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Vitamin E treatment for children with chronic hepatitis B:A randomized placebo controlled trial

World Journal of Gastroenterology 2008年第47期14卷 7208-7213页

作者： Patrick Gerner Hans-Georg Posselt Andreas Krahl Antje Ballauff Albina Innerhofer christa binder Tobias G Wenzl Matthias Zense Ariadne Hector Gerhard Dockter Rüdiger Adam Jenny Neubert Martin Claβen Robert van Gemmern Stefan Wirth Children's Hospital Duisburg-Essen University Klinik 2Essen 45122Germany Witten/Herdecke University HELIOS KlinikumWuppertalGermany Children's Hospital Frankfurt University Frankfurt am Main 60590Germany Children's Hospital Darmstadt 64287Germany Children's Hospital Essen University Klinik 2Essen 45122Germany Children's Hospital St.Anna Wien Austria 1090Germany Children's Hospital Aachen University Aachen 52074Germany Children's Hospital St.Clemens Münster 48153Germany Children's Hospital Homburg University Homburg/Saar 66421Germany Children's Hospital Mannheim University Mannheim 68167Germany Children's Hospital Düsseldorf University Düsseldorf 40225Germany Children's Hospital Bremen University Bremen 28195Germany Pharmacy of HELIOS Klinikum Wuppertal 42883Germany Children's Hospital HELIOS Klinikum Wuppertal42283Germany Witten/Herdecke University Witten/HerdeckeGermany

AIM:To evaluate the safety and efficacy of vitamin E in children with chronic hepatitis ***:We randomly assigned patients with chronic hepatitis B,positive for hepatitis B e antigen(HBeAg),to receive either vitamin E or placebo once daily for 6 mo in a 3:1 ratio and double-blind *** primary end point was HBeAg seroconversion,defined as the loss of HBeAg,undetectable levels of serum hepatitis B virus DNA,and the appearance of antibodies against HBeAg 12 mo after ***:At baseline visit,49 patients had normal and 43 had increased serum aminotransferase ***-nine patients did not respond to previous treatment with interferon-α or ***-six children completed the study;16 were non-compliant(n = 7),lost to follow-up(n = 7),or started another antiviral treatment(n = 3).Intention-to-treat analysis showed HBeAg seroconversion in 16 children(23.2%) treated with vitamin E and two(8.7%) in the placebo group(P = 0.13).Vitamin E was well ***:There is only a tendency that vitamin E may promote HBeAg *** larger studies are needed to clarify the role of antioxidants in the therapy of chronic hepatitis B.

关键词： Vertical transmission Immune tolerance Re-treatment Infant

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