Predictive Factors for Sustained Remission after Discontinuation of Antiviral Therapy in Patients with HBeAg-positive Chronic Hepatitis B / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 28-34, 2016.
Article
em En
| WPRIM
| ID: wpr-30653
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS:
The optimal timing for discontinuing oral antiviral therapy in patients with HBeAg-positive chronic hepatitis B (CHB) is unclear. The aim of our study was to investigate sustained remission after stopping antiviral therapy in patients with HBeAg-positive CHB.METHODS:
We analyzed the medical records of 58 patients who were HBeAg-positive and had discontinued antiviral therapy. Antiviral therapy was discontinued after HBeAg seroconversion and HBV DNA negativity for 6-12 months with consolidation therapy. Virologic relapse was defined as an increase in serum HBV DNA >2,000 IU/mL.RESULTS:
No difference was observed between the virologic non-relapse and virologic relapse groups in baseline HBV DNA level (p=0.441) or duration of seroconversion (p=0.070). Time-to-undetectable HBV DNA during treatment was shorter in the virologic non-relapse group (29 patients) compared to the relapse group (29 patients) (4.9+/-2.6 vs. 13.2+/-12.7 months; p or =18 months, p=0.020) and early virologic response (HBV DNA <20 IU/mL) at six months during antiviral therapy (p=0.017) were significant predictors for sustained remission.CONCLUSIONS:
A consolidation period of at least 18 months and early virological response at six months during antiviral therapy were associated with sustained remission in patients with HBeAg-positive CHB after treatment.Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Antivirais
/
Recidiva
/
DNA Viral
/
Modelos de Riscos Proporcionais
/
Vírus da Hepatite B
/
Análise Multivariada
/
Estudos Retrospectivos
/
Hepatite B Crônica
/
Reação em Cadeia da Polimerase Via Transcriptase Reversa
/
Suspensão de Tratamento
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2016
Tipo de documento:
Article