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.
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Authors | K Ikeda, Y Arase, S Saitoh, M Kobayashi, Y Suzuki, F Suzuki, A Tsubota, K Chayama, N Murashima, H Kumada |
Journal | Hepatology (Baltimore, Md.)
(Hepatology)
Vol. 32
Issue 2
Pg. 228-32
(Aug 2000)
ISSN: 0270-9139 [Print] United States |
PMID | 10915728
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Antiviral Agents
- Interferon-beta
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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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