This paper presents the preliminary results of a study designed to eva
luate the effects of alpha interferon in chronic hepatitis B. After si
x months' treatment with interferon alfa-2b (5 million units (MU), thr
ee times weekly) 15 of 25 (60%) patients achieved seroconversion of he
patitis B e antigen, 17 (68%) normalised alanine aminotransferase (ALT
) activity, and 15 (60%) showed a decrease in the inflammatory reactio
n on liver histology. No seroconversions occurred in the control group
(n=10), and none of the control patients achieved a normal ALT or sho
wed a reduction in the inflammatory reaction. Adverse effects were exp
erienced by most patients who received interferon but none warranted s
topping the treatment.