@article{3083431, title = "Peginterferon-alpha(2a) (40 kDa) for chronic hepatitis C", author = "Hadziyannis, SJ and Papatheodoridis, GV", journal = "Expert Opinion on Pharmacotherapy", year = "2003", volume = "4", number = "4", pages = "541-551", publisher = "TAYLOR & FRANCIS LTD LONDON", issn = "1465-6566, 1744-7666", doi = "10.1517/14656566.4.4.541", keywords = "chronic hepatitis C; hepatitis C virus; interferon-alpha; pegylated interferon; pegylated interferon-alpha(2a); polyethylene glycol; ribavirin", abstract = "Pegylated IFN-alpha(2a) (PEG-IFN-alpha(2a) [40 kDa]; Pegasys(R), Hoffmann-La Roche) is a new subcutaneous formulation of IFN-alpha(2a), produced by its attachment to a 40 kDa branched polyethylene glycol moiety by a stable amide bond. PEG-IFN-alpha(2a)180 mug once-weekly has enhanced pharmacokinetic and pharmacodynamic properties which translate into significantly improved efficacy and similar safety and tolerability compared with IFN-alpha in patients with chronic hepatitis C even with underlying cirrhosis. The combination of PEG-IFN-alpha(2a) (40 kDa) plus ribavirin produces significantly better sustained virological responses than the combination of IFN-alpha(2b) and ribavirin, while it is accompanied by a similar or even lower incidence of adverse events and better quality of life. PEG-IFN-alpha(2a) (40 kDa) is the first pegylated IFN-alpha for which evidence-based recommendations can be made on optimum therapy duration and ribavirin dose according to HCV genotype. PEG-IFN-alpha(2a) (40 kDa) is expected to improve the efficacy and tolerability of treatment for chronic hepatitis C." }