Posts Tagged ‘Hepatic Encephalopathy

It has been suggested that the minimal absorption associated with rifaximin may make the agent more conducive for long-term use than other antibiotics, which are more readily absorbed and associated with significant side effects. Grande and colleagues conducted a double-blind crossover trial evaluating the use of rifaximin in patients with liver cirrhosis and minimal HE. […]

Long-term entecavir (Baraclude, Bristol-Myers Squibb) therapy induces durable virologic suppression and his-tologic benefit, including reversal of fibrosis or cirrhosis, in both HBeAg-positive and -negative chronic hepatitis B. Tong and colleagues evaluated long-term histologic outcomes following entecavir therapy in a nucleoside-naive Asian patient population. The investigators analyzed patients who completed the clinical trials ETV-022 or -027 […]

In another analysis of RFHE3001, Sanyal and colleagues investigated the relationship between venous ammonia concentrations, breakthrough HE, and rifaximin treatment. Blood ammonia has been proposed as a useful marker of the severity of overt HE, as elevated ammonia levels are associated with the pathogenesis of overt HE and the development of central nervous system effects. […]

Muir and colleagues reported results from Study 107, an open-label rollover study evaluating the addition of telaprevir to peginterferon alfa-2a and ribavirin in patients with genotype 1 chronic hepatitis C virus (HCV) who did not attain sustained virologic response (SVR) with peginterferon/ribavirin during a phase II trial of telaprevir. The study included null responders (patients […]

Rifaximin (Xifaxan, Salix) is a broad-spectrum oral antibiotic that is gut-selective and minimally absorbed. The agent has demonstrated efficacy in acute hepatic encephalopathy (HE). The randomized, double-blind, multinational, phase III trial RFHE3001, conducted in 299 patients with cirrhosis and a history of recurrent overt episodic HE, showed that rifaximin reduces the risk of breakthrough overt […]

Manns and colleagues presented results of a pooled analysis evaluating the efficacy of tenofovir disoproxil fumarate (TDF; Viread, Gilead) in patients with suboptimal response to adefovir dipivoxil (ADV; Hepsera, Gilead). The analysis included patients enrolled across 3 clinical trials: Study 102 (in hepatitis B e antigen [HBeAg]-neg-ative patients), Study 103 (in HBeAg-positive patients), and Study […]

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