Retreatment of Chronic Hepatitis C Infection with Telaprevir : Turkey Experience

Background/Aims : Patients with genotype 1 chronic hepatitis C virus (HCV) who do not have a sustained virologic response to therapy with peginterferon alfa and ribavirin have a low likelihood of success with retreatment. Materials and Methods : Voluntary patients aged 18 and older with genotype-1 chronic HCV and with no exclusion criteria were included. Treatment was organized as following : telaprevir was administered at a dose of 750 mg every 8 hours ; Peg-IFN a-2a was administered at a dose of 180 mcg per week and ribavirin was administered at a dose of 1000-1200 mg per day. HCV-RNA levels were measured before treatment, at 4, 12, 24 weeks of treatment, after treatment and after 24 weeks of treatment. Sustained viro- logic response was defined as undetectable HCV-RNA after 24 weeks of treatment. Results : Sustained virologic response was obtained in 37 pa- tients (74%). Breakthrough (BT) or early relapse was seen in 6 pa- tients (12%) in total. Treatment had to be discontinued because of treatment related adverse events in 7 patients (14%). Conclusion : Triple combination therapy including telaprevir is significantly better than classical Peg-IFN a and ribavirin therapy in patients with chronic hepatitis-C infection. (Acta gastroenterol. belg., 2016, 79, 18-22).