[Famciclovir treatment of patients with chronic hepatitis B virus infection]
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Published on: September 25, 2019
1Department No.4, The 302nd Hospital of PLA, Beijing 100039, China.
Insights
Famciclovir effectively treats chronic hepatitis B virus (HBV) infection, showing significant viral DNA reduction. This nucleoside drug offers a safe and viable treatment option for patients managing chronic HBV.
Area of Science:
- Hepatology
- Virology
- Pharmacology
Background:
- Chronic hepatitis B virus (HBV) infection poses a significant global health burden.
- Effective antiviral therapies are crucial for managing chronic HBV and preventing complications.
- Nucleoside analogs represent a key therapeutic class for HBV treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of famciclovir in treating chronic hepatitis B virus (HBV) infection.
- To compare famciclovir's effects against standard treatments like interferon (IFN) alpha and lamivudine.
Main Methods:
- A randomized controlled trial involving 89 patients with chronic HBV infection.
- Patients were divided into three groups: famciclovir, IFN alpha, and lamivudine treatment arms.
- Treatment outcomes were assessed by measuring serum HBV DNA negativity and HBeAg loss.
Main Results:
- Serum HBV DNA became negative in 40.62% of patients treated with famciclovir, compared to 37.93% with IFN alpha and 67.90% with lamivudine.
- The rate of serum HBeAg loss was 21.88% for famciclovir, 41.38% for IFN alpha, and 21.43% for lamivudine.
- The average time to achieve serum HBV DNA negativity was 1.3 months across groups.
Conclusions:
- Famciclovir demonstrates efficacy in reducing viral load in chronic HBV patients.
- Famciclovir is a safe nucleoside drug for managing chronic hepatitis B virus infection.
- Further research may explore famciclovir's long-term benefits and comparative effectiveness.
Objective:
To evaluate the effects of famciclovir treatment of patients with chronic hepatitis B virus (HBV) infection.
Methods:
Eighty-nine patients with chronic HBV infection were randomly divided into three groups. Thirty-two patients were treated with famciclovir, 29 patients and 28 patients with chronic HBV infection were treated with interferon (IFN) alpha and lamivudine, respectively, as the control.
Results:
The serum HBV DNA became negative after treatment in 40.62% (13/32) of patients treated with famciclovir, 37.93% (11/29) of patients treated with IFN alpha, and 67.90% (19/28) of patients treated with lamivudine. The rate of serum HBeAg loss for the three groups were 21.88% (7/32), 41.38% (12/29) and 21.43% (6/28), respectively. The average time for patients to become serum HBV DNA negative was 1.3 months.
Conclusions:
Famciclovir is an effective and safe nucleoside drug for the treatment of patients with chronic HBV infection.
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