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Review

Long-term therapy with nucleoside/nucleotide analogues for chronic hepatitis B in Asian patients

Calvin Q Pan, Ke-Qin Hu, Naoky Tsai

Corresponding author name: Calvin Q Pan
Corresponding author e-mail: Cpan11355@yahoo.com

Citation: Antiviral Therapy 2013; 18:841-852
doi: 10.3851/IMP2481

Date accepted: 05 October 2012
Date published online: 23 November 2012

Abstract

Of the estimated 400 million patients with chronic hepatitis B (CHB) globally, approximately 75% are Asians, representing a clinically important subgroup with a higher risk of cirrhosis and hepatocellular carcinoma than Caucasian patients. This review summarizes recent data from clinical long-term and real-life studies of entecavir and tenofovir, the recommended first-line oral therapies for treating CHB, in nucleoside/nucleotide-naive Asian CHB patients with compensated or decompensated liver disease. Long-term treatment with entecavir or tenofovir achieved profound and durable virological suppression, and led to improved liver histology and function. The data presented in this review will help physicians in making evidence-based decision choices regarding first-line antiviral therapy and long-term management in Asian CHB patients.

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