Literature DB >> 12399233

A pilot study of beta-interferon for treatment of patients with chronic hepatitis B who failed to respond to alpha-interferon.

Raquel Muñoz1, Gregorio Castellano, Inmaculada Fernández, Maria Victoria Alvarez, Maria Luisa Manzano, Maria Soledad Marcos, Beatriz Cuenca, José A Solís-Herruzo.   

Abstract

BACKGROUND/AIMS: Alpha-interferon achieves persistent loss of hepatitis B virus (HBV) in about 30-40% of patients with chronic hepatitis B. In non-responder patients, the disease may progress leading to complications such as cirrhosis and hepatocellular carcinoma. The aim of the current study was to evaluate the efficacy of beta-interferon in patients with chronic hepatitis B who did not respond to one course of alpha-interferon.
METHODS: Twenty nine alpha-interferon-non-responder patients with chronic hepatitis B (11 hepatitis B e antigen, HBeAg-positive; 18 HBeAg-negative) were treated with 6 million units beta-interferon five times a week for 24 weeks. The post-treatment follow-up lasted for 48 weeks.
RESULTS: At the end of treatment, 38% of patients (18% HBeAg-positive; 50% HBeAg-negative) had normal serum aminotransferase levels and negative serum HBV DNA. At the end of follow-up, HBV DNA was no longer detectable in serum in 21% of patients (18% HBeAg-positive; 22% HBeAg-negative). Beta-interferon was well tolerated and safe.
CONCLUSIONS: This pilot study suggests that beta-interferon therapy is effective and safe in the retreatment of patients with chronic hepatitis B who had not responded to a previous alpha-interferon cycle. Copyright 2002 Published by Elsevier Science on behalf of the European Association for the Study of the Liver

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Year:  2002        PMID: 12399233     DOI: 10.1016/s0168-8278(02)00261-1

Source DB:  PubMed          Journal:  J Hepatol        ISSN: 0168-8278            Impact factor:   25.083


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