Extending hepatitis C treatment for liver transplant patients may be beneficial
November 1st, 2009 - 1:20 pm ICT by ANI ( Leave a comment )Washington, Nov 1 (ANI): A study by doctors at Henry Ford Hospital has shown that extending hepatitis C treatment for liver transplant patients results in high rates of clearance of the hepatitis C virus from the blood, as well as a low rate of relapse.
“We found that patients who achieved a sustained virological response were more likely to have had extended treatment. In addition, prolonging treatment for 52 weeks after patients were virus negative, resulted in a relapse rate of only 8 percent,” said Kimberly Brown, Division head of Gastroenterology at Henry Ford Hospital and senior author of the study.
This is in contrast to typical relapse rates of 30-35 percent in non-transplant patients treated with standard therapy.
The study looked at 241 consecutive liver transplant patients from 1999-2006. Patients were offered treatment if they tested positive hepatitis C, had recurrent hepatitis C with at least Stage I fibrosis on biopsy, and stable immunosuppression for a minimum of three months.
Patients received either non-pegylated interferon tiw or pegylated interferon weekly in combination with ribavirin.
Of the study patients with hepatitis C, 66 were eligible for treatment, and 22 achieved sustained virological response. Only two patients (8 percent) relapsed.
After week 24 of treatment, 35 percent of patients who achieved a sustained virologic response became virus negative.
“These results call into question previous studies which suggested ’stop rules’ at weeks 12 and 24 when there is no response to inferferon and ribravirin,” Dr. Brown said.
“Our results suggest that even if patients are positive at week 24, there is still a 35 percent chance that they can achieve sustained viral clearance. We think this may be beneficial to extend treatment beyond the standard 48 weeks total,” Dr. Brown added.
The results of the study will be presented during an oral presentation Oct. 31 at the American Association for the Study of Liver Diseases’ Annual Meeting in Boston. (ANI)
- Extended hepatitis C treatment after liver transplant beneficial for patients - May 03, 2010
- Drug cocktail shows promise against hepatitis C - Mar 31, 2011
- Clinical trial offers hope for Hepatitis C patients - Mar 15, 2011
- New anti-viral drug 'doubles hepatitis C treatment's effectiveness' - Aug 09, 2010
- Hepatitis C infection doubles kidney cancer risk - Apr 08, 2010
- New find may offer protection against hepatitis C treatment-related anemia - Jan 26, 2011
- Success of hepatitis C treatment may depend on genetic variant - Jun 13, 2010
- Coffee can cure hepatitis C - Jun 08, 2011
- Integrate Hepatitis C testing with HIV: NGOs - Oct 21, 2011
- How interferon-induced genes launch antiviral defenses - Apr 11, 2011
- Biomarker that predicts response to hepatitis C treatment identified - Aug 17, 2009
- Best treatment regimen for hep C - Jan 05, 2010
- Trials start on potent new hepatitis C drug - May 15, 2010
- Coffee may be good for chronic hepatitis C patients - Oct 21, 2009
- Trials begin on potent new Hepatitis C drug - May 15, 2010
Tags: associa, combination with ribavirin, dr brown, henry ford, henry ford hospital, hepatitis c, hepatitis c treatment, hepatitis c virus, immunosuppression, kimberly brown, liver transplant patients, oral presentation, pegylated interferon, relapse rate, relapse rates, study patients, tiw, viral clearance, virologic response, virological response