Differences in HCV Viral Decline between Low and Standard-Dose Pegylated-Interferon-Alpha-2a with Ribavirin in HIVHCV Genotype 3 Patients 英文参考文献.docVIP
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Differences in HCV Viral Decline between Low and Standard-Dose Pegylated-Interferon-Alpha-2a with Ribavirin in HIVHCV Genotype 3 Patients 英文参考文献
DifferencesinHCVViralDeclinebetweenLowand
Standard-DosePegylated-Interferon-Alpha-2awith
RibavirininHIV/HCVGenotype3Patients
AntonioRivero-Jua′rez1,2,LuisF.Lopez-Cortes3,AngelaCamacho1,2,AlmudenaTorres-Cornejo3,
JuanA.Pineda4,ManuelMarquez-Solero5,AntonioCaruz6,RosaRuiz-Valderas3,JulianTorre-
Cisneros1,2,AliciaGutierrez-Valencia3,AntonioRivero1,2*
1Unit of Infectious Diseases, Hospital Universitario Reina Sofia, Cordoba, Spain, 2Maimonides Institute for Biomedical Research, Cordoba, Spain, 3Enfermedades
Infecciosas, Microbiolog?′a y Medicina Preventiva, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Roc?′o/Consejo Superior de Investigaciones
Cient?′ficas/Universidad de Sevilla, Seville, Spain, 4Unit of Infectious Diseases, Hospital Universitario de Valme, Seville, Spain, 5Unit of Infectious Diseases, Hospital
UniversitarioVirgendelaVictoria,Malaga,Spain,6ImmunogeneticsUnit,FacultyofSciences,UniversidaddeJae′n,Jaen,Spain
Abstract
Background:Theaimofthestudywastoanalyzethedifferentimpactofstandardandlow-dosePeg-IFN-a2a/RBVtherapies
onHCVviraldeclineinHIV/HCVgenotype3co-infectedpatientsduringthefirstweeksoftreatment.
Methods:PlasmaHCVviraldeclinewasanalyzedbetweenbaselineandweeks1,2and4intwogroupsoftreatment-na?¨ve
HCVgenotype3patientswithHIVco-infection.TheStandardDoseGroup(SDG)includedpatientswhoreceivedPeg-IFNat
180mg/perweekwithaweight-adjusteddoseofribavirin;Low-DoseGroup(LDG)patientsreceivedPeg-IFNat135 mg/per
weekwith800mg/dayribavirin.TheeffectofIL28BgenotypeonHCVviraldeclinewasevaluatedinbothgroups.HCVviral
declinewasanalyzedusingamultivariatelinearregressionmodel.
Results: One hundred and six patients were included: 48 patients in the SDG and 58 in the LDG. HCV viral decline for
IU/mL,
patients in the LDG was less than for those in the SDG (week 1:1.7260.74 log10 IU/mL versus 1.7860.67 log10
p=0.827; week 2:2.360.89 log10 IU/mL versus 3.0161.02 log10 IU/mL, p=0.013; week 4:3.5261.2 log10 IU/mL versus
4.0961.1log10IU/mL,p=0.0
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