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Peginterferon Alfa-2a plus Ribavirin for Chronic Hepatitis C Virus Infection in HIV-Infected Patients
Ist Teil von
The New England journal of medicine, 2004-07, Vol.351 (5), p.438-450
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2004
Quelle
MEDLINE
Beschreibungen/Notizen
In this randomized trial involving patients with chronic hepatitis C who were also infected with the human immunodeficiency virus (HIV), peginterferon alfa-2a plus ribavirin was more effective than interferon alfa-2a plus ribavirin or peginterferon alfa-2a plus placebo (rates of sustained virologic response, 40 percent, 12 percent, and 20 percent, respectively).
The rates of response were not as high as in previous studies involving HIV-negative patients.
Potent antiretroviral therapy has reduced the morbidity and mortality associated with untreated human immunodeficiency virus (HIV) infection.
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At the same time, the pattern of morbidity and mortality among HIV-infected persons has shifted, and clinicians responsible for the care of HIV-infected persons have been confronted with new challenges. Complications associated with concurrent hepatitis C virus (HCV) infection have emerged as one of the most frequent and complex issues in the care of patients with HIV infection and the acquired immunodeficiency syndrome (AIDS).
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The current standard of care for chronic infection with HCV in persons without other infections is pegylated . . .