Low-density lipoprotein and other predictors of response with telaprevir-based therapy in treatment-experienced HCV genotype 1 patients : REALIZE study

© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

BACKGROUND & AIMS: Predictors of response to treatment with peginterferon plus ribavirin are well established. In these post-hoc analyses of the REALIZE study, we sought to identify predictors of response for telaprevir-based triple therapy.

METHODS: Patients from the REALIZE study with baseline data for all predictors evaluated (including baseline disease characteristics and demographics, prior treatment response and baseline laboratory assessments) were included in the post-hoc analyses (n = 465). Univariate and multivariate analyses were used to evaluate factors predicting treatment outcomes.

RESULTS: Sustained viral response (SVR) rates were 86% in prior relapsers, 63% in prior partial responders and 32% in prior null-responders. In the final multivariate analysis, baseline factors predicting SVR were prior response to treatment [Odds ratio (OR) = 2.80; 95% confidence interval (CI), 2.13-3.69], low-density lipoprotein (LDL) (≥2.6 mmol/L) (OR = 2.11; 95% CI, 1.52-2.93), HCV genotype (OR = 0.58; 95% CI, 0.36-0.93), and maximum alanine amino transferase and aspartate amino transferase (OR = 0.62; 95% CI, 0.40-0.97).

CONCLUSIONS: Prior response to peginterferon plus ribavirin treatment and LDL levels are the main independent predictive markers of response with telaprevir-based triple therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Liver international : official journal of the International Association for the Study of the Liver - 35(2015), 2 vom: 15. Feb., Seite 448-54

Sprache:

Englisch

Beteiligte Personen:

Berg, Thomas [VerfasserIn]
Andreone, Pietro [VerfasserIn]
Pol, Stanislas [VerfasserIn]
Roberts, Stuart [VerfasserIn]
Younossi, Zobair [VerfasserIn]
Diago, Moises [VerfasserIn]
Lawitz, Eric J [VerfasserIn]
Focaccia, Roberto [VerfasserIn]
Foster, Graham R [VerfasserIn]
Horban, Andrzej [VerfasserIn]
Lonjon-Domanec, Isabelle [VerfasserIn]
DeMasi, Ralph [VerfasserIn]
Picchio, Gaston [VerfasserIn]
Luo, Donghan [VerfasserIn]
De Meyer, Sandra [VerfasserIn]
Zeuzem, Stefan [VerfasserIn]

Links:

Volltext

Themen:

3WJQ0SDW1A
49717AWG6K
655M5O3W0U
Biomarkers
HCV
Interferon-alpha
Journal Article
LDL
Lipoproteins, LDL
Oligopeptides
Peginterferon alfa-2a
Polyethylene Glycols
Predictors
Q46947FE7K
REALIZE
RNA, Viral
Randomized Controlled Trial
Recombinant Proteins
Research Support, Non-U.S. Gov't
Response
Ribavirin
Telaprevir

Anmerkungen:

Date Completed 02.10.2015

Date Revised 16.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/liv.12703

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM242824641