Late response to nalfurafine hydrochloride for pruritus in patients with chronic liver disease: a retrospective data analysis

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Authors: Satoru Hagiwara, Takuya Matsubara, Naoya Omaru, Natsuki Okai, Yoriaki Komeda, K. Ueshima, Yasunori Minami, Masahiro Takita, Masahiro Morita, Hirokazu Chishina, Naoshi Nishida, Masatoshi Kudo
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References: 11

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Abstract

Abstract Background: Nalfurafine hydrochloride is used for refractory pruritus; however, real-world data on its efficacy with long-term administration, particularly in late responders who initially failed treatment, are limited. We aimed to evaluate the efficacy of nalfurafine hydrochloride in patients with chronic liver disease and clarify the incidence and characteristics of late responders. Methods: A retrospective analysis of data of 210 patients who received nalfurafine hydrochloride for chronic liver disease-associated pruritus at our hospital since June 2015 was conducted. Efficacy at 12 weeks was evaluated in 76 patients for whom visual analog scale (VAS) assessment was possible. Results: Among all 76 patients, the VAS score significantly decreased from 55.2 before treatment to 30.0 after 12 weeks (P

Fields of Study & Subjects

Dermatology and Skin Diseases Liver Diseases and Immunity Liver Disease and Transplantation

Publication details

Journal / source
Research Square
Publication date
16 March 2026
Language
EN
Document type
Preprint