4.6 Review

Past, present, and future of long-term treatment for hepatitis B virus

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Article Gastroenterology & Hepatology

Hepatocellular carcinoma risk in patients with chronic hepatitis B receiving tenofovir- vs. entecavir-based regimens: Individual patient data meta-analysis

Won-Mook Choi et al.

Summary: This study compared the risk of hepatocellular carcinoma (HCC) in chronic hepatitis B (CHB) patients receiving tenofovir disoproxil fumarate (TDF) versus entecavir (ETV) treatment. The results showed that patients receiving TDF had a significantly lower HCC risk, especially those with HBeAg positivity.

JOURNAL OF HEPATOLOGY (2023)

Review Gastroenterology & Hepatology

The scientific basis of combination therapy for chronic hepatitis B functional cure

Seng Gee Lim et al.

Summary: Functional cure of chronic hepatitis B (CHB), achieved through hepatitis B surface antigen (HBsAg) loss after 24 weeks off therapy, is the goal of current treatment. However, the rarity of achieving this cure with current therapy highlights the need for novel approaches. The three categories of treatment include reducing viral replication, reducing antigen load, and immunotherapies. Combination therapy of nucleos(t)ide analogues and immunotherapy shows promise in reducing HBsAg levels and inducing HBsAg loss in some patients, particularly those with low baseline HBsAg levels. Monitoring during therapy using viral and immunological biomarkers is important to predict HBsAg loss and understand its mechanisms.

NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY (2023)

Article Gastroenterology & Hepatology

Liver Complications in Untreated Treatment-Ineligible versus Treated Treatment-Eligible Patients with Hepatitis B

Daniel Q. Huang et al.

Summary: The aim of this study was to determine whether current practice guidelines adequately identify CHB patients who will benefit from antiviral therapy. Through a retrospective cohort study, we found that patients who do not meet treatment criteria have twice the risk of developing cirrhosis and hepatocellular carcinoma compared to patients who are eligible and treated.

DIGESTIVE DISEASES (2023)

Article Gastroenterology & Hepatology

Messenger RNA electroporated hepatitis B virus (HBV) antigen-specific T cell receptor (TCR) redirected T cell therapy is well-tolerated in patients with recurrent HBV-related hepatocellular carcinoma post-liver transplantation: results from a phase I trial

Fan Yang et al.

Summary: This study has demonstrated that multiple infusions of mRNA electroporated HBV-specific TCR T cells were well-tolerated in patients with HBV-positive recurrent HCC post-liver transplant.

HEPATOLOGY INTERNATIONAL (2023)

Article Gastroenterology & Hepatology

A phase 2, open-label, randomized, multiple-dose study evaluating Inarigivir in treatment-naive patients with chronic hepatitis B

Man-Fung Yuen et al.

Summary: Treatment with Inarigivir for HBV infection showed a trend of reducing viral load and antigen levels. A greater reduction in HBsAg was observed in patients pre-treated with Inarigivir after switching to tenofovir.

LIVER INTERNATIONAL (2023)

Article Gastroenterology & Hepatology

Hepatitis B virus pre-genomic RNA and hepatitis B core-related antigen reductions at week 4 predict favourable hepatitis B surface antigen response upon long-term nucleos(t)ide analogue in chronic hepatitis B

Lung-Yi Mak et al.

Summary: This study investigated the dynamics of serum HBV pre-genomic RNA (pgRNA) and hepatitis B core-related antigen (HBcrAg) in patients receiving nucleos(t)ide analogues (NAs) and their predictability for favourable suppression of serum hepatitis B surface antigen (HBsAg). The results showed that early on-treatment changes of serum HBV pgRNA and HBcrAg at 4 weeks can predict HBsAg seroclearance or <100 IU/mL in NA-treated CHB patients upon long-term follow-up.

CLINICAL AND MOLECULAR HEPATOLOGY (2023)

Article Gastroenterology & Hepatology

Prediction of Sustained Response After Nucleo(s)tide Analogue Cessation Using HBsAg and HBcrAg Levels: A Multicenter Study (CREATE)

Milan J. Sonneveld et al.

Summary: In this multicenter study, off-treatment outcomes after NA cessation varied with ethnicity. Lower levels of HBcrAg and HBsAg were associated with favorable outcomes. A risk score comprising both factors can be used for risk stratification.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2022)

Article Gastroenterology & Hepatology

On-therapy HBsAg kinetics can predict HBsAg loss after nucleos(t)ide analogues interruption in HBeAg-negative patients. The cup is half full and half empty

Teresa Broquetas et al.

Summary: HBsAg kinetics can predict post-treatment HBsAg loss rate. Half of patients with a significant HBsAg decline can eliminate HBsAg the first year after withdrawal.

DIGESTIVE AND LIVER DISEASE (2022)

Article Gastroenterology & Hepatology

Longitudinal renal changes in chronic hepatitis B patients treated with entecavir versus TDF: a REAL-B study

Lung-Yi Mak et al.

Summary: This study compared the longitudinal changes in estimated glomerular filtration rate (eGFR) in chronic hepatitis B patients treated with entecavir (ETV) versus tenofovir disoproxil fumarate (TDF). The results showed that over 10 years of follow-up, TDF was associated with lower mean eGFR and a higher incidence of renal impairment compared to ETV.

HEPATOLOGY INTERNATIONAL (2022)

Article Gastroenterology & Hepatology

Probability of HBsAg loss after nucleo(s)tide analogue withdrawal depends on HBV genotype and viral antigen levels

Milan J. Sonneveld et al.

Summary: The probability of HBsAg loss after NUC cessation varies according to patient ethnicity, HBV genotype and end-of-treatment viral antigen levels. Patients with low HBsAg and HBcrAg levels, particularly non-Asian or infected with HBV genotype C, may be the best candidates for treatment withdrawal.

JOURNAL OF HEPATOLOGY (2022)

Review Virology

Current Trend in Antiviral Therapy for Chronic Hepatitis B

Rong-Nan Chien et al.

Summary: The goal of treating chronic hepatitis B is to suppress HBV replication to prevent liver damage and complications. Currently, pegylated interferon, entecavir, tenofovir disoproxil fumarate, and tenofovir alafenamide are the first-line treatment options. Finite NUC therapy has shown promise in increasing the rate of HBsAg loss in HBeAg-negative patients.

VIRUSES-BASEL (2022)

Article Gastroenterology & Hepatology

Switching to or Add-on Peginterferon in Patients on Nucleos(t)ide Analogues for Chronic Hepatitis B: The SWAP RCT

Seng Gee Lim et al.

Summary: For patients with chronic hepatitis B (CHB), switching to or adding peginterferon to nucleoside analogues (NA) is more effective than continuing NA. Adding peginterferon has better safety and similar efficacy compared to switching.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2022)

Review Gastroenterology & Hepatology

RNA interference as a novel treatment strategy for chronic hepatitis B infection

Rex Wan-Hin Hui et al.

Summary: Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality. Current treatment modalities rarely achieve functional cure. RNA interference (RNAi) has been studied as a novel treatment strategy for CHB, targeting viral antigen production and replication. While the evidence on RNAi appears promising, it remains unclear whether it can result in sustained hepatitis B surface antigen (HBsAg) seroclearance.

CLINICAL AND MOLECULAR HEPATOLOGY (2022)

Article Gastroenterology & Hepatology

Impact of expanding hepatitis B treatment guidelines: A modelling and economic impact analysis

Young-Suk Lim et al.

Summary: Simplifying and expanding treatment eligibility for chronic hepatitis B (CHB) in Korea can reduce the incidence of hepatocellular carcinoma (HCC) and save more lives. This measure, combined with high diagnostic rates, is highly cost-effective.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2022)

Review Gastroenterology & Hepatology

How to achieve functional cure of HBV: Stopping NUCs, adding interferon or new drug development?

Grace L. H. Wong et al.

Summary: Functional cure of hepatitis B is defined as sustained undetectable circulating HBsAg and HBV DNA after a finite course of treatment. Current therapies for HBV rarely achieve cure, but novel antiviral and immunomodulatory strategies show promise in increasing the chance of cure through personalized approaches. The development of safe, effective, and affordable curative therapies must be coupled with standardized virologic and immunologic assays to confirm target engagement and to assess response.

JOURNAL OF HEPATOLOGY (2022)

Article Gastroenterology & Hepatology

A case of HBV-induced liver failure in the REEF-2 phase II trial: Implications for finite treatment strategies in HBV 'cure'

Kosh Agarwal et al.

Summary: The study describes a severe case of hepatitis B reactivation that occurred shortly after the withdrawal of a nucleoside analogue within a clinical trial. Despite best supportive care and prompt re-introduction of tenofovir, the patient developed subacute liver failure, requiring emergency orthotopic liver transplantation. This case highlights the potential risks of finite therapy and emphasizes the need for improved biomarker-driven strategies and re-evaluation of study protocols.

JOURNAL OF HEPATOLOGY (2022)

Review Medicine, General & Internal

Capsid Assembly Modulators as Antiviral Agents against HBV: Molecular Mechanisms and Clinical Perspectives

Valerio Taverniti et al.

Summary: Despite the availability of a preventive vaccine, over 250 million people are still affected by chronic hepatitis B virus (HBV) infection, which is a major cause of liver disease and hepatocellular carcinoma. The core protein of HBV plays a crucial role in the virus's life cycle and represents a promising target for the development of new antiviral therapies. Capsid assembly modulators (CAM) have shown potent antiviral activity in cell-based and in vivo models, and several CAMs are currently being developed for clinical use.

JOURNAL OF CLINICAL MEDICINE (2022)

Article Medicine, General & Internal

Efficacy and Safety of Bepirovirsen in Chronic Hepatitis B Infection

Man-Fung Yuen et al.

Summary: Bepirovirsen treatment for 24 weeks at a dose of 300 mg per week resulted in sustained loss of hepatitis B surface antigen (HBsAg) and HBV DNA in 9%-10% of patients with chronic HBV infection. Larger and longer trials are needed to assess the efficacy and safety of bepirovirsen.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Article Gastroenterology & Hepatology

Phase IIa, randomised, double-blind study of GSK3389404 in patients with chronic hepatitis B on stable nucleos(t)ide therapy

Man-Fung Yuen et al.

Summary: This study evaluated the safety and efficacy of GSK3389404, a drug targeting chronic HBV infection. The results showed that GSK3389404 can reduce the production of HBV viral proteins, although no optimal dosing regimen was identified.

JOURNAL OF HEPATOLOGY (2022)

Review Immunology

Novel therapeutic strategies for chronic hepatitis B

Sandra Phillips et al.

Summary: The last few years have seen significant progress in the development of drugs for hepatitis B, including direct-acting antivirals and host-targeted therapies. Therapeutic vaccines and drugs directly targeting the key factors of hepatitis B persistence hold promise. The field of hepatitis B research also includes other potential treatments.

VIRULENCE (2022)

Article Gastroenterology & Hepatology

Global, regional, and national burden of hepatitis B, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019

Brittney S. Sheena et al.

Summary: This study estimated the global, regional, and national prevalence of HBV, as well as mortality and DALYs due to HBV in 2019. It found a decline in HBV infection rates in different age groups, but an increase in HBV-related deaths. Many countries have reached the target for HBV infection rates in children, but targets for reducing deaths and cases have not been met, and progress needs to be accelerated to achieve the 2030 goals.

LANCET GASTROENTEROLOGY & HEPATOLOGY (2022)

Review Gastroenterology & Hepatology

Should Treatment Indications for Chronic Hepatitis B Be Expanded?

Wen-Juei Jeng et al.

Summary: Current treatment for chronic hepatitis B virus (HBV) does not eradicate the virus, requiring long-term maintenance for most patients. Expanding treatment to certain patient populations, such as immune tolerant patients and those with evidence of liver disease, is supported by available evidence. However, data supporting treatment expansion for confirmed inactive carriers and other immune tolerant patients is lacking. New therapies that can achieve HBsAg loss in a high percentage of patients after a finite course of treatment may allow for more liberal HBV treatment indications in the future.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Composition of HBsAg is predictive of HBsAg loss during treatment in patients with HBeAg-positive chronic hepatitis B

Maria Pfefferkorn et al.

Summary: This study found that the decline in MHBs levels occurred earlier than HBsAg loss before treatment, and the proportion of MHBs was the best predictor of HBsAg loss before NA treatment. LHBs and MHBs show promise as novel biomarkers for predicting the cure of chronic HBV infection.

JOURNAL OF HEPATOLOGY (2021)

Article Immunology

Improving the Prediction of Relapse After Nucleos(t)ide Analogue Discontinuation in Patients With Chronic Hepatitis B

Do Seon Song et al.

Summary: This study identified end-of-therapy HBsAg levels, consolidation duration, and cirrhosis as key determinants of off-therapy relapse. Extended consolidation therapy for >= 2 years, in combination with low HBsAg levels, is recommended for HBeAg-positive patients, while the risk of relapse in HBeAg-negative patients is mainly associated with HBsAg levels.

CLINICAL INFECTIOUS DISEASES (2021)

Article Gastroenterology & Hepatology

Viral and immune factors associated with successful treatment withdrawal in HBeAg-negative chronic hepatitis B patients

Mireia Garcia-Lopez et al.

Summary: Factors contributing to successful outcome upon nucleos(t)ide analogue treatment withdrawal in HBeAg-negative chronic hepatitis B patients include low HBsAg levels, decreased cccDNA transcription, and the presence of functional HBV-specific T cells. Moreover, a high frequency of functional HBV-specific CD8+ T cells at baseline is associated with sustained viral control off treatment. This study highlights the importance of virological and immunological factors in guiding individualized therapy for chronic hepatitis B patients.

JOURNAL OF HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Immunotherapy of HBV-related advanced hepatocellular carcinoma with short-term HBV-specific TCR expressed T cells: results of dose escalation, phase I trial

Fanping Meng et al.

Summary: The study demonstrates that the adoptive transfer of HBV-specific TCR redirected T cells into advanced HBV-HCC patients is generally safe and well-tolerated, with some clinical efficacy observed. These findings support the continued development and eventual application of this treatment strategy in patients with advanced HBV-related HCC.

HEPATOLOGY INTERNATIONAL (2021)

Article Gastroenterology & Hepatology

Safety, Pharmacokinetics, and Pharmacodynamics of the Oral TLR8 Agonist Selgantolimod in Chronic Hepatitis B

Edward J. Gane et al.

Summary: Selgantolimod was found to be safe and well-tolerated in patients with chronic hepatitis B (CHB), inducing cytokine responses and antiviral immunity. Although some patients experienced adverse events and laboratory abnormalities, they were mild or moderate in severity. Further studies with longer treatment durations are needed to assess efficacy.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

First-line oral antiviral therapies showed similar efficacies in suppression of serum HBcrAg in chronic hepatitis B patients

Lung-Yi Mak et al.

Summary: The study found that in CHB patients, those treated with entecavir and tenofovir showed significantly lower serum HBcrAg levels at 48 weeks and 96 weeks after treatment, with a slightly higher reduction in the tenofovir group. However, there was no significant difference in the reduction of HBcrAg levels between patients treated with tenofovir and tenofovir alafenamide.

BMC GASTROENTEROLOGY (2021)

Article Gastroenterology & Hepatology

The times they are a-changing - A refined proposal for finite HBV nucleos(t)ide analogue therapy

Thomas Berg et al.

Summary: The appropriateness of considering HBsAg loss before discontinuation of nucleos(t)ide analogues (NA) treatment in the HBeAg-negative phase remains highly controversial. Although some HBeAg-negative patients can be cured by stopping NA treatment, concerns about discontinuation-associated relapse and uncertainty in predicting off-therapy response have led to low implementation of this concept in the clinic.

JOURNAL OF HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Clinical efficacy of a novel, high-sensitivity HBcrAg assay in the management of chronic hepatitis B and HBV reactivation

Takako Inoue et al.

Summary: A fully automated, novel high-sensitivity hepatitis B core-related antigen assay (iTACT-HBcrAg) has been developed for monitoring chronic hepatitis B (CHB) and for the early detection of HBV reactivation. The clinical performance of iTACT-HBcrAg was compared with other HBV markers, showing satisfactory analytical performance and potential as a general marker of disease progression and treatment response.

JOURNAL OF HEPATOLOGY (2021)

Article Immunology

Incidences and Determinants of Functional Cure During Entecavir or Tenofovir Disoproxil Fumarate for Chronic Hepatitis B

Yao-Chun Hsu et al.

Summary: In patients with chronic hepatitis B treated with ETV or TDF, the occurrence of HBsAg seroclearance is rare and is associated with low-level viremia, elevated alanine aminotransferase levels, bilirubin levels, and fatty liver.

JOURNAL OF INFECTIOUS DISEASES (2021)

Article Cell Biology

Clearance of pegylated interferon by Kupffer cells limits NK cell activation and therapy response of patients with HBV infection

Akira Nishio et al.

Summary: The study found that early NK cell activation in patients with chronic HBV infection is associated with better treatment outcomes, while delayed increases in PEG-IFN-alpha concentration may lead to impaired immune responses. These results reveal the important role of PEG-IFN-alpha in treatment, with its immunomodulatory functions being affected by pharmacokinetics.

SCIENCE TRANSLATIONAL MEDICINE (2021)

Article Gastroenterology & Hepatology

Comparison of Long-Term Clinical Outcomes Between Spontaneous and Therapy-Induced HBsAg Seroclearance

Jonggi Choi et al.

Summary: The study found that the risks of HCC and clinical events were not significantly different between spontaneous and NUC-induced HBsAg seroclearance. However, even after HBsAg seroclearance, the annual risk of HCC exceeds the recommended cutoff for HCC surveillance, suggesting continued monitoring is necessary.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

HBV RNA Profiles in Patients With Chronic Hepatitis B Under Different Disease Phases and Antiviral Therapy

Lung-Yi Mak et al.

Summary: This study explored the profile of HBV RNA in patients with chronic hepatitis B and its correlation with other viral markers. The results showed distinct profiles of HBV RNA in patients at different disease phases and its strong correlation with HBcrAg. NA treatment could effectively reduce serum HBV RNA levels in treatment-naive patients. Monitoring of viral activities through serum HBV RNA is still possible in patients with undetectable HBV DNA.

HEPATOLOGY (2021)

Article Gastroenterology & Hepatology

Risks and Benefits of Discontinuation of Nucleos(t)ide Analogue Treatment: A Treatment Concept for Patients With HBeAg-Negative Chronic Hepatitis B

Florian van Boemmel et al.

Summary: Discontinuation of nucleos(t)ide analogues is an effective strategy for achieving control over HBeAg-negative HBV infections, with up to 20% long-term HBsAg loss rates reported in prospective trials. Low HBsAg levels at cessation of treatment predict a positive long-term response to NA discontinuation.

HEPATOLOGY COMMUNICATIONS (2021)

Article Gastroenterology & Hepatology

Comparative biomarkers for HBsAg loss with antiviral therapy shows dominant influence of quantitative HBsAg (qHBsAg)

Seng Gee Lim et al.

Summary: This study evaluated the role of qHBsAg, HBV RNA, and qHBcrAg in predicting HBsAg loss in CHB patients, finding that on-treatment biomarker predictors were more effective than baseline ones. The best predictor of HBsAg loss at 72 weeks was a qHBsAg level <70 IU/mL at week 8.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2021)

Article Gastroenterology & Hepatology

Comparison of HBsAg changes between HBeAg-negative patients who discontinued or maintained entecavir therapy

Chien-Hung Chen et al.

HEPATOLOGY INTERNATIONAL (2020)

Letter Gastroenterology & Hepatology

The HBeAg-Negative Gray Zone Phase: A Frequent Condition With Different Outcomes in Western and Asian Patients?

Martin Bonacci et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2020)

Article Gastroenterology & Hepatology

Knockdown of Virus Antigen Expression Increases Therapeutic Vaccine Efficacy in High-titer HBV Carrier Mice

Thomas Michler et al.

GASTROENTEROLOGY (2020)

Article Pharmacology & Pharmacy

Characterization of the antiviral effects of REP 2139 on the HBV lifecycle in vitro

Richard Boulon et al.

ANTIVIRAL RESEARCH (2020)

Review Virology

Advances with RNAi-Based Therapy for Hepatitis B Virus Infection

Fiona van den Berg et al.

VIRUSES-BASEL (2020)

Review Medicine, General & Internal

New Approaches to the Treatment of Chronic Hepatitis B

Alexandra Alexopoulou et al.

JOURNAL OF CLINICAL MEDICINE (2020)

Article Gastroenterology & Hepatology

Ten-year efficacy and safety of tenofovir disoproxil fumarate treatment for chronic hepatitis B virus infection

Patrick Marcellin et al.

LIVER INTERNATIONAL (2019)

Article Gastroenterology & Hepatology

Nivolumab in advanced hepatocellular carcinoma: Sorafenib-experienced Asian cohort analysis

Thomas Yau et al.

JOURNAL OF HEPATOLOGY (2019)

Review Gastroenterology & Hepatology

Finite nucleos(t)ide analog therapy in HBeAg-negative chronic hepatitis B: an emerging paradigm shift

Yun-Fan Liaw

HEPATOLOGY INTERNATIONAL (2019)

Review Gastroenterology & Hepatology

Restoring, releasing or replacing adaptive immunity in chronic hepatitis B

Mala K. Maini et al.

NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY (2019)

Article Gastroenterology & Hepatology

Hepatitis B virus relapse rates in chronic hepatitis B patients who discontinue either entecavir or tenofovir

Ming-Te Kuo et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2019)

Letter Gastroenterology & Hepatology

Progression of Untreated Minimally Active Chronic HBV Infection Compared to Inactive Infection

Hye Won Lee et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2019)

Article Gastroenterology & Hepatology

Declining in liver stiffness cannot indicate fibrosis regression in patients with chronic hepatitis B: A 78-week prospective study

Xiao-Qin Dong et al.

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2019)

Article Gastroenterology & Hepatology

HBeAg seroconversion is associated with a more effective PD-L1 blockade during chronic hepatitis B infection

Sara Ferrando-Martinez et al.

JHEP REPORTS (2019)

Article Gastroenterology & Hepatology

Anti-viral therapy can be delayed or avoided in a significant proportion of HBeAg-negative Caucasian patients in the Grey Zone

M. Bonacci et al.

ALIMENTARY PHARMACOLOGY & THERAPEUTICS (2018)

Review Gastroenterology & Hepatology

Systematic review with meta-analysis: Change in liver stiffness during anti-viral therapy in patients with hepatitis B

Antonio Facciorusso et al.

DIGESTIVE AND LIVER DISEASE (2018)

Letter Gastroenterology & Hepatology

HBsAg Kinetics in Retreatment Decision for Off-Therapy Hepatitis B Flare in HBeAg-Negative Patients

Yun-Fan Liaw et al.

GASTROENTEROLOGY (2018)

Article Gastroenterology & Hepatology

Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance

Norah A. Terrault et al.

HEPATOLOGY (2018)

Article Medicine, Research & Experimental

Hepatitis B virus-specific T cells associate with viral control upon nucleos(t)ide-analogue therapy discontinuation

Laura Rivino et al.

JOURNAL OF CLINICAL INVESTIGATION (2018)

Article Gastroenterology & Hepatology

Safety, efficacy and pharmacodynamics of vesatolimod (GS-9620) in virally suppressed patients with chronic hepatitis B

Harry L. A. Janssen et al.

JOURNAL OF HEPATOLOGY (2018)

Review Gastroenterology & Hepatology

Systematic review of risk factors of hepatocellular carcinoma after hepatitis B surface antigen seroclearance

X. -J. Kuang et al.

JOURNAL OF VIRAL HEPATITIS (2018)

Article Medicine, General & Internal

Hepatitis B virus infection

Man-Fung Yuen et al.

NATURE REVIEWS DISEASE PRIMERS (2018)

Article Gastroenterology & Hepatology

Intrahepatic innate immune response pathways are downregulated in untreated chronic hepatitis B

Fanny Lebosse et al.

JOURNAL OF HEPATOLOGY (2017)

Letter Gastroenterology & Hepatology

Serum HBV pgRNA as a clinical marker for cccDNA activity

Katja Giersch et al.

JOURNAL OF HEPATOLOGY (2017)

Article Gastroenterology & Hepatology

Hepatitis B virus long-term impact of antiviral therapy nucleot(s)ide analogues (NUCs)

Glenda Grossi et al.

LIVER INTERNATIONAL (2017)

Article Gastroenterology & Hepatology

Seven-Year Treatment Outcome of Entecavir in a Real-World Cohort: Effects on Clinical Parameters, HBsAg and HBcrAg Levels

Yuk-Fai Lam et al.

CLINICAL AND TRANSLATIONAL GASTROENTEROLOGY (2017)

Article Gastroenterology & Hepatology

Asian-Pacific clinical practice guidelines on the management of hepatitis B: a 2015 update

S. K. Sarin et al.

HEPATOLOGY INTERNATIONAL (2016)

Review Gastroenterology & Hepatology

Discontinuation of oral antivirals in chronic hepatitis B: A systematic review

George Papatheodoridis et al.

HEPATOLOGY (2016)

Review Gastroenterology & Hepatology

Hepatitis B virus receptors and molecular drug targets

Eloi R. Verrier et al.

HEPATOLOGY INTERNATIONAL (2016)

Article Gastroenterology & Hepatology

Treatment of chronic hepatitis D with the entry inhibitor myrcludex B: First results of a phase Ib/IIa study

Pavel Bogomolov et al.

JOURNAL OF HEPATOLOGY (2016)

Review Gastroenterology & Hepatology

Mechanisms of HBV-induced hepatocellular carcinoma

Massimo Levrero et al.

JOURNAL OF HEPATOLOGY (2016)

Review Gastroenterology & Hepatology

Overview of hepatitis B viral replication and genetic variability

Shuping Tong et al.

JOURNAL OF HEPATOLOGY (2016)

Article Immunology

Viral and Host Responses After Stopping Long-term Nucleos(t)ide Analogue Therapy in HBeAg-Negative Chronic Hepatitis B

Christoph Hoener zu Siederdissen et al.

JOURNAL OF INFECTIOUS DISEASES (2016)

Review Microbiology

Viral evasion of intracellular DNA and RNA sensing

Ying Kai Chan et al.

NATURE REVIEWS MICROBIOLOGY (2016)

Review Virology

Molecular biology of hepatitis B virus infection

Christoph Seeger et al.

VIROLOGY (2015)

Review Chemistry, Medicinal

Targeting Viral Entry for Treatment of Hepatitis B and C Virus Infections

Che C. Colpitts et al.

ACS INFECTIOUS DISEASES (2015)

Article Multidisciplinary Sciences

Specific and Nonhepatotoxic Degradation of Nuclear Hepatitis B Virus cccDNA

Julie Lucifora et al.

SCIENCE (2014)

Article Gastroenterology & Hepatology

Reduction of Hepatitis B Surface Antigen and Covalently Closed Circular DNA by Nucleos(t)ide Analogues of Different Potency

Danny Ka-Ho Wong et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2013)

Editorial Material Gastroenterology & Hepatology

BASIC AND TRANSLATIONAL-LIVER

Robert E. Lanford et al.

GASTROENTEROLOGY (2013)

Article Gastroenterology & Hepatology

Entecavir Treatment Reduces Hepatic Events and Deaths in Chronic Hepatitis B Patients With Liver Cirrhosis

Grace Lai-Hung Wong et al.

HEPATOLOGY (2013)

Review Virology

Medical Virology of Hepatitis B: how it began and where we are now

Wolfram H. Gerlich

VIROLOGY JOURNAL (2013)

Article Gastroenterology & Hepatology

Restored Function of HBV-Specific T Cells After Long-term Effective Therapy With Nucleos(t)ide Analogues

Carolina Boni et al.

GASTROENTEROLOGY (2012)

Review Gastroenterology & Hepatology

Considerations for the long-term treatment of chronic hepatitis B with nucleos(t)ide analogs

Joerg Petersen et al.

EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY (2012)

Review Gastroenterology & Hepatology

Asian-Pacific consensus statement on the management of chronic hepatitis B: a 2008 update

Yun-Fan Liaw et al.

HEPATOLOGY INTERNATIONAL (2008)

Article Medicine, General & Internal

Peginterferon alfa-2a, lamivudine, and the combination for HBeAg-positive chronic hepatitis B

GKK Lau et al.

NEW ENGLAND JOURNAL OF MEDICINE (2005)

Article Multidisciplinary Sciences

Nuclear import of hepatitis B virus capsids and release of the viral genome

B Rabe et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2003)

Article Gastroenterology & Hepatology

Interferon α treatment and retreatment of hepatitis B e antigen-negative chronic hepatitis B

EK Manesis et al.

GASTROENTEROLOGY (2001)

Article Multidisciplinary Sciences

Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells

SM Elbashir et al.

NATURE (2001)