European Journal of Clinical Microbiology & Infectious Diseases

, Volume 27, Issue 12, pp 1183–1192

Peginterferon vs. interferon in the treatment of different HCV genotype infections in HIV patients

  • S. Zhao
  • D. Cheng
  • E. Liu
  • H. Yu
  • H. Yang
  • X. Xue
  • Y. Chu
Article

DOI: 10.1007/s10096-008-0557-8

Cite this article as:
Zhao, S., Cheng, D., Liu, E. et al. Eur J Clin Microbiol Infect Dis (2008) 27: 1183. doi:10.1007/s10096-008-0557-8

Abstract

It remains difficult to achieve high sustained response rates (SVRs) in chronic hepatitis patients coinfected with human immunodeficiency virus (HIV). The aim of this study was to perform a meta-analysis of randomized controlled trials (RCTs) comparing peginterferon with interferon in the treatment of patients carrying different genotypes of hepatitis C virus (HCV) and coinfected with HIV. A Medline literature search was conducted to identify RCTs evaluating SVRs to peginterferon and interferon in HCV/HIV-coinfected patients. Six studies matched the selection criteria, and the HCV genotype of 1,717 coinfected patients was reported. For genotypes 1 or 4 HCV and HIV-coinfected patients, both types of peginterferon, α-2a and α-2b, achieved higher SVRs compared with the respective types of interferon. The SVRs achieved in patients infected with HCV genotypes 1 or 4 treated with peginterferon and ribavirin was not satisfactory in comparison with those of patients infected with HCV genotypes 2 or 3 (26% vs. 55%). The probability of achieving higher SVRs in patients when treated with peginterferon plus ribavirin increased compared with other therapies, especially for patients coinfected with HCV genotypes 1 or 4 and HIV. The likelihoods of serious adverse effects and withdrawal rates were similar.

Abbreviations

HCV

Hepatitis C virus

HIV

Human immunodeficiency virus

SVR

Sustained response rate

PegIFN

Peginterferon

IFN

Interferon

RBV

Ribavirin

BW

Body weight

RR

Relative risk

CI

Confidence interval

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • S. Zhao
    • 1
    • 2
  • D. Cheng
    • 3
  • E. Liu
    • 2
  • H. Yu
    • 4
  • H. Yang
    • 5
  • X. Xue
    • 1
  • Y. Chu
    • 1
  1. 1.Department of Immunology and MicrobiologyXi’an Jiaotong University School of MedicineShaanxiChina
  2. 2.Laboratory Animal CenterXi’an Jiaotong University School of MedicineShaanxiChina
  3. 3.Department of Pediatrics of the First Affiliated HospitalXi’an Jiaotong University School of MedicineShaanxiChina
  4. 4.Department of Hepatobiliary SurgeryThe First Affiliated Hospital of Xi’an Jiaotong UniversityShaanxiChina
  5. 5.Department of Public HealthXi’an Jiaotong University School of MedicineShaanxiChina