Journal Summaries in Gastroenterology
Impact of hepatitis B core-related antigen on the incidence of hepatocellular carcinoma in patients treated with nucleos(t)ide analogues
Alimentary Pharmacology and Therapeutics — Hosaka T, et al. | January 22, 2019
In patients with chronic hepatitis B after nucleos(t)ide analogue (NA) therapy, researchers examined if baseline and on-treatment serum hepatitis B core-related antigen (HBcrAg) levels can forecast hepatocellular carcinoma (HCC) incidence. Study participants included 1,268 patients treated with NA therapy for >1 year. For this investigation, serum HBcrAg and hepatitis B surface antigen levels were measured at baseline and 1 year in all patients. One hundred thirteen patients (8.9%) developed HCC (10.3/1,000 person-years) during a median follow-up of 8.9 years. The results obtained from the retrospective cohort study indicate that patients with persistently high on-treatment HBcrAg levels were more likely to develop HCC, in spite of sustained viral suppression through long-term NA treatment.作者: StephenW 时间: 2019-1-23 12:34