EASL 2014:MK-5172和MK-8742可有效治疗HCV1型和HIV共感染者

2014-05-13 佚名 丁香园

HIV

MK-5172是HCV NS3/4蛋白酶抑制剂。MK-8742是HCV NS5A抑制剂。来自巴塞罗那的研究人员发现,MK-5172和MK-8742+/-利巴韦林(RBV)可用于治疗HCV1型和HIV共感染患者。据悉,这是第一份HCV和HIV共感染患者服用口服药物治疗的报道。 该研究人群为丙肝初治、非肝硬化合并HIV感染的患者。患者正在进行稳定的抗逆转录病毒疗法(罗特格韦+替诺福韦或阿巴卡韦)。患

MK-5172是HCV NS3/4蛋白酶抑制剂。MK-8742是HCV NS5A抑制剂。来自巴塞罗那的研究人员发现,MK-5172和MK-8742+/-利巴韦林(RBV)可用于治疗HCV1型和HIV共感染患者。据悉,这是第一份HCV和HIV共感染患者服用口服药物治疗的报道。

该研究人群为丙肝初治、非肝硬化合并HIV感染的患者。患者正在进行稳定的抗逆转录病毒疗法(罗特格韦+替诺福韦或阿巴卡韦)。患者被随机分配到MK-5172组(100mg,QD,共12周)和MK-8742组( 50mg,QD,共12周)±利巴韦林(基于体重)。用COBAS TaqMan探针法V2.0检测病人的病毒学应答(定量检测下限为<25IU/mL)。

研究共纳入了40例患者(83%为男性,20%为非裔美国人,78%为HCV基因1a型)。平均基线HCV-RNA为6.2 log10的IU/mL。治疗4周后,有22例患者的HCV-RNA < 25 IU / mL,无论有无利巴韦林治疗。

最常见的不良反应为:疲劳10%(4/ 40),头痛5%(2/ 40),背痛5%(2/ 40)和虚弱5%(2/40)。该研究目前仍在进行中。

该研究表明,HCV1型感染和HIV双重感染患者使用MK-5172和MK-8742治疗(无论有无利巴韦林),可以在头4周内取得快速抑制病毒的疗效。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2066310, encodeId=b5f8206631008, content=<a href='/topic/show?id=77be30014f4' target=_blank style='color:#2F92EE;'>#共感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30014, encryptionId=77be30014f4, topicName=共感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Fri May 16 21:12:00 CST 2014, time=2014-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1257594, encodeId=adef125e594e7, content=<a href='/topic/show?id=774e856e22' target=_blank style='color:#2F92EE;'>#HCV#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8567, encryptionId=774e856e22, topicName=HCV)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412530, encodeId=e4d3141253035, content=<a href='/topic/show?id=ebcd6442dc' target=_blank style='color:#2F92EE;'>#EASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6442, encryptionId=ebcd6442dc, topicName=EASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0c52872504, createdName=kord1983, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519192, encodeId=e16c1519192af, content=<a href='/topic/show?id=2082286e7b' target=_blank style='color:#2F92EE;'>#ASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2867, encryptionId=2082286e7b, topicName=ASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1a311248160, createdName=lq1771, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1619383, encodeId=e8ed161938329, content=<a href='/topic/show?id=8dd46061824' target=_blank style='color:#2F92EE;'>#有效治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60618, encryptionId=8dd46061824, topicName=有效治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2066310, encodeId=b5f8206631008, content=<a href='/topic/show?id=77be30014f4' target=_blank style='color:#2F92EE;'>#共感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30014, encryptionId=77be30014f4, topicName=共感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Fri May 16 21:12:00 CST 2014, time=2014-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1257594, encodeId=adef125e594e7, content=<a href='/topic/show?id=774e856e22' target=_blank style='color:#2F92EE;'>#HCV#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8567, encryptionId=774e856e22, topicName=HCV)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412530, encodeId=e4d3141253035, content=<a href='/topic/show?id=ebcd6442dc' target=_blank style='color:#2F92EE;'>#EASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6442, encryptionId=ebcd6442dc, topicName=EASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0c52872504, createdName=kord1983, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519192, encodeId=e16c1519192af, content=<a href='/topic/show?id=2082286e7b' target=_blank style='color:#2F92EE;'>#ASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2867, encryptionId=2082286e7b, topicName=ASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1a311248160, createdName=lq1771, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1619383, encodeId=e8ed161938329, content=<a href='/topic/show?id=8dd46061824' target=_blank style='color:#2F92EE;'>#有效治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60618, encryptionId=8dd46061824, topicName=有效治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=)]
    2014-05-15 智智灵药
  3. [GetPortalCommentsPageByObjectIdResponse(id=2066310, encodeId=b5f8206631008, content=<a href='/topic/show?id=77be30014f4' target=_blank style='color:#2F92EE;'>#共感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30014, encryptionId=77be30014f4, topicName=共感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Fri May 16 21:12:00 CST 2014, time=2014-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1257594, encodeId=adef125e594e7, content=<a href='/topic/show?id=774e856e22' target=_blank style='color:#2F92EE;'>#HCV#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8567, encryptionId=774e856e22, topicName=HCV)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412530, encodeId=e4d3141253035, content=<a href='/topic/show?id=ebcd6442dc' target=_blank style='color:#2F92EE;'>#EASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6442, encryptionId=ebcd6442dc, topicName=EASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0c52872504, createdName=kord1983, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519192, encodeId=e16c1519192af, content=<a href='/topic/show?id=2082286e7b' target=_blank style='color:#2F92EE;'>#ASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2867, encryptionId=2082286e7b, topicName=ASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1a311248160, createdName=lq1771, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1619383, encodeId=e8ed161938329, content=<a href='/topic/show?id=8dd46061824' target=_blank style='color:#2F92EE;'>#有效治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60618, encryptionId=8dd46061824, topicName=有效治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=)]
    2014-05-15 kord1983
  4. [GetPortalCommentsPageByObjectIdResponse(id=2066310, encodeId=b5f8206631008, content=<a href='/topic/show?id=77be30014f4' target=_blank style='color:#2F92EE;'>#共感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30014, encryptionId=77be30014f4, topicName=共感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Fri May 16 21:12:00 CST 2014, time=2014-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1257594, encodeId=adef125e594e7, content=<a href='/topic/show?id=774e856e22' target=_blank style='color:#2F92EE;'>#HCV#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8567, encryptionId=774e856e22, topicName=HCV)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412530, encodeId=e4d3141253035, content=<a href='/topic/show?id=ebcd6442dc' target=_blank style='color:#2F92EE;'>#EASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6442, encryptionId=ebcd6442dc, topicName=EASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0c52872504, createdName=kord1983, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519192, encodeId=e16c1519192af, content=<a href='/topic/show?id=2082286e7b' target=_blank style='color:#2F92EE;'>#ASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2867, encryptionId=2082286e7b, topicName=ASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1a311248160, createdName=lq1771, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1619383, encodeId=e8ed161938329, content=<a href='/topic/show?id=8dd46061824' target=_blank style='color:#2F92EE;'>#有效治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60618, encryptionId=8dd46061824, topicName=有效治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=)]
    2014-05-15 lq1771
  5. [GetPortalCommentsPageByObjectIdResponse(id=2066310, encodeId=b5f8206631008, content=<a href='/topic/show?id=77be30014f4' target=_blank style='color:#2F92EE;'>#共感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30014, encryptionId=77be30014f4, topicName=共感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fa82500120, createdName=12498a1cm67暂无昵称, createdTime=Fri May 16 21:12:00 CST 2014, time=2014-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1257594, encodeId=adef125e594e7, content=<a href='/topic/show?id=774e856e22' target=_blank style='color:#2F92EE;'>#HCV#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8567, encryptionId=774e856e22, topicName=HCV)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1412530, encodeId=e4d3141253035, content=<a href='/topic/show?id=ebcd6442dc' target=_blank style='color:#2F92EE;'>#EASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6442, encryptionId=ebcd6442dc, topicName=EASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a0c52872504, createdName=kord1983, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519192, encodeId=e16c1519192af, content=<a href='/topic/show?id=2082286e7b' target=_blank style='color:#2F92EE;'>#ASL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2867, encryptionId=2082286e7b, topicName=ASL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c1a311248160, createdName=lq1771, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1619383, encodeId=e8ed161938329, content=<a href='/topic/show?id=8dd46061824' target=_blank style='color:#2F92EE;'>#有效治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60618, encryptionId=8dd46061824, topicName=有效治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Thu May 15 00:12:00 CST 2014, time=2014-05-15, status=1, ipAttribution=)]

相关资讯

Science:HIV储存库不竭之谜

2014 年的逆转录病毒及伺机感染会议(Conference on Retroviruses and Opportunistic Infections)已于 3 月 3 日至 6 日在波士顿召开,这项重要的 HIV/AIDS 会议将主题集中在了一名于出生后 4 小时即启动抗病毒治疗,至今体内仍未检测到病毒的 HIV 感染婴儿身上,它为治愈艾滋病带来了新希望。然而在这次会议上这一最令人惊叹的研究

Science:科学家从进化角度解释HIV感染发病机理

一些艾滋病患者病情发展十分迅速,但有一些患者却能长年处于潜伏期,不出现病症。HIV 的发病机理依然让科学家们困惑不解。 现在,来自伦敦帝国学院(Imperial College London)等机构的研究人员试图解释这种现象。他们通过相关研究指出,这种病情发展的差异是由于艾滋病病毒毒力因素(virulence factors)造成的,这种因素与宿主因素

ICHE:新指南建议HIV暴露后预防至少用3种药物

《感染控制与医院流行病学》杂志日前刊登了经过修订的HIV暴露后医务人员处理指南,该指南建议暴露后预防(PEP)应一律使用至少3种药物,而不宜按照之前更新版本建议的那样,评估风险后再决定该使用多少种药物。这是自2005年发布更新版以来首次对该指南进行修订。指南主要作者、美国疾病预防控制中心(CDC)的David T. Kuhar博士指出,关于暴露后预防的优选方案,修订版指南推荐的药物比既往推荐药

Science:研究者或可构建一种更好的HIV疫苗

刊登在近日的国际杂志Science上的一篇研究报告中,来自国外的研究人员设计了一种免疫原,它代表了朝着制造一种可在人体内释放对抗HIV-1的广谱中和抗体疫苗所迈出的重要的第一步。 Joseph Jardine及其同事对近些年来在世界各地的病人体内分离出的这种高度有效的广谱中和抗体——它对HIV-1的gp120包膜蛋白具有特异性——进行了研究。 研究人员接着想出了一种方法来设计可与这些高度变异的

BMS向美国提交阿扎那韦固定剂量HIV复方药物上市申请

近日,百时美施贵宝向美国提交了由其HIV药物阿扎那韦与吉利德Cobicistat组成的固定剂量复方药物的上市申请。 这款药物将百时美施贵宝HIV蛋白酶抑制剂硫酸阿扎那韦(Reyataz)与Cobicistat结合在了一起,Cobicistat是一种药代动力学增加剂,已作为许多其它HIV治疗药物的构成成分出售,包括吉利德自己的四药复方药物Stribild及强生最近提交上市申请的达如那韦复方药物。 这

LID:Vacc-4X治疗性疫苗或可成为治疗HIV感染的新手段

目前的抗逆转录病毒联合疗法(CART)本身并不能治愈HIV感染,需要进行终身药物治疗。艾滋病治疗疫苗可能是治愈艾滋病的另一个途径。来自挪威的研究人员评估了Vacc-4X治疗性疫苗的有效性,安全性和免疫原性。这是一种针对p24保守结构域的治疗性疫苗。 研究结果表明 VACC-4X是安全的,耐受性良好,有免疫原性,可以降低中断cART治疗后的病毒载量。VACC-4X可以作为将来治疗HIV感染的新手段