PMID- 21286344 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 1936-0541 (Electronic) IS - 1936-0533 (Print) IS - 1936-0533 (Linking) VI - 4 IP - 4 DP - 2010 Aug 9 TI - Comparison of adverse effects related to pegylated interferon-based therapy for patients with chronic hepatitis B and chronic hepatitis C in Taiwan. PG - 732-40 LID - 10.1007/s12072-010-9208-0 [doi] AB - PURPOSE: Pegylated interferon (Peg-IFN)-based therapy is effective in treating chronic hepatitis B (CHB) and C (CHC) but frequently induces adverse events (AEs). This study was conducted to compare the incidence of Peg-IFN-based therapy-associated AEs in Taiwanese patients with CHB and CHC. METHODS: Fifty-six patients with CHB and 103 age-, sex- and treatment duration-matched patients with CHC were enrolled. Patients with CHB were treated with Peg-IFN-alpha-2a 180 mug/week for 24 weeks (HBeAg(+), n = 31) or 48 weeks (HBeAg(-), n = 25); patients with CHC were treated with Peg-IFN-alpha-2a 180 mug/week plus ribavirin 1,000-1,200 mg/day for 24 weeks (genotype 2/3, n = 57) or 48 weeks (genotype 1, n = 46). RESULTS: Significantly higher incidences of Peg-IFN-related AEs, especially neuropsychiatric symptoms, and ribavirin-associated skin manifestations were observed in patients with CHC compared with those with CHB, with either the 24- or 48-week regimen. Frequencies of laboratory abnormalities, except for anemia, were comparable in both groups. Neither group showed overt hepatic decompensation. Frequency of dose reduction was similar between the groups. Substantially higher rates of early termination and severe AEs were observed in patients with CHC. CONCLUSIONS: Patients with CHB treated with Peg-IFN had fewer AEs than patients with CHC treated with Peg-IFN/ribavirin. All patients were treated safely. FAU - Yang, Jeng-Fu AU - Yang JF FAU - Kao, Yi-Hui AU - Kao YH FAU - Dai, Chia-Yen AU - Dai CY FAU - Huang, Jee-Fu AU - Huang JF FAU - Hsieh, Ming-Yen AU - Hsieh MY FAU - Lin, Zu-Yau AU - Lin ZY FAU - Chen, Shinn-Cherng AU - Chen SC FAU - Hsieh, Ming-Yuh AU - Hsieh MY FAU - Wang, Liang-Yen AU - Wang LY FAU - Chuang, Wan-Long AU - Chuang WL FAU - Yu, Ming-Lung AU - Yu ML LA - eng PT - Journal Article DEP - 20100809 PL - United States TA - Hepatol Int JT - Hepatology international JID - 101304009 PMC - PMC2994613 OTO - NOTNLM OT - Adverse events (AEs) OT - CHB OT - CHC OT - Peg-IFN-based therapy OT - Safety profile EDAT- 2011/02/03 06:00 MHDA- 2011/02/03 06:01 PMCR- 2010/08/09 CRDT- 2011/02/03 06:00 PHST- 2009/08/20 00:00 [received] PHST- 2010/07/21 00:00 [accepted] PHST- 2011/02/03 06:00 [entrez] PHST- 2011/02/03 06:00 [pubmed] PHST- 2011/02/03 06:01 [medline] PHST- 2010/08/09 00:00 [pmc-release] AID - 9208 [pii] AID - 10.1007/s12072-010-9208-0 [doi] PST - epublish SO - Hepatol Int. 2010 Aug 9;4(4):732-40. doi: 10.1007/s12072-010-9208-0.