Review and management of drug interactions with boceprevir and telaprevir.

Review and management of drug interactions with boceprevir and telaprevir.
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DOI:
10.1002/hep.25653
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发表时间:
2012-05
期刊:
影响因子:
13.5
通讯作者:
Everson, Gregory T.
Everson, Gregory T.
中科院分区:
医学1区
文献类型:
--
作者:
Kiser, Jennifer J.;Burton, James R.;Anderson, Peter L.;Everson, Gregory T.

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当将Boceprevir和telaprevir加入聚乙二醇干扰素和利巴韦林治疗慢性丙型肝炎病毒感染时,将治疗naïve患者的持续病毒学应答率提高到约70%。虽然这些药物代表了慢性丙型肝炎病毒治疗的重要进展,但它们对肝病界提出了新的治疗挑战。Boceprevir和telaprevir都是肝酶细胞色素P450 3A和药物转运蛋白p -糖蛋白的底物和抑制剂,p -糖蛋白使这些药物易于发生许多药物相互作用。识别和适当管理与特拉韦和博昔韦潜在的药物相互作用对于优化丙型肝炎治疗期间的治疗结果至关重要。本文综述了boceprevir和telaprevir的药理学特点和药物相互作用的潜力,并为与这些药物相互作用的管理提供指导。
Boceprevir and telaprevir, when added to pegylated interferon and ribavirin for the treatment of chronic hepatitis C virus infection, increase the rates of sustained virologic response in treatment naïve persons to approximately 70%. While these agents represent an important advance in the treatment of chronic hepatitis C virus, they present new treatment challenges to the Hepatology community. Boceprevir and telaprevir are both substrates and inhibitors of the hepatic enzyme cytochrome P450 3A and the drug transporter, P-glycoprotein, which predisposes these agents to many drug interactions. Identification and appropriate management of potential drug interactions with telaprevir and boceprevir is critical for optimizing therapeutic outcomes during hepatitis C treatment. This review highlights the pharmacologic characteristics and drug interaction potential of boceprevir and telaprevir and provides guidance on the management of drug interactions with these agents.
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