Clinical and Laboratory Data in Patients With Type II Mixed Cryoglobulinemia Treated With Interferon
Patient No. . | Major Clinical Manifestations Before Therapy . | Total Dose of IFN (MU) . | Duration of Response Off-Therapy (mo) . | RIBA . | HCV RNA . | HCV Genotype . | Outcome . | ||
---|---|---|---|---|---|---|---|---|---|
. | . | . | . | Pretherapy . | Posttherapy . | Pretherapy . | Posttherapy* . | . | . |
Complete responders | |||||||||
1 | P, LD, U, RF, A, PN, Hy | 729 | 100 | 22 | 22 | Pos | Neg (94) | 1a | Alive off-therapy |
2 | P, PN, SS, Ar, U, A | 849 | 6 | 22 | 22 | NP | NP | NP | Relapse V; dead DIC |
3 | P, A, RF, Hy | 753 | 91 | 22, 33, 5-11 | 22 | Pos | Neg (75) | 1b | Alive off-therapy |
4 | P, U, A, PN, RF | 504 | NE | 22 | 22 | Pos | NP | 1b | Dead MI |
5 | P, Ar, U, PN, A | 741 | 33 | 22 | 22 | NP | Neg (39) | NP | Relapse V |
6 | P, PN, LD, RF, SS, A, Ar | 717 | 53 | 22 | 22 | Pos | Neg (72) | 1b | Relapse V; dead Pne |
7 | P, Ar, PN, SS | 621 | 76 | 22 | 22 | Pos | Neg (44) | 2b | Alive off-therapy |
8 | P, Ar, U, A, RF | 80 | NE | 22 | 22 | NP | NP | NP | LFU |
9 | P, LD, SS, A, Ar, PN | 814 | 17 | 22, 33 | 22 | Pos | NP | 1b | LFU |
10 | P, LD, SS | 621 | 2 | 22, 33, 100 | 22 | Pos | Neg (49) | 1a | Alive off-therapy |
11 | P, LD, RF, A | 621 | 46 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Pos | Pos (54) | 2b | Alive off-therapy |
12 | P, LD, Ar | 621 | 33 | 22, 33 100, 5-11 | 22, 33 | Neg | Neg (12) | NP | Alive off-therapy |
13 | P, LD, PN, Ar, SS | 468 | 3 | 22, 33, 100, 5-11 | 22, 33 | Pos | Neg (12) | 2b | Relapse LD |
14 | P, LD, Ar, A | 621 | 18 | 22, 33 | 22 | Pos | Neg (24) | 1a | Alive off-therapy |
15 | P, LD, PN, RF, Hy | 621 | 16 | 22, 33, 100, 5-11 | 22, 33 | Pos | Neg (22) | 1b | Alive off-therapy |
16 | P, LD, A, PN, Hy | 315 | NE | 22 | 22 | Pos | Neg (4) | 2b | Relapse V; LFU |
17 | P, RF, PN, A, Hy | 621 | 10 | 22, 33, 100 | 22 | Pos | Neg (12) | 1a | Alive off-therapy |
Minor responders | |||||||||
18 | P, PN, Hy, Ar | 621 | 0 | 22, 33 | 22, 33 | NP | Pos (60) | NP | Episodes of P |
19 | P, RF, A, Hy, LD | 847 | 60 | 22, 33 | 22, 33 | Pos | Pos (76) | NP | Relapse V, RF; dead Sep |
20 | P, U, PN, Ar | 814 | 0 | 22, 33 | 22, 33 | Pos | Pos (78) | 2b | Relapse V |
21 | P, PN, U | 621 | 0 | 22, 33 | 22, 33 | Pos | Pos (18) | 2b | Episodes of P & U |
22 | P, LD, PN, Ar | 814 | 72 | 22, 33 | 22, 33 | Pos | Pos (84) | 1b | Relapse V |
23 | P, LD, PN | 621 | 77 | 22, 33 | 22, 33 | Pos | Pos (72) | 1b | No symptoms |
24 | P, LD, PN, Ar, SS | 814 | 0 | 22, 33, 100 | 22, 33, 100 | Pos | Pos (78) | 1b | Relapse LD |
25 | P, PN, Ar | 504 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Neg | Neg (36) | NP | Persistent PN |
26 | P, LD, U, Ar, PN | 234 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Pos | Pos (72) | 1b | Relapse LD; cirrhosis |
27 | P, LD, Ar, SS | 234 | 1 | 22, 100, 5-11 | 22, 100, 5-11 | Pos | Neg (6) | 1b | Relapse V, LD |
28 | P, LD, PN, Ar | 234 | 0 | 22, 100 | 22, 100 | Pos | Pos (72) | 2b | Relapse LD; cirrhosis |
29 | P, LD, PN | 814 | 0 | 22 | 22 | Pos | Pos (48) | 2b | No symptoms |
30 | P, RF, Hy, A, PN | 621 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Neg | Neg (36) | NP | RF |
31 | P, RF, Hy, A, SS | 621 | 0 | 22, 33 | 22, 33 | Pos | Pos (29) | 1b | Dead accident |
Patient No. . | Major Clinical Manifestations Before Therapy . | Total Dose of IFN (MU) . | Duration of Response Off-Therapy (mo) . | RIBA . | HCV RNA . | HCV Genotype . | Outcome . | ||
---|---|---|---|---|---|---|---|---|---|
. | . | . | . | Pretherapy . | Posttherapy . | Pretherapy . | Posttherapy* . | . | . |
Complete responders | |||||||||
1 | P, LD, U, RF, A, PN, Hy | 729 | 100 | 22 | 22 | Pos | Neg (94) | 1a | Alive off-therapy |
2 | P, PN, SS, Ar, U, A | 849 | 6 | 22 | 22 | NP | NP | NP | Relapse V; dead DIC |
3 | P, A, RF, Hy | 753 | 91 | 22, 33, 5-11 | 22 | Pos | Neg (75) | 1b | Alive off-therapy |
4 | P, U, A, PN, RF | 504 | NE | 22 | 22 | Pos | NP | 1b | Dead MI |
5 | P, Ar, U, PN, A | 741 | 33 | 22 | 22 | NP | Neg (39) | NP | Relapse V |
6 | P, PN, LD, RF, SS, A, Ar | 717 | 53 | 22 | 22 | Pos | Neg (72) | 1b | Relapse V; dead Pne |
7 | P, Ar, PN, SS | 621 | 76 | 22 | 22 | Pos | Neg (44) | 2b | Alive off-therapy |
8 | P, Ar, U, A, RF | 80 | NE | 22 | 22 | NP | NP | NP | LFU |
9 | P, LD, SS, A, Ar, PN | 814 | 17 | 22, 33 | 22 | Pos | NP | 1b | LFU |
10 | P, LD, SS | 621 | 2 | 22, 33, 100 | 22 | Pos | Neg (49) | 1a | Alive off-therapy |
11 | P, LD, RF, A | 621 | 46 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Pos | Pos (54) | 2b | Alive off-therapy |
12 | P, LD, Ar | 621 | 33 | 22, 33 100, 5-11 | 22, 33 | Neg | Neg (12) | NP | Alive off-therapy |
13 | P, LD, PN, Ar, SS | 468 | 3 | 22, 33, 100, 5-11 | 22, 33 | Pos | Neg (12) | 2b | Relapse LD |
14 | P, LD, Ar, A | 621 | 18 | 22, 33 | 22 | Pos | Neg (24) | 1a | Alive off-therapy |
15 | P, LD, PN, RF, Hy | 621 | 16 | 22, 33, 100, 5-11 | 22, 33 | Pos | Neg (22) | 1b | Alive off-therapy |
16 | P, LD, A, PN, Hy | 315 | NE | 22 | 22 | Pos | Neg (4) | 2b | Relapse V; LFU |
17 | P, RF, PN, A, Hy | 621 | 10 | 22, 33, 100 | 22 | Pos | Neg (12) | 1a | Alive off-therapy |
Minor responders | |||||||||
18 | P, PN, Hy, Ar | 621 | 0 | 22, 33 | 22, 33 | NP | Pos (60) | NP | Episodes of P |
19 | P, RF, A, Hy, LD | 847 | 60 | 22, 33 | 22, 33 | Pos | Pos (76) | NP | Relapse V, RF; dead Sep |
20 | P, U, PN, Ar | 814 | 0 | 22, 33 | 22, 33 | Pos | Pos (78) | 2b | Relapse V |
21 | P, PN, U | 621 | 0 | 22, 33 | 22, 33 | Pos | Pos (18) | 2b | Episodes of P & U |
22 | P, LD, PN, Ar | 814 | 72 | 22, 33 | 22, 33 | Pos | Pos (84) | 1b | Relapse V |
23 | P, LD, PN | 621 | 77 | 22, 33 | 22, 33 | Pos | Pos (72) | 1b | No symptoms |
24 | P, LD, PN, Ar, SS | 814 | 0 | 22, 33, 100 | 22, 33, 100 | Pos | Pos (78) | 1b | Relapse LD |
25 | P, PN, Ar | 504 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Neg | Neg (36) | NP | Persistent PN |
26 | P, LD, U, Ar, PN | 234 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Pos | Pos (72) | 1b | Relapse LD; cirrhosis |
27 | P, LD, Ar, SS | 234 | 1 | 22, 100, 5-11 | 22, 100, 5-11 | Pos | Neg (6) | 1b | Relapse V, LD |
28 | P, LD, PN, Ar | 234 | 0 | 22, 100 | 22, 100 | Pos | Pos (72) | 2b | Relapse LD; cirrhosis |
29 | P, LD, PN | 814 | 0 | 22 | 22 | Pos | Pos (48) | 2b | No symptoms |
30 | P, RF, Hy, A, PN | 621 | 0 | 22, 33, 100, 5-11 | 22, 33, 100, 5-11 | Neg | Neg (36) | NP | RF |
31 | P, RF, Hy, A, SS | 621 | 0 | 22, 33 | 22, 33 | Pos | Pos (29) | 1b | Dead accident |
Abbreviations: A, anemia; Ar, arthralgias; DIC, disseminated intravascular coagulopathy; Hy, hypertension; LD, liver disease; LFU, lost to follow-up; MI, myocardial infarction; P, purpura; PN, peripheral neuropathy; Pne, pneumonia; RF, renal failure; Sep, sepsis; SS, sicca syndrome; U, cutaneous ulcers; NE, not evaluable; NP, not performed.
Month posttherapy HCV RNA tested.