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Vol. 16. Issue 3.
La Mucoviscidose
Pages 232-236 (May - June 2012)
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Vol. 16. Issue 3.
La Mucoviscidose
Pages 232-236 (May - June 2012)
Open Access
Therapeutic effectiveness of biosimilar standard interferon versus pegylated interferon for chronic hepatitis C genotypes 2 or 3
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Aline Gonzalez Vigani
Corresponding author
aline.vigani@sigmanet.com.br

Corresponding author at: Universidade Estadual de Campinas (Unicamp), Rua Tessália Vieira de Camargo, 126, Cidade Universitária “Zeferino Vaz”, Campinas, SP, 13083–887, Brazil.
, Eduardo Sellan Gonçales, Maria Helena Postal Pavan, Flavia Genari, Raquel Tozzo, Maria Silvia Kroll Lazarini, Viviane Fais, Adriana Feltrin, Neiva Sellan Gonçales, Fernando Lopes Gonçales Jr
Viral Hepatitis Study Group, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil
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Abstract
Background

Pegylated interferon (Peg-IFN) and standard interferon (IFN) play a significant role in the treatment of hepatitis C virus (HCV) infection. Biosimilar standard IFN is widely available in Brazil for the treatment of HCV infection genotypes 2 or 3, but its efficacy compared to Peg-IFN is unknown.

Objective

To compare the sustained virological response (SVR) rates following treatment with biosimilar standard IFN plus ribavirin (RBV) versus Peg-IFN plus RBV in patients with HCV genotypes 2 or 3 infection.

Methods

A retrospective cohort study was conducted in patients with HCV genotypes 2 or 3 infection treated with biosimilar standard IFN plus RBV or with Peg-IFN plus RBV. SVR rates of the two treatments were compared.

Results

From January 2005 to December 2010, 172 patients with a mean age of 44 +/− 9.3 years were included. There were eight (4.7%) patients with HCV genotype 2 infections. One hundred fourteen (66.3%) were treated with biosimilar standard IFN plus RBV, whist 58 (33.7%) patients were treated with Peg-IFN plus RBV. Between the two groups, there were no significant differences regarding age, gender, glucose level, platelet count, hepatic necroinflammatory grade, and hepatic fibrosis stage. Overall, 59.3% (102/172) patients had SVR. In patients treated with Peg-IFN plus RBV, 79.3% (46/58) had SVR compared to 49.1% (56/114) among those treated with biosimilar standard IFN plus RBV (p=0.0001).

Conclusion

In patients with HCV genotypes 2 or 3 infection, a higher SVR was observed in patients receiving Peg-IFN plus RBV related to patients treated with biosimilar standard IFN plus RBV.

Keywords:
Interferons
Hepatitis C
Treatment outcome
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The Brazilian Journal of Infectious Diseases
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