AbbVie丙肝鸡尾酒疗法III期研究治愈率近100%

2014-03-05 tomato 生物谷

目前,艾伯维(AbbVie)正稳步推进其丙肝鸡尾酒疗法。在第21届逆转录病毒和机会性感染大会(CROI 2014)上,该公司公布的关键III期M13-961(PEARL-III)研究的详实数据表明,其所开发的丙肝鸡尾酒疗法对难治性丙肝群体的治愈率几乎达到了100%。AbbVie开发的丙肝鸡尾酒疗法由固定剂量ABT-450/ritonavir/ABT-267(150mg/100mg/25mg,每日一

目前,艾伯维(AbbVie)正稳步推进其丙肝鸡尾酒疗法。在第21届逆转录病毒和机会性感染大会(CROI 2014)上,该公司公布的关键III期M13-961(PEARL-III)研究的详实数据表明,其所开发的丙肝鸡尾酒疗法对难治性丙肝群体的治愈率几乎达到了100%。

AbbVie开发的丙肝鸡尾酒疗法由固定剂量ABT-450/ritonavir/ABT-267(150mg/100mg/25mg,每日一次)和ABT-333(250mg,每日2次)有或无利巴韦林(基于体重,每日2次)组成。ABT-450、ABT-267、ABT-333三者分别具有不同的作用机制,能够中断HCV复制过程,

PEARL-III研究仅是AbbVie丙肝鸡尾酒疗法临床项目的6个III期研究之一,该公司预计于下一季度向FDA提交监管文件。而竞争对手吉利德(Gilead)已在2月份向FDA提交了其鸡尾酒疗法(ledipasvir/sofosbuvir)的监管文件。双方均预计在今年将各自的丙肝鸡尾酒疗法推向市场。不过,值得注意的是,这2家公司在其2014年指南中均未提及各自鸡尾酒疗法的销售预期。

关于PEARL-III研究:

PEARL-III是一项全球性、多中心、随机、双盲、安慰剂对照研究,在初治(treatment-naive)非肝硬化基因型1b HCV成人感染者中开展,评估了AbbVie丙肝鸡尾酒疗法单独及联合利巴韦林(RBV)用于为期12周治疗的疗效和安全性。

该项研究包含419名无肝硬化证据的初治基因型1b感染者,209名患者随机分配接受12周的鸡尾酒疗法(无利巴韦林),210名患者接受12周的鸡尾酒疗法和利巴韦林治疗。接受鸡尾酒疗法(无利巴韦林)的患者组有99.0%(n=207/209)的患者在治疗12周后实现了持续病毒学应答(SVR12),鸡尾酒+利巴韦林组有99.5%(n=209/210)的患者实现SVR12。鸡尾酒疗法(无利巴韦林)治疗组以安慰剂代替利巴韦林。

该项研究达到了主要重点和次要终点。同时,在治疗后12周内,未记载到任何病情复发病例。

原始出处:


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    2014-03-07 juliusluan78
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    2014-12-28 cenghis
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    2014-03-07 qblt
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对于未经治疗的HCV基因1型患者,《2011 AASLD基因1型丙肝治疗指南》推荐的治疗标准是聚乙二醇干扰素+利巴韦林+蛋白酶抑制剂的三联疗法。来自乔治亚州亚特兰大医疗中心,丙型肝炎中心的Brian Pearlman博士和Carole Ehleben等研究了接受4周的聚乙二醇干扰素α-2b+利巴韦林后获得快速病毒学应答的患者是否有有必要加用蛋白酶抑制剂。研究结果发表在近期的Hepatology

Nature:新型丙肝口服药物获批上市 人类将首次战胜HCV

改进的治疗方案将为人类清除肝病毒感染提供新希望。 数十年来,丙型肝炎病毒(HCV)感染者都不得不忍受令人饱受折磨的治疗方案,其中包括注射干扰素药物,它可以引起严重恶心及抑郁症。随着几种高效口服抗病毒药物即将获得批准,以及更多药物的出现,研究人员说根除全世界的感染现在成为了一个现实的目标。 不同于以往的 HCV 治疗采用干扰素和其他药物来寻求增强免疫系统,最新的一组口服药物可以干扰病毒的复制

Gastroenterology:血栓素A2合成酶抑制剂预防携带人肝细胞的裸鼠感染丙肝病毒

使人类肝细胞(HuS-E/2细胞)永生化的3D培养系统最近显示其能够支持血源性丙肝病毒的生存循环。近日,来自日本东京大学的Yuichi Abe等研究者采用该3D培养系统,寻找丙肝病毒(HCV)生存周期中被异常激活的蛋白,以及探索抗HCV试剂在控制丙肝病毒感染的效果。研究显示信使RNA编码的前列腺素合成酶被异常激活;采用血栓素A2合成酶(TXAS)抑制剂,能够抑制体外培养的肝细胞以及植入裸

NEJM:新型直接抗丙肝病毒药物(DDA)时代

今年在《新英格兰医学杂志》上相继发表4项研究,分别就DAA对丙肝患者的治疗效果进行了探讨。在既往未经治疗的丙型肝炎病毒(HCV)基因1、2或3型感染患者中,sofosbuvir加利巴韦林治疗12周可能有效(N Engl J Med. 2013 Jan 3;368(1):34-44)。在不选用聚乙二醇干扰素和利巴韦林疗法的基因2或3型HCV感染患者中,12或16周sofosbuvir和利巴韦林治疗均