TY - JOUR TI - Peginterferon-alpha(2a) (40 kDa) for chronic hepatitis C AU - Hadziyannis, SJ AU - Papatheodoridis, GV JO - Expert Opinion on Pharmacotherapy PY - 2003 VL - 4 TODO - 4 SP - 541-551 PB - TAYLOR & FRANCIS LTD LONDON SN - 1465-6566, 1744-7666 TODO - 10.1517/14656566.4.4.541 TODO - chronic hepatitis C; hepatitis C virus; interferon-alpha; pegylated interferon; pegylated interferon-alpha(2a); polyethylene glycol; ribavirin TODO - 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. ER -