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¤Ó¥­¬vÂå§÷°ÆÁ`¸g²z§õ®a­Z¡B»Ê¶Ç¤j¾Ç°]ª÷ªk«ß¨t±Ð±ÂªZ¥Ã¥Í¡B¸gÀÙ³¡ÅÇ©úøʦ¸ªø¡B¶Ô·~²³«H·|­p®v¨Æ°È©ÒÁ`µô³¢¬F¥°¡B³Í°òÃҨ鸳¨Æªø³\¹D¸q»PÃĵØÂåÃÄ°õ¦æªøªL°êÄÁ¤@°_¥X®uÂd¶R¤¤¤ß¥D¿ìªº¡u¥Í§Þ¤½¥q¶i¤J¸ê¥»É]³õ¤§¾÷·|»P¬D¾Ô»¡©ú·|¡v¡A¤À¨É¤WÂd¤ß±o¡CÃĵØÂåÃÄ°õ¦æªøªL°êÄÁ¤£«ö½Z¤lªº¤À¨É¤WÂd¤ß¸ô¾úµ{¡A§®»y¦p¯]űo¥X®u·~ªÌ´xÁn¤£Â_¡C

https://udn.com/news/story/7241/2755494

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www.theceomagazine.com/business/ko-chung-lin/

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·|­û¡GAlan Liu10136094  µoªí®É¶¡:2017/10/12 ¤U¤È 02:59:05²Ä 2865 ½g¦^À³
¤À¨É ¯f¤Í¹ÎÅé MPN Interferon Forum - (Myeloproliferative Neoplasm) ©ó 10/8~10/10 ¶¡¹ï¸Ü°Q½×¤º®e, ¸`¿ý»P ÃĵØÃÄ P1101 ¬ÛÃö¹ï¸Ü¤ù¬q, ¯÷½Ķ¹ï¸Ü¤º®e¦p¥H¤U, ¨Ñ¦U¦ì§ë¸ê¥ý¶i°Ñ¦Ò¡G

Ray Jo¡G

My ET progressed to MF - confirmed by my BMB in April this year. I found out the results of my secondary mutations after my visit with Dr V. I did email him and he said it would not alter my current treatment plan with those results. His reasoning for not wanting to start interferon is due to clinical data only supports 5 year of it being effective. So he wants to wait. I¡¦m intermediate +2. I¡¦m not sure if I agree and will most likely seek a second opinion.

¤µ¦~¥|¤ë¸g¥Ñ°©Å謡ÀË(BMB), ÃÒ¹ê§Úªº¬õ¦å²y¼W¥Í¯g(ET) ¤w´c¤Æ¨ì°©ÅèÅÖºû¤Æ(MF)¡C¦b§Ú¨£¤FSrdanÂå¥Í«á±o¨ì¤F§Ú¤G¦¸¬ðÅܪºÀˬdµ²ªG¡C§Ú³z¹Le-mailÁpôSrdanÂå¥Í, ¦ý¥L¤£¥´ºâ°w¹ï§ÚªºÀËÅç¼Æ¾Ú§ïÅܥثeªºªvÀø¤è¦¡¡C¥L»{¬°¤zÂZ¯À¦bÁ{§É¬ã¨s¶ÈÅã¥Ü5¦~¼Æ¾Ú¬O¦³®Äªº, ©Ò¥H¥L·Qµ¥«Ý¡C§Ú¥Ø«e¶EÂ_¥X¦b¤¤¶¡½d³ò, §Ú¤£½T©w§Ú¬O§_­n´M¨D¨ä¥LªvÀø«Øij¡C

Francesca de Gasparis¡G

I would agree with you about seeking treatment now and another opinion. Interferon has had good results for early MF and can slow progression. Why wait?

§Ú¦P·N§A²{¦b´N­n¨DªvÀø¥H¤Î¨ä¥LªvÀø«Øij¡C¤zÂZ¯À¦b¦­´ÁMFªvÀø¤W¦³µÛ¨}¦n¦¨®Ä¥B¥i´î½w¯e¯f´c¤Æ®ÄªG, ¬°¦ó¤´­nµ¥«Ý¡H

Paul Cherubini¡G

Ray Jo in view of your transformation to early MF and secondary mutations the Danes, French and Dr. Silver would likely say you urgently need the most powerful progression stopping treatment available or at least interferon alone¡C

Ray, °w¹ï§A¦­´ÁMF©M¤G¦¸¬ðÅܪº´c¤Æ, ¥]§t¤¦³Á¡Bªk°ê©MSilverÂå¥ÍªvÀø¤W§¡·|»{¬°§A¦Ü¤Ö»Ý­n±j¤O±±¨î¯e¯f´c¤ÆªºªvÀø¤è¦¡©Î¦Ü¤Ö¨Ï¥Î¤zÂZ¯À¶i¦æªvÀø¡C

Wim Louage¡G

Very strange, I saw a post last week from a younger woman who saw Dr V and he wanted to start with Interferon. I do believe he saw more results in the meantime from trials, he was also hoping that the new Ropeginterferon would come very fast to the US to start trials there ....

³o«Ü©_©Ç, §Ú¤W¶g¬Ý¨ì¤@­Ó¦~»´¤k©Ê´£¨ì¦o¨£¤FSrdan Âå¥Í, ¦ÓÂå¥Í§Æ±æ¦o¶}©l¨Ï¥Î¤zÂZ¯ÀªvÀø, §Ú¬Û«HÂå¥Í¤@©w¨£¨ì«Ü¦hÁ{§É¦¨ªG¡C¥L¤]§Æ±æ P1101 (the new Ropeginterferon) ¯à¾¨§Ö¨ì¬ü°ê¶i¦æÁ{§É....

Ray Jo¡G

Wim Louage, I saw him in June if this year

Wim Louage, §Ú¬O¦b¤µ¦~¤»¤ë¨£¨ì¥Lªº

Wim Louage¡G

Ray Jo , yes I know you did, .... it is just not logic

Ray Jo, §Úª¾¹D, §Ú¥u¬Oı±o³oÅÞ¿è¤W¤£¦X²z¡C

Ray Jo¡G

Wim Louage, are you sure the patient wasn¡¦t PV? I know with PV they start them on Peg

Wim Louage, §A½T©w§A´£ªº¯f±w¤£¬OPV¯f±w¶Ü? §Úª¾¹D¥L­Ì°w¹ïPV¯f±w·|¨Ï¥Îªø®Ä«¬¤zÂZ¯À¶i¦æªvÀø¡C

Wim Louage¡G

Ray Jo , no she morphed to MF

Ray Jo , ¤£, ¦o¤]´c¤Æ¨ìMF¡C

Ray Jo¡G

Wim Louage yeah it doesn¡¦t make sense. I have another follow up / lab draw in a few weeks with my local HemOnc. Going to see what the results look like and email Dr V again to see if he would reconsider

Wim Louage, ¬Oªº, ³o¤£¦X²z, §Ú·|¦bªñ´X©P¤º¥h¨£¥»¦aªº¦å²G¾Ç/¸~½F¬ìÂå¥Í, °w¹ï³o­Óµ²ªG¶i¦æ¤F¸Ñ, ¨Ã¥Bmail µ¹Srdan Âå¥Í, ¬Ý¥L¬O§_·|­«·s¦Ò¼{¡C

Wim Louage¡G

www.youtube.com/watch?v=NQBY1KyzcVQ

Ropeginterferon, welcome to the US

In this presentation from the¡K

³o¬O Ropeginterferon (P1101), Åwªï¨Ó¨ì¬ü°êªºÂ²³ø¼v¤ù, ½Ð°Ñ¦Ò¡C

Ray Jo¡G

Wim Louage thanks for sharing - don¡¦t know if his opinion for my treatment is different since it¡¦s MF vs PV in the video

Wim Louage, ·PÁ¤À¨É, §Ú¤£½T©w¬O§_¦]¬°§Ú¬OMF ©M³o¬q¼v¤ù»¡ªº¬OPV, ¾É­PSrdan Âå¥Í¦b§ÚªºªvÀø¤è¦¡¤W¦³©Ò¤£¦P¡C

Wim Louage¡G

Ray Jo , he says in the beginning early MF

Ray, ¥L¦³´£¨ì¦­´ÁMF¡C

Paul Cherubini¡G

Ray Jo , I hope you can track down the precise source of Dr. V¡¦s assertion than Pegasys is effective for only 5 years. And determine what about it becomes ineffective after 5 years? Curiously Stanford¡¦s Dr. Gotlib recently told a patient something similar - that if she started taking Pegasys for her PV that she could only take it for 5 years. The real interferon experts; i.e. Dr¡¦s Silver, Hasselbalch, Kiladjian and Gisslinger have never mentioned anything about a time limitation on<

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Ropeginterferon alpha-2b as an effective treatment against PV

VJHemOnc ¡V Video Journal of Hematological Oncology

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www.youtube.com/watch?v=UyKhws7pMFI

Polycythemia vera (PV), a disorder which results in the over-production of red blood cells, is commonly treated with the drug hydroxyurea. Jean-Jacques Kiladjian, MD, PhD from Saint-Louis Hospital and Paris Diderot University, Paris, France, talks about the results of PROUD-PV (NCT01949805), the first randomized trial to compare the efficacy of ropeginterferon alpha-2b against hydroxyurea, as a first-line treatment against PV. He also talks us through a second study, which focused on examining the effect of ropeginterferon and hydroxyurea treatment on mutated bone marrow cells, and their ability to restore normal hematopoiesis. This interview was filmed at the European Hematology Association (EHA) 2017 Annual Congress in Madrid, Spain.

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jhoonline.biomedcentral.com/articles/10.1186/s13045-017-0395-1

¡iCan pegylated interferon improve the outcome of polycythemia vera patients?¡j

Abstract

Pegylated interferon (peg-IFN) was proven by phase II trials to be effective in polycythemia vera (PV); however, it is not clear whether it could improve patient outcome compared to hydroxyurea (HU). Here, we present an observational study on 65 PV patients aged 65 years or younger, who received either peg-IFN (30) or HU (35) according to the physician choice. Median follow-up was 75 months. The two cohorts were comparable for patient and disease characteristics. Eighty-seven percent of the patients treated with peg-INF responded, with a CR rate of 70% as compared to 100 and 49% with HU, respectively. Discontinuation rate was similar in the two groups (20% in peg-IFN vs 17% in HU). JAK2 allele burden was monitored in peg-INF arm only, and a reduction was observed in 88% of the patients. No thrombotic events were observed during peg-IFN treatment compared to three on HU. Disease progression to myelofibrosis or acute myeloid leukemia occurred to a patient only in peg-INF, compared to three in HU. Overall, three second malignancies were observed during the study, two in patients who received HU only, and one in a patient largely treated HU who received also peg-IFN for 3 months. Overall survival was significantly better for peg-IFN patients compared to HU, p = 0.027. Our study, albeit limited by small patient and event number and lack of randomization, confirms the efficacy of peg-INF in PV and shows a significant survival advantage for peg-INF-treated patients. Waiting for confirming data from the ongoing phase III trials, our study can support peg-INF as a first-line treatment option for PV, at least for younger patients.

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BREAKING NEWS http://www.mpnresearchfoundation.org/news

MPN News | June 26, 2017

AOP Orphan and PharmEssentia announces its latest clinical results for Ropeginterferon alfa-2b in Polycythemia Vera

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Gºô»¡ªº Jakafi Response Á{§É¡A¬O¨S¦³¿ìªkÃÒ©ú Jakafi ¤ñ HU ¦³Àø®Äªº¡C

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§Ú­Ó¤Hı±o¡AJakafi ¨S¦³©¹¤@½u§ð¡A¤]¬O§â´¤«×ªº°ÝÃD¡C

³o«hÁ{§É¬ã¨s³ø§iªººK­n»¡©ú¡A¦b¸ÓÁ{§É³]­p¤U¡A¯f¤H¥ÎÃĤE­Ó¤ë«á¡A³£¦]¬°°Æ§@¥Î¦Ó°±ÃÄ¡C

Serious adverse events during ruxolitinib treatment discontinuation in patients with myelofibrosis.

www.ncbi.nlm.nih.gov/pubmed/22034658

¤£¤pªº°Æ§@¥Î¥[¤W¨S¦³Á{§É¼Æ¾Ú§e²{¡Ajakafi ¦b¦å²G/¤À¤l½w ¦³¤°»ò±j¤O«GÂI¡A¥Ó½Ð¤@½u¥ÎÃÄ¡A¯à¤£¯à¹LÃĺʳæ¦ì³oÃö¡A¬O¦³ºÃ¼{ªº¡C¦b¤W­zªº±ø¥ó¤U¡A©¹¤G½u¥ÎÃĨ«­°§C¨úÃÄÃÒªº¤£½T©w©Ê¡A¦Ó«á¦A¸g¤W¥«Æ[¹î²Î­p¡Aµøª¬ªp´£¥X²Ä¤@½u¥ÎÃĪº¥Ó½Ð¡A³o¬OÃĬɱ`¦³ªº¨Æ¡CP1101 ¬O¦bÁ{§É®Éµo²{¤À¤l½w¸Ñ¦³«ùÄò¤U­°¬Æ¦Ü¹F¥\¯àªv¡ªº¤ô·Ç¡A¤~³Q©x¤è«Øij©¹²Ä¤@½u¨«¡A¨Ã¤£¬O¤@¶}©l´N©¹²Ä¤@½u¥ÎÃĨ«¡C

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September 18, 2017 http://www.mpnresearchfoundation.org/FDA-2017

ºK¿ý¡GMPN RESEARCH FOUNDATION VISITS THE FDA

Dave had a conversation with Dr. Richard T. Silver, the pioneer in the use of interferon in treating MPNs and a member of the MPN RF Advisory Board on its research project to determine the mechanism of action of interferon.   Interferon is the only effective drug on the market in reversing the progression of MPNs as demonstrated by a reduction of fibrosis in the bone marrow, normalization of blood counts including elimination of anemia in early stage myelofibrosis, a reduction in mutated JAK2, and an alleviation of symptoms including shrinking enlarged spleens.  Dr. Silver noted that the FDA has never been asked to approve it as therapy for MPNs by the pharmaceutical companies that manufacture it (interferon is an approved drug for treatment of Hepatitis C) because their perception that the MPN market is too small to warrant the expense of a Phase III clinical trial (the final and very expensive phase in the FDA¡¦s drug approval process). 

We asked, based on many peer reviewed and published clinical studies of patients done in both the US and Europe and decades of clinical use of interferon ¡§off label¡¨ to treat MPNs which shows it is both safe and effective, if the FDA could approve its use in the MPNs.  If they could approve it for use in MPN¡¦s, it would have two important benefits.  First, it would give interferon greater visibility among the hematologists who do not treat a large number of MPN patients, thus increasing the use of an effective drug.  Second, it would simplify the process of patients receiving reimbursement from their insurance companies for the purchase of interferon. 

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°©Åè¼W¥Í©Ê¸~½F(MPN)¬ã¨s°òª÷·|¦b¤@¶µ·s­pµe¤¤±´°Q¤zÂZ¯À¦bJAK2°ò¦]Åܲ§ªº¶ø¯µ

www.mpnresearchfoundation.org/IFNPR

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MPNRF visits the FDA

www.mpnresearchfoundation.org/FDA-2017

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MPNRF GOES AFTER THE JAK2 MUTATION AND THE MYSTERIES OF INTERFERON WITH NEW PROJECT

°©Åè¼W¥Í©Ê¸~½F(MPN)¬ã¨s°òª÷·|¦b¤@¶µ·s­pµe¤¤±´°Q¤zÂZ¯À¦bJAK2°ò¦]Åܲ§ªº¶ø¯µ

www.mpnresearchfoundation.org/IFNPR

September 15, 2017

2017¦~9¤ë15¤é

Interferon (IFN) is a drug that has proven to be effective in other diseases (e.g., hepatitis C), but has largely been replaced by a new generation drugs for those diseases. However, it remains the single treatment that provides disease-altering effects for MPN patients, and understanding its mechanism of action for MPNs can lead to better interferon compounds and potentially other drugs in the IFN pathway that can change the prognosis for MPN and other cancer patients.

¤zÂZ¯À¡]IFN¡^¦b¨ä¥L¯e¯f¡]¦pC¨x¡^¤¤¤w³QÃÒ©ú¬O¦³®ÄªºÃĪ«¡A¦ý¥Ø«e³oÃþ¯e¯f¤w¶}©l³Q·s¤@¥NÃĪ«¤j¶q¨ú¥N¡CµM¦Ó¡A¤zÂZ¯À¤´¬O¹ï°©Åè¼W¥Í©Ê¸~½F(MPN)¯f±w´£¨Ñ¯e¯f§ïµ½§@¥Îªº³æ¤@Àøªk¡C¤F¸Ñ¤zÂZ¯À¹ï©ó°©Åè¼W¥Í©Ê¸~½F(MPN)¯f±w¾÷¨î¥i¥H±a¨Ó§ó¨Îªº¤zÂZ¯À¤Æ¦Xª«, ¦Ó¹ï©ó¼ç¦bªº¤zÂZ¯ÀªvÀø³~®|²z¸Ñ¥ç¥i§ïÅÜ°©Åè¼W¥Í©Ê¸~½F(MPN)©M¨ä¥LÀù¯g¯f±wªº¹w«áµo®i¡C

The MPNRF Interferon (IFN) Initiative is a multi-center project which will bring together internationally recognized experts in both blood and solid tumors to determine how cytokine-driven pathways affect the trajectory of the MPNs, a closely-related group of progressive blood cancers. The collaboration among this group of scientists is unprecedented and speaks to their drive to answer this question, which could have wide-ranging impact on the lives of people living with cancer. Specifically, the project is aimed at defining:

°©Åè¼W¥Í©Ê¸~½F(MPN)¬ã¨s°òª÷·|¥D°Êµo°_¤zÂZ¯À¡]IFN¡^¦h¤¤¤ß±M®×¬ã¨s­pµe¡A¥B³o±N¶×¶°°ê»Ú¤½»{ªº¦å²G©M¸~½FÅv«Â±M®a¡AÂÇ¥H½T©w²Ó­M¦]¤lÅX°Êªº³~®|¦p¦ó¼vÅT°©Åè¼W¥Í©Ê¸~½F(MPN)¹B§@¡A³o¬O¤@ºØº¥¶i¦¡ªº¦åÀù¡C³o¨Ç¬ì¾Ç®a¤§¶¡ªº¦X§@±N¬O«e©Ò¥¼¦³ªº¡A¦ÓÅX°Ê¥L­Ì¥h¸ÑµªªººÃ¼{±N·|¹ê½è¹ïÀù¯g¯f±w¥Í¬¡²£¥Í¼sªx¼vÅT¡C

¨ãÅé¨Ó»¡¡A¥»¶µ¥Ø±N©w¸q¡G

# How and why targeting the IFN pathway reduces the burden of mutated stem cells in MPN patients.

¤zÂZ¯ÀªvÀø³~®|¬O¦p¦ó¥B¬°¦ó­°§C°©Åè¼W¥Í©Ê¸~½F(MPN)¯f±w¬ðÅÜ·F²Ó­Mªºµ¥¦ì°ò¦]­t¾á¡C

# Why targeting this pathway is effective for some MPN patients but not others.

¬°¦ó³oÃþªºªvÀø³~®|¹ï¬Y¨Ç°©Åè¼W¥Í©Ê¸~½F(MPN)¯f±w¦³®Ä¦ý«o¹ï¨ä¥L¯f±wµL®Ä¡C

# Why the positive effects of targeting this pathway are not permanent.

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This initiative will be funded by MPN patients and supporters, and by generous unrestricted contributions from PharmaEssentia and Incyte.

¸Ó­p¹º±N¥ÑMPN¯f±w©M¤ä«ùªÌ¥H¤ÎÃĵØÂåÃÄ(PharmaEssentia)©MIncyte´£¨ÑµL­­¨îªº¤j¶q®½´Ú¸É§U¡C

Barbara Van Husen, President of MPNRF, says ¡§We have long felt that a study of Interferon would be a unique opportunity to open new avenues of treatment for MPN patients. We held an Interferon Brainstorming Session in 2016 at the Robert H. Lurie Comprehensive Cancer Center of Northwestern University, and became convinced we should spearhead this effort.¡¨

°©Åè¼W¥Í©Ê¸~½F(MPN)¬ã¨s°òª÷·|Á`µôBarbara Van Husen»¡¡G¡§§Ú­Ìªø´Á¥H¨Ó¤@ª½»{¬°¡A¤zÂZ¯À¬ã¨s±N·|¹ï°©Åè¼W¥Í©Ê¸~½F(MPN)¯f±wªºªvÀø¥tÅP·sªºªvÀø¤è¦¡¡C§Ú­Ì©ó2016¦~¦b¦è¥_¤j¾ÇªºRobert H. Lurieºî¦XÀù¯g¤¤¤ßÁ|¿ì¤F¤zÂZ¯À¸£¤O¿EÀú·|ij¡A¦Ó§Ú­Ì¬Û«H§Ú­Ì¸Ó±aÀY§V¤O¤Þ¾É³o¤@¤Á¶i¦æ¡C¡§

¡§Working together and sharing knowledge is key,¡¨ says Leonidas Platanias, MD, PhD, Director of the Lurie Cancer Center, Jesse, Sara, Andrew, Abigail, Benjamin and Elizabeth Lurie Professor of Oncology and lead investigator of the multicenter effort. ¡§As our understanding of complex cytokine pathways and signaling networks continues to evolve, we expect to maximize the impact of these discoveries by developing new therapies for patients with MPN.¡¨

LurieÀù¯g¤¤¤ß°õ¦æªøLeonidas Platanias³Õ¤h¡BJesse¡BSara¡BAndrew¡BAbigail¡BBenjamin©MElizabeth Lurie¸~½F±Ð±Â¥H¤Î¦h¤¤¤ß¤@¦P§V¤Oªº¥D­n¬ã¨sªÌ´£¨ì¡G¡¨¨ó¦P¦X§@¥H¤Îª¾ÃѤÀ¨É¬OÃöÁä, ÀHµÛ§Ú­Ì¹ï½ÆÂø²Ó­M¦]¤l³~®|©M«H¸¹¶Ç¾Éºôµ¸ªº¤F¸Ñ¤£Â_¶i®i±¡ªp¤U¡A§Ú­Ì´Á¬ß¯à³Ì¤j­­«×¦aÅý³o¨Çµo²{²£¥Í¼vÅT¤OÂǦ¹¬ãµo¥X°©Åè¼W¥Í©Ê¸~½F(MPN)ªº·s¤@¥NÀøªk¡C¡¨

The MPNRF IFN Initiative will

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ctee.com.tw/News/ViewCateNews.aspx?newsid=161662&cateid=sjce

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·|­û¡G¤pªL10142678  µoªí®É¶¡:2017/9/17 ¤U¤È 08:38:44²Ä 2757 ½g¦^À³
EHA-SWG Scientific Meeting on Challenges in the Diagnosis and Management of Myeloproliferative Neoplasms

Dates: October 12-14, 2017

Location: Budapest, Hungary

Chairs: C Harrison, JJ Kiladjian

Scientific Program (¸`¿ý)

Friday, October 13, 2017

16:45 - 18:00 SCIENTIFIC SESSION - Current status of interferon

Chairs: JJ Kiladjian (France) & LY Shih (Taiwan)

-Biology of interferon

I Plo (France)

-Clinical studies

H Gisslinger (Austria)

-The future of IFN in MPNs

JJ Kiladjian (France)

¬ì¾Ç·|ij°T®§ºô§}¡G

www.ehaweb.org/congress-and-events/scientific-events/eha-swg-scientific-meeting-on-challenges-in-the-diagnosis-and-management-of-myeloproliferative-neoplasms/eha-swg-scientific-meeting-on-challenges-in-the-diagnosis-and-management-of-myeloproliferative-neoplasms/

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Higher Risk of HCC Recurrence Observed Following DAA Therapy for Hepatitis C

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In updated results presented at the 2017 International Liver Congress, Spanish researchers raised a red flag regarding observations of unexpected higher rates of hepatocellular carcinoma (HCC) recurrence following treatment with direct-acting antivirals (DAAs) for hepatitis C virus (HCV) infection.

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Maria Reig, MD, PhD, presented data updating results published last year evaluating increased rates of tumor recurrence in patients following successful treatment for HCC and within months of exposure to DAA treatment. At median follow-up of 12.4 months post-initiation of DAA therapy, 77 patients complete response (CR) following HCC treatment. Of those, 24 patients (31.2%) experienced recurrence and 5 patients (6.5%) died.

Maria Reig ³Õ¤hµoªí¤F¥h¦~¦b¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀøC¨x¦¨ªG¦¨¥\ªÌªº¼Æ¾Ú¨ä«áÄò§ó·s¦¨ªG¡C¦b¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø¶}©l«á¤¤¦ì¼Æ12.4­Ó¤ë®É¶¡¡A77¨Ò¯f±w¹F¨ì§¹¥þ½w¸Ñ(CR),24¨Ò(31.2%)´_µo, 5¨Ò(6.5%)¦º¤`¡C

¡§These data indicate that there needs to be further research conducted in this area, clarifying the mechanism for the association between liver cancer recurrence and DAA therapy,¡¨ Reig said. ¡§Our study offers further support to previous findings that there is an unexpected high recurrence rate of hepatocellular carcinoma associated with DAAs, and that this association may result in a more aggressive pattern of recurrence and faster tumour progression.¡¨

Reig ´£¨ì¡§³o¨Ç¼Æ¾ÚÅã¥Ü¥X, §Ú­Ì»Ý­n¦b¶i¤@¨Bªº¬ã¨s¥HÂç²M¨xÀù´_µo»P¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø¬O§_¦³ÃöÁp, §Ú­Ìªº¬ã¨sµ²ªG¹ï©ó¥ý«e¨Ï¥Î¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀøC¨x¾É­P°ª¨xÀùªº´_µo­·ÀI¼Æ¾Ú´£¨Ñ¤F¶i¤@¨Bªº¤ä«ù, µ²ªGÅã¥Ü³o§e²{§ó°ªªº´_µo­·ÀI¥H¤Î¸~½F´c¤Æ¶i®i¥[³t¡C

Reig noted that Conti et al (J Hepatol. 2016;65:727-733), Romano et al (J Hepatol. 2016;64:S1:10A), and Renzulli et al (J Hepatol. 2016;64:S1:223A) have also described more aggressive evolution of HCC after DAA treatment in patients presenting recurrence or de novo HCC.

Reig «ü¥X¨ä¥L¤åÄm¤]´£¨ì¦b¯f±w¦b¨Ï¥Î¤fªA§Ü¯f¬rÃĪ«(DAA)«á¦³¨xÀù´_µoªº­·ÀI¡C

Median time from initiation of DAA to first HCC recurrence was 3.5 months. Ten patients presented a second recurrence or disease progression. Median time between the first and second events was median 6 months, and 5 more patients died during this time.

±q¨Ï¥Î¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø¶}©l«á¨ì²Ä¤@¦¸¨xÀù(HCC)´_µoªº¤¤¦ì®É¶¡¬°3.5­Ó¤ë¡C10¦W¯f±w¥X²{²Ä2¦¸´_µo©Î¯e¯f´c¤Æ¡C²Ä1¦¸©M²Ä2¦¸¨Æ¥ó´_µo®É¶¡ªº¤¤¦ì®É¶¡¬°6­Ó¤ë, ¥t¥~¦³5¦ì¯f±w¦b³o¬q´Á¶¡¦º¤`¡C

The original study evaluated 77 patients beginning DAA for HCV infection in Spanish referral hospitals from 2014 to 2016 who had undergone successful treatment for HCC, and were in CR plus without ¡¥non-characterized nodules.¡¦ Twenty-eight patients underwent resection for HCC, 41 had ablation, and 8 underwent transarterial chemoembolization. Following DAA, 94.7% of patients achieved sustained virologic response (SVR), indicating viral clearance from the blood.

ªì´Á¬ã¨sµû¦ô¤F¦b2014-2016¦~¶¡¦b¦è¯Z¤ú¤¤¤ßÂå°|±µ¨ü¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø¥B¦¨¥\ªvÀø¨xÀùªº77¦W¯f±w, ¥L­Ì¹F¨ì§¹¥þ½w¸Ñ¥H¤ÎµL¯S¼x©Êµ²¸`(non-characterized nodules)¡C28¦W¯f±w¦b±o¨ì¨xÀù«á¶i¦æ¨xŦ¤Á°£, 41¦W¯f±w±Ä®gÀW®ø¿Ä, 8¦W¯f±w¶i¦æ°Ê¯ß®ê¶ë¤ÆÀø¡C¦b¨Ï¥Î¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø¤§«á, 94.7¢Hªº¯f±w¹F¨ì«ùÄò©Ê¯f¬r¤ÏÀ³¡]SVR¡^, ¯f¬r±q¦å²G¤¤²M°£¡C

In the original results, 16 (27.6%) patients developed radiologic tumor recurrence within a median follow-up of 5.7 months after beginning DAA treatment. Three of these patients died.

ªì´Áµ²ªG§e²{, 16¦W¡]27.6¢H¡^¯f±w¦b¶}©l¶i¦æ¤fªA§Ü¯f¬rÃĪ«(DAA)ªvÀø«áªº¤¤¦ì´Á¶¡5.7­Ó¤ë¯fª¬ºtÅܦ¨©ñ®g©Ê¸~½F´_µo, ¨ä¤¤¦³3¦W¯f±w¦º¤`¡C

In the updated data, re

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Higher Risk of HCC Recurrence Observed Following DAA Therapy for Hepatitis C

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At median follow-up of 12.4 months post-initiation of DAA therapy, 77 patients complete response (CR) following HCC treatment. Of those, 24 patients (31.2%) experienced recurrence and 5 patients (6.5%) died.

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