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Wei L, Wang GQ, Sarah J, Cheng Q, Xie MR, Wang M, Xu ZP, Duan JL, Hou MX, Zhang YX, Zhang G, Tang W, Zhao SM, Lin ZS, Jia JJ, Niu ZL, Gao H, Yuan MH, Lin XM, Zhou JD, Luo Y, Linda F, Niloufar M, Wang Y, Jia J. [Efficacy and safety of ombitasvir/paritaprevir/ritonavir and dasabuvir combined with ribavirin in Asian adult patients with chronic HCV genotype 1b infection and compensated cirrhosis]. Zhonghua Gan Zang Bing Za Zhi 2018; 26:353-358. [PMID: 29996203 DOI: 10.3760/cma.j.issn.1007-3418.2018.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the efficacy and safety of ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) 25/150/100 mg once daily and dasabuvir (DSV) 250 mg twice daily combined with ribavirin in adult patients of Mainland China with chronic HCV genotype 1b infection and compensated cirrhosis. Methods: An open-label, multicenter, phase 3 clinical trial study was conducted in mainland China, Taiwan, and South Korea. Adult patients with compensated cirrhosis (Metavir score =F4) who were newly diagnosed and treated for hepatitis C virus genotype 1b infection with ombitasvir/paritaprevir/ritonavir and dasabuvir combined with ribavirin for 12 weeks were included. Assessed SVR rate of patients obtained at 12 and 24 weeks after drug withdrawal. Efficacy and safety were evaluated in patients who received at least one time study drugs. Results: A total of 63 patients from mainland China were enrolled, 62 of whom (98.4%) had a baseline Child-Pugh score of 5 points. The overall rate of SVR12 and SVR24 in patients was 100% (95% CI: 94.3% to 100.0%). Most of the adverse events that occurred were mild. The incidence of common (≥10%) adverse events and laboratory abnormalities included elevated total bilirubin (36.5%), weakness (19.0%), elevated unconjugated bilirubin (19.0%) and conjugated bilirubin (17.5%), and anemia (14.3%). Three cases (4.8%) of patients experienced Grade ≥ 3 adverse events that were considered by the investigators to be unrelated to the study drug. None patients had adverse events leading to premature drug withdrawal. Conclusion: Mainland Chinese patients with chronic HCV genotype 1b infection and compensated cirrhosis who were treated with OBV/PTV/r plus DSV combined with RBV for 12 weeks achieved 100 % SVR at 12 and 24 weeks after drug withdrawal. Tolerability and safety were good, and majority of adverse events were mild.
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Affiliation(s)
- L Wei
- Peking University People's Hospital, Beijing 100044, China
| | - G Q Wang
- Peking University First Hospital, Beijing 100034, China
| | - J Sarah
- AbbVie Inc., North Chicago 60064, IL, USA
| | - Q Cheng
- Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
| | - M R Xie
- Rui Jin Hospital Shanghai, Jiao Tong University School of Medicine, Shanghai 200025, China
| | - M Wang
- 81 Hospital, The Chinese People's Liberation Army, Nanjing 210002, China
| | - Z P Xu
- The 8th Hospital of Guangzhou, Guangzhou 510000, China
| | - J L Duan
- Beijing You'an Hospital, Capital Medical University, Beijing 100069, China
| | - M X Hou
- Nan Fang Hospital, Guangzhou 510515, China
| | - Y X Zhang
- Shengyang 6th People's Hospital, Shenyang 110006, China
| | - G Zhang
- The 1st Hospital of Xinjiang Medical University, Urumqi 830011, China
| | - W Tang
- West China School of Medicine, Chengdu 610041, China
| | - S M Zhao
- Nanjing 2nd Hospital, Nanjing 210028, China
| | - Z S Lin
- The 1st Hospital of Xi'an Jiaotong University, Xi'an 710065, China
| | - J J Jia
- Tangdu Hospital, Xi'an 710038, China
| | - Z L Niu
- The 1st Hospital of Jilin University, Changchun 130021, China
| | - H Gao
- The 3rd Hospital, Sun Yay-sen Hospital, Guangzhou 510630, China
| | - M H Yuan
- The 1st Hospital of Lanzhou University, Lanzhou 730000, China
| | - X M Lin
- The Infectious Hospital of Fuzhou, Fuzhou 350001, China
| | - J D Zhou
- Xijing Hospital of The 4th Military Medical University, Xi'an 710032, China
| | - Yan Luo
- AbbVie Inc., North Chicago 60064, IL, USA
| | | | | | - Ye Wang
- AbbVie. Shanghai 200041, China
| | - Jidong Jia
- Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Li J, Jia HW, Wang CL, Zhang R, Qu MY, Li W, Yuan MH, Cui J, He Q, Wei HY, Zhu TH, Ma ZS, Liu W, Dong ZL, Gao ZG. [A clinical analysis of 123 cases of primary empty sella]. Zhonghua Nei Ke Za Zhi 2017; 56:268-272. [PMID: 28355719 DOI: 10.3760/cma.j.issn.0578-1426.2017.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Objective: This study was conducted to analyze the clinical characteristics and pituitary function of patients with primary empty sella (PES). Methods: The clinical data from 123 hospitalized adult patients with PES from January 2010 to May 2016 were retrospectively studied. Results: (1) The average age of the 123 (male 43, female 80) PES patients was (59.2±13.6) years (ranging 24-92 years), among whom 61% patients were in the age group between 50-69 years. (2) The symptoms of the patients included fatigue (56.1%), headache (34.1%), nausea and vomiting (17.9%), gonadal dysfunction (17.1%), visual disturbance (5.7%) and hypopituitarism crisis (3.3%). (3) Hypopituitarism was found in 66 of the 123 patients. Among them, 36.6%, 31.7% and 17.1% were central hypoadrenalism, hypogonadism, and hypothyroidism, respectively.The percentage of hypopituitarism in complete PES was significantly higher than that in partial PES (P<0.05). (4) Sixteen patients were concomitant with other autoimmune diseases including 11 patients with Graves' disease and 2 with Cushing's syndrome due to adrenal adenoma. Conclusions: The incidence of hypopituitarism in PES was 53.7%, in which the pituitary-adrenal axis hypofunction was more common. An overall evaluation of the pituitary function was essential for the patients who had headache and fatigue, or with suspected PES. The patients with hypopituitarism should be given hormone replacement therapy in time and followed up afterword.
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Affiliation(s)
- J Li
- Department of Endocrinology and Metabolism, General Hospital of Tianjin Medical University, Tianjin 300052, China
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Yuan MH, Fan HH, Dai QF, Lan S, Wan X, Tie SL. Upconversion luminescence from aluminoborate glasses doped with Tb(3+), Eu(3+) and Dy(3+) under the excitation of 2.6-μm femtosecond laser pulses. Opt Express 2015; 23:21909-21918. [PMID: 26368167 DOI: 10.1364/oe.23.021909] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We investigated the upconversion luminescence of three aluminoborate glasses doped with Tb(3+), Eu(3+), and Dy(3+) under the excitation of 2.6-μm femtosecond (fs) laser pulses. Efficient upconversion luminescence appearing in the visible light spectral region was observed in all three glasses and the emission spectra are quite similar to those obtained under single photon excitation. From the dependence of the luminescence intensity on the excitation intensity in the low excitation intensity regime, it was revealed that a four-photon process is involved in the generation of the upconversion luminescence in the Tb(3+)- and Eu(3+)-doped glasses while a mixed two- and three-photon process is involved in the Dy(3+)-doped glass. In the high excitation intensity regime, a reduction of the slope to about 1.0 was observed for all glasses. A physical mechanism based on the super saturation of the intermediate states of the rare-earth ions was employed to interpret the upconversion luminescence under the excitation of long-wavelength fs laser pulses. Significantly broadened luminescence spectra were observed in thick glasses under high excitation intensities and it can be attributed to the self-focusing of the laser beam in the thick glasses.
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