What is the role of combination therapy for the treatment of cirrhosis?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

According to an analysis of data from the TURQUOISE-II study, presented in October 2014 at the Annual Scientific Meeting of the American College of Gastroenterology (ACG), treatment with the combination of the protease inhibitor ABT-450 boosted with ritonavir, the NS5A inhibitor ombitasvir, and the non-nucleoside polymerase inhibitor dasabuvir plus ribavirin (3D + RBV) improved measures of liver function at 12 weeks in hepatitis C patients with cirrhosis. [50]

Highly significant improvements from baseline were seen at 12 weeks for the liver enzymes alanine aminotransferase, aspartate aminotransferase, and gamma-glutamyl transferase. [50]  Among patients with elevated transaminase levels at baseline, levels normalized after 12 weeks in 70-90% of cases. Highly significant improvements were also observed in conjugated bilirubin and albumin levels and in prothrombin time at 12 weeks.


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