Source:http://linkedlifedata.com/resource/pubmed/id/17326221
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2007-3-5
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pubmed:abstractText |
Wait-listed (n = 226) or post-liver transplantation (n = 241) chronic hepatitis B (CHB) patients with lamivudine-resistant hepatitis B virus (HBV) were treated with adefovir dipivoxil for a median of 39 and 99 weeks, respectively. Among wait-listed patients, serum HBV DNA levels became undetectable (<1,000 copies/mL) in 59% and 65% at weeks 48 and 96, respectively. After 48 weeks, alanine aminotransferase (ALT), albumin, bilirubin, and prothrombin time normalized in 77%, 76%, 60%, and 84% of wait-listed patients, respectively. Among posttransplantation patients, serum HBV DNA levels became undetectable in 40% and 65% at weeks 48 and 96, respectively. After 48 weeks, ALT, albumin, bilirubin, and prothrombin time normalized in 51%, 81%, 76%, and 56% of posttransplantation patients, respectively. Among wait-listed patients who underwent on-study liver transplantation, protection from graft reinfection over a median of 35 weeks was similar among patients who did (n = 34) or did not (n = 23) receive hepatitis B immunoglobulin (HBIg). Hepatitis B surface antigen was detected on the first measurement only in 6% and 9% of patients who did or did not receive HBIg, respectively. Serum HBV DNA was detected on consecutive visits in 6% and 0% of patients who did or did not receive HBIg, respectively. Treatment-related adverse events led to discontinuation of adefovir dipivoxil in 4% of patients. Cumulative probabilities of resistance were 0%, 2%, and 2% at weeks 48, 96, and 144, respectively. In conclusion, adefovir dipivoxil is effective and safe in wait-listed or posttransplantation CHB patients with lamivudine-resistant HBV and prevents graft reinfection with or without HBIg.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adenine,
http://linkedlifedata.com/resource/pubmed/chemical/Antiviral Agents,
http://linkedlifedata.com/resource/pubmed/chemical/DNA, Viral,
http://linkedlifedata.com/resource/pubmed/chemical/Lamivudine,
http://linkedlifedata.com/resource/pubmed/chemical/Phosphonic Acids,
http://linkedlifedata.com/resource/pubmed/chemical/adefovir dipivoxil
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1527-6465
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pubmed:author |
pubmed-author:Adefovir Dipivoxil Study 45 Intrnational Investigators Group,
pubmed-author:ArterburnSarahS,
pubmed-author:Borroto-EsodaKatynaK,
pubmed-author:BrosgartCarolC,
pubmed-author:ChuckStevenS,
pubmed-author:ColomboMassimoM,
pubmed-author:HadziyannisStephanosS,
pubmed-author:LaiChing-LungCL,
pubmed-author:NeuhausPeterP,
pubmed-author:SamuelDidierD,
pubmed-author:SchiffEugeneE,
pubmed-author:TerraultNorahN,
pubmed-author:TillmannHansH,
pubmed-author:VilleneuveJean-PierreJP,
pubmed-author:ZeuzemStefanS
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pubmed:copyrightInfo |
(c) 2007 AASLD.
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pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-60
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pubmed:meshHeading |
pubmed-meshheading:17326221-Adenine,
pubmed-meshheading:17326221-Adult,
pubmed-meshheading:17326221-Antiviral Agents,
pubmed-meshheading:17326221-DNA, Viral,
pubmed-meshheading:17326221-Drug Resistance, Viral,
pubmed-meshheading:17326221-Drug Therapy, Combination,
pubmed-meshheading:17326221-Female,
pubmed-meshheading:17326221-Hepatitis B,
pubmed-meshheading:17326221-Hepatitis B virus,
pubmed-meshheading:17326221-Humans,
pubmed-meshheading:17326221-Kidney Diseases,
pubmed-meshheading:17326221-Lamivudine,
pubmed-meshheading:17326221-Liver Transplantation,
pubmed-meshheading:17326221-Male,
pubmed-meshheading:17326221-Middle Aged,
pubmed-meshheading:17326221-Phosphonic Acids,
pubmed-meshheading:17326221-Prospective Studies,
pubmed-meshheading:17326221-Recurrence,
pubmed-meshheading:17326221-Waiting Lists
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pubmed:year |
2007
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pubmed:articleTitle |
Adefovir dipivoxil for wait-listed and post-liver transplantation patients with lamivudine-resistant hepatitis B: final long-term results.
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pubmed:affiliation |
Center for Liver Diseases, University of Miami, Miami, FL 33136, USA. Eschiff@med.miami.edu
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pubmed:publicationType |
Journal Article,
Clinical Trial
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