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Duration of HCV infection as a predictor of NonResponse to Interferon

Duration of hepatitis C virus (HCV) infection is a key feature in determining responsiveness to interferon (IFN). Studies assessing its value as a predictive factor in chronic HCV infection show that a long duration of infection reduces the likelihood of a sustained response to IFN (defined as ALT normalization and clearance of serum HCV-RNA). The effect of HCV infection duration is independent of the presence of cirrhosis and level of HCV viremia. Meta-analysis of IFN trials in acute HCV infection shows an obvious effect of the drug on long-term ALT normalization and HCV-RNA clearance. Treatment of HCV infection during the acute or early chronic phase could therefore maximize therapeutic effectiveness.

Author: CRAXI A, POLICLIN UNIV, DIV MED & GASTROENTEROL, MED CLIN 1, PIAZZA CLIN 2, I-90100 PALERMO, ITALY
Source: DIGESTIVE DISEASES AND SCIENCES 1996 DEC;41(12):S 86-S 92


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