中,
1、正常利巴韦林剂量,低肝纤维化治愈率90%,
2、正常利巴韦林剂量,高肝纤维化或肝硬化治愈率68%
3、低利巴韦林剂量(600MG),高肝纤维化或肝硬化治愈率48%,由此可见,利巴剂量非常重要
此外,同期新西兰一试验中,索菲+标准剂量利巴,治愈率为84%。由此推断,低纤维化非肝硬化治愈率可达80%左右
The overall SVR rate achieved by participants who received sofosbuvir in combination with weight-based ribavirin in our study was 68% compared with the 84% reported in a recent New Zealand study of sofosbuvir and weight-based ribavirin in a predominantly white, treatment-naive population
8月28日, 2013, Vol 310, No. 8------《美国医学会杂志》
说明:
本次参加测试人员总数为60人,分为两部分,10人和50人,种族:白人、黑人、西班牙裔
**肝病程度:皆为肝纤维化程度以上,4人为肝硬(肝穿活检确定级别)
用药时间:索菲+利巴 24周
Il28b 分型:cc型,11人,ct/tt型 48人
第一部分:参加试验10人,完成9人,肝纤维化0-1级(轻微),**未经治疗
9人获得svr24,即用药结束后24周病毒未检测到。治愈率90%
第二部分:分为两组,各25人,肝纤维化3-4级或肝硬化
一组:索菲1片+标准剂量利巴韦林(1000mg-1200mg)完成试验24人。停药24周后(SVR24),治愈率为68%
二组:索菲1片+低剂量利巴韦林(600mg)完成试验22人。停药24周后(SVR24),治愈率为48%
Results
In the first part of the study, 9 participants achieved SVR24.
In the second part, 7 participants (28%) in the weight-based group and 10 (40%) in the low-dose group relapsed after treatment completion leading to SVR24 rates of 68% in the weight-based group and 48% in the low-dose group.
总结:本次试验中,
1、正常利巴韦林剂量,低肝纤维化治愈率90%,
2、正常利巴韦林剂量,高肝纤维化或肝硬化治愈率68%
3、低利巴韦林剂量(600MG),高肝纤维化或肝硬化治愈率48%,由此可见,利巴剂量非常重要
此外,同期新西兰一试验中,索菲+标准剂量利巴,治愈率为84%。由此推断,低纤维化非肝硬化治愈率可达80%左右
The overall SVR rate achieved by participants who received sofosbuvir in combination with weight-based ribavirin in our study was 68% compared with the 84% reported in a recent New Zealand study of sofosbuvir and weight-based ribavirin in a predominantly white, treatment-naive population