English
dc.contributor.author | Saruc, M | |
dc.contributor.author | Ozden, N | |
dc.contributor.author | Turkel, N | |
dc.contributor.author | Ayhan, S | |
dc.contributor.author | Hock, LM | |
dc.contributor.author | Tuzcuoglu, I | |
dc.contributor.author | Yuceyar, H | |
dc.date.accessioned | 2024-07-18T11:55:38Z | |
dc.date.available | 2024-07-18T11:55:38Z | |
dc.description.abstract | ELSEVIER SCIENCE INC | |
dc.identifier.issn | 1520-6017 | |
dc.identifier.uri | http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/6562 | |
dc.language.iso | Article | |
dc.publisher | 0022-3549 | |
dc.subject | Hepatitis B e antibody (HbeAb) and hepatitis B virus (HBV) DNA positive chronic hepatitis is a clinical entity, distinct from classical hepatitis B e antigen (HbeAg) positive chronic hepatitis B. Our aim was to evaluate the long-term therapeutic efficacy of the combination of interferon alpha-2b and thymosin-alpha1 compared with lamivudine plus interferon alpha-2b and interferon alpha-2b alone. Fifty-two patients with HbeAg-negative chronic hepatitis B were assigned to three different groups in a nonrandomized manner. Group 1 (n = 27) received thymosin-alpha1 [1.6 mg subcutaneously (sc), twice a week] and interferon alpha-2b (10 MIU sc, three times per week) for 26 weeks, subsequently followed by interferon alpha-2b monotherapy at the same dosage for an additional 26 weeks. Group 2 (n = 10) received interferon alpha-2b (10 MIU sc, three times per week) for 52 weeks. Group 3 (n = 15) received interferon a-2b (10 MIU sc, three times per week) and lamivudine [100 mg orally (po), q.d.] for, 62 weeks, followed by continuous lamivudine (100 mg po, q.d.) therapy. By the end of 78 weeks, a sustained response (SR-6 mo) was seen in 74% (20/27) of the patients within Group 1. On the contrary, Groups 2 and 3 had sustained response rates of 40 (4/10) and 53.3% (8/15), respectively (p = 0.13). At the end of 12 months post-treatment in Group 1, a virological and biochemical response rate was seen in 70.3% of patients (19/27); in contrast, Groups 2 and 3 had response rates of 20 (2/10) and 26.6% (4/15), respectively (p = 0036). At the end of the 18-month post-treatment follow-up period, 71.4% (19/27) of patients in Group 1, 10% of patients in Group 2 (1/10), and 20% of patients in Group 3(3/15) preserved their sustained response (p = 0.0003). Interferon alpha-2b and thymosin-alpha1 combination therapy results in significant virological and biochemical response rates compared with standard therapeutic regimens and is well tolerated. | |
dc.title | English | |
dc.type | ALPHA-INTERFERON | |
dc.type | UNTREATED PATIENTS | |
dc.type | LAMIVUDINE | |
dc.type | VIRUS | |
dc.type | EFFICACY | |
dc.type | INFECTION | |
dc.type | MUTATIONS | |
dc.type | TRENDS | |
dc.type | TRIAL |