Does Use of Complementary Treatments with Peginterferon plus Ribavirin Combination Therapy Provide a Benefit to Patients with Chronic Hepatitis C?

Pegylated interferon and ribavirin combination therapy, the current standard-of-care for treatment for chronic hepatitis C, produces a cure in about half of all patients. However, the success of this combination comes at the cost of numerous sometimes severe drug-related adverse events and side effects, especially hematologic and psychiatric.

This review appears in the February 20, 2006 issue of Gastroenterology and Clinical Biology. The article focuses on complementary treatments, primarily erythropoietin, G-CSF, vitamin E, glutathion, ursodeoxycholic acid, and antidepressants. According to the authors, these complementary therapies are “likely to bring a benefit in maintaining adequate interferon and ribavirin dosages and in improving quality of life.”

This review was accomplished by using the Medline(R) database and data from laboratories that commercialized these molecules.

It is the view of the authors that erythropoietin, G-CSF and antidepressants are the best tools for optimizing peginterferon/ribavirin combination therapy in relation to dosing and the duration of therapy and also for improving the quality of life in chronic hepatitis C patients.

Service d'Hepatologie et de Soins Intensifs Digestifs, Service d'Hepatologie, Hopital Universitaire Jean Minjoz, Besancon. tthevenot@chu-besancon.fr

04/07/06

Reference
T Thevenot, V Di Martino, F Lunel-Fabiani, and others. Complementary Treatments of chronic viral hepatitis C [Article in French]. Gastroenterology and Clinical Biology 30(2):197-214. February 20, 2006.


FDA-approved Monotherapies for HCV
Intron A
Roferon

Infergen

Pegasys

PEG-Intron

FDA-approved Combination Therapies for HCV
Pegasys + Copegus
PEG-Intron + Rebetol
Intron A + Rebetol
Roferon A + Ribavirin