{"id":9935,"date":"2018-10-26T09:07:30","date_gmt":"2018-10-26T07:07:30","guid":{"rendered":"https:\/\/asscat-hepatitis.org\/?p=9935"},"modified":"2018-10-26T09:07:30","modified_gmt":"2018-10-26T07:07:30","slug":"vosevi-es-segur-i-eficac-en-pacients-triple-infectats-amb-vhc-vhb-i-vih","status":"publish","type":"post","link":"https:\/\/asscat-hepatitis.org\/ca\/vosevi-es-segur-i-eficac-en-pacients-triple-infectats-amb-vhc-vhb-i-vih\/","title":{"rendered":"Vosevi \u00e9s segur i efica\u00e7 en pacients \u201ctriple-infectats\u201d amb VHC, VHB i VIH"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;3.0.106&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;0px||0px|&#8221; next_background_color=&#8221;#000000&#8243;][et_pb_row custom_padding=&#8221;0px||0px|&#8221; _builder_version=&#8221;3.0.106&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; comments=&#8221;off&#8221; featured_placement=&#8221;background&#8221; text_background=&#8221;on&#8221; text_bg_color=&#8221;#ffffff&#8221; module_class=&#8221;ac-post-title-section-0&#8243; _builder_version=&#8221;3.0.106&#8243; title_font=&#8221;Montserrat|600|||||||&#8221; title_text_color=&#8221;#2d2d2d&#8221; title_letter_spacing=&#8221;-1px&#8221; title_line_height=&#8221;1.2em&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_color=&#8221;rgba(45,45,45,0.5)&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;|20px|20px|20px&#8221; title_text_align=&#8221;center&#8221; meta_font_size=&#8221;13px&#8221; meta_text_align=&#8221;center&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;0px|||&#8221; prev_background_color=&#8221;#000000&#8243; next_background_color=&#8221;#000000&#8243;][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Fila&#8221; _builder_version=&#8221;3.0.106&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Contenido Entrada 1&#8243; ul_type=&#8221;square&#8221; module_class=&#8221;ac-posts-content&#8221; _builder_version=&#8221;3.0.106&#8243; text_orientation=&#8221;justified&#8221; background_layout=&#8221;light&#8221;]<\/p>\n<h3>L\u2019antiviral d\u2019acci\u00f3 directa Vosevi va demostrar una taxa de resposta virol\u00f2gica sostinguda mitjana del 87% entre els pacients que van ser \u201ctriple-infectats\u201d amb el genotip 3 de l\u2019hepatitis C, l\u2019hepatitis B i el VIH, tal i com es va presentar a la Reuni\u00f3 Anual de l\u2019American College of Gastroenterology.<\/h3>\n<p>\u201c<em>El tractament de l\u2019hepatitis C cr\u00f2nica ja no \u00e9s un repte en l\u2019era dels AAD amb una RVS de fins el 97%. No obstant, el tractament de triple infecci\u00f3 amb VHC, VIH i hepatitis B no s\u2019ha explorat en situacions de la vida real\u201d<\/em>, va explicar Nimy John, MD, de l\u2019Escola de Medicina de la Universitat de Massachusetts, durant la seva presentaci\u00f3.<\/p>\n<p>L\u2019estudi va incloure 22 pacients amb VHC, VHB i VIH que es van sotmetre a un tractament de 12 setmanes amb Vosevi (sofosbuvir \/ velpatasvir \/ voxilaprevir, Gilead Sciences).<\/p>\n<p>Deu pacients tenien genotip 3a, nou tenien genotip 3b i tres tenien genotip 3c. Dinou pacients van ser negatius per l\u2019ant\u00edgen-e del VHB i tres pacients van ser positius.<\/p>\n<p>Quatre pacients van interrompre el tractament degut a una pneum\u00f2nia bilateral greu, hemorr\u00e0gia rectal a les 3 setmanes de tractament, fallida virol\u00f2gica relacionada amb la substituci\u00f3 associada a la resist\u00e8ncia (RAS, en les seves sigles en angl\u00e8s) Y93 o el desenvolupament d\u2019herpes z\u00f2ster a les 10 setmanes.<\/p>\n<p>Incloent la cohort completa, la RVS va ser del 87%. No obstant, John va notar que tots menys un dels pacients que van completar el curs de 12 setmanes van obtenir RVS, l\u2019\u00fanic pacient que no va assolir la RVS va tenir RAS Y93.<\/p>\n<p><em>\u201cL\u2019estudi demostra l\u2019efic\u00e0cia dels AAD en el tractament de 12 setmanes amb una RVS del 87% en una cohort de triple infecci\u00f3 molt desafiant, amb una efic\u00e0cia, tolerabilitat i seguretat significatives\u201d<\/em>, va afirmar John. <em>\u201cEs necessita un assaig m\u00e9s ampli per validar els resultats\u201d<\/em>.<\/p>\n<p>&nbsp;<\/p>\n<p>Font: <a href=\"https:\/\/www.healio.com\/gastroenterology\/hepatitis-c\/news\/online\/%7B48f981a3-e83f-4e70-8c39-4acd467af6f7%7D\/vosevi-safe-effective-in-triple-infected-patients-with-hcv-hbv-hiv?utm_source=selligent&amp;utm_medium=email&amp;utm_campaign=gastroenterology%20news&amp;m_bt=2450478465169\">healio.com<\/a><\/p>\n<p>Refer\u00e8ncia: Basu P, <em>et al.<\/em> Abstract 15. Presented at: American College of Gastroenterology Annual Scientific Meeting; Oct. 5-10, 2018; Philadelphia.<\/p>\n<p>Not\u00edcia tradu\u00efda per l\u2019ASSCAT<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Fila&#8221; custom_padding=&#8221;0px|||&#8221; _builder_version=&#8221;3.0.105&#8243; custom_margin=&#8221;|||&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_post_title admin_label=&#8221;Metadatos &#8211; Fecha \u00daltima actualizaci\u00f3n&#8221; title=&#8221;off&#8221; author=&#8221;off&#8221; date_format=&#8221;d\/m\/Y&#8221; categories=&#8221;off&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;3.0.106&#8243; title_text_align=&#8221;left&#8221; meta_font=&#8221;Open Sans||||||||&#8221; meta_text_align=&#8221;left&#8221; meta_font_size=&#8221;13px&#8221; meta_text_color=&#8221;#0082ca&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#cccccc&#8221; custom_margin=&#8221;50px|||&#8221; custom_padding=&#8221;10px|||&#8221; custom_css_before=&#8221;content:%22\u00daltima actualizaci\u00f3n:%22;&#8221; global_module=&#8221;3449&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_post_title][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar orientation=&#8221;right&#8221; area=&#8221;et_pb_widget_area_8&#8243; module_class=&#8221;ac-posts-sidebar&#8221; _builder_version=&#8221;3.0.106&#8243; global_module=&#8221;3198&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_sidebar][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; _builder_version=&#8221;3.0.106&#8243; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#000000&#8243; module_class=&#8221;ac-post-section-share-rrss&#8221;][et_pb_row custom_padding=&#8221;||0px|&#8221; custom_margin=&#8221;|||&#8221; _builder_version=&#8221;3.0.105&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_divider color=&#8221;#e20611&#8243; show_divider=&#8221;on&#8221; divider_style=&#8221;ridge&#8221; _builder_version=&#8221;3.0.106&#8243; \/][et_pb_text _builder_version=&#8221;3.0.106&#8243; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;#e20611&#8243; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;|||&#8221; background_layout=&#8221;light&#8221; disabled=&#8221;on&#8221;]<\/p>\n<h5>Desde aqu\u00ed puedes compartir esta publicaci\u00f3n. \u00a1Gracias!<\/h5>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<!-- Begin Yuzo --><div class='yuzo_related_post style-1'  data-version='5.12.77'><!-- without result --><div class='yuzo_clearfixed yuzo__title yuzo__title'><h3>Related Post<\/h3><\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/asscat-hepatitis.org\/ca\/laemps-alerta-duna-reactivacio-dhepatitis-b-en-pacients-tractats-amb-daratumumab\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/asscat-hepatitis.org\/wp-content\/uploads\/hep-B-8-150x150.jpg') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; \"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t   <span class=\"yuzo__text--title\" style=\"font-size:13px;\">L\u2019AEMPS alerta d\u2019una reactivaci\u00f3 d\u2019hepatitis B en ...<\/span>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <\/a>\n\n\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t  <div class=\"relatedthumb \" style=\"width:125px;float:left;overflow:hidden;\">  \n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t  <a  href=\"https:\/\/asscat-hepatitis.org\/ca\/la-salut-esta-molt-malalta-la-inversio-es-insuficient\/\"  >\n\t\t\t\t\t\t\t\t\t  <div class=\"yuzo-img-wrap \" style=\"width: 125px;height:90px;\">\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div class=\"yuzo-img\" style=\"background:url('https:\/\/asscat-hepatitis.org\/wp-content\/uploads\/inversion-salud-150x150.jpg') 50% 50% no-repeat;width: 125px;height:90px;margin-bottom: 5px;background-size: cover; \"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t   <span class=\"yuzo__text--title\" style=\"font-size:13px;\">La salut est\u00e0 molt malalta. 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