Hepatitis B: treatment choice and monitoring for response and resistance

Expert Rev Gastroenterol Hepatol. 2016 Jun;10(6):697-707. doi: 10.1586/17474124.2016.1145547. Epub 2016 Feb 11.

Abstract

Despite effective preventive primary prevention with vaccination, many people remain infected with hepatitis B virus (HBV) and suffer from its complications. Effective treatments such as interferon-based regimens and oral nucleoside/nucleotides have been developed over the last 30 years, but they are not perfect. Each of the treatments has its own merits, but none can eradicate HBV from the host. As a result, regular monitoring of the response during treatment and after treatment is required. The choice and monitoring of selected treatments, new potential therapeutic agents, and treatment options for drug resistance are discussed in this review.

Keywords: ARC-520; Myrcludex B; entecavir; hepatitis B virus; interferon-alfa; monitor; tenofovir; treatment.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / adverse effects
  • Antiviral Agents / therapeutic use*
  • Drug Monitoring*
  • Drug Resistance, Viral* / genetics
  • Drug Therapy, Combination
  • Genotype
  • Hepatitis B / diagnosis
  • Hepatitis B / drug therapy*
  • Hepatitis B / virology
  • Hepatitis B virus / drug effects*
  • Hepatitis B virus / genetics
  • Hepatitis B virus / growth & development
  • Humans
  • Patient Selection*
  • Predictive Value of Tests
  • Treatment Outcome

Substances

  • Antiviral Agents