PMID- 23286853 OWN - NLM STAT- MEDLINE DCOM- 20130614 LR - 20181202 IS - 1478-3231 (Electronic) IS - 1478-3223 (Linking) VI - 33 Suppl 1 DP - 2013 Feb TI - Patients with HCV and F1 and F2 fibrosis stage: treat now or wait? PG - 105-10 LID - 10.1111/liv.12066 [doi] AB - The current standard of care (SOC) for patients with chronic HCV genotype 1 is a combination of either boceprevir or telaprevir with peginterferon (PEG-IFN) and ribavirin (RBV). Although it is effective in a high percentage of patients, this treatment is associated with significant adverse events (AEs). The next generation of protease inhibitors, simeprevir and faldaprevir, will also be used with PEG-IFN/RBV. Interferon-free therapy with sofosbuvir appears promising and on the horizon for patients with genotypes 2 and 3, but may still be many years away for patients with HCV genotype 1. The factors which should be considered when deciding whether to treat a patient with HCV and mild fibrosis with the current SOC now, or to delay treatment until less toxic and/or more effective therapy is available is discussed. CI - (c) 2012 John Wiley & Sons A/S. FAU - Shiffman, Mitchell L AU - Shiffman ML AD - Liver Institute of Virginia, Bon Secours Health System, Richmond and Newport News, VA 23226, USA. Mitchell_shiffman@bshsi.org FAU - Benhamou, Yves AU - Benhamou Y LA - eng PT - Journal Article PT - Review PL - United States TA - Liver Int JT - Liver international : official journal of the International Association for the Study of the Liver JID - 101160857 RN - 0 (Antiviral Agents) RN - 0 (Interferon alpha-2) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 0 (Serine Proteinase Inhibitors) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 49717AWG6K (Ribavirin) RN - G8RGG88B68 (peginterferon alfa-2b) RN - Q46947FE7K (peginterferon alfa-2a) SB - IM MH - Antiviral Agents/*therapeutic use MH - Drug Therapy, Combination MH - Genotype MH - Hepacivirus/*drug effects/enzymology/genetics MH - Hepatitis C/complications/diagnosis/*drug therapy MH - Humans MH - Interferon alpha-2 MH - Interferon-alpha/therapeutic use MH - Liver Cirrhosis/pathology/*virology MH - Patient Selection MH - Phenotype MH - Polyethylene Glycols/therapeutic use MH - Predictive Value of Tests MH - Recombinant Proteins/therapeutic use MH - Ribavirin/therapeutic use MH - Serine Proteinase Inhibitors/adverse effects/*therapeutic use MH - Severity of Illness Index MH - Time Factors MH - Treatment Outcome EDAT- 2013/01/11 06:00 MHDA- 2013/06/15 06:00 CRDT- 2013/01/05 06:00 PHST- 2013/01/05 06:00 [entrez] PHST- 2013/01/11 06:00 [pubmed] PHST- 2013/06/15 06:00 [medline] AID - 10.1111/liv.12066 [doi] PST - ppublish SO - Liver Int. 2013 Feb;33 Suppl 1:105-10. doi: 10.1111/liv.12066.