Free Content Effectiveness of interferon plus ribavirin combination in the treatment of naive patients with hepatitis C virus type 5. A French multicentre retrospective study

Authors: BONNY, C.1; FONTAINE, H.2; POYNARD, T.3; HÉZODE, C.4; LARREY, D.5; MARCELLIN, P.6; BOURLIÈRE, M.7; BRONOWICKI, J. P.8; MERLE, P.9; ZARSKI, J. P.10; SAPEY, T.11; GUILLEMARD, C.12; UGHETTO, S.13; HENQUELL, C.14; NICOLAS, C.1; ROCHE, C.1; RANDL, K.1; BOMMELAER, G.1; ABERGEL, A.1

Source: Alimentary Pharmacology & Therapeutics, Volume 24, Number 4, August 2006 , pp. 593-600(8)

Publisher: Blackwell Publishing

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Abstract:

Summary Aim

To assess the rate of sustained virological response in naïve hepatitis C virus-type 5 patients treated by standard interferon or percutaneous endoscopic gastrostomy-interferon (peg-interferon) and ribavirin combination for 48 weeks. Patients and methods

A total of 87 hepatitis C virus patients were included from 12 centres in France; 28 patients received interferon plus ribavirin and 59 were treated with peg-interferon plus ribavirin. Results

Baseline characteristics were: mean age 58 ± 11 years, sex ratio 1, 66% had metavir fibrosis score ≥F2, 21% were cirrhotics and 53% had pretherapeutic viral load ≥800 000 IU/mL. Sustained virological response was achieved in 64% and 58% of hepatitis C virus-5 patients treated with interferon and peg-interferon, respectively (NS). In adherent patients, sustained virological response was obtained in 75% of patients. Sustained virological response in hepatitis C virus-5 patients (60%) was significantly higher than sustained virological response in hepatitis C virus-1 patients (37%) (P = 0.0499) and not significantly different from sustained virological response in hepatitis C virus-2-3 patients (63%) (P = 0.8098). Conclusions

Combination therapy is effective in 60% of hepatitis C virus-5-infected patients. Sustained virological response seems better in hepatitis C virus-5 patients than in hepatitis C virus-1 patients, and is similar to that of hepatitis C virus-2-3 patients. More studies are needed to determine optimal duration of treatment in hepatitis C virus-5 patients.

Document Type: Research article

DOI: 10.1111/j.1365-2036.2006.03018.x

Affiliations: 1: Service d'Hépato-Gastroentérologie, Hôtel-Dieu, Clermont-Ferrand 2: Service d'Hépatologie, Hôpital Necker 3: Service d'Hépato-Gastroentérologie, Hôpital La Pitié Salpetrière, Paris 4: Service d'Hépatologie, Hôpital Henri Mondor, Créteil 5: Service d'Hépato-Gastroentérologie, CHU de Montpellier 6: Service d'Hépato-Gastroentérologie, Hôpital Beaujon, Paris 7: Service d'Hépato-Gastroentérologie, Hôpital Saint-Joseph, Marseille 8: Service d'Hépato-Gastroentérologie, CHU de Nancy 9: Service d'Hépato-Gastroentérologie, Hôpital Edouard Herriot, Lyon 10: Service d'Hépato-Gastroentérologie, CHU de Grenoble 11: Service d'Hépato-Gastroentérologie, CHR de Châteauroux 12: Service d'Hépato-Gastroentérologie, CHU de Caen 13: Service d'Epidémiologie, Hôtel-Dieu, Clermont-Ferrand 14: Service de Virologie, Faculté de Médecine, Clermont-Ferrand, France

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