Conflict of Interest: none.
Interferon and lamivudine monotherapy on chronic hepatitis B in Japan
Article first published online: 9 JUL 2007
Volume 37, Issue Supplement s1, pages S42–S46, July 2007
How to Cite
Suzuki, F. and Kumada, H. (2007), Interferon and lamivudine monotherapy on chronic hepatitis B in Japan. Hepatology Research, 37: S42–S46. doi: 10.1111/j.1872-034X.2007.00104.x
- Issue published online: 9 JUL 2007
- Article first published online: 9 JUL 2007
- Accepted 20 July 2006.
Aim: We show data of interferon (IFN) and lamivudine monotherapy on chronic hepatitis B in Japan.
Methods: Data collected from sixty-six chronic hepatitis B (CHB) Japanese patients who were treated with IFN for 6 months were analyzed. The efficacy of long-term IFN therapy in 52 patients with e-antigen positive CHB, and data from 290 chronically HBV-infected patients who were treated with lamivudine for more than 3 years, were analyzed.
Results: Six-month IFN therapy: among 45 patients with HBeAg at commencement of IFN therapy, nine (20%) were responders. Young patients especially those with high serum alanine aminotransferase (ALT) levels were much more likely to respond to IFN therapy. Twelve-month IFN therapy: theresponse rate was 31% among 52 patients with HBeAg. Long-term lamivudine therapy: YMDD motif mutation was detected in 167 of 290 patients (58%) during lamivudine treatment. Breakthrough hepatitis from lamivudine resistant virus was detected in 93 of 290 patients (32%). Finally, 813 patients were treated by lamivudine between September 1995 and February 2006. Fifteen patients lost HBsAg during and after lamivudine therapy.
Conclusion: Long-term interferon therapy has a better response than short-term interferon therapy. Some patients lost HBsAg during and after lamivudine therapy.