{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:52:36Z","timestamp":1772160756845,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,10,9]],"date-time":"2013-10-09T00:00:00Z","timestamp":1381276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007110","name":"Schering-Plough","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007110","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background &amp; Aims<\/jats:title>\n                    <jats:p>\n                      Triple therapy with peginterferon\/ribavirin (\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      ) plus an\n                      <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>\n                      3 protease inhibitor has emerged as the standard\u2010of\u2010care for patients with chronic hepatitis C genotype\u20101. We provide a detailed safety analysis comparing\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      to boceprevir plus\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      ) across three phase 2\/3 studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">SPRINT<\/jats:styled-content>\n                      \u20101 was an open\u2010label phase 2 study in 595 treatment\u2010naive patients. In the two phase 3 studies, 1500 patients (1097 treatment\u2010naive,\n                      <jats:styled-content style=\"fixed-case\">SPRINT<\/jats:styled-content>\n                      \u20102; 403 treatment\u2010failure,\n                      <jats:styled-content style=\"fixed-case\">RESPOND<\/jats:styled-content>\n                      \u20102) were randomized to receive\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      alone, or one of two regimens where\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      was added to\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      after a 4\u2010wk\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      lead\u2010in. In this analysis, the respective\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      arms were combined for all three trials. The benefit of shortened duration of treatment using response\u2010guided therapy (\n                      <jats:styled-content style=\"fixed-case\">RGT<\/jats:styled-content>\n                      ) was also explored in the\n                      <jats:styled-content style=\"fixed-case\">SPRINT<\/jats:styled-content>\n                      \u20102 trial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Only two adverse events, anaemia and dysgeusia, occurred 20% more often with the\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      \u2010containing regimens compared with\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      . Nausea, diarrhoea and neutropenia were the only other common events with an incidence of at least 5% greater when\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      was added to the\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      backbone. The proportions of patients reporting serious adverse events (AE), life\u2010threatening\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s, and study drug discontinuation because of an\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      were similar in the\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>\n                      arms. In treatment\u2010naive patients,\n                      <jats:styled-content style=\"fixed-case\">RGT<\/jats:styled-content>\n                      generally did not result in a lower frequency of common\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s; however,\n                      <jats:styled-content style=\"fixed-case\">RGT<\/jats:styled-content>\n                      led to decreased exposure to all 3 study drugs and to a decrease in the mean duration of several clinically relevant\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s such as anaemia, neutropenia, fatigue and depression, as well as earlier normalization of haemoglobin and neutrophil counts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The safety profile of\n                      <jats:styled-content style=\"fixed-case\">BOC<\/jats:styled-content>\n                      combination therapy largely reflects the known profile of peginterferon and ribavirin, with incremental haematolgical effects and dysgeusia. Shorter treatment duration with\n                      <jats:styled-content style=\"fixed-case\">RGT<\/jats:styled-content>\n                      significantly reduced the duration of\n                      <jats:styled-content style=\"fixed-case\">AE<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/liv.12300","type":"journal-article","created":{"date-parts":[[2013,8,2]],"date-time":"2013-08-02T10:10:04Z","timestamp":1375438204000},"page":"707-719","source":"Crossref","is-referenced-by-count":13,"title":["Overall safety profile of boceprevir plus peginterferon alfa\u20102b and ribavirin in patients with chronic hepatitis C genotype 1: a combined analysis of 3 phase 2\/3 clinical trials"],"prefix":"10.1111","volume":"34","author":[{"given":"Michael P.","family":"Manns","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Hepatology and Endocrinology Hannover Medical School (MHH) Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Jonathan","family":"McCone","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Mount Vernon Endoscopy Center Alexandria VA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell N.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology South Florida Center of Gastroenterology Wellington FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Rossaro","sequence":"additional","affiliation":[{"name":"Department of Internal medicine and Gastroenterology University of California Davis Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene","family":"Schiff","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Miami Miami FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchel L.","family":"Shiffman","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Liver Institute of Virginia Bon Secours Health System Richmond and Newport News VA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Bacon","sequence":"additional","affiliation":[{"name":"Department of Internal medicine Saint Louis University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Bourliere","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Gastroenterology Saint\u2010Joseph Hospital Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S.","family":"Sulkowski","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Johns Hopkins University School of Medicine Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Savino","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine A.O. Fatebenefratelli e Oftalmico Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Balart","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tulane University Health Sciences Center New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Pierre","family":"Bronowicki","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010gastroenterology INSERM 954 Centre Hospitalier Universitaire de Nancy Universit\u00e9 de Lorraine Vandoeuvre les Nancy France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Kwo","sequence":"additional","affiliation":[{"name":"Department of Medical Research Indiana University School of Medicine Indianapolis IN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred","family":"Poordad","sequence":"additional","affiliation":[{"name":"Department of Medicine Texas Liver Institute\/University of Texas Health Science Center previously at Cedars\u2010Sinai Medical Center Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Felizarta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Private Practice Bakersfield CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. 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