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Which patients with genotype 1 chronic hepatitis C can benefit from prolonged treatment with the ‘accordion’ regimen?  Patrick Marcellin, E. Jenny Heathcote,

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Presentation on theme: "Which patients with genotype 1 chronic hepatitis C can benefit from prolonged treatment with the ‘accordion’ regimen?  Patrick Marcellin, E. Jenny Heathcote,"— Presentation transcript:

1 Which patients with genotype 1 chronic hepatitis C can benefit from prolonged treatment with the ‘accordion’ regimen?  Patrick Marcellin, E. Jenny Heathcote, Antonio Craxì  Journal of Hepatology  Volume 47, Issue 4, Pages (October 2007) DOI: /j.jhep Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

2 Fig. 1 Sustained virological response rates in treatment-naïve genotype 1 patients receiving 48 weeks of therapy with peginterferon alfa-2a (40kDa) plus ribavirin 1000 or 1200mg/day in a large, randomised, multicentre study [2]. A low HCV RNA level was defined as ⩽800,000IU/mL. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

3 Fig. 2 Range of possible virological responses in patients with chronic hepatitis C treated with the combination of pegylated interferon plus ribavirin. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

4 Fig. 3 The ‘accordion’ effect. The time required for HCV RNA clearance affects the overall duration of therapy needed to obtain SVR. Based on data from several prospective studies [4,13,18,19,39,40]. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

5 Fig. 4 Frequency of virological relapse rates in patients with rapid and slow virological responses at weeks 4 and 12. Patients in group A were treated for 48 weeks and patients in group B were treated for 72 weeks with peginterferon alfa-2a (40kDa) 180μg/week plus ribavirin 800mg/day in a large, randomised, multicentre study. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

6 Fig. 5 Sustained virological response rates and virological relapse rates in patients randomised to 48 or 72 weeks of therapy with peginterferon alfa-2a (40kDa) plus ribavirin 800mg/day. Only patients who were HCV RNA detectable (>50IU/mL) at week 4 were randomised [19]. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions

7 Fig. 6 Proposed algorithm for the selection of genotype 1 patients for extended treatment based on published data [12,18,19]. Journal of Hepatology  , DOI: ( /j.jhep ) Copyright © 2007 European Association for the Study of the Liver Terms and Conditions


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