natgillin/translations-raw huggingface dataset:
Proton pump inhibitors should not be taken before Harvoni.
Zaviralcev protonske črpalke se ne sme uporabljati pred zdravilom Harvoni.
Body weight kg
Telesna masa (kg)
Table 2: Guidance for ribavirin dosing when administered with Harvoni to patients with decompensated cirrhosis
Preglednica 2: Navodila za odmerjanje ribavirina ob sočasnem dajanju zdravila Harvoni pri bolnikih z dekompenzirano cirozo
Potential for Harvoni to affect other medicinal products Ledipasvir is an in vitro inhibitor of drug transporter P-gp and breast cancer resistance protein (BCRP) and may increase intestinal absorption of co-administered substrates for these transporters.
Ledipasvir je in vitro zaviralec prenašalca P-gp in proteina rezistence pri raku dojke (BCRP-breast cancer resistance protein) in lahko poveča absorpcijo sočasno uporabljenih substratov za te prenašalce v črevesju.
Following a single 90 mg oral dose of [14C]-ledipasvir, mean total recovery of the [14C]-radioactivity in faeces and urine was 87%, with most of the radioactive dose recovered from faeces (86%).
Po enkratnem 90-miligramskem peroralnem odmerku [14C]-ledipasvirja je bil povprečni skupni delež [14C]-radioaktivnosti, ki so jo izolirali v blatu in urinu, 87 %, pri čemer so večino radioaktivnega odmerka izolirali v blatu (86 %).
Cases of severe bradycardia and heart block have been observed when Harvoni is used with amiodarone and/or other drugs that lower heart rate (see sections 4.4 and 4.5).
Pri uporabi zdravila Harvoni z amiodaronom in/ali drugimi zdravili, ki upočasnjujejo srčni utrip, so opazili primere hude bradikardije in srčnega bloka (glejte poglavji 4.4 in 4.5).
a One patient in the LDV/SOF 24-week treatment arms and one patient in the LDV/SOF+RBV 24-week treatment arm were prior treatment failures of a non-pegylated interferon-based regimen.
Razlaga ni mogoča a. En bolnik v skupini 24-tedenskega zdravljenja z LDV/SOF in en bolnik v skupini 24-tedenskega zdravljenja z LDV/SOF+RBV sta doživela predhodni neuspeh zdravljenja z režimom zdravljenja na podlagi nepegiliranega interferona.
The safety of tenofovir disoproxil fumarate in the setting of Harvoni and a pharmacokinetic enhancer (e.g. ritonavir or cobicistat) has not been established.
Varnost dizoproksiltenofovirata fumarata z zdravilom Harvoni in farmakokinetičnim ojačevalcem (npr. ritonavirjem ali kobicistatom) ni bila dokazana.
Co-administration with rosuvastatin (see section 4.5).
Sočasno dajanje z rosuvastatinom (glejte poglavje 4.5).
The efficacy of ledipasvir/sofosbuvir in HCV infected adolescents aged 12 to < 18 years was evaluated in a Phase 2, open label clinical study that enrolled 100 patients with genotype 1 CHC (Study 1116).
Pediatrična populacija Učinkovitost ledipasvirja/sofosbuvirja pri mladostnikih, okuženih s HCV, starih od 12 do < 18 let, je bila ovrednotena v odprti klinični študiji faze 2, v katero je bilo vključenih 100 bolnikov z okužbo s CHC genotipa 1 (študija 1116).
Population pharmacokinetics analysis in HCV-infected patients indicated that cirrhosis (including decompensated cirrhosis) had no clinically relevant effect on the exposure to sofosbuvir and GS-331007.
Analiza populacijske farmakokinetike pri bolnikih, okuženih s HCV, je pokazala, da ciroza (vključno z dekompenzirano cirozo) ni imela klinično pomembnega učinka na izpostavljenost sofosbuvirju in GS-331007.
Randomisation was stratified by the presence or absence of cirrhosis, HCV genotype (1a versus 1b) and response to prior HCV therapy (relapse/breakthrough versus non-response).
Randomizacija je bila stratificirana glede na prisotnost ali odsotnost ciroze in genotip HCV (1a v primerjavi z 1b) in odziv na predhodno zdravljenje HCV (relaps/izbruh bolezni v primerjavi z neodzivom).
There are presently no data to support the effectiveness of retreatment of patients who have failed ledipasvir/sofosbuvir with a subsequent regimen that contains an NS5A inhibitor.
Trenutno ni na voljo podatkov, ki bi podprli učinkovitost ponovnega zdravljenja z naknadnim režimom, ki vključuje zaviralca NS5A, pri bolnikih, pri katerih zdravljenje z ledipasvirjem/sofosbuvirjem ni bilo uspešno.
Of the 7 patients who failed to achieve SVR12, 3 relapsed, all had decompensated cirrhosis and were treated with ledipasvir/sofosbuvir + ribavirin for 12 weeks.
Od 7 bolnikov, ki niso dosegli SVR12, so 3 doživeli relaps, vsi so imeli dekompenzirano cirozo in so z ledipasvirjem/sofosbuvirjem + ribavirinom bili zdravljeni
A Adults: weight based ribavirin (< 75 kg = 1,000 mg and ≥ 75 kg = 1,200 mg), administered orally in two divided doses with food.
A Odrasli: ribavirin na osnovi telesne mase (< 75 kg = 1.000 mg in ≥ 75 kg = 1.200 mg), dan peroralno skupaj s hrano,
At the no observed effect level, AUC exposure to ledipasvir was approximately 7- and 3-fold, in males and females, respectively, the human exposure at the recommended clinical dose.
Na ravni brez vidnega neželenega učinka je bila vrednost AUC izpostavljenosti ledipasvirju pri samcih približno 7-krat in pri samicah približno 3-krat višja od izpostavljenosti pri človeku pri priporočenem kliničnem odmerku.
In study ION-4, 13 HCV/HIV-1 co-infected patients with genotype 1, including 1 cirrhotic patient, who had failed a sofosbuvir + ribavirin regimen were enrolled; the SVR was 100% (13/13) after 12 weeks of treatment with ledipasvir/sofosbuvir.
V študijo ION-4 so vključili 13 bolnikov s sočasnima okužbama HCV/HIV-1 genotipa 1, vključno z 1 bolnikom s cirozo, pri katerih režim s sofobuvirjem + ribavirinom ni bil uspešen; po 12 tednih zdravljenja z ledipasvirjem/sofobuvirjem je bil SVR 100 % (13/13).
No dose adjustment of Harvoni or atazanavir (ritonavir boosted) is required.
Odmerka zdravila Harvoni ali atazanavirja (okrepljenega z ritonavirjem) ni treba prilagajati.
Male gender
Moški spol
- Harvoni (without ribavirin) for 12 weeks (in patients without cirrhosis) or 24 weeks (in patients with cirrhosis) may be considered for patients who are ineligible for or intolerant to ribavirin.
- O 12 tednih (pri bolnikih brez ciroze) ali 24 tednih (pri bolnikih s cirozo) zdravila Harvoni (brez ribavirina) je možno razmisliti pri bolnikih, pri katerih zdravljenje z ribavirinom ni primerno ali ga ne prenašajo.
H2-receptor antagonists may be administered simultaneously with or staggered from Harvoni at a dose that does not exceed doses comparable to famotidine 40 mg twice daily.
Antagoniste receptorjev H2 se lahko uporablja sočasno z zdravilom Harvoni ali ločeno v odmerku, ki ne presega odmerkov,
Observed:
Opažene:
The pharmacokinetics of ledipasvir were studied with a single dose of 90 mg ledipasvir in HCV negative patients with severe hepatic impairment (CPT class C).
Farmakokinetiko ledipasvirja so proučili z enkratnim 90-miligramskim odmerkom ledipasvirja pri bolnikih, negativnih za HCV, s hudo jetrno okvaro (stopnja C po CPT).
No clinically relevant pharmacokinetic differences due to race have been identified for ledipasvir, sofosbuvir or GS-331007.
Klinično pomembnih farmakokinetičnih razlik zaradi rase za ledipasvir, sofosbuvir ali GS-331007 niso ugotovili.
therapy without cirrhosis, 26% (13/50) of patients were HIV antiretroviral naïve and 74% (37/50) of patients were receiving concomitant HIV antiretroviral therapy.
Noben bolnik se predhodno ni zdravil zaradi HCV in noben ni imel ciroze, 26 % (13/50) bolnikov se predhodno ni zdravilo s protiretrovirusno terapijo proti HIV in 74 % (37/50) bolnikov je prejemalo sočasno protiretrovirusno terapijo proti HIV.
No clinically relevant pharmacokinetic differences due to gender have been identified for sofosbuvir or GS-331007.
Klinično pomembnih farmakokinetičnih razlik zaradi spola za sofosbuvir in GS-331007 niso ugotovili.
If overdose occurs the patient must be monitored for evidence of toxicity.
Pri bolnikih, ki so prejeli prevelik odmerek, je treba spremljati znake toksičnosti.
Decreases in haemoglobin to < 10 g/dL and < 8.5 g/dL during treatment were experienced by 39% and 13% of patients treated with ledipasvir/sofosbuvir with ribavirin, respectively.
Zmanjšanje ravni hemoglobina na < 10 g/dl in < 8,5 g/dl med zdravljenjem so opazili pri 39 %
The concomitant use of amiodarone was limited through the clinical development of sofosbuvir.
Med kliničnim razvojem sofosbuvirja je bila sočasna uporaba amiodarona omejena.
Sofosbuvir was not genotoxic in a battery of in vitro or in vivo assays, including bacterial mutagenicity, chromosome aberration using human peripheral blood lymphocytes and in vivo mouse micronucleus assays.
Sofosbuvir v nizu raziskav in vitro ali in vivo ni bil genotoksičen, vključno z bakterijskim testom mutagenosti, testom kromosomske aberacije z uporabo limfocitov humane periferne krvi in in vivo v testu mikronukleusa pri miših.
Your doctor may need to give you a different medicine or adjust the dose of medicine you are taking.
Vaš zdravnik vam bo morda moral predpisati drugo zdravilo ali prilagoditi odmerek zdravila, ki ga uporabljate.
Dose modification of ribavirin in adults taking 1,000-1,200 mg daily If Harvoni is used in combination with ribavirin and a patient has a serious adverse reaction potentially related to ribavirin, the ribavirin dose should be modified or discontinued, if appropriate, until the adverse reaction abates or decreases in severity.
Če se zdravilo Harvoni uporablja v kombinaciji z ribavirinom in ima bolnik resne neželene učinke, ki so morebiti povezani z ribavirinom, je treba odmerek ribavirina prilagoditi ali ukiniti, kakor je ustrezno, dokler ni neželeni učinek odpravljen ali postane manj resen.
Ledipasvir was not genotoxic in a battery of in vitro or in vivo assays, including bacterial mutagenicity, chromosome aberration using human peripheral blood lymphocytes and in vivo rat micronucleus assays.
Ledipasvir v nizu raziskav in vitro ali in vivo ni bil genotoksičen, vključno z bakterijskim testom mutagenosti, testom kromosomske aberacije z uporabo limfocitov humane periferne krvi in in vivo v testu mikronukleusa pri podganah.
These should be taken at the same time as Harvoni.
Te je treba vzeti sočasno z zdravilom Harvoni.
Harvoni 90 mg/400 mg film-coated tablets
IME ZDRAVILA Harvoni 90 mg/400 mg filmsko obložene tablete
Previously treated adults who have failed on sofosbuvir + ribavirin ± PEG-IFN The efficacy of ledipasvir/sofosbuvir in patients who had previously failed treatment with sofosbuvir + ribavirin ± PEG-IFN is supported by two clinical studies.
Učinkovitost ledipasvirja/sofobuvirja pri bolnikih, pri katerih je bilo predhodno zdravljenje s sofobuvirjem + ribavirinom ± PEG-IFN neuspešno, so podprli z dvema kliničnima študijama.
Some medicines should not be taken with Harvoni.
Nekaterih zdravil ne smete uporabljati sočasno z zdravilom Harvoni.
ION-3 evaluated 8 weeks of treatment with ledipasvir/sofosbuvir with or without ribavirin and 12 weeks of treatment with ledipasvir/sofosbuvir in treatment-naïve non-cirrhotic patients with genotype 1 CHC.
V študiji ION-3 so ocenjevali 8-tedensko zdravljenje z ledipasvirjem/sofosbuvirjem z ribavirinom ali brez njega in 12-tedensko zdravljenje z ledipasvirjem/sofosbuvirjem pri predhodno nezdravljenih bolnikih brez ciroze s CHC genotipa 1.
• carbamazepine, phenobarbital and phenytoin (medicines used to treat epilepsy and prevent seizures); • rosuvastatin (a medicine used to treat high cholesterol).
• karbamazepin, fenobarbital in fenitoin (zdravila, ki se uporabljajo za zdravljenje epilepsije in preprečevanje epileptičnih napadov).
CPT Bc
CPT Ac CPT Bc CPT Cc FCH
The sofosbuvir resistance-associated substitution S282T in NS5B was not detected in any virologic failure isolate from the Phase 3 studies.
Substitucije S282T v polimerazi NS5B, povezane z odpornostjo na sofosbuvir, niso odkrili v nobenem od izolatov virološkega neuspeha v študijah 3. faze.
Among patients with decompensated liver disease (pre- and posttransplant), 4/16 (25%) patients with NS5A RAVs conferring > 100-fold resistance relapsed after 12 weeks treatment with ledipasvir/sofosbuvir + ribavirin compared to 7/120 (6%) in those without any baseline NS5A RAVs or RAVs conferring a fold-change of ≤ 100.
Med bolniki z dekompenzirano jetrno boleznijo (pred presaditvijo in po njej) so 4 od 16 bolnikov (25 %) z RAV NS5A, ki so doprinesle k > 100-kratni spremembi dovzetnosti, po 12 tednih zdravljenja z ledipasvirjem/sofosbuvirjem + ribavirinom doživeli relaps v primerjavi s 7/120 bolnikov (6 %) brez izhodiščnih RAV NS5A ali RAV, ki so doprinesle k ≤ 100
Cases of hepatitis B virus (HBV) reactivation, some of them fatal, have been reported during or after treatment with direct-acting antiviral agents.
Sočasna okužba z virusom HCV in virusom HBV (virus hepatitisa B) Med zdravljenjem ali po zdravljenju z zdravili z direktnim delovanjem na viruse so poročali o reaktivaciji virusa hepatitisa B (HBV), nekateri primeri so bili smrtni.
Safety data are limited in patients with severe renal impairment (estimated glomerular filtration rate [eGFR] < 30 mL/min/1.73 m2) and end stage renal disease (ESRD) requiring dialysis.
Podatki o varnosti so omejeni pri bolnikih s hudo ledvično okvaro (ocenjena stopnja glomerulne filtracije [eGFR-estimated glomerular filtration rate] < 30 ml/min/1,73 m2) in pri bolnikih z boleznijo ledvic v končni fazi (ESRD-end stage renal disease), zaradi katere je potrebna dializa.
White
Belci
Study 0122 (ELECTRON-2) 6 25 0% (0/25)
Študija 0122 (ELECTRON-2) 6 25 0 % (0/25) a. PZ: število predhodno zdravljenih bolnikov.
Ask your doctor for effective contraceptive method suitable for you.
O načinu kontracepcije, ki je za vas najprimernejši, se posvetujte z zdravnikom.
• Get advice from a doctor or pharmacist if you take medicines used to treat stomach ulcers, heartburn or acid reflux.
• Če jemljete zdravila, ki se uporabljajo za zdravljenje želodčnih razjed, zgage ali refluksa kisline, se posvetujte z zdravnikom ali farmacevtom.
12 weeks (n = 109)
12 tednov (n = 109)
For the same treatment arm, patients with baseline NS5A RAVs conferring a fold-change of > 100, relapse occurred in 4/13 (31%), as compared to 3/95 (3%) in those without any baseline RAVs or RAVs conferring a fold-change of ≤ 100.
V isti skupini se je pri bolnikih z izhodiščnimi RAV NS5A, ki so doprinesle k > 100-krat spremembi dovzetnosti, relaps pojavil pri 4 od 13 (31 %), v primerjavi s 3 od 95 (3 %) pri tistih brez izhodiščnih RAV ali RAV, ki so doprinesle k ≤ 100-kratni spremembi dovzetnosti.
Steady-state Cmax for ledipasvir, sofosbuvir and GS-331007 were 323, 618 and 707 ng/mL, respectively.
Vrednosti Cmax v stanju dinamičnega ravnovesja za ledipasvir, sofosbuvir oz. GS-331007 so bile 323, 618 oz.
Harvoni contains the azo colouring agent sunset yellow FCF aluminium lake (E110), which may cause allergic reactions.
Zdravilo Harvoni vsebuje azobarvilo sončno rumeno FCF (E110), ki lahko povzroči alergijske reakcije.
Cardiac arrhythmias
Srčne aritmije
CPT Class C cirrhosis pre-transplant CPT Class B or C cirrhosis posttransplant
Pred presaditvijo CPT B CPT C Po presaditvi
Median peak plasma concentration of GS-331007 was observed at 4 hours post-dose.
GS-331007 v plazmi so opazili 4 ure po odmerku.
The group of NS5A RAVs that conferred > 100-fold shift and was observed in patients were the following substitutions in genotype 1a (M28A, Q30H/R/E, L31M/V/I, H58D, Y93H/N/C) or in genotype 1b (Y93H).
Skupino RAV NS5A, ki je doprinesla k > 100-kratnemu premiku, in so jo opazili pri bolnikih, so bile naslednje substitucije v genotipu 1a (M28A, Q30H/R/E, L31M/V/I, H58D, Y93H/N/C) ali genotipu 1b (Y93H).
Following 12 weeks of treatment with ledipasvir/sofosbuvir with ribavirin in treatment-experienced patients with compensated cirrhosis (SIRIUS, n = 77), 8/8 patients with baseline NS5A RAVs conferring > 100-fold reduced susceptibility to ledipasvir achieved SVR12.
Po 12 tednih zdravljenja z ledipasvirjem/sofosbuvirjem z ribavirinom pri predhodno zdravljenih bolnikih s kompenzirano cirozo (SIRIUS, n = 77) je 8/8 bolnikov z izhodiščnimi RAV NS5A, ki so doprinesle k > 100-kratni zmanjšani dovzetnosti za ledipasvir, doseglo SVR12.
SVR Outcome for patients without SVR On-treatment virologic failure
Izid za bolnike brez SVR
Atazanavir concentrations are also increased, with a risk for an increase in bilirubin levels/icterus.
obstaja tveganje za zvišanje ravni bilirubina/ikterusa.
• fainting
• omedlevico
The median age was 56 years (range: 23 to 77); 74% of patients were male; 97% were white; 63% had genotype 1a HCV infection; 94% had non-CC IL28B alleles (CT or TT).
Mediana starosti je bila 56 let (razpon: od 23 do 77); 74 % bolnikov je bilo moškega spola; 97 % jih je bilo belcev; 63 % jih je imelo okužbo HCV genotipa 1a; 94 % jih je imelo alele IL28B ne-CC (CT ali TT).
Medicinal products that are strong P-glycoprotein (P-gp) inducers in the intestine (carbamazepine, phenobarbital, phenytoin, rifampicin, rifabutin and St. John's wort).
Zdravila, ki so močni induktorji P-glikoproteina (P-gp) v črevesju (karbamazepin, fenobarbital,
The most common variants were Q30R, Y93H and L31M.
Najpogostejše različice so bile Q30R,
Ledipasvir AUC is dose proportional over the dose range of 3 to 100 mg. Sofosbuvir and GS-331007 AUCs are near dose proportional over the dose range of 200 mg to 400 mg.
Vrednosti AUC za sofosbuvir in GS-331007 sta skoraj sorazmerni z odmerkom v razponu odmerka od 200 mg do
Site-directed mutagenesis of NS5A RAVs showed that substitutions conferring a fold-change > 100 and ≤ 1,000 in ledipasvir susceptibility are Q30H/R, L31I/M/V, P32L and Y93T in genotype 1a and P58D and Y93S in genotype 1b; and substitutions conferring a fold-change > 1,000 are M28A/G, Q30E/G/K, H58D, Y93C/H/N/S in genotype 1a and A92K and Y93H in genotype 1b.
Usmerjena mutageneza RAV NS5A je pokazala, da so substitucije, ki doprinesejo večkratno spremembo dovzetnosti za ledipasvir za > 100 in ≤ 1.000-krat, Q30H/R, L31I/M/V, P32L in Y93T pri genotipu 1a ter P58D in Y93S pri genotipu 1b; substitucije, ki doprinesejo večkratno spremembo dovzetnosti za > 1.000-krat so M28A/G, Q30E/G/K, H58D, Y93C/H/N/S pri genotipu 1a ter A92K in Y93H pri genotipu 1b.
Treatment-naïve adults with or without cirrhosis - ION-1 (study 0102) - Genotype 1 ION-1 was a randomised, open-label study that evaluated 12 and 24 weeks of treatment with ledipasvir/sofosbuvir with or without ribavirin in 865 treatment-naïve patients with genotype 1 CHC including those with cirrhosis (randomised 1:1:1:1).
Predhodno nezdravljeni odrasli s cirozo ali brez nje - ION-1 (študija 0102) - genotip 1 ION-1 je bila randomizirana, odprta študija, ki je ocenila 12- in 24-tedensko zdravljenje z ledipasvirjem/sofosbuvirjem z ribavirinom ali brez njega pri 865 predhodno nezdravljenih bolnikih s CHC genotipa 1, vključno s tistimi s cirozo (randomiziranih v razmerju 1:1:1:1).
Sofosbuvir is a nucleotide prodrug that undergoes intracellular metabolism to form the pharmacologically active uridine analogue triphosphate (GS-461203), which can be incorporated into HCV RNA by the NS5B polymerase and acts as a chain terminator.
Sofosbuvir je nukleotidno predzdravilo, ki se znotraj celice presnavlja in tvori farmakološko aktivni uridinski analog trifosfat (GS-461203), ki ga polimeraza NS5B lahko vgradi v
Harvoni + ribavirinA for 24 weeks (see sections 4.4 and 5.1).
Zdravilo Harvoni + ribavirinA 24 tednov (glejte poglavji 4.4 in
In female rats, the mean number of corpora lutea and implantation sites were slightly reduced at maternal exposures 6-fold the exposure in humans at the recommended clinical dose.
Pri podganjih samicah se je povprečno število rumenega telesca in vsaditvenih mest pri izpostavljenosti matere, ki je bila 6-krat večja od izpostavljenosti pri človeku pri priporočenem kliničnem odmerku, nekoliko zmanjšalo.
Table 17: Combined response rates (SVR12) in studies SOLAR-1 and SOLAR-2 LDV/SOF+RBV 12 weeks (n = 307)a,b
Preglednica 17: Kombinirane stopnje odziva (SVR12) v študijah SOLAR-1 in SOLAR-2 LDV/SOF+RBV 12 tednov
Co-administration with medicinal products that inhibit P-gp and/or BCRP may increase ledipasvir and sofosbuvir plasma concentrations without increasing GS-331007 plasma concentration; Harvoni may be co-administered with P-gp and/or BCRP inhibitors.
Sočasno dajanje z zdravili, ki zavirajo P-gp in/ali BCRP, lahko poveča koncentracijo ledipasvirja in sofosbuvirja v plazmi brez povečanja koncentracije GS-331007 v plazmi,
No patient experienced virologic failure (see section 4.2 for information on paediatric use).
(glejte poglavje 4.2 za informacije o pediatrični uporabi).
NS5A RAVs were seen at relapse in 5/5 patients (for genotype 1a: Q30R/H + L31M/V [n = 1] and Q30R [n = 1]; for genotype 1b: Y93H [n = 3]).
RAV NS5A so opazili pri 5/5 bolnikih ob relapsu (za genotip 1a: Q30R/H + L31M/V [n = 1] in
c Other includes patients who did not achieve SVR and did not meet virologic failure criteria (e.g. lost to follow-up).
c. Med drugo so bili vključeni bolniki, ki niso dosegli SVR in niso izpolnjevali kriterijev za virološki neuspeh (npr.
b Other includes patients who did not achieve SVR and did not meet virologic failure criteria (e.g. lost to follow-up).
b. Med drugo so bile vključene bolnikov, ki niso dosegli SVR in niso izpolnjevali kriterijev za virološki neuspeh (npr.
Genotype 1b a The denominator for relapse is the number of patients with HCV RNA < LLOQ at their last on-treatment assessment.
Genotip 1a Genotip 1b a. Denominator za relaps je število bolnikov z RNA HCV < LLOQ ob zadnji oceni med zdravljenjem.
No dose adjustment required.
Odmerka ni treba prilagajati.
Harvoni 90 mg/400 mg film-coated tablets ledipasvir/sofosbuvir
Harvoni 90 mg/400 mg filmsko obložene tablete ledipasvir/sofosbuvir
GT n TEa
GT n PZa
A conservative 24 weeks of therapy is advised in all treatment-experienced genotype 3 patients and those treatment-naïve genotype 3 patients with cirrhosis (see section 4.2).
Konzervativno 24-tedensko zdravljenje je priporočljivo pri vseh predhodno zdravljenih bolnikih z genotipom 3 in pri predhodno nezdravljenih bolnikih z genotipom 3 s cirozo
The clinical studies enrolled patients with or without cirrhosis, who were treatment-naïve or with prior treatment failure after therapy with PEG-IFN + ribavirin +/- an HCV protease inhibitor.
V klinične študije so vključili bolnike s cirozo ali brez nje, ki se predhodno še niso zdravili ali pri katerih je bilo predhodno zdravljenje s PEG-IFN + ribavirinom +/- zaviralcem proteaze HCV neuspešno.
Change in MELD score: Among those who achieved SVR12 with 12 weeks treatment with ledipasvir/sofosbuvir + ribavirin, 57% (70/123) and 19% (23/123) had an improvement or no change in MELD score from baseline to post-treatment week 12, respectively; of the 32 patients whose MELD score was ≥ 15 at baseline, 59% (19/32) had a MELD score < 15 at post-treatment Week 12.
Sprememba rezultata MELD: Med tistimi, ki so dosegli SVR12 z 12-tedenskim zdravljenjem z ledipasvirjem/sofosbuvirjem + ribavirinom, jih je 57 % (70/123) oziroma 19 % (23/123) od izhodišča do 12. tedna po zdravljenju izboljšalo rezultat MELD oziroma ohranilo nespremenjen rezultat MELD; od 32 bolnikov, ki so ob izhodišču imeli rezultat MELD ≥ 15, jih je 59 % (19/32) v 12. tednu po zdravljenju imelo rezultat MELD < 15.
No dose adjustment of Harvoni or raltegravir is required.
Odmerka zdravila Harvoni ali raltegravirja ni treba prilagajati.
SVR was achieved in all 24 patients (n = 20 with L159F+C316N; n = 1 with L159F; and n = 3 with N142T) who had baseline variants associated with resistance to NS5B nucleoside inhibitors.
Vseh 24 bolnikov, ki je imelo izhodiščne različice, povezane z odpornostjo na nukleozidne zaviralce NS5B, je doseglo SVR (n = 20 z L159F+C316N; n = 1 z L159F; in n = 3 z N142T).
Of the 8 genotype 1b patients who qualified for resistance testing, 7/8 (88%) harboured one or more NS5A RAVs at positions L31 and Y93 at failure, while 1/8 patients had no NS5A RAVs at failure.
7 od 8 (88 %) nosilcev enega ali več RAV NS5A na položajih L31 in Y93 ob neuspehu, medtem ko 1 od 8 bolnikov ob neuspehu ni imelo nobene RAV NS5A.
Your doctor may give you a different medicine or adjust the dose of the medicine you are taking.
Vaš zdravnik vam lahko predpiše drugo zdravilo ali prilagodi odmerek zdravila, ki ga že jemljete.
Table 15: Relapse rates for selected subgroups in study ION-2 LDV/SOF
Preglednica 15: Stopnje relapsa za izbrane podskupine v študiji ION-2 LDV/SOF