Introduction to therapy of hepatitis C

Karen L. Lindsay – 10 February 2006 – Since the 1997 National Institutes of Health Consensus Development Conference on management of hepatitis C there have been several important advances that significantly impact its therapy; notably the availability of sensitive, specific, and standardized assays for identifying hepatitis C virus (HCV) RNA in the serum, the addition of ribavirin to alpha interferon, the pegylation of alpha interferon, and the demonstration that sustained virological response (SVR) is the optimal surrogate endpoint of treatment.

Monitoring of viral levels during therapy of hepatitis C

Gary L. Davis – 10 February 2006 – Alpha interferon therapy of chronic hepatitis C is typically accompanied by a biphasic decrease in hepatitis C virus (HCV) RNA levels: an initial rapid decline during the first 24 to 48 hours, and a second more gradual decline during the following weeks. The rate of second‐phase decline correlates with ultimate response to interferon treatment. Thus, assessment of early virological response (EVR) may predict outcome.

Therapy of acute hepatitis C

Alfredo Alberti, Silvia Boccato, Alessandro Vario, Luisa Benvegnù – 10 February 2006 – Acute hepatitis C has a high propensity to become chronic, which provides the rationale for treating patients with acute disease attempting to prevent chronicity. Almost all published studies on therapy of acute hepatitis C have been small in size, uncontrolled, and highly heterogeneous as to patient features, dose and duration of treatment, follow‐up evaluation, and criteria used to define efficacy and safety.

A novel three‐dose regimen of daclizumab in liver transplant recipients with hepatitis C: A pharmacokinetic and pharmacodynamic study

W. Kenneth Washburn, Lewis W. Teperman, Thomas G. Heffron, David D. Douglas, Steven Gay, Eliezer Katz, Goran B.G. Klintmalm – 2 February 2006 – This study evaluated the pharmacokinetics and pharmacodynamics of a novel 3‐dose regimen of daclizumab in de novo hepatitis C liver transplant recipients.

A new side effect of immunosuppression: High incidence of hearing impairment after liver transplantation

Kinan Rifai, Gabriele I. Kirchner, Matthias J. Bahr, Tobias Cantz, Jens Rosenau, Björn Nashan, Jürgen L. Klempnauer, Michael P. Manns, Christian P. Strassburg – 2 February 2006 – Little is known about hearing impairment in patients after organ transplantation. We conducted a single‐center study to evaluate hearing impairment in patients after orthotopic liver transplantation (OLT). A questionnaire was sent to 695 adult patients after OLT to assess characteristics and course of auditory impairment. Risk factors such as ototoxic drugs were taken into consideration.

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