Literature DB >> 9724159

Tolerance and antiviral effects of high-dose interferon-alpha B/D in patients with chronic hepatitis B.

M C Rasch1, H Schellekens, C M van Dijck, E B Haagsma, P P Michielsen, A H van Buuren, H Stötter, J van Hattum.   

Abstract

A novel recombinant interferon-alpha B/D hybrid was applied to assess tolerability, antiviral effect, and biological activity in chronic hepatitis B. The study was designed as an open nonrandomized trial. Treatment comprised a two-week run-in phase with 16 MU three times a week followed by 14 weeks with 64 MU three times a week (or 48 MU if toxicity occurred with 64 MU). Total follow-up was 36 weeks. Nineteen patients were included; three discontinued treatment during the run-in with 16 MU. Fourteen of 16 patients had 14 weeks of treatment with > or = 32 MU three times a week. Fourteen dose reductions were necessary in nine patients. The adverse experience profile was similar to other interferon-alphas. HBV-DNA decreased using all doses studied. HBV-DNA became undetectable in five patients, two of whom had HBeAg seroconversion. No HBsAg seroconversion was observed. It is concluded that interferon-alpha B/D is well tolerated in high doses. The anti-viral effect starts at at least 16 MU three times a week.

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Year:  1998        PMID: 9724159     DOI: 10.1023/a:1018823417541

Source DB:  PubMed          Journal:  Dig Dis Sci        ISSN: 0163-2116            Impact factor:   3.199


  12 in total

1.  Reversible cardiac dysfunction associated with interferon alfa therapy in AIDS patients with Kaposi's sarcoma.

Authors:  L R Deyton; R E Walker; J A Kovacs; B Herpin; M Parker; H Masur; A S Fauci; H C Lane
Journal:  N Engl J Med       Date:  1989-11-02       Impact factor: 91.245

2.  A randomized, controlled trial of interferon alfa-2b alone and after prednisone withdrawal for the treatment of chronic hepatitis B. The Hepatitis Interventional Therapy Group.

Authors:  R P Perrillo; E R Schiff; G L Davis; H C Bodenheimer; K Lindsay; J Payne; J L Dienstag; C O'Brien; C Tamburro; I M Jacobson; R Sampliner; D Feit; J Lefkowitch; M Kuhns; C Meschievitz; B Sanghvi; J Albrecht; A Gibas
Journal:  N Engl J Med       Date:  1990-08-02       Impact factor: 91.245

3.  Biological activities and receptor binding of two human recombinant interferons and their hybrids.

Authors:  A Meister; G Uzé; K E Mogensen; I Gresser; M G Tovey; M Grütter; F Meyer
Journal:  J Gen Virol       Date:  1986-08       Impact factor: 3.891

4.  Auto-immune thrombocytopenia related to interferon therapy.

Authors:  E A Abdi; W Brien; P M Venner
Journal:  Scand J Haematol       Date:  1986-05

5.  Cost-effectiveness of interferon-alpha 2b treatment for hepatitis B e antigen-positive chronic hepatitis B.

Authors:  J B Wong; R S Koff; F Tinè; S G Pauker
Journal:  Ann Intern Med       Date:  1995-05-01       Impact factor: 25.391

6.  Long-term follow-up of hepatitis B chronic carriers who responded to interferon therapy.

Authors:  V Carreño; I Castillo; J Molina; J C Porres; J Bartolomé
Journal:  J Hepatol       Date:  1992-05       Impact factor: 25.083

7.  Spontaneous hepatitis B e antigen to antibody seroconversion and reversion in Chinese patients with chronic hepatitis B virus infection.

Authors:  A S Lok; C L Lai; P C Wu; E K Leung; T S Lam
Journal:  Gastroenterology       Date:  1987-06       Impact factor: 22.682

8.  Autoimmune endocrine disease induced by recombinant interferon-alpha therapy for chronic active type C hepatitis.

Authors:  A Imagawa; N Itoh; T Hanafusa; Y Oda; M Waguri; J Miyagawa; N Kono; M Kuwajima; Y Matsuzawa
Journal:  J Clin Endocrinol Metab       Date:  1995-03       Impact factor: 5.958

9.  Long-term follow-up of HBeAg-positive patients treated with interferon alfa for chronic hepatitis B.

Authors:  C Niederau; T Heintges; S Lange; G Goldmann; C M Niederau; L Mohr; D Häussinger
Journal:  N Engl J Med       Date:  1996-05-30       Impact factor: 91.245

10.  Autoimmunity and thyroid function in patients with chronic active hepatitis treated with recombinant interferon alpha-2a.

Authors:  D Preziati; L La Rosa; G Covini; R Marcelli; S Rescalli; L Persani; E Del Ninno; P L Meroni; M Colombo; P Beck-Peccoz
Journal:  Eur J Endocrinol       Date:  1995-05       Impact factor: 6.664

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