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RG7128 Alone or in Combination with Pegylated Interferon-α2a and Ribavirin Prevents Hepatitis C Virus (HCV) Replication and Selection of Resistant Variants in HCV-Infected Patients
by
De La Rosa, Abel
, Yan, Jun-Mei
, Nájera, Isabel
, Kosaka, Alan
, Le Pogam, Sophie
, Cammack, Nick
, Seshaadri, Amritha
, Berrey, Michelle
, Symonds, Bill
, Ewing, Aren
, Kang, Hyunsoon
in
Amino Acid Substitution
/ Amino acids
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Antivirals
/ Biological and medical sciences
/ Deoxycytidine - analogs & derivatives
/ Deoxycytidine - pharmacology
/ Deoxycytidine - therapeutic use
/ Drug Resistance, Viral - genetics
/ Drug Therapy, Combination
/ Fundamental and applied biological sciences. Psychology
/ Genotypes
/ Hepacivirus
/ Hepacivirus - drug effects
/ Hepacivirus - genetics
/ Hepacivirus - physiology
/ Hepatitis C, Chronic - drug therapy
/ Hepatitis C, Chronic - virology
/ Humans
/ Infections
/ Infectious diseases
/ Interferon alpha-2
/ Interferon-alpha - therapeutic use
/ Medical sciences
/ Microbiology
/ Miscellaneous
/ New Zealand
/ Nucleosides
/ Polyethylene Glycols - therapeutic use
/ Recombinant Proteins
/ Replicon
/ Ribavirin - therapeutic use
/ Selection, Genetic
/ Sequencing
/ United States
/ Viral Load
/ Viral Nonstructural Proteins - genetics
/ Virology
/ Virus Replication - drug effects
/ VIRUSES
2010
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RG7128 Alone or in Combination with Pegylated Interferon-α2a and Ribavirin Prevents Hepatitis C Virus (HCV) Replication and Selection of Resistant Variants in HCV-Infected Patients
by
De La Rosa, Abel
, Yan, Jun-Mei
, Nájera, Isabel
, Kosaka, Alan
, Le Pogam, Sophie
, Cammack, Nick
, Seshaadri, Amritha
, Berrey, Michelle
, Symonds, Bill
, Ewing, Aren
, Kang, Hyunsoon
in
Amino Acid Substitution
/ Amino acids
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Antivirals
/ Biological and medical sciences
/ Deoxycytidine - analogs & derivatives
/ Deoxycytidine - pharmacology
/ Deoxycytidine - therapeutic use
/ Drug Resistance, Viral - genetics
/ Drug Therapy, Combination
/ Fundamental and applied biological sciences. Psychology
/ Genotypes
/ Hepacivirus
/ Hepacivirus - drug effects
/ Hepacivirus - genetics
/ Hepacivirus - physiology
/ Hepatitis C, Chronic - drug therapy
/ Hepatitis C, Chronic - virology
/ Humans
/ Infections
/ Infectious diseases
/ Interferon alpha-2
/ Interferon-alpha - therapeutic use
/ Medical sciences
/ Microbiology
/ Miscellaneous
/ New Zealand
/ Nucleosides
/ Polyethylene Glycols - therapeutic use
/ Recombinant Proteins
/ Replicon
/ Ribavirin - therapeutic use
/ Selection, Genetic
/ Sequencing
/ United States
/ Viral Load
/ Viral Nonstructural Proteins - genetics
/ Virology
/ Virus Replication - drug effects
/ VIRUSES
2010
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RG7128 Alone or in Combination with Pegylated Interferon-α2a and Ribavirin Prevents Hepatitis C Virus (HCV) Replication and Selection of Resistant Variants in HCV-Infected Patients
by
De La Rosa, Abel
, Yan, Jun-Mei
, Nájera, Isabel
, Kosaka, Alan
, Le Pogam, Sophie
, Cammack, Nick
, Seshaadri, Amritha
, Berrey, Michelle
, Symonds, Bill
, Ewing, Aren
, Kang, Hyunsoon
in
Amino Acid Substitution
/ Amino acids
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Antivirals
/ Biological and medical sciences
/ Deoxycytidine - analogs & derivatives
/ Deoxycytidine - pharmacology
/ Deoxycytidine - therapeutic use
/ Drug Resistance, Viral - genetics
/ Drug Therapy, Combination
/ Fundamental and applied biological sciences. Psychology
/ Genotypes
/ Hepacivirus
/ Hepacivirus - drug effects
/ Hepacivirus - genetics
/ Hepacivirus - physiology
/ Hepatitis C, Chronic - drug therapy
/ Hepatitis C, Chronic - virology
/ Humans
/ Infections
/ Infectious diseases
/ Interferon alpha-2
/ Interferon-alpha - therapeutic use
/ Medical sciences
/ Microbiology
/ Miscellaneous
/ New Zealand
/ Nucleosides
/ Polyethylene Glycols - therapeutic use
/ Recombinant Proteins
/ Replicon
/ Ribavirin - therapeutic use
/ Selection, Genetic
/ Sequencing
/ United States
/ Viral Load
/ Viral Nonstructural Proteins - genetics
/ Virology
/ Virus Replication - drug effects
/ VIRUSES
2010
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RG7128 Alone or in Combination with Pegylated Interferon-α2a and Ribavirin Prevents Hepatitis C Virus (HCV) Replication and Selection of Resistant Variants in HCV-Infected Patients
Journal Article
RG7128 Alone or in Combination with Pegylated Interferon-α2a and Ribavirin Prevents Hepatitis C Virus (HCV) Replication and Selection of Resistant Variants in HCV-Infected Patients
2010
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Overview
Introduction. RG7128 (prodrug of PSI-6130) shows potent antiviral efficacy in patients infected with hepatitis C virus (HCV) genotypes 1, 2, or 3, with mean viral load decreases of 2.7 and 5 log10 IU/mL, respectively, associated with 1500-mg doses twice daily after monotherapy for 2 weeks and with 1000-mg and 1500-mg doses twice daily after treatment in combination with the standard of care (SOC) for 4 weeks. Results. From 32 patients treated with RG7128 monotherapy for 2 weeks, marginal viral load rebound was observed in 3 HCV genotype 1-infected patients, whereas partial response was observed in 2 genotype 1-infected patients. From 85 patients receiving RG7128 in combination with SOC, 1 HCV genotype 1-infected patient experienced a viral rebound, and 2 genotype 3-infected patients experienced a transient rebound. Five genotype 1-infected patients had an HCV load of >1000 IU/mL at the end of 4-week treatment. No viral resistance was observed, per NS5B sequencing and phenotypic studies. PSI-6130 resistance substitution S282T needs to be present at levels of ⩾90% within a patient's quasispecies to confer low-level resistance. No evidence of S282T was found by population or clonal sequence analyses. Conclusions. The requirement for a predominant S282T mutant quasispecies, its low replication capacity, and the low-level resistance it confers probably contribute to the lack of RG7128 resistance observed in HCV-infected patients.
Publisher
The University of Chicago Press,University of Chicago Press,Oxford University Press
Subject
/ Antiviral Agents - pharmacology
/ Antiviral Agents - therapeutic use
/ Biological and medical sciences
/ Deoxycytidine - analogs & derivatives
/ Deoxycytidine - pharmacology
/ Deoxycytidine - therapeutic use
/ Drug Resistance, Viral - genetics
/ Fundamental and applied biological sciences. Psychology
/ Hepatitis C, Chronic - drug therapy
/ Hepatitis C, Chronic - virology
/ Humans
/ Interferon-alpha - therapeutic use
/ Polyethylene Glycols - therapeutic use
/ Replicon
/ Viral Nonstructural Proteins - genetics
/ Virology
/ Virus Replication - drug effects
/ VIRUSES
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