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The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey

Yıl 2012, Cilt: 2 Sayı: 01, 14 - 20, 01.03.2012
https://doi.org/10.5799/ahinjs.02.2012.01.0035

Öz

Objectives: The aim of the study was to evaluate sustained virological response (SVR) after treatment and factors that influence SVR among patients treated for chronic hepatitis C (CHC). Materials and methods: The study was conducted in patients with CHC between April 2007 and March 2011, who had achieved SVR following treatment. They were treated with PEG IFN-&alpha; and ribavirin. Patients, whose end of treatment responses were obtained without a SVR, received a second course of treatment. Results: A total of 124 patients, 61 female (49.2%) were enrolled in the study. The distribution of genotypes was: 102 patients with genotype 1 (82.3%) and 22 with genotype 2 (17.7%). SVR was achieved in 78 patients (62.9%) (67 during the first course and 11 in the second) were followed up for a mean duration of 18.4&plusmn;8.5 months. Positive predictive factors on SVR were female gender (P=0.01), low initial viral load (P=0.01), early virological response (EVR) development (P<0.001) and infection with genotype 2 (P<0.001). Conclusions: In conclusion, there was no recurrence of HCV infection beyond follow-up of 24 months in any of the patients who obtained SVR. Female gender, low initial viral load, development of EVR and infection with genotype 2 was determined to have a positive impact on SVR.

Kaynakça

  • Lavanchy D. The global burden of hepatitis C. Liver Int 2009; 29: 74-81.
  • Shepard CW, Finelli L, Alter MJ. Global epidemiology of hepa- titis C virus infection. Lancet Infect Dis 2005; 5: 558–567.
  • European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Management of hepatitis C virus infec- tion. J Hepatology 2011; 55:245-264.
  • Thompson CJ, Rogers G, Hewson P, et al. Surveillance of cir- rhosis for hepatocellular carcinoma: systematic review and economic analysis. Health Technol Asess 2007; 11:1-206.
  • Simmonds P, Bukh J, Combet C, et al. Consensus propos- als for a unified system of nomenclature of hepatitis C virus genotypes. Hepatology 2005; 42: 962-973.
  • Esteban JI, Sauleda S, Quer J. The changing epidemiology of hepatitis C virus infection in Europe. J Hepatol 2008; 48:148- 162.
  • Fried MW, Shiffman ML, Reddy KR, et al. Peginterferon alfa- 2a plus ribavirin for chronic 6 hepatitis C virus infection. N Eng J Med 2002; 347:975-982.
  • Hadziyannis SJ, Sette H, Morgan T, et al. Peginterferon al- fa-2a (40 kilodaltons) andribavirin combination therapy in chronic hepatitis C: randomized study of treatment duration and ribavirin dose. Ann Intern Med 2004; 140:346-357.
  • Manns MP, Wedemeyer H, Cornberg M. Treating viral hepatitis C: efficacy, side effects, and complications. Gut 2006; 55: 1350–1359.
  • Strader DB, Wright T, Thomas DL, Seelf LB, Diagnosis, management and treatment of hepatitis C. AASLD Practice Guidelines. Hepatology 2004; 1147-1158.
  • Michelin BD, Muller Z, Stelzl E, Marth E, Kessler HH. Evalu- ation of the Abbott Real Time HCV assay for quantitative de- tection of hepatitis C virus RNA. J Clin Virol 2007; 38:96-100.
  • Stuyver L, Wyseur A, van Arnhem W, Hernandez F, Maertens G. Second generation line probe assay for hepatitis C virus genotyping. J Clin Microbiol 1996; 34:2259-2266.
  • Yun Z, Lara C, Johansson B, Lorenzana de Rivera I, Son- nerborg A. Discrepancy of hepatitis C virus genotypes as determined by phylogenetic analysis of partial NS5 and core sequences. J Med Virol 1996; 49:155-160.
  • Ishak K, Baptista A, Bianchi L, et al. Histological grading and staging of chronic hepatitis. J Hepatol 1995: 22:696-699.
  • The Global Burden of Hepatitis C Working Group. Global burden of disease (GBD) for hepatitis C. J Clin Pharmacol 2004; 44: 20-29.
  • Brok J, Gluud LL, Gluud C. Meta-analysis: Ribavirin plus in- terferon vs. interferon monotherapy for chronic hepatitis C– an updated Cochrane review. Aliment Pharmacol Ther 2010; 32:840-850.
  • Ghany MG, Strader DB, Thomas DL, Seeff LB. American As- sociation for the Study of Liver Diseases. Diagnosis, man- agement, and treatment of hepatitis C: an update. Hepatol- ogy 2009; 49:1335–1374.
  • Scott JD, Gretch DR. Molecular diagnostics of hepatitis C vi- rus infection. A systematic review. JAMA 2007; 297:724-732.
  • Gokahmetoglu S, Bozdayı M, Ozbakır O, et al. Hepatitis C virus genotypes detected in Erciyes University. J Turk Mikro- biol Society 2007; 37:35-38 (In Turkish).
  • Altuglu I, Soyler I, Ozacar T, Erensoy S. Distribution of hepa- titis C virus genotypes in patients with chronic hepatitis C in- fection in Western Turkey. Int J Infect Dis 2008; 12:239-244.
  • Kuçukoztas MF, Ozgunes N, Yazıcı S. Investigation of the relationship between Hepatitis C virus (HCV) genotypes with HCV-RNA and alanine aminotransferase levels in chronic hepatitis C patients. Mikrobiyol Bul 2010; 44:111-5.
  • Cil T, Ozekinci T, Goral V, Altıntas A. Hepatitis C virus geno- types in the southeast region of Turkey. Turkiye Klinikleri J Med Sci 2007; 27:496-500.
  • Cernescu C, Ruta S, Gheorghe L, Iacob S, Popescu I, Wan- less RS. The Flying Publisher Guide to Hepatitis C Treat- ment. Flying Publisher 2011. edn. www.ingpublisher.com.
  • Alter MJ. Epidemiology of hepatitis C virus infection. World J Gastroenterol 2007; 13:2436-41.
  • Akhan S, Aynıoglu A, Sargın E, Sayan M. Evaluation of Treat- ment Results of Patients with Chronic Hepatitis C Followed for Five Years. Klimik J 2010; 23(2): 39-43 (In Turkish).
  • Mathew A, Peiffer LP, Rhoades K, McGarrity T. Sustained viral response to pegylated interferon alpha-2b and ribavirin in chronic hepatitis C refractory to prior treatment. Dig Dis Sci 2006; 51(11): 1956-61.
  • Zeuzem S. Heterogeneous virologic response rates to in- terferon-based therapy in paytients with chronic hepatitis C: who respond less well? Ann Intern Med 2004; 40: 993-999.
  • Petta S, Craxı` A. Optimal therapy in hepatitis C virus geno- types 2 and 3 patients. Liver7 Intern 2011; 36-44.
  • McHutchison J, Sulkowski M. Scientific rationale and study design of the individualized dosing efficacy vs. flat dosing to assess optimal pegylated interferon therapy (IDEAL) tri- al: determining optimal dosing in patients with genotype 1 chronic hepatitis C. J Viral Hepat 2008; 15: 475-481.
  • Awad T, Thorlund K, Hauser G, Stimac D, Mabrouk M, Gluud C. Peginterferon alpha-2a is associated with higher sustained virological response than peginterferon alfa-2b in chronic hepatitis C: systematic review of randomized trials. Hepatology 2010; 51: 1176-1184.
  • Desmond CP, Roberts SK, Dudley F, et al. Sustained viro- logical response rates and durability of the response to in- terferon based therapies in hepatitis C patients treated in the clinical setting. J Viral Hepat 2006; 13: 311-315.
  • Ferreira SC, MV Carneiro, Souza FF, et al. Long-term follow- up of patients with chronic hepatitis C with sustained virologic response to interferon. Braz J Infect Dis 2010; 14: 330-334.

The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey

Yıl 2012, Cilt: 2 Sayı: 01, 14 - 20, 01.03.2012
https://doi.org/10.5799/ahinjs.02.2012.01.0035

Öz

Kaynakça

  • Lavanchy D. The global burden of hepatitis C. Liver Int 2009; 29: 74-81.
  • Shepard CW, Finelli L, Alter MJ. Global epidemiology of hepa- titis C virus infection. Lancet Infect Dis 2005; 5: 558–567.
  • European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Management of hepatitis C virus infec- tion. J Hepatology 2011; 55:245-264.
  • Thompson CJ, Rogers G, Hewson P, et al. Surveillance of cir- rhosis for hepatocellular carcinoma: systematic review and economic analysis. Health Technol Asess 2007; 11:1-206.
  • Simmonds P, Bukh J, Combet C, et al. Consensus propos- als for a unified system of nomenclature of hepatitis C virus genotypes. Hepatology 2005; 42: 962-973.
  • Esteban JI, Sauleda S, Quer J. The changing epidemiology of hepatitis C virus infection in Europe. J Hepatol 2008; 48:148- 162.
  • Fried MW, Shiffman ML, Reddy KR, et al. Peginterferon alfa- 2a plus ribavirin for chronic 6 hepatitis C virus infection. N Eng J Med 2002; 347:975-982.
  • Hadziyannis SJ, Sette H, Morgan T, et al. Peginterferon al- fa-2a (40 kilodaltons) andribavirin combination therapy in chronic hepatitis C: randomized study of treatment duration and ribavirin dose. Ann Intern Med 2004; 140:346-357.
  • Manns MP, Wedemeyer H, Cornberg M. Treating viral hepatitis C: efficacy, side effects, and complications. Gut 2006; 55: 1350–1359.
  • Strader DB, Wright T, Thomas DL, Seelf LB, Diagnosis, management and treatment of hepatitis C. AASLD Practice Guidelines. Hepatology 2004; 1147-1158.
  • Michelin BD, Muller Z, Stelzl E, Marth E, Kessler HH. Evalu- ation of the Abbott Real Time HCV assay for quantitative de- tection of hepatitis C virus RNA. J Clin Virol 2007; 38:96-100.
  • Stuyver L, Wyseur A, van Arnhem W, Hernandez F, Maertens G. Second generation line probe assay for hepatitis C virus genotyping. J Clin Microbiol 1996; 34:2259-2266.
  • Yun Z, Lara C, Johansson B, Lorenzana de Rivera I, Son- nerborg A. Discrepancy of hepatitis C virus genotypes as determined by phylogenetic analysis of partial NS5 and core sequences. J Med Virol 1996; 49:155-160.
  • Ishak K, Baptista A, Bianchi L, et al. Histological grading and staging of chronic hepatitis. J Hepatol 1995: 22:696-699.
  • The Global Burden of Hepatitis C Working Group. Global burden of disease (GBD) for hepatitis C. J Clin Pharmacol 2004; 44: 20-29.
  • Brok J, Gluud LL, Gluud C. Meta-analysis: Ribavirin plus in- terferon vs. interferon monotherapy for chronic hepatitis C– an updated Cochrane review. Aliment Pharmacol Ther 2010; 32:840-850.
  • Ghany MG, Strader DB, Thomas DL, Seeff LB. American As- sociation for the Study of Liver Diseases. Diagnosis, man- agement, and treatment of hepatitis C: an update. Hepatol- ogy 2009; 49:1335–1374.
  • Scott JD, Gretch DR. Molecular diagnostics of hepatitis C vi- rus infection. A systematic review. JAMA 2007; 297:724-732.
  • Gokahmetoglu S, Bozdayı M, Ozbakır O, et al. Hepatitis C virus genotypes detected in Erciyes University. J Turk Mikro- biol Society 2007; 37:35-38 (In Turkish).
  • Altuglu I, Soyler I, Ozacar T, Erensoy S. Distribution of hepa- titis C virus genotypes in patients with chronic hepatitis C in- fection in Western Turkey. Int J Infect Dis 2008; 12:239-244.
  • Kuçukoztas MF, Ozgunes N, Yazıcı S. Investigation of the relationship between Hepatitis C virus (HCV) genotypes with HCV-RNA and alanine aminotransferase levels in chronic hepatitis C patients. Mikrobiyol Bul 2010; 44:111-5.
  • Cil T, Ozekinci T, Goral V, Altıntas A. Hepatitis C virus geno- types in the southeast region of Turkey. Turkiye Klinikleri J Med Sci 2007; 27:496-500.
  • Cernescu C, Ruta S, Gheorghe L, Iacob S, Popescu I, Wan- less RS. The Flying Publisher Guide to Hepatitis C Treat- ment. Flying Publisher 2011. edn. www.ingpublisher.com.
  • Alter MJ. Epidemiology of hepatitis C virus infection. World J Gastroenterol 2007; 13:2436-41.
  • Akhan S, Aynıoglu A, Sargın E, Sayan M. Evaluation of Treat- ment Results of Patients with Chronic Hepatitis C Followed for Five Years. Klimik J 2010; 23(2): 39-43 (In Turkish).
  • Mathew A, Peiffer LP, Rhoades K, McGarrity T. Sustained viral response to pegylated interferon alpha-2b and ribavirin in chronic hepatitis C refractory to prior treatment. Dig Dis Sci 2006; 51(11): 1956-61.
  • Zeuzem S. Heterogeneous virologic response rates to in- terferon-based therapy in paytients with chronic hepatitis C: who respond less well? Ann Intern Med 2004; 40: 993-999.
  • Petta S, Craxı` A. Optimal therapy in hepatitis C virus geno- types 2 and 3 patients. Liver7 Intern 2011; 36-44.
  • McHutchison J, Sulkowski M. Scientific rationale and study design of the individualized dosing efficacy vs. flat dosing to assess optimal pegylated interferon therapy (IDEAL) tri- al: determining optimal dosing in patients with genotype 1 chronic hepatitis C. J Viral Hepat 2008; 15: 475-481.
  • Awad T, Thorlund K, Hauser G, Stimac D, Mabrouk M, Gluud C. Peginterferon alpha-2a is associated with higher sustained virological response than peginterferon alfa-2b in chronic hepatitis C: systematic review of randomized trials. Hepatology 2010; 51: 1176-1184.
  • Desmond CP, Roberts SK, Dudley F, et al. Sustained viro- logical response rates and durability of the response to in- terferon based therapies in hepatitis C patients treated in the clinical setting. J Viral Hepat 2006; 13: 311-315.
  • Ferreira SC, MV Carneiro, Souza FF, et al. Long-term follow- up of patients with chronic hepatitis C with sustained virologic response to interferon. Braz J Infect Dis 2010; 14: 330-334.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Makaleler
Yazarlar

Suda Tekin Koruk Bu kişi benim

İbrahim Koruk Bu kişi benim

Celal Calisir Bu kişi benim

Hasan Karsen Bu kişi benim

Yayımlanma Tarihi 1 Mart 2012
Yayımlandığı Sayı Yıl 2012 Cilt: 2 Sayı: 01

Kaynak Göster

APA Koruk, S. T., Koruk, İ., Calisir, C., Karsen, H. (2012). The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey. Journal of Microbiology and Infectious Diseases, 2(01), 14-20. https://doi.org/10.5799/ahinjs.02.2012.01.0035
AMA Koruk ST, Koruk İ, Calisir C, Karsen H. The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey. J Microbil Infect Dis. Mart 2012;2(01):14-20. doi:10.5799/ahinjs.02.2012.01.0035
Chicago Koruk, Suda Tekin, İbrahim Koruk, Celal Calisir, ve Hasan Karsen. “The Follow-up Results With Sustained Virologic Response in Chronic HepatitisC Patients in Sanliurfa/Turkey”. Journal of Microbiology and Infectious Diseases 2, sy. 01 (Mart 2012): 14-20. https://doi.org/10.5799/ahinjs.02.2012.01.0035.
EndNote Koruk ST, Koruk İ, Calisir C, Karsen H (01 Mart 2012) The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey. Journal of Microbiology and Infectious Diseases 2 01 14–20.
IEEE S. T. Koruk, İ. Koruk, C. Calisir, ve H. Karsen, “The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey”, J Microbil Infect Dis, c. 2, sy. 01, ss. 14–20, 2012, doi: 10.5799/ahinjs.02.2012.01.0035.
ISNAD Koruk, Suda Tekin vd. “The Follow-up Results With Sustained Virologic Response in Chronic HepatitisC Patients in Sanliurfa/Turkey”. Journal of Microbiology and Infectious Diseases 2/01 (Mart 2012), 14-20. https://doi.org/10.5799/ahinjs.02.2012.01.0035.
JAMA Koruk ST, Koruk İ, Calisir C, Karsen H. The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey. J Microbil Infect Dis. 2012;2:14–20.
MLA Koruk, Suda Tekin vd. “The Follow-up Results With Sustained Virologic Response in Chronic HepatitisC Patients in Sanliurfa/Turkey”. Journal of Microbiology and Infectious Diseases, c. 2, sy. 01, 2012, ss. 14-20, doi:10.5799/ahinjs.02.2012.01.0035.
Vancouver Koruk ST, Koruk İ, Calisir C, Karsen H. The follow-up results with sustained virologic response in chronic hepatitisC patients in Sanliurfa/Turkey. J Microbil Infect Dis. 2012;2(01):14-20.