PMID- 27327078 OWN - NLM STAT- MEDLINE DCOM- 20171103 LR - 20211204 IS - 1557-7465 (Electronic) IS - 1079-9907 (Linking) VI - 36 IP - 11 DP - 2016 Nov TI - Peginterferon Lambda-1a/Ribavirin with Daclatasvir or Peginterferon Alfa-2a/Ribavirin with Telaprevir for Chronic Hepatitis C Genotype 1b. PG - 635-643 AB - The study objective was to compare the efficacy and safety of peginterferon lambda-1a combined with ribavirin/daclatasvir (Lambda/RBV/DCV), versus peginterferon alfa-2a combined with ribavirin/telaprevir (Alfa/RBV/TVR), in patients chronically infected with hepatitis C virus (HCV), genotype 1b. This was a prospective, randomized, open-label, phase 3 study (NCT01718158) in adults (aged >/=18 years) who were treatment naive or prior relapsers to peginterferon alfa/ribavirin therapy. The primary endpoint was sustained virologic response at post-treatment follow-up week 12 (SVR12). Patients were randomized in a 2:1 ratio to receive 24 weeks of Lambda/RBV/DCV or response-guided 24 or 48 weeks of Alfa/RBV/TVR. Overall, 440 patients were treated (294 with Lambda/RBV/DCV; 146 with Alfa/RBV/TVR). The proportion of patients achieving SVR12 was 88.8% in the Lambda/RBV/DCV arm and 70.5% in the Alfa/RBV/TVR arm (difference between arms: 18.3%; 95% confidence interval: 9.9-25.7; P < 0.0001). Patients in the Lambda/RBV/DCV group had fewer rash-related adverse events (AEs), cytopenic abnormalities, flu-like symptoms, serious AEs, and discontinuations due to AEs, but more liver abnormalities than those in the Alfa/RBV/TVR group. In conclusion, treatment with Lambda/RBV/DCV led to higher SVR12 rates and a more favorable safety profile than Alfa/RBV/TVR in patients with chronic HCV, genotype 1b infection. FAU - Flisiak, Robert AU - Flisiak R AD - 1 Department of Infectious Diseases and Hepatology, Medical University of Bialystok , Bialystok, Poland . FAU - Kawazoe, Seiji AU - Kawazoe S AD - 2 Department of Hepatobiliary and Pancreatology, Saga Prefectural Hospital Koseikan , Saga, Japan . FAU - Znoyko, Olga AU - Znoyko O AD - 3 Moscow State University of Medicine and Dentistry , Moscow, Russia . FAU - Assy, Nimer AU - Assy N AD - 4 Department of Liver, Ziv Medical Center and Bar-Ilan University , Safed, Israel . FAU - Gadano, Adrian AU - Gadano A AD - 5 Liver Unit, Hospital Italiano de Buenos Aires , Buenos Aires, Argentina . FAU - Kao, Jia-Horng AU - Kao JH AD - 6 Hepatitis Research Center, National Taiwan University , Taipei, Taiwan . FAU - Lee, Kwan-Sik AU - Lee KS AD - 7 Gastroenterology, Yonsei University College of Medicine , Seoul, South Korea . FAU - Zwirtes, Ricardo AU - Zwirtes R AD - 8 Research and Development, Bristol-Myers Squibb, Inc. , Wallingford, Connecticut. FAU - Portsmouth, Simon AU - Portsmouth S AD - 8 Research and Development, Bristol-Myers Squibb, Inc. , Wallingford, Connecticut. FAU - Dong, Yuping AU - Dong Y AD - 9 Research and Development, Bristol-Myers Squibb, Inc. , Princeton, New Jersey. FAU - Xu, Dong AU - Xu D AD - 8 Research and Development, Bristol-Myers Squibb, Inc. , Wallingford, Connecticut. FAU - Kumada, Hiromitsu AU - Kumada H AD - 10 Department of Hepatology, Toranomon Hospital , Tokyo, Japan . FAU - Srinivasan, Subasree AU - Srinivasan S AD - 8 Research and Development, Bristol-Myers Squibb, Inc. , Wallingford, Connecticut. LA - eng SI - ClinicalTrials.gov/NCT01718158 PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial DEP - 20160621 PL - United States TA - J Interferon Cytokine Res JT - Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research JID - 9507088 RN - 0 (Antiviral Agents) RN - 0 (Carbamates) RN - 0 (Imidazoles) RN - 0 (Interferon-alpha) RN - 0 (Oligopeptides) RN - 0 (Pyrrolidines) RN - 0 (Recombinant Proteins) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 49717AWG6K (Ribavirin) RN - 655M5O3W0U (telaprevir) RN - HG18B9YRS7 (Valine) RN - LI2427F9CI (daclatasvir) RN - Q46947FE7K (peginterferon alfa-2a) SB - IM MH - Adult MH - Aged MH - Antiviral Agents/administration & dosage/*therapeutic use MH - Carbamates MH - Dose-Response Relationship, Drug MH - Drug Therapy, Combination MH - Female MH - Genotype MH - Hepacivirus/*genetics MH - Hepatitis C, Chronic/*drug therapy/*virology MH - Humans MH - Imidazoles/administration & dosage/*therapeutic use MH - Interferon-alpha/administration & dosage/*therapeutic use MH - Male MH - Middle Aged MH - Oligopeptides/administration & dosage/*therapeutic use MH - Polyethylene Glycols/administration & dosage/*therapeutic use MH - Prospective Studies MH - Pyrrolidines MH - Recombinant Proteins/administration & dosage/therapeutic use MH - Ribavirin/administration & dosage/*therapeutic use MH - Valine/analogs & derivatives MH - Young Adult OTO - NOTNLM OT - clinical trial OT - daclatasvir OT - hepatitis C OT - interferon lambda-1a OT - ribavirin EDAT- 2016/11/02 06:00 MHDA- 2017/11/04 06:00 CRDT- 2016/06/22 06:00 PHST- 2016/11/02 06:00 [pubmed] PHST- 2017/11/04 06:00 [medline] PHST- 2016/06/22 06:00 [entrez] AID - 10.1089/jir.2015.0173 [doi] PST - ppublish SO - J Interferon Cytokine Res. 2016 Nov;36(11):635-643. doi: 10.1089/jir.2015.0173. Epub 2016 Jun 21.