Real World Experience of Telbivudine Versus Entecavir in Patients with Chronic Hepatitis B, Including Long-Term Outcomes after Treatment Modification.
10.3349/ymj.2018.59.3.383
- Author:
Jong Won CHOI
1
;
Se Hyun KIM
;
Jeong Hun SEO
;
Yong Suk CHO
;
Sun Young WON
;
Byung Kyu PARK
;
Han Ho JEON
;
Yong Kang LEE
;
Chun Kyon LEE
Author Information
1. Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea. cklee33@nhimc.or.kr
- Publication Type:Original Article
- Keywords:
Entecavir;
telbivudine;
tenofovir;
chronic hepatitis B
- MeSH:
DNA;
Hepatitis B virus;
Hepatitis B, Chronic*;
Hepatitis, Chronic*;
Humans;
Incidence;
Medical Records;
Retrospective Studies;
Tenofovir
- From:Yonsei Medical Journal
2018;59(3):383-388
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To estimate long-term outcomes after treatment modification in patients with chronic hepatitis B (CHB) treated with entecavir (ETV) and telbivudine (LdT). MATERIALS AND METHODS: The study enrolled 131 nucleos(t)ide analogue (NA)-naïve CHB patients treated with ETV or LdT. During the 3-year study, NA treatment history including the incidence, the type of treatment modification, reasons for the modification, and overall complete virologic response (CVR) rate were retrospectively evaluated using the patients' medical records. RESULTS: Among the 131 patients, 84 and 47 were initially treated with ETV and LdT, respectively. During the course of 3-year study, 82 patients in the ETV group (97.6%) maintained initial treatment whereas only 19 in the LdT group (40.4%). In the LdT group, 26 patients (92.9%) switched to another NA and another NA was added in 2 (7.1%) patients. An assessment of the CVR rate at 3 years, including treatment modification, showed that 89.3% and 95.7% of patients in the ETV and LdT groups, respectively, had undetectable serum hepatitis B virus DNA levels (p=0.329). Among LdT patients with treatment modification, the cumulative incidence rate of a CVR for rescue therapy was significantly higher in the tenofovir than in the ETV group (p=0.009). CONCLUSION: During the 3-year study, there were no significant differences in the CVR between the ETV and LdT groups if appropriate rescue therapy was considered.
