Document Detail


Characteristics and prospects for hepatitis C therapy of an HIV-HCV coinfected population followed at a reference HIV center.
MedLine Citation:
PMID:  16452066     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: A cross-sectional study was performed during 2004 at a large HIV clinic in Spain to identify HIV-HCV coinfected individuals who might be candidates for HCV therapy. METHOD: Plasma HCV RNA levels were measured in 405 anti-HCV antibody positive patients. Spontaneous HCV clearance had occurred in 11.4%. Overall, 165 (40.1%) of HCV-HIV coinfected patients had already been exposed to interferon (IFN)-based therapies. Excluding those currently on treatment, the majority of them had either failed (64/142; 45.1%) or not completed therapy (25/142; 17.6%). Other 103 (25.4%) chronic HCV carriers refused treatment or were not considered as appropriate candidates, most often due to low CD4 counts or severe neuropsychiatric conditions. Treatment was deemed feasible and planned in the near future in 91 (22.5%) patients. Unfavorable HCV genotypes (1 and 4) were significantly more frequent in this group of individuals ready for HCV treatment compared to those who had cleared HCV in the past following IFN-based therapies. RESULTS: Spontaneous clearance of the HCV infection was low in HIV-coinfected patients. One third of our HIV-HCV coinfected population had already been exposed to HCV therapy, but only a minority had achieved sustained HCV clearance. Half of patients with active HCV replication never exposed to IFN were not considered as appropriate candidates for HCV therapy. CONCLUSION: More flexible criteria would considerably increase the number of patients to be treated with IFN-based therapy. The majority of patients ready to initiate HCV therapy have a poor therapeutic profile.
Authors:
Ivana Maida; Vincent Soriano; Belén Ramos; Pilar Ríos; Juan González-Lahoz; Marina Núñez
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  HIV clinical trials     Volume:  6     ISSN:  1528-4336     ISO Abbreviation:  HIV Clin Trials     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2006-02-02     Completed Date:  2006-05-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100936377     Medline TA:  HIV Clin Trials     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-36     Citation Subset:  IM    
Affiliation:
Service of Infectious Diseases, Hospital Carlos III, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Alanine Transaminase / blood
Antiviral Agents / therapeutic use*
Cross-Sectional Studies
Female
Genotype
HIV Infections / virology*
HIV-1 / growth & development*
Hepacivirus / genetics,  growth & development*
Hepatitis B Surface Antigens / blood
Hepatitis C, Chronic / blood,  drug therapy,  virology*
Humans
Interferon Alfa-2a / therapeutic use*
Male
Middle Aged
Polyethylene Glycols / therapeutic use*
RNA, Viral / blood
Retrospective Studies
Ribavirin / therapeutic use
Chemical
Reg. No./Substance:
0/Antiviral Agents; 0/Hepatitis B Surface Antigens; 0/Polyethylene Glycols; 0/RNA, Viral; 0/peginterferon alfa-2a; 36791-04-5/Ribavirin; 76543-88-9/Interferon Alfa-2a; EC 2.6.1.2/Alanine Transaminase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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