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Vitamin E as treatment for chronic hepatitis B: results of a randomized controlled pilot trial.

AbstractBACKGROUND AND AIMS:
Interferon-alpha treatment has been the treatment of choice for chronic hepatitis with unpredictable results. Recently, Lamivudine has been licensed for use against HBV infection with good results. Unfortunately, recurrence of viremia after lamivudine withdrawal is common and prolonged treatment can induce the emergence of resistant mutant strains. It has been shown that vitamin E can increase the host immune response, and this may provide protection against infectious diseases.
METHODS:
We evaluated vitamin E supplementation as therapy for chronic hepatitis B in a pilot study including 32 patients. Patients were randomly allocated to receive vitamin E at the dose of 300 mg twice daily for 3 months (15 patients) or no treatment (17 patients). They were seen monthly during the first 3 months and thereafter quarterly for additional 12 months.
RESULTS:
The two groups were comparable at enrollment. At the end of the study period, alanine aminotransferase (ALT) normalization was observed in 7 (47%) patients in vitamin E group and only in 1 (6%) of the controls (P=0.011); HBV-DNA negativization was observed in 8 (53%) patients in the vitamin E group as compared to 3 (18%) in the control group, respectively (P=0.039). A complete response (normal ALT and negative HBV-DNA) was obtained in 7 (47%) patients taking vitamin E and in none of the controls (P=0.0019).
CONCLUSION:
Vitamin E supplementation might be effective in the treatment of chronic hepatitis B.
AuthorsP Andreone, S Fiorino, C Cursaro, A Gramenzi, M Margotti, L Di Giammarino, M Biselli, R Miniero, G Gasbarrini, M Bernardi
JournalAntiviral research (Antiviral Res) Vol. 49 Issue 2 Pg. 75-81 (Feb 2001) ISSN: 0166-3542 [Print] Netherlands
PMID11248360 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • DNA, Viral
  • Vitamin E
  • Alanine Transaminase
Topics
  • Adult
  • Alanine Transaminase (blood)
  • DNA, Viral (blood)
  • Female
  • Hepatitis B virus (isolation & purification, physiology)
  • Hepatitis B, Chronic (drug therapy, virology)
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Treatment Outcome
  • Vitamin E (therapeutic use)

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