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- Title
Recent Advances in the Management of Chronic Hepatitis B.
- Authors
Kim, Soo Ryang; Yang, Jisin; Kudo, Masatoshi; Hino, Okio
- Abstract
There are seven approved treatments for adults with chronic hepatitis B virus infection in the United States and European countries: interferon-α, pegylated interferon-α, lamivudine, adefovir dipivoxil, entecavir, telbivudine, and tenofovir disoproxil fumarate. At present, two new analogues, entecavir and tenofovir are recommended as the first line therapy by the guidelines of European Association for the Study of the Liver and American Association Study for the Liver Diseases. On the other hand, regarding interferon therapy, use of pegylated interferon-α is recommended as the first line therapy instead of standard interferon-α by both guidelines. Therefore, the main scientific interests and unmet medical needs for treatment of chronic hepatitis B have been narrowed down to long-term efficacy and safety of the two said analogues--entecavir and tenofovir--and combination therapy of pegylated interferon-α with the two analogues. To put it concretely, further studies are needed to assess (1) the long-term efficacy and safety and resistance to entecavir and tenofovir; (2) the efficacy of different durations (24 weeks to 2 years) and lower doses of pegylated interferon-α; (3) the role of combination therapy with two analogues to reduce resistance; and (4) the efficacy and safety of the two analogues with decompensated cirrhosis. Herein, we review the recent available data and results.
- Subjects
ANTIVIRAL agents; HEPATITIS B; HEALTH outcome assessment; SAFETY; SOCIAL services case management; TREATMENT effectiveness
- Publication
Hepatitis Monthly, 2011, Vol 11, Issue 8, p601
- ISSN
1735-143X
- Publication type
Article
- DOI
10.5812/kowsar.1735143X.451