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- Title
Efficacy and Safety of Telaprevir-Based Antiviral Treatment for Elderly Patients with Hepatitis C Virus.
- Authors
Takita, Masahiro; Hagiwara, Satoru; Kudo, Masatoshi; Kouno, Masashi; Chishina, Hirokazu; Arizumi, Tadaaki; Kitai, Satoshi; Yada, Norihisa; Inoue, Tatsuo; Minami, Yasunori; Ueshima, Kazuomi
- Abstract
Background: Telaprevir-based antiviral therapy has been the primary treatment for chronic hepatitis C genotype 1 at a high viral load since November 2011. On the other hand, a number of patients have been reported to require withdrawal from or reduced doses of drugs due to side effects, such as eruptions, anemia, and renal dysfunction. In addition, as hepatitis C patients are growing older, it is imperative to investigate the tolerability of triple combination therapy for elderly patients. Subjects and Methods: The study subjects comprised 35 patients who received telaprevir combination therapy after November 2011. They were divided into group A (age: <65 years; n = 21) and group B (age: ≥65 years; n = 14) in order to compare the treatment completion rate, sustained virological response at week 24 (SVR24), and adverse events between the groups. Results: The treatment completion rate was 82.8% (29/35) in all subjects, 90.4% (19/21) in group A, and 78.5% (11/14) in group B. The rate was lower in group B but without a significant difference between the groups (p = 0.804). The SVR24 rate was 88.5% (31/35) in all subjects, 90.4% (19/21) in group A, and 85.7% (12/14) in group B, without a significant difference between the groups (p = 0.161). Conclusion: Although the incidence of anemia was higher in group B, there was no significant difference in the treatment completion or SVR24 rate between the groups. Telaprevir combination therapy is suggested to be tolerable for elderly hepatitis C patients. © 2014 S. Karger AG, Basel
- Subjects
JAPAN; THERAPEUTIC use of interferons; RIBAVIRIN; ANTIVIRAL agents; ACADEMIC medical centers; AGE distribution; BLOOD testing; COMBINATION drug therapy; CLINICAL trials; FISHER exact test; HEPATITIS C; HEPATOCELLULAR carcinoma; SAFETY; T-test (Statistics); TREATMENT effectiveness; RETROSPECTIVE studies; DESCRIPTIVE statistics; CHRONIC hepatitis C; TELAPREVIR; GENOTYPES; DISEASE complications; PHARMACODYNAMICS; THERAPEUTICS; OLD age; DISEASE risk factors
- Publication
Oncology, 2014, Vol 87, p110
- ISSN
0030-2414
- Publication type
Article
- DOI
10.1159/000368154