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Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis
by
Tabak, Fehmi
, Subramanian, Mani
, Ma, Xiaoli
, Fung, Scott
, Mehta, Rajiv
, Chan, Alain
, Buti, Maria
, Petersen, Jörg
, Elkhashab, Magdy
, Wan-Long, Chuang
, Papatheodoridis, George
, Ahn, Sang Hoon
, Gaeta, Giovanni B
, Flisiak, Robert
, Caruntu, Florin A
, Marcellin, Patrick
, Crans, Gerald
, Guyer, William
, Chan, Henry L Y
, Hui, Aric J
, Won Young Tak
, Jump, Belinda
in
Antigens
/ Antiretroviral drugs
/ Hepatitis
/ Hepatitis B
/ Interferon
2018
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Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis
by
Tabak, Fehmi
, Subramanian, Mani
, Ma, Xiaoli
, Fung, Scott
, Mehta, Rajiv
, Chan, Alain
, Buti, Maria
, Petersen, Jörg
, Elkhashab, Magdy
, Wan-Long, Chuang
, Papatheodoridis, George
, Ahn, Sang Hoon
, Gaeta, Giovanni B
, Flisiak, Robert
, Caruntu, Florin A
, Marcellin, Patrick
, Crans, Gerald
, Guyer, William
, Chan, Henry L Y
, Hui, Aric J
, Won Young Tak
, Jump, Belinda
in
Antigens
/ Antiretroviral drugs
/ Hepatitis
/ Hepatitis B
/ Interferon
2018
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Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis
by
Tabak, Fehmi
, Subramanian, Mani
, Ma, Xiaoli
, Fung, Scott
, Mehta, Rajiv
, Chan, Alain
, Buti, Maria
, Petersen, Jörg
, Elkhashab, Magdy
, Wan-Long, Chuang
, Papatheodoridis, George
, Ahn, Sang Hoon
, Gaeta, Giovanni B
, Flisiak, Robert
, Caruntu, Florin A
, Marcellin, Patrick
, Crans, Gerald
, Guyer, William
, Chan, Henry L Y
, Hui, Aric J
, Won Young Tak
, Jump, Belinda
in
Antigens
/ Antiretroviral drugs
/ Hepatitis
/ Hepatitis B
/ Interferon
2018
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Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis
Journal Article
Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis
2018
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Overview
Background and AimsHepatitis B surface antigen (HBsAg) loss is the ideal clinical endpoint but is achieved rarely during oral antiviral treatment. A current unmet need in CHB management is achievement of HBsAg loss with a finite course of oral antiviral therapy, thereby allowing discontinuation of treatment. Significantly higher rates of HBsAg loss at 72 weeks post-treatment have been demonstrated when tenofovir disoproxil fumarate (TDF) was combined with pegylated interferon (PEG-IFN) for 48 weeks compared with either monotherapy. This analysis provides follow-up data at week 120.MethodsIn an open-label, active-controlled study, 740 patients with chronic hepatitis B were randomly assigned to receive TDF plus PEG-IFN for 48 weeks (group A), TDF plus PEG-IFN for 16 weeks followed by TDF for 32 weeks (group B), TDF for 120 weeks (group C), or PEG-IFN for 48 weeks (group D). Efficacy and safety at week 120 were assessed.ResultsRates of HBsAg loss at week 120 were significantly higher in group A (10.4%) than in group B (3.5%), group C (0%), and group D (3.5%). Rates of HBsAg loss and HBsAg seroconversion in group A were significantly higher than rates in group C (P < 0.001 for both) or group D (HBsAg loss: P = 0.002; HBsAg seroconversion: P < 0.001).ConclusionsThe results of this analysis confirm the results from earlier time points which demonstrate the increased rate of HBsAg loss in patients treated with a finite course of PEG-IFN plus TDF compared with the rates in patients receiving either monotherapy.
Publisher
Springer Nature B.V
Subject
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