Document Detail


Firstline treatment for hepatitis C: combination interferon/ribavirin versus interferon monotherapy.
MedLine Citation:
PMID:  10921396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the initial treatment of chronic hepatitis C, interferon-alfa (IFN-alpha) monotherapy for 24-48 weeks induces sustained response rates of only 10-20%. Combination therapy with IFN-alpha plus ribavirin induces a sustained response in 40-50% of patients, and can be now recommended as the firstline therapy for chronic hepatitis C. Stopping therapy at week 12 because of persistent viraemia is unnecessary with the combination therapy because later clearance of HCV RNA can still occur with a sustained response. Patients with HCV genotype 1 should receive 48 weeks of combination therapy, in contrast to 24 weeks for patients with genotypes 2 or 3. For patients who cannot tolerate the side effects of ribavirin, such as anaemia, IFN-alpha at 3 MU three times weekly for 48 weeks is preferred as the initial therapy. The long-acting pegylated IFN can be expected to enhance the efficacy of combination therapy in the treatment of chronic hepatitis C and appears to be much more potent as monotherapy. Further studies are needed to improve the current 'half-full' status of chronic hepatitis C treatment.
Authors:
M Y Lai
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of gastroenterology and hepatology     Volume:  15 Suppl     ISSN:  0815-9319     ISO Abbreviation:  J. Gastroenterol. Hepatol.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-11-20     Completed Date:  2000-12-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607909     Medline TA:  J Gastroenterol Hepatol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  E130-3     Citation Subset:  IM    
Affiliation:
Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei.
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MeSH Terms
Descriptor/Qualifier:
Antiviral Agents / administration & dosage*
Drug Administration Schedule
Drug Therapy, Combination
Hepatitis C, Chronic / drug therapy*,  virology
Humans
Interferon-alpha / administration & dosage*
Ribavirin / administration & dosage*
Chemical
Reg. No./Substance:
0/Antiviral Agents; 0/Interferon-alpha; 36791-04-5/Ribavirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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