Table 1.
Term | Abbreviation | Definition |
---|---|---|
Sustained virological response | SVR | Undetectable HCV RNA 12–24 weeks after the end of therapy |
Rapid virological response | RVR | Undetectable HCV RNA at week 4 of therapy |
Early virological response | EVR | HCV RNA decline ≥2 log10 at week 12 |
Complete early virological response | cEVR | Undetectable HCV RNA at week 12 |
Partial early virological response | pEVR | HCV RNA decline ≥2 log10 at week 12 |
Relapse | RL | HCV RNA negative at the end of treatment and recurrence of HCV RNA during the follow-up of 24 weeks |
Partial response | PR | HCV RNA decline ≥2 log10 at week 12 but positive at week 24 during Peg-IFN–RBV therapy |
Null response | NULL | HCV RNA decline <2 log10 at week 12 during Peg-IFN–RBV therapy |
Response at weeks 4 and 12 of pegylated interferon-α (Peg-IFN)-based regimens was used to determine the optimal treatment duration. Patients with a fast decline who achieved a rapid virological response (RVR) were eligible for short-term regimens without impairing sustained virological response (SVR) rates. By contrast, a poor response until week 12 of treatment identified patients in whom the chance of SVR was minimal and, therefore, treatment should be stopped early. Response-guided therapy minimized adverse events of Peg-IFN–ribavirin (RBV) therapy. Moreover, in those patients who failed antiviral treatment response during treatment, it was essential to estimate SVR chances for subsequent treatment attempts. HCV, hepatitis C virus.