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Postgraduate Medical Journal 2007;83:32-39; doi:10.1136/pgmj.2006.044826
Copyright © 2007 The Fellowship of Postgraduate Medicine

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REVIEW

Management of patients with HBeAg-negative chronic hepatitis B

Nripen Saikia , Rupjyoti Talukdar , Subhasish Mazumder , Sudeep Khanna , Rakesh Tandon

Department of Gastroenterology, Pushpawati Singhania Research Institute, New Delhi, India

Correspondence to:
Correspondence to:
Dr Nripen Saikia
Department of Gastroenterology, Pushpawati Singhania Research Institute, Sheikh Sarai Phase II, Press Enclave Marg, New Delhi 110017, India; saikia.n{at}gmail.com

Chronic hepatitis B (CHB) is one of the leading causes of morbidity and mortality worldwide. Although various drugs are available for the treatment of CHB, emergence of the hepatitis B e antigen (HBeAg)-negative mutant variant, specifically in Asia, the Middle East and southern Europe, is creating a new challenge as this variant is less responsive to available treatments. HBeAg-negative CHB rapidly progresses to cirrhosis and its related complications. This review discusses the available literature on the approved and under-trial treatment options and their respective efficacies for HBeAg-negative CHB.


Abbreviations: ALT, alanine aminotransferase; CHB, chronic hepatitis B; ETR, end-of-treatment response; HBeAg, hepatitis B e antigen; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; HCC, hepatocellular carcinoma; IFN, interferon; PCR, polymerase chain reaction; PEG-IFN, polyethylene glycol moiety attached to interferon; YMDD, tyrosine methionine D-aspartate D-aspartate

Keywords: chronic hepatitis B; HbeAg negative; resistant; entecavir; lamivudine; combination therapy







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