PMID- 16732903 OWN - NLM STAT- MEDLINE DCOM- 20070710 LR - 20181201 IS - 1007-3418 (Print) IS - 1007-3418 (Linking) VI - 14 IP - 5 DP - 2006 May TI - [A multicenter, randomized, open-label study of the safety and effectiveness of pegylated interferon alpha 2b and interferon alpha 2b in treating HBeAg positive chronic hepatitis B patients]. PG - 323-6 AB - OBJECTIVE: To compare the efficacy and safety of PEG-IFNalpha-2b (Peg-Intron) with IFNalpha-2b (Intron A) in treating HBeAg positive chronic hepatitis B patients. METHODS: Two hundred thirty chronic hepatitis B (CHB) patients eligible to the following criteria were enrolled into this study: HBsAg and HBeAg(Abbott kit) positive for at least 6 months, serum HBV DNA > or =10(5) copies/ml (real time PCR, LLQ <10(3) copies/ml) and ALT > or =2 x ULN. After 1:1 randomization, the patients received PegIntron (group A: 1.0 microg/kg body weight, SC, once a week) or Intron A (group B: 3 MIU SC, three times a week) for 24 weeks, and followed up for 24 weeks. RESULTS: (1) In groups A and B, respectively, 80.87% and 83.48% were males; their median ages were 31.0 and 32.0 years old; their median body weights were 65.6 and 65.5 kg; mean serum HBV DNA loads were 8.06 log10 and 7.99 log10; their mean ALT values were 4.17 x ULN and 3.77 x ULN. All of the above parameters between the two groups had no statistically significance differences. (2) At the end of treatment and after follow-up, compared to the Intron A group, the PegIntron group showed better response (including complete and partial response rate, HBV DNA undetectable rate, HBeAg seroconversion rate), but the differences of all of them had no statistical significance. The rate of HBeAg loss was higher in patients receiving PegIntron after follow-up (P = 0.0424). (Table 2) (3) PegIntron and Intron A reduced serum HBV DAN persistently during the therapy. Mean reduction at the end of the treatment was much higher in the PegIntron group than in the Intron group (2.22 log10 copies/ml vs 1.66 log10 copies/ml, P = 0.0283). (4) The overall incidence of adverse events (AEs) in the PegIntron group was similar to that of the Intron A group (94.78% vs 95.65%). The AEs associated with PegIntron administration were similar in nature to those with Interon A, such as influenza-like symptoms, fever, fatigue, headache, nausea, etc and the differences of their incidences had no statistical significance. CONCLUSIONS: The efficacy and safety of PEG-IFNalpha-2b treatment for CHB patients seems to be better than that of IFNalpha-2b; however, further studies are needed to confirm it. FAU - Zhao, Hong AU - Zhao H AD - First Hospital, Beijing University, Beijing 100034, China. minmin2001@126.com FAU - Si, Chong-wen AU - Si CW FAU - Wei, Lai AU - Wei L FAU - Wan, Mo-bin AU - Wan MB FAU - Ying, You-kuan AU - Ying YK FAU - Hou, Jin-lin AU - Hou JL FAU - Niu, Jun-qi AU - Niu JQ LA - chi PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - China TA - Zhonghua Gan Zang Bing Za Zhi JT - Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology JID - 9710009 RN - 0 (Antiviral Agents) RN - 0 (Hepatitis B e Antigens) RN - 0 (Interferon alpha-2) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - G8RGG88B68 (peginterferon alfa-2b) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antiviral Agents/adverse effects/*therapeutic use MH - Female MH - Hepatitis B e Antigens/*blood MH - Hepatitis B, Chronic/*drug therapy/immunology MH - Humans MH - Interferon alpha-2 MH - Interferon-alpha/adverse effects/*therapeutic use MH - Male MH - Middle Aged MH - Polyethylene Glycols MH - Recombinant Proteins EDAT- 2006/05/31 09:00 MHDA- 2007/07/11 09:00 CRDT- 2006/05/31 09:00 PHST- 2006/05/31 09:00 [pubmed] PHST- 2007/07/11 09:00 [medline] PHST- 2006/05/31 09:00 [entrez] PST - ppublish SO - Zhonghua Gan Zang Bing Za Zhi. 2006 May;14(5):323-6.