@article{3084325, title = "A randomized trial to assess the efficacy of interferon-alpha daily in combination with ribavirin in the treatment of naive patients with chronic hepatitis C", author = "Tassopoulos, NC and Ketikoglou, I and Tsantoulas, D and Raptopoulou, M and and Hatzis, G and Vafiadis, I and Sidiropoulos, L and Kanatakis, S and and Anagnostopoulos, G and Sypsa, V and Hatzakis, A and Hellenic Viral and Hepatitis Res Netwo", journal = "Journal of Viral Hepatitis", year = "2003", volume = "10", number = "5", pages = "383-389", publisher = "Wiley", issn = "1352-0504, 1365-2893", doi = "10.1046/j.1365-2893.2003.00439.x", keywords = "chronic hepatitis C; daily interferon; interferon alpha; randomized clinical trial; ribavirin", abstract = "A randomized trial was conducted to assess the efficacy of interferon-alpha (IFN) daily in combination with ribavirin in 301 naive patients with chronic hepatitis C (CHC). Patients were randomized to receive ribavirin 1.2 g daily (QD) for 48 weeks with either IFN 5 MU ( thrice weekly) TIW for 8 weeks followed by IFN 3 MU TIW for 40 weeks ( IFN TIW, n = 154) or IFN 5 MU QD for 8 weeks followed by IFN 3 MU QD for 16 weeks followed by IFN 3 MU TIW for 24 weeks ( IFN QD, n = 147). Treatment discontinuation rates, because of adverse events, were similar in the two arms (14.9% in IFN TIW and 14.3% in IFN QD, P = 0.87). The proportion of patients with sustained virological response (SVR) was 27.9% for patients treated TIW and 38.8% for those treated QD (P = 0.046). According to logistic regression analysis, patients in the IFN QD arm had 1.7 times higher probability of achieving SVR, than those receiving IFN TIW (P = 0.038). Low baseline viral load (P = 0.017) and genotype non-1 (P = 0.036) were associated with higher SVR rates. Combination of IFN/ribavirin for 48 weeks is more effective when IFN is administered daily for the first 24 weeks in naive patients with CHC." }