Peginterferon alpha-2b

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

alfa-2b; alpha-2b; Interferon; Interferon alpha-2b pegylated; peginterferon-alpha-2b; Peginterferon alpha-2b; pegylated; pegylated alpha-interferon-2b; pegylated IFN α-2b; pegylated IFN-α-2b; α-2b

Definition
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Synthetic, recombinant interferon alpha derivative. Coupling to polyethylene glycol (PEG) results in delayed degradation and prolonged residence time in the organism (see pegylation below).

Indication
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Chronic hepatitis C in case of elevated transaminases and detectable HCV RNA in serum or anti-HCV positivity, not in patients with compensated cirrhosis of the liver.

Pregnancy/nursing period
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Contraindicated.

Dosage and method of use
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  • monotherapy (preferably in case of intolerance to ribavirin): 0,5 or 1,0 μg/kg bw/week s.c.
  • Combination therapy with ribavirin: 1.5 μg/kg bw/week s.c. in combination with ribavirin (e.g. rebetol): 800 mg/day for patients < 65 kg bw p.o., 1000 mg/day for patients 65-85 kg bw, 1200 mg/day for patients > 85 kg bw.

Remember! Preferably peginterferon/ribavirin combination therapy in naive patients as well as in patients who have responded to interferon alpha monotherapy (with normalization of ALT values at the end of treatment) but have relapsed.

Undesirable effects
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Frequently flu-like general symptoms (fever, fatigue, chills, headaches, myalgia, sweating), reactions at the injection site (erythema) Rare maculopapular drug exanthema.

Interactions
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Increase of the plasma level of theophylline.

Preparations
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Pegintron

Outgoing links (2)

Interferon alpha; Pegylation;

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Last updated on: 29.10.2020