Source:http://linkedlifedata.com/resource/pubmed/id/10827161
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2000-6-21
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pubmed:abstractText |
The purpose of this study was to compare interferon-alfa alone (12-month course with high initial doses) with a combination of interferon-alfa and ribavirin in patients infected with genotype 1b. Three hundred and seven patients were randomized into 3 groups to receive 6 mega units (MU) of interferon-alfa-2b subcutaneously 3 times weekly for 6 months followed by 3 MU for 6 months (n = 95, group A); 10 MU for 3 months followed by 6 MU for 3 months, followed by 3 MU for 6 months (n = 83, group B); or the group-A schedule in combination with ribavirin (n = 129, group C) for 4 (n = 46), 6 (n = 44), or 12 months (n = 39). Negative polymerase chain reaction (PCR) was more frequent in group C than in groups A or B after 3 months of treatment (P <.006), at the end of treatment (P =.017), and at the end of follow-up (32.8%, 16.9%, and 14.1%, respectively, P <.003). A complete response (negative PCR and normal alanine transaminase) was higher in group C than in the other groups and when comparing 12- to 4- and 6-month combination therapy at the end of treatment (P =.05) and of follow-up (45.2% vs. 25.4%, respectively, P =.05). The greater efficacy of the combination was related to the higher rate of primary virological response and also to a decrease in the percentage of breakthrough and of relapse. In 1b-infected patients, the combination of high doses of interferon-alfa (6 MU) and ribavirin for 12 months appears to be the best therapy, with a high rate of sustained response.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Alanine Transaminase,
http://linkedlifedata.com/resource/pubmed/chemical/Antiviral Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Interferon-alpha,
http://linkedlifedata.com/resource/pubmed/chemical/RNA, Viral,
http://linkedlifedata.com/resource/pubmed/chemical/Ribavirin
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0270-9139
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
31
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1338-44
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10827161-Adult,
pubmed-meshheading:10827161-Alanine Transaminase,
pubmed-meshheading:10827161-Antiviral Agents,
pubmed-meshheading:10827161-Dose-Response Relationship, Drug,
pubmed-meshheading:10827161-Drug Synergism,
pubmed-meshheading:10827161-Drug Therapy, Combination,
pubmed-meshheading:10827161-Female,
pubmed-meshheading:10827161-Genotype,
pubmed-meshheading:10827161-Hepacivirus,
pubmed-meshheading:10827161-Hepatitis C, Chronic,
pubmed-meshheading:10827161-Humans,
pubmed-meshheading:10827161-Interferon-alpha,
pubmed-meshheading:10827161-Male,
pubmed-meshheading:10827161-Middle Aged,
pubmed-meshheading:10827161-RNA, Viral,
pubmed-meshheading:10827161-Ribavirin,
pubmed-meshheading:10827161-Treatment Outcome
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pubmed:year |
2000
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pubmed:articleTitle |
Combination of ribavirin and interferon-alfa surpasses high doses of interferon-alfa alone in patients with genotype-1b-related chronic hepatitis C.
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pubmed:affiliation |
Unité d'Hépatologie et INSERM U-370, Hôpital Necker-Enfants Malades, Paris, France. stanislas.pol@nck.ap-hop-paris.fr
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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