Plasma Ribavirin Trough Concentrations at Week 4 Predict Hepatitis C Virus (HCV) Relapse in HIV-HCV-Coinfected Patients Treated for Chronic Hepatitis C

Author:

Morello Judit1,Soriano Vincent2,Barreiro Pablo2,Medrano José2,Madejón Antonio2,González-Pardo Gema1,Jiménez-Nácher Inmaculada1,González-Lahoz Juan2,Rodríguez-Novoa Sonia1

Affiliation:

1. Laboratory of Pharmacology

2. Department of Infectious Diseases, Hospital Carlos III, Madrid, Spain

Abstract

ABSTRACT The influence of ribavirin trough concentrations (RBV C trough ) on the risk of hepatitis C virus (HCV) relapse was retrospectively analyzed in 99 HIV-HCV-coinfected patients who achieved end-of-treatment response with pegylated alpha interferon plus weight-based RBV. The independent predictors (odds ratio [OR] [95% confidence interval (CI)]) of HCV relapse were RBV plasma C trough of <2.5 μg/ml (4.5 [1.3 to 15.5]), baseline serum HCV RNA (2.5 [1.2 to 5.1]), and HCV genotype 1 or 4 (13.3 [2.6 to 66.7]). Monitoring of RBV C trough may permit early adjustment of RBV dosage to avoid HCV relapse.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference23 articles.

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