Long-term entecavir, TDF effective in chronic HBV in real-world setting

A Turkish clinical practice study shows that entecavir and tenofovir disoproxil fumarate (TDF) can effectively maintain long-term virological and biochemical responses in patients with chronic hepatitis B virus (HBV) infection, both in those with and without cirrhosis.

Hepatocellular carcinoma (HCC) did develop in a proportion of patients, but the rate was lower than that reported in previous studies, say the researchers, adding that owing to the lack of a control group, they “cannot prove” that HCC prevention was a consequence of antiviral therapy.

Virological response, defined as a serum HBV DNA level below 20 IU/mL, and normalisation of alanine aminotransferase (ALT) levels were achieved by a similar proportion of the 183 entecavir- and the 172 TDF-treated patients who were followed up for a minimum of 6 months. And the presence of cirrhosis did not adversely affect viral suppression.

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