Hepatitis C chronically infects approximate to 1.5% of Americans and i
s the most common clinical problem facing hepatologists, Since the vir
us was initially described in 1989, development of an effective therap
y has been challenging, Although several different therapeutic agents
have been used, no therapy has been shown to reliably eradicate the vi
rus, Interferon-alpha, a cytokine with immunostimulatory and anti-vira
l properties, has become the therapy of choice for patients with chron
ic hepatitis C infection. Trials assessing the efficacy of interferon-
alpha have characterized host and viral factors predictive of response
s to treatment. A thorough understanding of these predictive factors i
s requisite to providing cost-effective therapeutic decisions for the
patient with chronic hepatitis C infection.