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This study showed that HBeAg loss after treatment with PEG-IFN-α-2b alone or in combination with LAM was sustained in 81% of patients after 3 years of post-treatment follow-up and a high rate (58%) of HBsAg loss in genotype A-infected patients who lost HBeAg
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This randomized study showed that ADV treatment for 5 years resulted in HBeAg seroconversion in 48% of patients but the rate of ADV resistance increased to 20%
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Sherman M, Yurdaydin C, Simsek H, et al. Entecavir therapy for lamivudine-refractory chronic hepatitis B: improved virologic, biochemical, and serology outcomes through 96 weeks. Hepatology 2008; 48:99-108. This study showed that extending the duration of ETV from 48 to 96 weeks increased the treatment response in LAM-refractory patients. However, the response rate was lower and resistance rates markedly higher compared with nucleoside-naive patients.
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Lai CL, Gane E, Liaw YF, et al. Telbivudine versus lamivudine in patients with chronic hepatitis B. N Engl J Med 2007; 357:2576-2588. This large randomized phase III trial showed that TBV led to greater HBV DNA suppression, normalization of ALT, and histologic improvement compared with LAM. Antiviral resistance rates were significantly lower compared with LAM but unacceptably high compared with other approved therapies.
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