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. 2005 Jul 20;2005(3):CD000345. doi: 10.1002/14651858.CD000345.pub2

Liaw 1994.

Methods Methodological quality 
 Generation of allocation sequence: randomisation schedules (adequate). 
 Allocation concealment: randomisation code was held by an independent agent and was not broken until the final evaluation (adequate). 
 Double blinding: placebo tablets (adequate). 
 Follow‐up: complete follow up (adequate).
Participants Inclusion criteria of patients 
 (1) Age 16 to 65. 
 (2) Heterosexual male. 
 (3) HBsAg positivity for at least 6 months. 
 (4) HBeAg positivity for at least 6 months. 
 (5) Raised ALT (N<40 U/liter). 
 (6) Liver biopsy taken within the past 3 months showing CAH or chronic lobular hepatitis (CLH) with hepatic expression of HBcAg. 
 (7) HBV‐DNA in serum on at least two occasions 1 month apart before entry. 
 (8) Patients with cirrhosis were also included.
Exclusion criteria of patients 
 (1) Antiviral or immunosuppressive treatment within 1 year prior to to entry. 
 (2) HDV infection. 
 (3) Intravenous drug abuse. 
 (4) Decompensated liver disease or other serious illness which might interfere with this trial. 
 (5) Alphafetoprotein above 100ng/ml concomitant ALT elevation.
Characteristics of included patients 
 Patients were stratified according to histologic diagnosis (CAH or CLH) and randomly assigned to one of the following 3 groups:
Gluco+IFN ‐ 39 patients 
 Mean age: 32 
 Mean ALT : 231 U/l 
 Cirrhosis: 7.7 %
Control+IFN ‐ 37 patients 
 Mean age: 30 
 Mean ALT: 260 U/l 
 Cirrhosis: 13.5 %
Control group ‐ 40 patients 
 Mean Age: 32 
 Mean ALT 240U/l 
 Cirrhosis: 12.5 %
Interventions Gluco+IFN: 
 4 weeks of prednisolone: 30 mg/day for 3 weeks then 15 mg/day for the 4th week. 
 2 weeks of no treatment. 
 12 weeks of interferon: 5‐day induction 4 MU/m2 for 3 days + 6 MU/m2 for 2 days followed by 6 MU/m2 3 times weekly for 11 weeks. 
 Total prednisolone dosis: 735 mg/4 weeks.
Control+IFN: 
 4 weeks of matching placebo. 
 2 weeks of no treatment. 
 12 weeks of interferon: 5‐day induction 4 MU/m2 for 3 days + 6 MU/m2 for 2 days followed by 6 MU/m2 3 times weekly for 11 weeks.
Control group: 
 18 weeks of placebo capsules.
Outcomes Loss of HbeAg and HBV‐DNA, ALT normalisation, changes in Knodell score.
Follow‐up period: 
 12 months after the end of treatment.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate