Oral Ganciclovir for Treatment of Lamivudine-Resistant Hepatitis B Virus Infection: A Pilot Study.

Autor: Bozkaya, Hakan, Yurdaydin, Cihan, Bozdayi, Abdullah Mithat, Erkan, Ozlem, Karayalcin, Selim, Uzunalimoglu, Ozden
Předmět:
Zdroj: Clinical Infectious Diseases; 10/15/2002, Vol. 35 Issue 8, p960, 6p
Abstrakt: Although liver disease seems to be stable in most patients who are infected with lamivudine-resistant mutant hepatitis B virus (HBV) in the short term, it may progress to more-advanced disease in some patients. In our pilot study, we investigated the efficacy of oral ganciclovir for the treatment of lamivudine-resistant HBV infection. Six patients infected with lamivudine-resistant HBV (3 patients had decompensated cirrhosis and 3 had chronic active hepatitis without cirrhosis) were included. Ganciclovir was administered at a dosage of 3 g daily for 6 months. Four of 6 patients completed the 6-month treatment period. Two patients with cirrhosis completed only 2 months of ganciclovir treatment because they died of cirrhosis complications. None of the patients had a ⩾2-1og[SUB10] reduction of HBV DNA and complete alanine aminotransferase normalization at the end of their treatment regimens. In conclusion, 6 months of ganciclovir treatment is not effective for suppression of lamivudine-resistant HBV infection. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index