机构:[1]International Medicine Ward, Beijing YouAn Hospital, Capital Medical University, Beijing, China[2]Department of Infectious Diseases, Xiamen Hospital of Traditional Chinese Medicine, Xiamen, Fujian, China[3]Department of Liver Disease, Beijing Ditan Hospital, Capital Medical University, Beijing, China[4]Department of Infectious Diseases, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China中国医科大学附属盛京医院[5]Department of Infectious Diseases, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China[6]Department of Infectious Diseases, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China浙江大学医学院附属第一医院[7]Department of Infectious Diseases, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China中山大学附属第三医院[8]Department of Gastroenterology, Liuzhou Traditional Chinese Medical Hospital, Liuzhou, Guangxi, China[9]Department of Infectious Diseases, Shenzhen Third People’s Hospital, Shenzhen, Guangdong, China深圳市康宁医院深圳医学信息中心[10]Department of Infectious Diseases, The Fifth Hospital of Shijiazhuang, Shijiazhuang, Hebei, China[11]Department of Infectious Diseases, Hepatology Hospital of Jilin Province, Changchun, Jilin, China[12]Department of Infectious Diseases, Zhoushan Hospital of Zhejiang Province, Zhoushan, Zhejiang, China[13]Department of Infectious Diseases, General Hospital of Dagang Oilfield, Tianjin, China[14]Department of Infectious Diseases, The 211 Hospital of People’s Liberation Army, Harbin, Heilongjiang, China[15]Department of Integrated Traditional and Western Medicine on Liver Diseases, The Sixth People’s Hospital of Shenyang, Shenyang, Liaoning, China[16]Department of Liver Disease, Ningbo No. 2 Hospital of Zhejiang Province, Ningbo, Zhejiang, China[17]Department of Infectious Diseases, Guangdong General Hospital, Guangzhou, Guangdong, China广东省人民医院[18]Department of Medical Science, Shanghai Roche Pharmaceuticals Ltd., Shanghai, China[19]Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China[20]Department of Liver Disease, Beijing Friendship Hospital, Capital Medical University, Beijing, China首都医科大学附属北京友谊医院
Background and Aims: Data are limited on the use of pegylated-interferon alpha-2a (peg-IFN alpha) in Chinese patients with chronic hepatitis B virus (HBV) infection (CHB). We evaluated the effectiveness and safety of peg-IFNa in Chinese patients with hepatitis B envelope antigen-negative CHB in routine clinical practice. Methods: In this prospective, multi-center, observational, non-interventional cohort study, patients were assessed for up to 1 year after peg-IFNa treatment cessation. Treating physicians established the dosing and treatment duration according to Chinese clinical practice. Effectiveness of peg-IFNa treatment was measured by the percentage of: patients with HBV DNA <2000 IU/mL and loss of hepatitis B surface antigen (commonly known as HBsAg); HBV DNA level at end of treatment (EOT), and 6 months and 1 year posttreatment; and time course change in quantitative HBV DNA and HBsAg. Results: At EOT, 6 months posttreatment, and 1 year posttreatment, the percentage of patients with HBV DNA <2000 IU/mL was 90.0%, 81.8%, and 82.2%, and that of patients with HBsAg loss was 6.5%, 9.4%, and 9.5%, respectively. The HBV DNA level decreased from 5.61 log IU/mL at baseline to 2.48 log IU/mL at EOT and 2.67 log IU/mL at 1 year posttreatment. The HBsAg level decreased from 3.08 log IU/mL at baseline to 2.24 log IU/mL at EOT and 2.10 log IU/mL at 1 year posttreatment. The incidence of adverse events was 52.0%. Conclusions: Peg-IFN alpha has the potential to provide functional cure (HBsAg loss) for CHB and is well tolerated in hepatitis B envelope antigen-negative CHB patients in routine clinical practice in China.
基金:
The study was funded by Shanghai Roche Pharmaceuticals
Ltd.
第一作者机构:[1]International Medicine Ward, Beijing YouAn Hospital, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[19]Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China[20]Department of Liver Disease, Beijing Friendship Hospital, Capital Medical University, Beijing, China[*1]Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, No. 76, Linjiang Road, Yuzhong District, Chongqing 400010, China.[*2]Department of Liver Disease, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong’an Road, Xicheng District, Beijing 100069, China.
推荐引用方式(GB/T 7714):
Xinyue Chen,Qianguo Mao,Yao Xie,et al.A Potential Functional Cure in Chinese HBeAg-negative Chronic Hepatitis B Patients Treated with Peg-interferon Alpha-2a[J].JOURNAL OF CLINICAL AND TRANSLATIONAL HEPATOLOGY.2019,7(3):249-257.doi:10.14218/JCTH.2019.00016.
APA:
Xinyue Chen,Qianguo Mao,Yao Xie,Xiaoguang Dou,Qing Xie...&Jidong Jia.(2019).A Potential Functional Cure in Chinese HBeAg-negative Chronic Hepatitis B Patients Treated with Peg-interferon Alpha-2a.JOURNAL OF CLINICAL AND TRANSLATIONAL HEPATOLOGY,7,(3)
MLA:
Xinyue Chen,et al."A Potential Functional Cure in Chinese HBeAg-negative Chronic Hepatitis B Patients Treated with Peg-interferon Alpha-2a".JOURNAL OF CLINICAL AND TRANSLATIONAL HEPATOLOGY 7..3(2019):249-257