Source:http://linkedlifedata.com/resource/pubmed/id/15357651
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2004-9-10
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pubmed:abstractText |
This study aimed to find how ribavirin increases viral disappearance in patients with hepatitis C virus (HCV) of genotype 1 and high baseline viral loads (>5.0 x 10(5) copies/mL) when given with interferon (IFN). Using the real-time quantitative polymerase chain reaction, we measured serum HCV in 20 patients during the first 12 weeks of therapy with IFN-alpha 2b and ribavirin. Controls were 10 similar patients given IFN-alpha 2b alone. IFN-alpha 2b was given at 6 MU daily for 2 weeks, and then three times weekly. Ribavirin was given at 600 or 800 mg daily. Serum HCV RNA decreased rapidly in the first phase, during the first 24 h of therapy (day 0), and more slowly in the early second phase (days 1-14). The median decrease was by 1.41 and 0.078 log 10/day in these two phases in the combination therapy group, and 0.90 and 0.081 log 10/day in the monotherapy group. The difference between groups in the first phase was not significant (P = 0.24), nor was that in the next phase (P = 0.68). Later in the second phase, between days 14 and 84, the median decrease was larger in the combination therapy group (0.030 log 10/day) than in the monotherapy group (0.015 log 10/day, P = 0.035). In patients with HCV genotype 1 and high viral loads, the effects of ribavirin with IFN-alpha appeared slowly, after the earliest days of treatment. A long-term favourable outcome of combination therapy may be associated with a rapid viral decline in this later phase of therapy.
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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/Antiviral Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Interferon-alpha,
http://linkedlifedata.com/resource/pubmed/chemical/RNA, Viral,
http://linkedlifedata.com/resource/pubmed/chemical/Recombinant Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/Ribavirin,
http://linkedlifedata.com/resource/pubmed/chemical/interferon alfa-2b
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1352-0504
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
448-54
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:15357651-Adult,
pubmed-meshheading:15357651-Aged,
pubmed-meshheading:15357651-Antiviral Agents,
pubmed-meshheading:15357651-Drug Therapy, Combination,
pubmed-meshheading:15357651-Female,
pubmed-meshheading:15357651-Genotype,
pubmed-meshheading:15357651-Hepacivirus,
pubmed-meshheading:15357651-Hepatitis C, Chronic,
pubmed-meshheading:15357651-Humans,
pubmed-meshheading:15357651-Interferon-alpha,
pubmed-meshheading:15357651-Kinetics,
pubmed-meshheading:15357651-Male,
pubmed-meshheading:15357651-Middle Aged,
pubmed-meshheading:15357651-RNA, Viral,
pubmed-meshheading:15357651-Recombinant Proteins,
pubmed-meshheading:15357651-Ribavirin,
pubmed-meshheading:15357651-Treatment Outcome,
pubmed-meshheading:15357651-Viral Load
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pubmed:year |
2004
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pubmed:articleTitle |
Effects of ribavirin combined with interferon-alpha 2b on viral kinetics during first 12 weeks of treatment in patients with hepatitis C virus genotype 1 and high baseline viral loads.
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pubmed:affiliation |
Department of Hepatology, Graduate School of Medicine, Osaka City University Medical School, Osaka 545-8585, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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