4.5 Review

Management of chronic HBV-HDV patients chronic HBV-HDV infection: A review on new management options

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Summary: Hepatitis D virus (HDV) coinfection with hepatitis B increases the risk of liver cancer, cirrhosis, and death compared to hepatitis B monoinfection. Accurate estimates of HDV prevalence are needed to effectively identify coinfected individuals. Implementing double reflex testing, including anti-HDV testing and HDV RNA testing, is the most effective method to generate estimates and identify undiagnosed individuals. This strategy is feasible and requires a relatively low number of tests.

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Summary: The study found that the combination of lonafarnib and ritonavir for the treatment of patients infected with HDV achieved good safety and efficacy at the end of 24 weeks. Patients in the all-oral LNF 50 mg bid + RTV and combination LNF + RTV + PEG-IFN alpha treatment groups reached the primary efficacy endpoint at the end of treatment. In addition, several patients in the combination treatment group experienced well-tolerated alanine aminotransferase increases after treatment.

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