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telaprevir (Incivek)

Indications: - chronic hepatitis C genotype 1 - may be used with peginterferon alfa & ribavirin [2] (Incivek combination treatment) Dosage: - PO TID with food - used in comination with peginterferon alfa & ribavirin for 1st 12 weeks of therapy [2] Adverse effects: - rash, can be serious, may require stopping treatment [2] - anemia - nausea - fatigue - diarrhea - pruritus - rectal itching, rectal pain Drug interactions: - serious skin reactions, some fatal, in combination with peginterferon alfa & ribavirin (Incivek combination treatment) [5] Mechanism of action: - protease inhibitor - efficacy against HCV type-1

General

antiviral protease inhibitor

Database Correlations

PUBCHEM correlations

References

  1. McHutchison JG et al Telaprevir with peginterferon and ribavirin for chronic HCV genotype 1 infection. N Engl J Med 2009 Apr 30; 360:1827 PMID: 19403902 - Hezode C et al. Telaprevir and peginterferon with or without ribavirin for chronic HCV infection. N Engl J Med 2009 Apr 30; 360:1839. PMID: 19403903 - Hoofnagle JH. A step forward in therapy for hepatitis C. N Engl J Med 2009 Apr 30; 360:1899. PMID: 19403908
  2. FDA NEWS RELEASE: May 23, 2011 FDA approves Incivek for hepatitis C http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm256299.htm
  3. Jacobson IM et al Telaprevir for previously untreated chronic hepatitis C virus infection. N Engl J Med 2011 Jun 23; 364:2405 PMID: 21696307 - Zeuzem S et al. Telaprevir for retreatment of HCV infection. N Engl J Med 2011 Jun 23; 364:2417 PMID: 21696308
  4. Prescriber's Letter 18(8): 2011 Victrelis (Boceprevir) and Incivek (Telaprevir) for Hepatitis C Detail-Document#: 270802 (subscription needed) http://www.prescribersletter.com
  5. FDA MedWatch: Dec 19, 2012 Incivek (telaprevir) In Combination with Drugs Peginterferon Alfa and Ribavirin (Incivek combination treatment): Drug Safety Communication - Serious Skin Reactions. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm332860.htm