Fifty eight patients with chronic viral hepatitis B (HBV) were randomi
sed in a prospectively controlled trial. Thirty patients were treated
with 3 million units (MU) of interferon alfa-2b subcutaneously thrice
weekly for four months. Twenty eight controls received no treatment. T
he follow up period after treatment was six months. Twenty eight treat
ed patients and 27 controls completed the protocol. One woman in the t
reatment group showed a complete response, and eight other treated pat
ients (32%) showed a partial response. Three patients in the control g
roup (11%) lost hepatitis B e antigen and HBV-DNA spontaneously. This
finding is statistically significant (p<0.05). The elimination of HBV
markers from the serum was associated with a return to normal of serum
aminotransferase activities. Reactivation of hepatitis was not observ
ed after seroconversion.