Hepatitis C genotype 4 response rate to pegylated interferon and ribavirin treatment in Belgium is similar to genotype 1

de Galocsy, C.; Kaufman, L.; Tomasovic, S.; Delwaide, Jean; Nevens, F.

Article (Scientific journals)

de Galocsy, C.; Kaufman, L.; Tomasovic, S. et al.

2010 • In Acta Gastro-Enterologica Belgica, 73, p. 229-234

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https://hdl.handle.net/2268/66616

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20690561

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Keywords :

Hepatitis C, genotype 4, genotype 1, treatment, Pegylated

Abstract :

[en] Background and aims : Patients with genotype 4 (G4) chronic hepatitis C from the Middle East respond better to treatment than genotype 1 (G1) patients. There are few data on the response rates to treatment of G4 patients living in Western Europe. Many G4 patients in Belgium originate from Central Africa, and their response to treatment seems lower. Methods : We analysed the data from 2 randomized phase III studies conducted in Belgium, BerNar-1 and BerNar-2, comparing the sustained virological response (SVR) to pegylated interferon and ribavirin of 78 G4 patients (34 Caucasians, 44 Blacks) and 477 G1 patients (455 Caucasians, 12 Blacks), and assessing the predictors of SVR. Results : Baseline characteristics of G4 and G1 patients were similar except mainly for race. Complete early virological response (cEVR) was similar in G4 (73.2%) and G1 (68.1%). cEVR was also similar between Black and Caucasian G4 and between Black and Caucasian G1 patients. Partial early virological response was similar for G4 and G1. SVR was similar for G4 (51.3%) and G1 (51.8%). There was a trend for a higher SVR in Caucasians than in Blacks. In multivariate analysis, the only predictors for SVR were the presence of cirrhosis, HCV viral load, age < 40 vs 40 yrs, and treatment status (relapsers vs naïve). Conclusions : G4 patients in Belgium have the same SVR as G1 patients. It is lower than the SVR described in Arab countries, especially for Black G4 patients. (Acta gastro enterol. belg., 2010, 73, 229-234).

Disciplines :

Gastroenterology & hepatology

Author, co-author :

de Galocsy, C.

Kaufman, L.

Tomasovic, S.

Delwaide, Jean ; Université de Liège - ULiège > Gastro-Entérologie-Hépatologie

Nevens, F.

Language :

English

Title :

Hepatitis C genotype 4 response rate to pegylated interferon and ribavirin treatment in Belgium is similar to genotype 1

Publication date :

2010

Journal title :

Acta Gastro-Enterologica Belgica

ISSN :

0001-5644

eISSN :

1784-3227

Publisher :

Acta Medica Belgica, Bruxelles, Belgium

Volume :

Pages :

229-234

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 20 July 2010

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