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A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Hepatitis C (chronic)
1Department of Gastroenterology, Chelsea and Westminster Hospital, London, UK.
Insights
Chronic hepatitis C affects 3% of the global population. This review evaluates interferon and ribavirin treatments for hepatitis C virus (HCV) infection in various patient groups.
Area of Science:
- Hepatology
- Infectious Diseases
- Clinical Evidence
Background:
- Chronic hepatitis C affects a significant portion of the global population, estimated at 3%.
- Hepatitis C virus (HCV) infection frequently leads to chronic disease, with 60-85% of infected individuals developing long-term complications.
Purpose of the Study:
- To systematically review the effectiveness and safety of interventions for chronic hepatitis C.
- To address specific clinical questions regarding treatment-naïve patients, those unresponsive to interferon, those relapsing after interferon, and patients with co-existing HIV infection.
Main Methods:
- A systematic literature search was conducted across major databases (Medline, Embase, Cochrane Library) up to April 2008.
- Inclusion criteria encompassed systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Harms alerts from regulatory agencies (FDA, MHRA) were also incorporated.
Main Results:
- 35 systematic reviews, RCTs, or observational studies met the inclusion criteria.
- A GRADE evaluation was performed to assess the quality of evidence for various interventions.
Conclusions:
- The review presents data on the effectiveness and safety of interferon monotherapy.
- Information on interferon alfa plus ribavirin, peginterferon monotherapy, and peginterferon plus ribavirin is also provided.
Introduction:
About 60% to 85% of people infected with hepatitis C virus will go on to develop chronic hepatitis C, which is now believed to affect 3% of the world's population.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of interventions in treatment-naïve people with chronic hepatitis C infection, but without liver decompensation? What are the effects of interventions in people with chronic hepatitis C infection, but without liver decompensation, who have not responded to interferon treatment? What are the effects of interventions in people with chronic hepatitis C infection, but without liver decompensation, who relapse after interferon treatment? What are the effects of interventions in people with chronic hepatitis C infection who also have HIV? We searched: Medline, Embase, The Cochrane Library, and other important databases up to April 2008 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the FDA and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 35 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review we present information relating to the effectiveness and safety of the following interventions: interferon monotherapy; interferon alfa plus ribavirin; peginterferon monotherapy; and peginterferon plus ribavirin.
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