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Interferon beta prevents recurrence of hepatocellular carcinoma after complete resection or ablation of the primary tumor-A prospective randomized study of hepatitis C virus-related liver cancer.

Abstract
Because hepatocellular carcinoma often recurs after surgical resection or ethanol injection therapy, we conducted a prospective randomized controlled trial of interferon (IFN) in patients with chronic liver disease caused by hepatitis C virus (HCV). Twenty eligible patients with cirrhosis were randomized into two groups: 10 patients treated with 6 million units of natural IFN-beta twice a week for 36 months and 10 patients without IFN therapy. One patient within the treatment group discontinued interferon therapy after 19 months of treatment because of a mild degree of retinopathy. None of the patients in either group lost HCV-RNA until the end of the observation. Although 7 (70.0%) of 10 patients in the nontreatment group showed tumor recurrence, only 1 (10.0%) of 10 patients with IFN therapy developed tumor recurrence during a median observation period of 25.0 months. Cumulative recurrence rates of the treated and untreated groups were 0% and 62.5% at the end of the first year, and 0% and 100% at the second year, respectively (log-rank test, P =.0004). In conclusion, intermittent administration of IFN suppressed tumor recurrence after treatment with surgery or ethanol injection in patients with HCV-related chronic liver disease.
AuthorsK Ikeda, Y Arase, S Saitoh, M Kobayashi, Y Suzuki, F Suzuki, A Tsubota, K Chayama, N Murashima, H Kumada
JournalHepatology (Baltimore, Md.) (Hepatology) Vol. 32 Issue 2 Pg. 228-32 (Aug 2000) ISSN: 0270-9139 [Print] United States
PMID10915728 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
Chemical References
  • Antiviral Agents
  • Interferon-beta
Topics
  • Aged
  • Antiviral Agents (therapeutic use)
  • Carcinoma, Hepatocellular (prevention & control, virology)
  • Female
  • Hepatitis C, Chronic (complications, drug therapy)
  • Humans
  • Interferon-beta (adverse effects, therapeutic use)
  • Liver Neoplasms (prevention & control, virology)
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local (prevention & control)
  • Prospective Studies

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