Hepatitis B: Modern End Points of Treatment and the Specter of Viral Resistance

被引:12
作者
Lee, Maximilian [2 ]
Keeffe, Emmet B. [1 ]
机构
[1] Stanford Univ, Med Ctr, Div Gastroenterol & Hepatol, Palo Alto, CA 94304 USA
[2] Stanford Univ, Med Ctr, Div Gastroenterol & Hepatol, Palo Alto, CA 94305 USA
关键词
Hepatitis B; Treatment; End points; Outcomes; Antiviral therapy; Viral resistance; HBV-DNA LEVELS; SERUM ALANINE AMINOTRANSFERASE; TENOFOVIR DISOPROXIL FUMARATE; LONG-TERM THERAPY; ADEFOVIR DIPIVOXIL; SURFACE-ANTIGEN; HEPATOCELLULAR-CARCINOMA; PEGINTERFERON ALPHA-2A; HBEAG SEROCONVERSION; HBSAG SEROCLEARANCE;
D O I
10.1016/j.gtc.2011.06.004
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
The goal of antiviral treatment of chronic hepatitis B is to prevent cirrhosis, hepatic decompensation, hepatocellular carcinoma, and death. To determine the efficacy of antiviral treatment in preventing these clinical outcomes, intermediate surrogate biochemical, virologic, serologic, and histologic end points have been used. Taken together, these end points can help to guide the effectiveness of therapy. This article reviews the current end points of chronic hepatitis B treatment, including the development of antiviral resistance as a complication and failure of treatment.
引用
收藏
页码:495 / +
页数:12
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