Meta-analysis: re-treatment of genotype I hepatitis C nonresponders and relapsers after failing interferon and ribavirin combination therapy.

Author: BaconB R, SchoenfeldP S, ShiffmanM, SingalA G, WaljeeA K

Paper Details 
Original Abstract of the Article :
BACKGROUND: The efficacy of re-treating genotype I hepatitis C virus (HCV) patients who failed combination therapy with interferon/pegylated interferon (PEG-IFN) and ribavirin remains unclear. AIMS: To quantify sustained virological response (SVR) rates with different re-treatment regimens through ...See full text at original site
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引用元:
https://doi.org/10.1111/j.1365-2036.2010.04427.x

データ提供:米国国立医学図書館(NLM)

Re-Treatment Strategies for Genotype I Hepatitis C Nonresponders and Relapsers

Hepatitis C virus (HCV) infection remains a major public health concern, with ongoing efforts to develop effective treatment strategies. This meta-analysis explores the efficacy of re-treatment regimens for genotype I HCV patients who have failed combination therapy with interferon and ribavirin, a common approach to HCV management. The researchers meticulously reviewed randomized controlled trials (RCTs) to evaluate the effectiveness of different re-treatment regimens in achieving sustained virological response (SVR), indicating the eradication of the virus.

Navigating the Shifting Sands of Re-Treatment

The meta-analysis reveals that re-treatment with high-dose pegylated interferon (PEG-IFN) combination therapy was superior to standard PEG-IFN combination therapy for nonresponders to standard interferon/ribavirin. However, the SVR rates remained relatively low, highlighting the need for more effective re-treatment strategies. The researchers also found that re-treatment with high-dose PEG-IFN or prolonged IFN improved SVR rates in relapsers to standard interferon/ribavirin, suggesting a more promising approach for this patient group. This analysis provides valuable insights into the complex landscape of re-treatment strategies for HCV patients who have failed initial therapy.

A Quest for a Sustainable Oasis in HCV Treatment

This meta-analysis underscores the importance of continued research and development in the field of HCV treatment. The findings highlight the limitations of current re-treatment regimens and the need for more effective approaches, particularly for nonresponders. It's like searching for a sustainable oasis in the vast and unforgiving desert of HCV research, seeking a solution that can effectively eradicate the virus and improve patient outcomes. This study provides valuable guidance for navigating the complex landscape of re-treatment strategies and for developing new and more effective therapies for HCV infection.

Dr.Camel's Conclusion

This meta-analysis provides valuable insights into the efficacy of re-treatment regimens for genotype I HCV patients who have failed initial therapy. The findings highlight the need for more effective strategies, particularly for nonresponders, and suggest that high-dose PEG-IFN or prolonged IFN could be promising options for relapsers. As we continue to explore the vast and unforgiving desert of HCV research, this meta-analysis serves as a valuable guide for navigating the complexities of re-treatment strategies and for developing new and more effective therapies for HCV infection.

Date :
  1. Date Completed 2011-02-24
  2. Date Revised 2018-12-01
Further Info :

Pubmed ID

20937042

DOI: Digital Object Identifier

10.1111/j.1365-2036.2010.04427.x

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SNS
PICO Info
in preparation
Languages

English

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