TY - JOUR A1 - Lange, Christian A1 - Zeuzem, Stefan T1 - Perspectives and challenges of interferon-free therapy for chronic hepatitis C T2 - Journal of Hepatology N2 - Recent data have clearly shown that a sustained virologic response can be achieved in different HCV infected patient populations with various interferon-free treatment regimens. Despite the successful implementation of telaprevir- and boceprevir-based triple therapies, all-oral regimens will certainly become a first choice for a number of HCV-infected patients in the very near future, as triple therapy approaches are burdened with significant side-effects and limited success in patients with advanced liver fibrosis and prior null-response to pegylated interferon-α (pegIFN-α)/ribavirin therapy. However, available data from phase I and II clinical trials evaluating interferon-free regimens have not yet revealed a clearly outstanding all-oral combination, and numerous challenges remain to be addressed by intensive ongoing and future research. In particular, thus far evaluated all-oral regimens did not cure a satisfactory percentage of patients with unfavorable baseline characteristics, namely patients infected with HCV genotype 1a, previous null-response to pegIFN-α/ribavirin, or liver cirrhosis. In this review, we summarize available data of interferon-free regimens for the treatment of chronic hepatitis C and assess implications for perspectives and challenges in the further development of all-oral therapies. KW - Hepatitis C virus KW - Antiviral therapy KW - Directly acting antiviral agent KW - All-oral therapy KW - Null responder Y1 - 2012 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/76871 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-768717 SN - 0168-8278 VL - 58.2013 IS - 3 SP - 583 EP - 592 PB - Elsevier CY - Amsterdam ER -