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Clin Gastroenterol Hepatol. 2012 Apr 1. [Epub ahead of print]
High Rates of Viral Suppression following Long-Term Entecavir Treatment of Asian Patients with HBeAg-Positive Chronic Hepatitis B.Pan CQ, Tong M, Kowdley KV, Hu KQ, Chang TT, Lai CL, Yoon SK, Lee SS, Cohen D, Tang H, Tsai N.
SourceDivision of Liver Diseases, Mount Sinai School of Medicine, New York, NY, USA.
AbstractThere are limited data on the effects of long-term entecavir therapy in Asian patients with chronic hepatitis B (CHB). We performed a post-hoc analysis of 94 Asian, hepatitis B e antigen-positive (HBeAg+), nucleos(t)ide analog-naïve patients who received 5 years of therapy with entecavir (up to 2 years in study ETV-022 and the remainder in study ETV-901). Among patients completing Week 240, 95% (63/66) had levels of hepatitis B virus DNA <300 copies/mL, and 76% (50/66) had normalized levels of alanine aminotransferase. In addition to patients who achieved a serologic response during ETV-022, another 40% (26/65) achieved HBeAg loss and 18% (12/65) underwent HBeAg seroconversion after 5 years of therapy with entecavir. No resistance to entecavir was detected and the safety profile was consistent with previous reports. The long-term efficacy and safety of entecavir are therefore comparable between Asians and the overall population of HBeAg+ patients with CHB.
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