Furusyo N, Takeoka H, Toyoda K, Murata M, Tanabe Y, Kajiwara E, Shimono J, Masumoto A, Maruyama T, Nomura H, Nakamuta M, Takahashi K, Shimoda S, Azuma K, Sakai H, Hayashi J, Group TKULDS. Long-term lamivudine treatment for chronic hepatitis B in Japanese patients: A project of Kyushu University Liver Disease Study. World J Gastroenterol 2006; 12(4): 561-567 [PMID: 16489669 DOI: 10.3748/wjg.v12.i4.561]
Corresponding Author of This Article
Norihiro Furusyo, MD, PhD, Department of General Medicine, Kyushu University Hospital, Higashi-Ku, Fukuoka, 812-8582, Japan. furusyo@genmedpr.med.kyushu-u.ac.jp
Article-Type of This Article
Viral Hepatitis
Open-Access Policy of This Article
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World J Gastroenterol. Jan 28, 2006; 12(4): 561-567 Published online Jan 28, 2006. doi: 10.3748/wjg.v12.i4.561
Table 1 Baseline characteristics of 318 patients with chronic HBV infection treated with lamivudine (mean± SD)
Characteristics
Cirrhosis
P
No
Yes
n = 216
n = 102
Number of men (%)
154 (71.3)
77 (75.5)
0.5168
Age (yr)
45.0 ± 11.1
53.7 ± 9.7
< 0.0001
Number with 35 yr old and over (%)
173 (80.1)
98 (96.1)
0.0003
ALT (IU/L)
320.9 ± 503.3
101.5 ± 95.4
< 0.0001
Total bilirubin (mg/dL)
1.2 ± 1.3
1.4 ± 1.3
0.188
Albumin (g/dL)
4.0 ± 0.4
3.5 ± 0.6
< 0.0001
Platelet count (mean ± SD) (x104/μL)
16.2 ± 5.3
9.8 ± 4.4
< 0.0001
Number of HBeAg positivity (%)
119 (55.1)
54 (52.9)
0.8112
HBV-DNA1
6.8 ± 1.3
6.6 ± 1.2
0.1344
Lamivudine treatment (mo)
20.2 ± 8.9
21.8 ± 9.7
0.1429
Table 2 Virological response of 318 patients with chronic HBV infection treated with lamivudine (mean± SD)
Characteristics
Virological response
P
No
Yes
n = 288
n = 30
Number of men (%)
207 (71.9)
24 (80.0)
0.4624
Age (yr)
47.9 ± 11.4
46.9 (22-73)
0.6453
Number of cirrhosis (%)
90 (31.2)
12 (40.0)
0.4403
Baseline laboratory data
Total bilirubin (mg/dL)
1.3 ± 1.5
1.1 ± 0.6
0.6895
Albumin (g/dL)
3.9 ± 0.6
3.8 ± 0.6
0.2381
Platelet count (x 104/μL)
14.3 ± 5.9
13.2 ± 5.8
0.2624
Number of HBeAg positivity (%)
147 (51.0)
26 (86.7)
0.0004
HBV-DNA1
6.6 ± 1.2
7.7 ± 0.7
< 0.0001
Table 3 Forward stepwise logistic regression analysis for all independent factors contributing to virological response
Factors
Odds ratio
95% CI
P
(At baseline)
HBV DNA less than 6.81
434.7
104.1 - 2000
< 0.0001
HBeAg negativity
7.142
2.136 - 238.0
< 0.0001
Platelet count more than 10 0x 109/L
4.625
1.242 - 17.22
0.0224
(During treatment)
Decline of HBV-DNA more than 3.21
51.13
11.21 - 233.0
< 0.0001
within 3 mo of the start of treatment
Table 4 Forward stepwise logistic regression analysis for all independent factors contributing to virological breakthrough
Factors
Odds ratio
95% CI
P
(At baseline)
Cirrhosis
3.527
1.687 - 7.371
0.0008
HBeAg positivity
2.512
1.265 - 4.989
0.0085
Platelet counts less than 100 x 109/L
2.386
1.003 - 5.676
0.0491
(During treatment)
Decline of HBV-DNA less than 3.91
2.358
1.246 - 4.464
0.0084
within 6 mo of the start of treatment
Citation: Furusyo N, Takeoka H, Toyoda K, Murata M, Tanabe Y, Kajiwara E, Shimono J, Masumoto A, Maruyama T, Nomura H, Nakamuta M, Takahashi K, Shimoda S, Azuma K, Sakai H, Hayashi J, Group TKULDS. Long-term lamivudine treatment for chronic hepatitis B in Japanese patients: A project of Kyushu University Liver Disease Study. World J Gastroenterol 2006; 12(4): 561-567