USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS
Haematological abnormalities are common during combination antiviral therapy for chronic hepatitis C. Although dose reduction or discontinuation can easily treat these side effects, they can adversely affect the efficacy of combination antiviral therapy reducing the likelihood of a sustained viral r...
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doaj-091e2d688a13454ea3976ea549077f812020-11-24T23:53:51ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062010-03-0121e2010003e201000310.4084/mjhid.2010.00352USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITISPaola Mancino0Katia FalascaClaudio UcciferriEligio PizzigalloJacopo VecchietUniversità di ChietiHaematological abnormalities are common during combination antiviral therapy for chronic hepatitis C. Although dose reduction or discontinuation can easily treat these side effects, they can adversely affect the efficacy of combination antiviral therapy reducing the likelihood of a sustained viral response (SVR). To avoid potentially diminishing a patient’s chance of response, many physicians have begun using growth factors off-label to manage anaemia and neutropenia in hepatitis C. Haematopoietic growth factors are generally well tolerated and they may be useful for managing haematological side effects of anti-HCV therapy improving patients’ quality of life. To date, the role and benefit of these agents during anti-HCV therapy and their positive impact on SVR have not conclusively determined in the published studies. However, the possibility of a benefit to individual outpatients remains, and an individualized approach is recommended. This review explores the incidence, clinical significance, and management of anaemia, neutropenia and thrombocytopenia associated with combination therapy for HCV infection.http://www.mjhid.org/index.php/mjhid/article/view/159HepatitisThrombocytopeniaInterferon |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Paola Mancino Katia Falasca Claudio Ucciferri Eligio Pizzigallo Jacopo Vecchiet |
spellingShingle |
Paola Mancino Katia Falasca Claudio Ucciferri Eligio Pizzigallo Jacopo Vecchiet USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS Mediterranean Journal of Hematology and Infectious Diseases Hepatitis Thrombocytopenia Interferon |
author_facet |
Paola Mancino Katia Falasca Claudio Ucciferri Eligio Pizzigallo Jacopo Vecchiet |
author_sort |
Paola Mancino |
title |
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS |
title_short |
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS |
title_full |
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS |
title_fullStr |
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS |
title_full_unstemmed |
USE OF HEMATOPOIETIC GROWTH FACTOR IN THE MANAGEMENT OF HEMATOLOGICAL SIDE EFFECTS ASSOCIATED TO ANTIVIRAL TREATMENT FOR HCV HEPATITIS |
title_sort |
use of hematopoietic growth factor in the management of hematological side effects associated to antiviral treatment for hcv hepatitis |
publisher |
PAGEPress Publications |
series |
Mediterranean Journal of Hematology and Infectious Diseases |
issn |
2035-3006 |
publishDate |
2010-03-01 |
description |
Haematological abnormalities are common during combination antiviral therapy for chronic hepatitis C. Although dose reduction or discontinuation can easily treat these side effects, they can adversely affect the efficacy of combination antiviral therapy reducing the likelihood of a sustained viral response (SVR). To avoid potentially diminishing a patient’s chance of response, many physicians have begun using growth factors off-label to manage anaemia and neutropenia in hepatitis C. Haematopoietic growth factors are generally well tolerated and they may be useful for managing haematological side effects of anti-HCV therapy improving patients’ quality of life. To date, the role and benefit of these agents during anti-HCV therapy and their positive impact on SVR have not conclusively determined in the published studies. However, the possibility of a benefit to individual outpatients remains, and an individualized approach is recommended. This review explores the incidence, clinical significance, and management of anaemia, neutropenia and thrombocytopenia associated with combination therapy for HCV infection. |
topic |
Hepatitis Thrombocytopenia Interferon |
url |
http://www.mjhid.org/index.php/mjhid/article/view/159 |
work_keys_str_mv |
AT paolamancino useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis AT katiafalasca useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis AT claudioucciferri useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis AT eligiopizzigallo useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis AT jacopovecchiet useofhematopoieticgrowthfactorinthemanagementofhematologicalsideeffectsassociatedtoantiviraltreatmentforhcvhepatitis |
_version_ |
1725468205726564352 |