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Management of anemia induced by triple therapy in patients with chronic hepatitis C: Challenges, opportunities and recommendations

2013

SummaryThe addition of protease inhibitors, boceprevir or telaprevir, to peginterferon+ribavirin (PegIFN/RBV) increases the frequency as well as the severity, and hence, clinical relevance of anemia, which has now become one of the major complications associated with triple therapy. Most significant factors associated with anemia in patients receiving triple therapy include older age, lower body mass index (BMI), advanced fibrosis, and lower baseline hemoglobin. The variability in inosine triphosphate pyrophosphatase (ITPA) gene, which encodes a protein that hydrolyses inosine triphosphate (ITP), has been identified as an essential genetic factor for anemia both in dual and triple therapy. …

Hemolytic anemiamedicine.medical_specialtyAnemiaGastroenterologyTelaprevirTelaprevirchemistry.chemical_compoundhemic and lymphatic diseasesInternal medicineBoceprevirRibavirinMedicineBoceprevirHepatologyHepatitis C virusbusiness.industryRibavirinAnemiamedicine.diseaseTransplantationProtease inhibitorchemistryErythropoietinImmunologyITPAbusinessPegylated interferonEpoietinmedicine.drugJournal of Hepatology
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