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Steindl-Munda, P; Ferenci, P; Brunner, H; Nachbaur, K; Datz, C; Gschwantler, M; Hofer, H; Stauber, R; Hackl, F; Jessner, W; Rosenbeiger, M; Gangl, A; Vogel, W; Austrian Hepatitis Study Group.
Impact of high-dose interferon induction and ribavirin therapy in patients with chronic hepatitis C relapsing after or not responding to interferon monotherapy.
Liver Int. 2003; 23(4):269-275 Doi: 10.1034%2Fj.1600-0676.2003.00838.x
Web of Science PubMed FullText FullText_MUG

 

Co-Autor*innen der Med Uni Graz
Hofer Herwig
Stauber Rudolf
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Abstract:
BACKGROUND/AIMS: Initial high-dose interferon-alpha induction therapy in combination with ribavirin improves sustained response rates in treatment-naïve patients. This prospective, randomized, controlled study tested whether non-responders or relapsers to interferon monotherapy also benefit from induction therapy. METHODS: Patients with chronic hepatitis C who had not responded to (n=75) or relapsed (n=80) after previous interferon therapy were randomized to receive three different interferon doses during the first 14 weeks of therapy (A: 10 MU IntronA/day for 2 weeks, followed by 10 MU/2 days for 12 weeks; B:5 MU/d for 14 weeks; C: 5 MU/2 days for 14 weeks) followed in all by 5 MU/2 days for 24 weeks. All patients received 1-1.2 g ribavirin/day throughout the whole study. RESULTS: The rates of viral clearance at any time on treatment were similar in all groups. Sustained response rates were also not different among the groups in interferon nonresponders (A 32%, B 29%, C 31%) and relapsers (A 64%, B 68%, C 71%), respectively, as well as in patients with different genotypes. As expected, sustained response rates were higher in patients with genotype non-1 than in those with genotype 1. CONCLUSION: High-dose induction therapy does not improve the outcome of interferon/ribavirin therapy in interferon nonresponders or relapsers.
Find related publications in this database (using NLM MeSH Indexing)
Administration, Oral -
Adult -
Aged -
Antiviral Agents - administration and dosage
Dose-Response Relationship, Drug - administration and dosage
Drug Resistance, Viral - drug effects
Drug Therapy, Combination - drug effects
Female - drug effects
Hepacivirus - genetics
Hepatitis C, Chronic - blood
Humans - blood
Injections, Subcutaneous - blood
Interferon Alfa-2b - administration and dosage
Male - administration and dosage
Middle Aged - administration and dosage
Polymerase Chain Reaction - administration and dosage
Prospective Studies - administration and dosage
RNA, Viral - blood
Recurrence - blood
Retreatment - blood
Ribavirin - administration and dosage
Treatment Outcome - administration and dosage
Viral Load - administration and dosage

Find related publications in this database (Keywords)
hepatitis C
nonresponders
relapsers
high-dose induction therapy
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