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Treatment of chronic hepatitis C virus infection
S D Malnick1, M Beergabel, Y Lurie
1Department of Internal Medicine C, Kaplan Medical Center, Rehovot Israel. stevash@trendline.co.il
Insights
Treatment for chronic hepatitis C virus (HCV) infection has advanced significantly. Combination therapy with interferon and ribavirin offers higher response rates than interferon alone, improving cure rates for this public health issue.
Area of Science:
- Hepatology
- Virology
- Internal Medicine
Background:
- Chronic hepatitis C virus (HCV) infection presents a significant global health challenge.
- Early treatment strategies for HCV were limited in efficacy.
Purpose of the Study:
- To conduct a comprehensive literature review on the treatment of chronic hepatitis C virus (HCV) infection.
- To evaluate the effectiveness of various therapeutic interventions for HCV.
Main Methods:
- A MEDLINE database search was performed from 1986 to December 1999.
- Keywords included "HCV," "hepatitis," "non-A and non-B hepatitis," and treatment-related terms.
Main Results:
- Interferon monotherapy yielded limited long-term responses in HCV patients.
- Combination therapy with interferon and ribavirin demonstrated higher response rates in both treatment-naïve and relapsed patients.
- Alternative treatments like high-dose interferon, ursodeoxycholic acid, amantadine, and NSAIDs showed less promise, with ongoing investigation into novel therapies.
Conclusions:
- HCV infection remains a major public health concern requiring effective treatment strategies.
- Current therapeutic advancements allow for achieving a cure in approximately 50% of patients.
- Ongoing research and evaluation of additional therapies are crucial for improving HCV cure rates.
Objective:
To review the literature on the treatment of chronic hepatitis C virus (HCV) infection.
Data Sources:
MEDLINE search (1986-December 1999) using key words such as HCV, hepatitis, non-A and non-B hepatitis, as well as terms regarding treatment during that time period.
Data Synthesis:
HCV infection was initially treated with interferon monotherapy, but only a minority of patients responded to long-term therapy. A higher rate of response in both interferon-naïve patients and interferon-relapsers has been achieved by using the combination of interferon and ribavarin. Other treatment regimens including high-dose interferon protocols, ursodeoxycholic acid, amantadine, and nonsteroidal antiinflammatory drugs have been less promising. Many alternative therapies are being investigated.
Conclusions:
HCV infection is a major public health problem. It is now possible to achieve a cure in nearly 50% of the patients with this infection. Many additional therapies are being evaluated in order to achieve a higher cure rate.
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