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| Content Provider | PubMed Central |
|---|---|
| Author | Mitsui, Fukiko Tsuge, Masataka Kimura, Takashi Kitamura, Shosuke Abe, Hiromi Saneto, Hiromi Kawaoka, Tomokazu Miki, Daiki Hatakeyama, Tsuyoshi Hiraga, Nobuhiko Imamura, Michio Kawakami, Yoshiiku Hiroshi, Aikata Takahashi, Shoichi Hayes, C. Nelson Igarashi, Harue Morimoto, Kentaro Shimizu, Masao Chayama, Kazuaki |
| Copyright Year | 2010 |
| Abstract | Lamivudine (LMV)-adefovir pivoxil (ADV) combination therapy suppresses the replication of LMV-resistant hepatitis B virus (HBV), although its efficacy in suppressing HBV varies among patients. This study analyzed the clinical, virological, and pharmaceutical factors that influence the effect of the combination therapy. Patients negative for hepatitis B virus e antigen (HBeAg) and with low HBV DNA titers immediately prior to the combination therapy effectively cleared serum HBV DNA (P = 0.0348 and P = 0.0310, respectively). The maximum concentration of ADV in serum (ADV C max) was higher in patients who showed HBV DNA clearance (P = 0.0392), and the cumulative clearance rates of HBV DNA were significantly higher in patients with ADV C max equal to or greater than 24 ng/ml (P = 0.0284). HBeAg negativity and lower HBV DNA at the start of the combination therapy and higher ADV C max were found to be independent factors for serum HBV DNA clearance. Serum creatinine increased significantly during the combination therapy, and the ADV C max was higher in patients with low creatinine clearance rates. In conclusion, higher serum concentrations of ADV are associated with a good response to therapy based on clearance of HBV DNA in serum. However, care should be taken to prevent worsening of renal function due to high ADV serum concentrations. |
| Related Links | http://dx.doi.org/10.1128/AAC.01372-09 |
| Ending Page | 3211 |
| Page Count | 7 |
| Starting Page | 3205 |
| File Format | |
| ISSN | 10986596 |
| e-ISSN | 10986596 |
| Journal | Antimicrobial Agents and Chemotherapy |
| Issue Number | 8 |
| Volume Number | 54 |
| Language | English |
| Publisher | American Society for Microbiology (ASM) |
| Publisher Date | 2010-08-01 |
| Access Restriction | Open |
| Rights Holder | American Society for Microbiology (ASM) |
| Subject Keyword | Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Pharmacology Pharmacology (medical) |
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