A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C

Sixty-one chronic hepatitis C patients were randomly assigned to receive either 6x106 or 9x106 U of recombinant interferon-alpha-2a (IFNα-2a) six days a week for the first two weeks of tre...

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Main Authors: Masafumi Komatsu, Tsuyoshi Ono, Ko Nakajima, Itaru Toyoshima, Mitsuro Chiba, Osamu Masamune, Shunji Ohkubo, Tsukasa Yoshida, Hitoshi Yagisawa, Kanji Komatsu, Hideki Wakamatsu, Nobuo Yamada, Hiroyuki Watanabe, Tsuyoshi Mukojima, Mitsuo Goto
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1997/454395
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author Masafumi Komatsu
Tsuyoshi Ono
Ko Nakajima
Itaru Toyoshima
Mitsuro Chiba
Osamu Masamune
Shunji Ohkubo
Tsukasa Yoshida
Hitoshi Yagisawa
Kanji Komatsu
Hideki Wakamatsu
Nobuo Yamada
Hiroyuki Watanabe
Tsuyoshi Mukojima
Mitsuo Goto
author_facet Masafumi Komatsu
Tsuyoshi Ono
Ko Nakajima
Itaru Toyoshima
Mitsuro Chiba
Osamu Masamune
Shunji Ohkubo
Tsukasa Yoshida
Hitoshi Yagisawa
Kanji Komatsu
Hideki Wakamatsu
Nobuo Yamada
Hiroyuki Watanabe
Tsuyoshi Mukojima
Mitsuo Goto
author_sort Masafumi Komatsu
collection DOAJ
description Sixty-one chronic hepatitis C patients were randomly assigned to receive either 6x106 or 9x106 U of recombinant interferon-alpha-2a (IFNα-2a) six days a week for the first two weeks of treatment, followed in both cases by 6x106 U three days a week for the next 22 weeks. In the low dose group, 11 patients showed a complete response maintained for at least six months, 12 responded but then relapsed and nine did not respond; the corresponding figures in the high dose group were 10, 15 and five patients, respectively. The differences between groups are not statistically significant. Thus, this study provides no evidence of therapeutic benefit from increasing the initial dose of IFNα-2a. In both treatment groups, complete responders had significantly lower pretreatment viral titres than nonresponders and were significantly more likely to be infected by type 2a versus type 1b virus.
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publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-df8e7ad5bcd94301af26af18cd67bada2025-02-03T06:07:58ZengWileyCanadian Journal of Gastroenterology0835-79001997-01-0111757958210.1155/1997/454395A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis CMasafumi Komatsu0Tsuyoshi Ono1Ko Nakajima2Itaru Toyoshima3Mitsuro Chiba4Osamu Masamune5Shunji OhkuboTsukasa Yoshida6Hitoshi Yagisawa7Kanji Komatsu8Hideki Wakamatsu9Nobuo Yamada10Hiroyuki Watanabe11Tsuyoshi Mukojima12Mitsuo Goto13First Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Hiraka General Hospital, Yokote, JapanSecond Department of Internal Medicine, Akita City Hospital, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanDepartment of Gastroenterology, Honjyo Daiici Hospital, Honjyo, JapanDepartment of Gastroenterology, Honjyo Daiici Hospital, Honjyo, JapanDepartment of Gastroenterology, Yuri Kumiai General Hospital, Honjyo, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanFirst Department of Internal Medicine, Akita University School of Medicine, Akita, JapanSixty-one chronic hepatitis C patients were randomly assigned to receive either 6x106 or 9x106 U of recombinant interferon-alpha-2a (IFNα-2a) six days a week for the first two weeks of treatment, followed in both cases by 6x106 U three days a week for the next 22 weeks. In the low dose group, 11 patients showed a complete response maintained for at least six months, 12 responded but then relapsed and nine did not respond; the corresponding figures in the high dose group were 10, 15 and five patients, respectively. The differences between groups are not statistically significant. Thus, this study provides no evidence of therapeutic benefit from increasing the initial dose of IFNα-2a. In both treatment groups, complete responders had significantly lower pretreatment viral titres than nonresponders and were significantly more likely to be infected by type 2a versus type 1b virus.http://dx.doi.org/10.1155/1997/454395
spellingShingle Masafumi Komatsu
Tsuyoshi Ono
Ko Nakajima
Itaru Toyoshima
Mitsuro Chiba
Osamu Masamune
Shunji Ohkubo
Tsukasa Yoshida
Hitoshi Yagisawa
Kanji Komatsu
Hideki Wakamatsu
Nobuo Yamada
Hiroyuki Watanabe
Tsuyoshi Mukojima
Mitsuo Goto
A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
Canadian Journal of Gastroenterology
title A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
title_full A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
title_fullStr A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
title_full_unstemmed A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
title_short A Multicentre Randomized Controlled Trial of Recombinant Interferon-Alpha-2a in the Treatment of Patients with Chronic Hepatitis C
title_sort multicentre randomized controlled trial of recombinant interferon alpha 2a in the treatment of patients with chronic hepatitis c
url http://dx.doi.org/10.1155/1997/454395
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