Research Topics
Genomes and GenesSpecies | John G McHutchisonSummaryAffiliation: Duke University Medical Center Country: USA Publications
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Publications
Initial treatment for chronic hepatitis C: current therapies and their optimal dosing and durationKeyur Patel
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, P.O. Box 17969, Durham, NC 27715, USA
Cleve Clin J Med 71:S8-12. 2004..Early virologic response is a good predictor of eventual sustained response for patients with HCV genotype 1 infection. Despite important gains in treating chronic hepatitis C, many treatment challenges remain...
Adherence to combination therapy enhances sustained response in genotype-1-infected patients with chronic hepatitis CJohn G McHutchison
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27715, USA
Gastroenterology 123:1061-9. 2002..We evaluated the impact of adherence to combination therapy with interferon or peginterferon plus ribavirin in chronic hepatitis C patients...
Replicated association between an IL28B gene variant and a sustained response to pegylated interferon and ribavirinJeanette J McCarthy
Institute for Genome Sciences and Policy, Duke University Medical Center, Durham, North Carolina 27708, USA
Gastroenterology 138:2307-14. 2010..We investigated the association between the polymorphism rs12979860 and treatment response in a diverse cohort of chronic HCV patients...
Telaprevir for previously treated chronic HCV infectionJohn G McHutchison
Duke Clinical Research Institute and Duke University Medical Center, Durham, NC, USA
N Engl J Med 362:1292-303. 2010..Patients with genotype 1 hepatitis C virus (HCV) who do not have a sustained response to therapy with peginterferon alfa and ribavirin have a low likelihood of success with retreatment...
Telaprevir with peginterferon and ribavirin for chronic HCV genotype 1 infectionJohn G McHutchison
Duke Clinical Research Institute and Duke University, Durham, NC 27715, USA
N Engl J Med 360:1827-38. 2009..Telaprevir, a protease inhibitor specific to the HCV nonstructural 3/4A serine protease, rapidly reduced HCV RNA levels in early studies...
Viral clearance is associated with improved insulin resistance in genotype 1 chronic hepatitis C but not genotype 2/3Alexander J Thompson
Duke Clinical Research Institute, Duke University Medical Center, P O Box 17969, Durham, NC 27715, USA
Gut 61:128-34. 2012..This study investigated the association between a sustained virological response (SVR) and IR after chronic HCV therapy...
Dysregulation of innate immunity in hepatitis C virus genotype 1 IL28B-unfavorable genotype patients: impaired viral kinetics and therapeutic responseSusanna Naggie
Duke Clinical Research Institute, Durham, NC, USA
Hepatology 56:444-54. 2012..IL28B genotype is associated with more rapid viral kinetics and improved treatment response outcomes independent of ISG expression...
Role of growth factors and thrombopoietic agents in the treatment of chronic hepatitis CHans L Tillmann
Duke Clinical Research Institute, Duke University Medical Center, P O Box 17969, Durham, NC 27715 7969, USA
Curr Gastroenterol Rep 11:5-14. 2009..Phase 3 studies are currently evaluating whether initiating and maintaining antiviral therapy with eltrombopag will lead to an increase in sustained virologic response in chronic hepatitis C infection...
Beneficial IL28B genotype associated with lower frequency of hepatic steatosis in patients with chronic hepatitis CHans L Tillmann
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, Durham, NC 27705, USA
J Hepatol 55:1195-200. 2011..Here we analyzed the association of steatosis with IL28B genotype in treatment naïve patients with CHC...
The clinical utility of using Catrimox-14-treated whole blood in detecting hepatitis C virus RNAKeyur Patel
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA
Antivir Ther 10:535-41. 2005..We compared the Catrimox-14 WB assay with a standard serum assay...
Variants in the ITPA gene protect against ribavirin-induced hemolytic anemia and decrease the need for ribavirin dose reductionAlexander J Thompson
Duke Clinical Research Institute, Durham, North Carolina 27715, USA
Gastroenterology 139:1181-9. 2010..We aimed to replicate this finding in an independent cohort from the Study of Viral Resistance to Antiviral Therapy of Chronic Hepatitis C and to investigate the effects of these variants beyond week 4...
Inosine triphosphatase genetic variants are protective against anemia during antiviral therapy for HCV2/3 but do not decrease dose reductions of RBV or increase SVRAlexander J Thompson
Duke Clinical Research Institute, Durham, NC, USA
Hepatology 53:389-95. 2011..Conclusion: Two ITPA variants were strongly associated with protection against treatment-related anemia in patients with genotype 2/3 HCV, but they did not decrease the need for RBV dose reduction or increase the rate of SVR...
The association of genetic variants with hepatic steatosis in patients with genotype 1 chronic hepatitis C infectionPaul J Clark
Duke Clinical Research Institute, Duke University, PO Box 17969, Durham, NC 27715, USA
Dig Dis Sci 57:2213-21. 2012..Single-nucleotide polymorphisms (SNPs) in the IL28B and PNPLA3 gene regions have been associated with hepatic steatosis in genotype 1 (G1) chronic HCV infection but their clinical impacts remain to be determined...
Peginterferon alfa-2b or alfa-2a with ribavirin for treatment of hepatitis C infectionJohn G McHutchison
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
N Engl J Med 361:580-93. 2009..Treatment guidelines recommend the use of peginterferon alfa-2b or peginterferon alfa-2a in combination with ribavirin for chronic hepatitis C virus (HCV) infection. However, these regimens have not been adequately compared...
Genome-wide association study of interferon-related cytopenia in chronic hepatitis C patientsAlexander J Thompson
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27701, USA
J Hepatol 56:313-9. 2012..We performed a genome wide association study on a well-characterized genotype 1 HCV cohort to identify genetic determinants of peginterferon-α (pegIFN)-related thrombocytopenia, neutropenia, and leukopenia...
Correlation of FIBROSpect II with histologic and morphometric evaluation of liver fibrosis in chronic hepatitis CKeyur Patel
Division of Gastroenterology, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27705, USA
Clin Gastroenterol Hepatol 6:242-7. 2008..We hypothesized that a noninvasive test of liver fibrosis can accurately stage liver fibrosis. We prospectively evaluated the FIBROSpect II (FSII) biomarker panel versus pathology assessment and a quantitative measure of fibrosis...
Interleukin-28B polymorphism improves viral kinetics and is the strongest pretreatment predictor of sustained virologic response in genotype 1 hepatitis C virusAlexander J Thompson
Duke Clinical Research Institute, Durham, North Carolina, USA
Gastroenterology 139:120-9.e18. 2010..We sought to confirm the polymorphism's clinical relevance by intention-to-treat analysis evaluating on-treatment virologic response and SVR...
FibroSURE and FibroScan in relation to treatment response in chronic hepatitis C virusKeyur Patel
Department of Gastroenterology and Hepatology, Duke Clinical Research Institute, Durham, NC 27715, United States
World J Gastroenterol 17:4581-9. 2011..To compare histological endpoint assessment using noninvasive alternatives to biopsy during treatment in a chronic hepatitis C virus (HCV) cohort...
Retreatment with telaprevir combination therapy in hepatitis C patients with well-characterized prior treatment responseAndrew J Muir
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, Durham, NC 27715, USA
Hepatology 54:1538-46. 2011..CONCLUSION: This study demonstrated the benefit of retreatment with a telaprevir-based regimen for patients with well-characterized nonresponse (null and partial) or relapse to a prior course of PR treatment...
ITPA gene variants protect against anaemia in patients treated for chronic hepatitis CJacques Fellay
Institute for Genome Sciences and Policy, Center for Human Genome Variation, Duke University, Durham, North Carolina 27708, USA
Nature 464:405-8. 2010..Here we show that genetic variants leading to inosine triphosphatase deficiency, a condition not thought to be clinically important, protect against haemolytic anaemia in hepatitis-C-infected patients receiving RBV...
High predictive accuracy of an unbiased proteomic profile for sustained virologic response in chronic hepatitis C patientsKeyur Patel
Duke Clinical Research Institute, Duke University, Durham, NC 27715, USA
Hepatology 53:1809-18. 2011..CONCLUSION: Our preliminary data indicate that a serum-based protein signature can accurately predict treatment response to current SOC in most CHC patients...
Factors influencing the participation of gastroenterologists and hepatologists in clinical researchAnouk T Dev
Duke Clinical Research Institute, PO Box 17969, Durham, North Carolina, USA
BMC Health Serv Res 8:208. 2008..We examined factors that influence the participation of gastroenterologists and hepatologists in clinical research...
Hepatitis C virus selectively perturbs the distal cholesterol synthesis pathway in a genotype-specific mannerPaul J Clark
Duke Clinical Research Institute and Department of Gastroenterology, Duke University Medical Center, Durham, NC 27715, USA
Hepatology 56:49-56. 2012..These data may provide a hypothesis to explain why hypocholesterolemia persists in chronic HCV infection, particularly in HCV G3, and is not overcome by host cholesterol compensatory mechanisms...
Characterization of serum proteins associated with IL28B genotype among patients with chronic hepatitis CDerek D Cyr
Institute for Genome Sciences and Policy, Duke University Medical Center, Durham, North Carolina, United States of America
PLoS ONE 6:e21854. 2011..To gain further insight into IL28B function we assessed the association of rs12979860 with expression of protein quantitative traits (pQTL analysis) generated using open-platform proteomics in serum from patients...
Variants in the ITPA gene protect against ribavirin-induced hemolytic anemia in HIV/HCV-coinfected patients with all HCV genotypesSusanna Naggie
Duke Clinical Research Institute, Durham, North Carolina, USA
J Infect Dis 205:376-83. 2012..We investigate these polymorphisms in a cohort of human immunodeficiency virus (HIV)/HCV-coinfected patients...
Open-label phase 1b pilot study to assess the antiviral efficacy of simvastatin combined with sertraline in chronic hepatitis C patientsKeyur Patel
Duke Clinical Research Unit and DUMC, Durham, NC, USA
Antivir Ther 16:1341-6. 2011..Our aims were to prospectively assess the antiviral efficacy and safety of this drug combination in chronic hepatitis C (CHC) patients...
Eltrombopag for thrombocytopenia in patients with cirrhosis associated with hepatitis CJohn G McHutchison
Duke University and Duke Clinical Research Institute, Durham, NC 27705, USA
N Engl J Med 357:2227-36. 2007..We evaluated its ability to increase platelet counts and facilitate treatment for hepatitis C virus (HCV) infection in patients with thrombocytopenia associated with HCV-related cirrhosis...
Diagnosis and treatment of chronic hepatitis C infectionKeyur Patel
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27707, USA
BMJ 332:1013-7. 2006
Current therapies for chronic hepatitis C. Drug combination achieves sustained response in more than half of patientsKeyur Patel
Duke Clinical Research Institute, Division of Gastroenterology, Duke University Medical Center, PO Box 17969, Durham, NC 27715, USA
Postgrad Med 114:48-52, 57-9, 62. 2003....
Inosine triphosphate protects against ribavirin-induced adenosine triphosphate loss by adenylosuccinate synthase functionYuki Hitomi
Center for Human Genome Variation, School of Medicine, Duke University, Durham, North Carolina, USA
Gastroenterology 140:1314-21. 2011..However, the biologic mechanism by which this occurs is unknown...
Cost-effectiveness of truncated therapy for hepatitis C based on rapid virologic responseZiad F Gellad
Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC 27715, USA
Value Health 15:876-86. 2012..The cost-effectiveness of truncated therapy is not known...
Directly acting antivirals for the treatment of patients with hepatitis C infection: a clinical development update addressing key future challengesAlex Thompson
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, P O Box 17969, Durham, NC 27715, USA
J Hepatol 50:184-94. 2009..Here, we provide current information regarding the effectiveness of direct antivirals in treating chronic HCV infection and discuss the key questions and challenges now facing the field...
Relationship of smoking and fibrosis in patients with chronic hepatitis CAnouk Dev
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, Durham, North Carolina, USA
Clin Gastroenterol Hepatol 4:797-801. 2006..The data also suggest that increased VEGF and VEGF-D concentrations are associated with smoking and may be involved in the molecular mechanisms of fibrogenesis...
IL28B genomic-based treatment paradigms for patients with chronic hepatitis C infection: the future of personalized HCV therapiesPaul J Clark
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, School of Medicine, Duke University, Durham, North Carolina 27715, USA
Am J Gastroenterol 106:38-45. 2011..Future studies will investigate the possibility of individualizing treatment duration and novel regimens according to IL28B type...
Making it happen: managed care considerations in vanquishing hepatitis CJohn G McHutchison
Duke Clinical Research Institute, Duke University Medical Center, P O Box 17969, Durham, NC 27715, USA
Am J Manag Care 13:S327-36; quiz S337-40. 2007....
Strategies for managing anemia in hepatitis C patients undergoing antiviral therapyJohn G McHutchison
Duke Clinical Research Institute, Division of Gastroenterology Duke University, Durham, North Carolina 27705, USA
Am J Gastroenterol 102:880-9. 2007..In the meantime, physicians must make the best possible use of the available options for managing anemia, especially in select patient groups who are most at risk for anemia and its complications...
HLA class I allelic diversity and progression of fibrosis in patients with chronic hepatitis CKeyur Patel
Division of Gastroenterology, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Hepatology 43:241-9. 2006..HLA zygosity at 1, 2, or 3 alleles was not associated with fibrosis stage, liver inflammation, or treatment outcome. In conclusion, HLA class I allelic diversity has a minor influence on FPRs and disease severity in CHC...
Definition and management of anemia in patients infected with hepatitis C virusJohn G McHutchison
Duke University Medical Center, Durham, NC 27710, USA
Liver Int 26:389-98. 2006..Viramidine, a liver-targeting prodrug of ribavirin, has the potential to maintain the virologic efficacy of ribavirin while decreasing the risk of hemolytic anemia in patients with chronic hepatitis C...
New therapies for chronic hepatitis C virus infectionAnouk Dev
Duke Clinical Research Institute, Duke University Medical Center, PO Box 17969, Durham, NC 27715, USA
Curr Gastroenterol Rep 6:77-86. 2004....
Evaluation of a panel of non-invasive serum markers to differentiate mild from moderate-to-advanced liver fibrosis in chronic hepatitis C patientsKeyur Patel
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, P.O. Box 17969, Durham, NC 27715, USA
J Hepatol 41:935-42. 2004..Prospective studies are required to determine the potential utility of the marker panel in guiding treatment decisions and following disease progression...
IL28B genotype is associated with differential expression of intrahepatic interferon-stimulated genes in patients with chronic hepatitis CThomas J Urban
Center for Human Genome Variation, Duke University Medical Center, Durham, NC, USA
Hepatology 52:1888-96. 2010..IL28B-type was not associated with intrahepatic IL28B messenger RNA expression in vivo. Further investigation of the precise molecular mechanism(s) by which IL28B genetic variation influences HCV outcomes is warranted...
Genetic variation in IL28B predicts hepatitis C treatment-induced viral clearanceDongliang Ge
Institute for Genome Sciences and Policy, Center for Human Genome Variation, Duke University, Durham, North Carolina 27708, USA
Nature 461:399-401. 2009....
Phase 1B, randomized, double-blind, dose-escalation trial of CPG 10101 in patients with chronic hepatitis C virusJohn G McHutchison
ALT Alliance for Liver Therapy Group, Division of Gastroenterology and Hepatology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Hepatology 46:1341-9. 2007..The data support further clinical studies of CPG 10101 for treating chronic HCV infection...
A phase I trial of an antisense inhibitor of hepatitis C virus (ISIS 14803), administered to chronic hepatitis C patientsJohn G McHutchison
The Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, P O Box 17969, Durham, NC 27715, USA
J Hepatol 44:88-96. 2006..This Phase I, open-label, dose-escalation trial of ISIS 14803 was performed in chronic HCV patients...
Future trends in managing hepatitis CJohn G McHutchison
Division of Gastroenterology and GI Hepatology Research, Duke Clinical Research Institute, Duke University Medical Center, P O Box 17969, Durham, NC 27710, USA
Gastroenterol Clin North Am 33:S51-61. 2004..Multiple-drug regimens will likely be required to enhance viral clearance and reduce viral resistance, while providing greater tolerability...
A randomized, double-blind, placebo-controlled dose-escalation trial of merimepodib (VX-497) and interferon-alpha in previously untreated patients with chronic hepatitis CJohn G McHutchison
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, Durham, NC, USA
Antivir Ther 10:635-43. 2005..Larger, longer duration trials incorporating pegylated IFN would be required to determine whether this combination, alone or with RBV, would increase either early or sustained virological response rates...
Current therapy for hepatitis C: pegylated interferon and ribavirinJohn G McHutchison
Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC 27710, USA
Clin Liver Dis 7:149-61. 2003....
Interferon-lambda genotype and low serum low-density lipoprotein cholesterol levels in patients with chronic hepatitis C infectionJosephine H Li
Institute for Genome Sciences and Policy, Durham, NC 27708, USA
Hepatology 51:1904-11. 2010....
Hepatitis C and steatosisAnouk Dev
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Centre, P.O. Box 17969, Durham, NC 27715, USA
Clin Liver Dis 8:881-92, ix. 2004..Research efforts should continue to focus on defining the complex viral and host interactions involved in the pathogenesis of HCV-related steatosis so that future therapeutic strategies may be accurately and appropriately targeted...
Effect of donor age on survival of liver transplant recipients with hepatitis C virus infectionSteven L Condron
Division of Gastroenterology, Department of Medicine, Duke University Medical Center and Duke Clinical Research Institute, Durham, NC, USA
Transplantation 80:145-8. 2005..These factors should be considered when assessing OLT recipient and donor candidacy in patients with HCV...
Chronic hepatitis C: an age wave of disease burdenJohn G McHutchison
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am J Manag Care 11:S286-95; quiz S307-11. 2005..This article reviews the epidemiology, natural history, clinical and economic burden, and screening and treatment options for HCV...
The face of future hepatitis C antiviral drug development: recent biological and virologic advances and their translation to drug development and clinical practiceJohn G McHutchison
Division of Gastroenterology, Duke Clinical Research Institute, Duke University Medical Centre, 2400 Pratt Street, Room 0311, Terrace Level, Durham, NC 27707, USA
J Hepatol 44:411-21. 2006
Using capsule endoscopy to identify GI tract lesions in cirrhotic patients with portal hypertension and chronic anemiaKaren R Canlas
Division of Gastroenterology and Hepatology, Duke University Medical Center, Durham, NC 27705, USA
J Clin Gastroenterol 42:844-8. 2008..We aimed to evaluate the ability of capsule endoscopy (CE) to detect small intestine (SI) lesions, especially SI varices, in patients with intrahepatic cirrhosis, portal hypertension (PHTN), and chronic anemia...
Insulin resistance is independently associated with significant hepatic fibrosis in Asian chronic hepatitis C genotype 2 or 3 patientsKeyur Patel
Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
J Gastroenterol Hepatol 26:1182-8. 2011..We retrospectively investigated the relationship between host metabolic variables, including IR and hepatic steatosis, to hepatic fibrosis in Asian-region CHC genotype 2/3 patients...
The use of mind-body medicine and prayer among adult patients with chronic hepatitis CJacqueline A Richmond
Gastroenterology Hepatology Research Program, Duke Clinical Research Institute, Durham, North Carolina, USA
Gastroenterol Nurs 33:210-6. 2010..To provide patient-centered healthcare, health providers need to be aware of the alternative support strategies, including mind-body medicine, used by patients...
A polymorphism near IL28B is associated with spontaneous clearance of acute hepatitis C virus and jaundiceHans L Tillmann
Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
Gastroenterology 139:1586-92, 1592.e1. 2010..We analyzed the association between IL28B and the clinical presentation of acute hepatitis C virus (HCV) infection in a homogeneous population...
Steatosis and chronic hepatitis C virus infection: mechanisms and significanceKeyur Patel
Duke Clinical Research Institute and Division of Gastroenterology, Duke University Medical Center, P.O. Box 17969, Durham, NC 27715, USA
Clin Liver Dis 9:399-410, vi. 2005..This may provide novel future therapeutic strategies that may help modulate disease progression in relation to steatosis in HCV infection...
Use of thrombopoietic agents for the thrombocytopenia of liver diseaseHans L Tillmann
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715 7969, USA
Semin Hematol 47:266-73. 2010..A current phase III study is currently evaluating whether this treatment allows successful outcomes and sustained viral eradication...
The use of complementary and alternative medicine by patients with chronic hepatitis CJacqueline A Richmond
Duke Clinical Research Institute and Division of Gastroenterology, Duke University, Durham, North Carolina 27705, USA
Complement Ther Clin Pract 16:124-31. 2010..The use of complementary and alternative medicine (CAM) is expanding globally. However, prevalence of its use by patients with chronic hepatitis C (CHC) remains unclear...
Understanding hepatitis CJohn G McHutchison
Gastroenterology and Hepatology Research, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Manag Care 10:S21-9. 2004..This article reviews the virology, serology, epidemiology, natural history, and the current and projected future disease burden of HCV in the United States...
Trends in health care resource use for hepatitis C virus infection in the United StatesWilliam C Grant
Center for Clinical and Genetic Economics, Duke University Medical Center, Durham, NC 27715, USA
Hepatology 42:1406-13. 2005..In conclusion, as patients continue to age and disease burden progresses, suboptimal decisions regarding HCV treatments will bring increasing opportunity costs for the health care system and society...
Reliability of the Roussel Uclaf Causality Assessment Method for assessing causality in drug-induced liver injuryJames Rochon
Duke Clinical Research Institute, Durham, NC 27713, USA
Hepatology 48:1175-83. 2008..Alternative methods, including modifying the RUCAM, developing drug-specific instruments, or causality assessment based on expert opinion, may be more appropriate...
Clinical use of hyaluronic acid as a predictor of fibrosis change in hepatitis CKeyur Patel
Division of Gastroenterology, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
J Gastroenterol Hepatol 18:253-7. 2003..CONCLUSIONS: Serum HA showed a modest association with hepatic fibrosis, and remains a useful non-invasive marker. However, serum HA alone has limited value in predicting histological changes over a treatment period...
Hepatitis C: a 20-year debt comes dueJohn G McHutchison
Gastroenterology and Hepatology Research, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Manag Care 10:S20. 2004
Future therapy of hepatitis CJohn G McHutchison
Duke Clinical Research Institute, Durham, NC 27715, USA
Hepatology 36:S245-52. 2002..Most of these newer therapies are unlikely to be available for routine clinical use in the next 3 to 5 years...
Risks of a range of alcohol intake on hepatitis C-related fibrosisAlexander Monto
Department of Gastroenterology, University of California at San Francisco, 4150 Clement Street 111B, San Francisco, CA 94121, USA
Hepatology 39:826-34. 2004..Age, serum ALT, and inflammation are independently associated with fibrosis in multivariate analysis, highlighting the fact that variables other than alcohol intake predominate in the production of hepatic fibrosis...
Hepatitis C. Development of new drugs and clinical trials: promises and pitfalls. Summary of an AASLD hepatitis single topic conference, Chicago, IL, February 27-March 1, 2003Jean-Michel Pawlotsky
Department of Virology (EA 3489, Henri Mondor Hospital, University of Paris XII, , France
Hepatology 39:554-67. 2004
Economic and clinical effects of evaluating rapid viral response to peginterferon alfa-2b plus ribavirin for the initial treatment of chronic hepatitis CJohn B Wong
Division of Clinical Decision Making, Department of Medicine, Tupper Research Institute, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA
Am J Gastroenterol 98:2354-62. 2003..Decisions regarding continuation of antiviral treatment should also consider the variability in the accuracy of quantitative viral assays as well as patient preferences and other potential benefits of the same treatments...
The hepatitis C virus life cycle as a target for new antiviral therapiesJean Michel Pawlotsky
French National Reference Center for Viral Hepatitis B, C, and Delta, Department of Virology, Hopital Henri Mondor, Universite Paris 12, Creteil, France
Gastroenterology 132:1979-98. 2007....
Early virologic response to treatment with peginterferon alfa-2b plus ribavirin in patients with chronic hepatitis CGary L Davis
Division of Hepatology, Baylor University Medical Center, Dallas, TX 75246, USA
Hepatology 38:645-52. 2003..Patients who fail to achieve EVR will not clear virus even if an additional 9 months of therapy is received. Therapy can be confidently discontinued in those cases...
Ribavirin as maintenance therapy for hepatitis C patients: an interim peacekeeper?Keyur Patel
Hepatology 38:21-4. 2003
A multicenter study of recombinant human interleukin 12 for the treatment of chronic hepatitis C virus infection in patients nonresponsive to previous therapyPaul J Pockros
Division of Gastroenterology and Hepatology, Scripps Clinic, La Jolla, CA, USA
Hepatology 37:1368-74. 2003..In conclusion, IL-12 as monotherapy at the doses used in this trial for chronic hepatitis C has low efficacy, was poorly tolerated, and is unlikely to provide an alternative to conventional IFN-based therapy...
Validation of a simple predictive model for the identification of mild hepatic fibrosis in chronic hepatitis C patientsKeyur Patel
Hepatology 37:1222; author reply 1222-3. 2003
Into the light: strategies for battling hepatitis CBruce R Bacon
Division of Gastroenterology and Hepatology, Saint Louis University, 3635 Vista Ave, FDT 9th Fl S, St Louis, MO 63110, USA
Am J Manag Care 13:S319-26. 2007..Future pharmacologic agents are currently in development for patients failing treatment or those who have relapsed...
Clinical utility of total HCV core antigen quantification: a new indirect marker of HCV replicationMagali Bouvier-Alias
Department of Virology (EA 3489, , , , , France
Hepatology 36:211-8. 2002..Nevertheless, the total HCV core Ag assay cannot be used as a marker of viral replication for HCV RNA values below 20,000 IU/mL, limiting its use in the monitoring of late events during and after antiviral treatment...
Hepatic iron concentration does not influence response to therapy with interferon plus ribavirin in chronic HCV infectionStephen Pianko
Scripps Clinic and Research Foundation, La Jolla, CA 92037, USA
J Interferon Cytokine Res 22:483-9. 2002..IFN monotherapy nonresponder patients tended to have a higher HIC. With IFN plus ribavirin, the sustained virologic response rate was not affected by the HIC...
Hepatitis C advances in antiviral therapy: what is accepted treatment now?John G McHutchison
Division of Gastroenterology and Hepatology, Scripps Clinic and Research Foundation, 10666 N Torrey Pines Road, N203, La Jolla, CA 92037, USA
J Gastroenterol Hepatol 17:431-41. 2002..They will thus provide an incremental benefit in terms of efficacy, particularly for genotype 1-infected patients...
Tumor necrosis factor genetic polymorphisms and response to antiviral therapy in patients with chronic hepatitis CHugo R Rosen
Division of Gastroenterology, Portland VAMC and Oregon Health Sciences University, 97207, USA
Am J Gastroenterol 97:714-20. 2002....
Albinterferon alfa-2b dosed every two or four weeks in interferon-naïve patients with genotype 1 chronic hepatitis CStefan Zeuzem
JW Goethe University Hospital, Frankfurt, Germany
Hepatology 48:407-17. 2008..1 versus 4.3 days; P = 0.006). CONCLUSION: Alb-IFN administered q2wk or q4wk may offer comparable efficacy, with an improved dosing schedule, compared with PEG-IFNalpha-2a...
Population-based hepatitis C surveillance and treatment in a national managed care organizationDeborah Shatin
UnitedHealth Group, Center for Health Care Policy and Evaluation, 12125 Technology Drive, MN002 0260, Minneapolis, MN 55344, USA
Am J Manag Care 10:250-6. 2004..To use a national population-based automated claims database to study the testing rate, prevalence, and prescribing patterns for chronic hepatitis C...
Oral resiquimod in chronic HCV infection: safety and efficacy in 2 placebo-controlled, double-blind phase IIa studiesPaul J Pockros
Division of Gastroenterology Hepatology, Scripps Clinic, La Jolla, CA, USA
J Hepatol 47:174-82. 2007..To explore safety, pharmacokinetics, and pharmacodynamics of oral administration of resiquimod, a Toll-like receptor 7 and 8 agonist that induces endogenous interferon-alpha, in subjects with chronic hepatitis C virus infection...
Safety and antiviral activity of albinterferon alfa-2b dosed every four weeks in genotype 2/3 chronic hepatitis C patientsVincent G Bain
University of Alberta, Edmonton, Canada
Clin Gastroenterol Hepatol 6:701-6. 2008..A phase 2, randomized, multicenter, open-label study evaluated the safety and efficacy of albinterferon alfa-2b in interferon-alpha treatment-naïve patients with genotype 2/3, chronic hepatitis C virus infection...
American Gastroenterological Association technical review on the management of hepatitis CJules L Dienstag
Gastrointestinal Unit (Medical Services) Massachusetts General Hospital, Department of Medicine and Office of the Dean for Medical Education, Harvard Medical School, Boston, Massachusetts, USA
Gastroenterology 130:231-64; quiz 214-7. 2006
A phase 2 study to evaluate the antiviral activity, safety, and pharmacokinetics of recombinant human albumin-interferon alfa fusion protein in genotype 1 chronic hepatitis C patientsVincent G Bain
University of Alberta, Liver Unit, Zeidler Ledcor Center, 130 University Campus, Edmonton, Alberta, Canada, T6G 2X8
J Hepatol 44:671-8. 2006..Recombinant human albumin-interferon alfa (alb-IFN) is a novel 85.7-kD recombinant protein consisting of interferon alfa-2b genetically fused to human serum albumin...
Treatment of acute hepatitis C infection: more pieces of the puzzle?Amany Zekry
J Hepatol 42:293-6. 2005
Relationships between hepatic iron content and virologic response in chronic hepatitis C patients treated with interferon and ribavirinStephen J Rulyak
Department of Medicine, Division of Gastroenterology, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, USA
Am J Gastroenterol 100:332-7. 2005..73). CONCLUSIONS: Pretreatment HIC is not an independent predictor of response to therapy with interferon and ribavirin. Combination therapy does not significantly change HIC regardless of baseline histology or virologic response...
Virological effects of ISIS 14803, an antisense oligonucleotide inhibitor of hepatitis C virus (HCV) internal ribosome entry site (IRES), on HCV IRES in chronic hepatitis C patients and examination of the potential role of primary and secondary HCV resistMuriel Soler
Departament of Virology, INSERM U635, Henri Mondor Hospital, University of Paris XII, , France
Antivir Ther 9:953-68. 2004..Furthermore, no obvious nucleotide changes in the surrounding IRES region that might possibly affect oligonucleotide binding were detected...
Treatment issues with chronic hepatitis C: special populations and pharmacy strategiesBruce R Bacon
Saint Louis University, Division of Gastroenterology 3635 Vista Ave, St Louis, MO 63110 2539, USA
Am J Manag Care 11:S296-306; quiz S307-11. 2005....
Hepatic HCV RNA before and after treatment with interferon alone or combined with ribavirinJohn G McHutchison
Division of Gastroenterology Hepatology, Scripps Clinic and Research Foundation, 10666 N Torrey Pines Road N203, La Jolla, CA 92037, USA
Hepatology 35:688-93. 2002..In conclusion, measurement of hepatic HCV RNA before or after therapy reflects changes observed in serum HCV RNA, and correlates inversely with hepatic inflammation and fibrosis, but otherwise has minimal clinical use...
Antiproliferative effects of interferon alpha on hepatic progenitor cells in vitro and in vivoRebecca Lim
School of Medicine and Pharmacology, University of Western Australia, Nedlands, Western Australia
Hepatology 43:1074-83. 2006..05). In conclusion, interferon alpha-based treatment reduced the number of hepatic progenitor cells in chronic liver injury by modulating apoptosis, proliferation, and differentiation. Supplementay material for this article can..
The impact of steatosis on disease progression and early and sustained treatment response in chronic hepatitis C patientsHeather M Patton
Division of Gastroenterology and Hepatology, Scripps Clinic, La Jolla, CA, USA
J Hepatol 40:484-90. 2004..01). CONCLUSIONS: In conclusion, steatosis is an important cofactor in hepatitis C as it is associated with fibrosis and reduces the likelihood of achieving early and sustained virologic response in genotype 1 infected patients...
Growth factors during HCV therapy may be "cost-effective", but are they "effective"?Andrew J Muir
Hepatology 44:1400-3. 2006
Oral IDN-6556, an antiapoptotic caspase inhibitor, may lower aminotransferase activity in patients with chronic hepatitis CPaul J Pockros
Division of Gastroenterology and Hepatology, Scripps Clinic, La Jolla, CA 92037, USA
Hepatology 46:324-9. 2007..Longer studies to assess potential effects of IDN-6556 on liver inflammation and fibrosis are merited...
Albinterferon alpha-2b: a genetic fusion protein for the treatment of chronic hepatitis CG Mani Subramanian
Human Genome Sciences, Inc, 14200 Shady Grove Road, Rockville, Maryland 21042, USA
Nat Biotechnol 25:1411-9. 2007..These fusion proteins, which are at present in different phases of clinical development, might lead to improved therapies across a broad range of diseases...
Erythropoietin for ribavirin-induced anemia in hepatitis C: more answers but many more questionsAnouk Dev
Am J Gastroenterol 98:2344-7. 2003
Telbivudine versus lamivudine in patients with chronic hepatitis BHans L Tillmann
N Engl J Med 358:1517; author reply 1517-8. 2008
Tinkering and tailoring with HCV therapy: can we get away with less?Amany Zekry
Hepatology 40:1249-51. 2004
