The different effects of adefovir dipivoxil and telbivudine on the prognosis of hepatitis b virus-related hepatocellular carcinoma patients after curative resection

Medicine (Baltimore). 2019 Feb;98(6):e14386. doi: 10.1097/MD.0000000000014386.

Abstract

Numerous studies suggested that antiviral therapy could reduce the recurrence in hepatocellular carcinoma (HCC) patients after hepatectomy. The impact of nucleotide and nucleoside analogues on prognosis of chronic hepatitis B (CHB) related HCC remains to be explored. We aimed to investigate the role of the telbivudine and adefovir dipivoxil on the prognosis of CHB-related HCC patients after hepatectomy.One hundred eighty-eight CHB-related patients who received hepatectomy from February 2010 to February 2017 were divided into telbivudine (LdT) and adefovir dipivoxil (ADV) groups. The characteristics and survival information of both groups were retrospectively compared and analyzed.One hundred eleven and 77 patients received telbivudine and adefovir dipivoxil monotherapy, respectively. Alanine aminotransferase (ALT), total bilirubin level, status of hepatitis B e antigen (HBeAg), serum HBV-DNA level were compared between groups. OS and DFS in ADV-treatment group were significantly better than it in LdT-treatment group (P < .05). In the subgroups analysis, we found that ADV treatment was significantly associated with better DFS and OS among patients with cirrhosis, HBeAg-negative patients, or those with detectable HBV-DNA.CHB-related HCC patients receiving long-term ADV-treatment had a better OS and DFS than patients receiving LdT-treatment after hepatectomy.

Publication types

  • Observational Study

MeSH terms

  • Adenine / administration & dosage
  • Adenine / analogs & derivatives*
  • Adenine / therapeutic use
  • Antiviral Agents / therapeutic use*
  • Carcinoma, Hepatocellular / drug therapy*
  • Carcinoma, Hepatocellular / etiology
  • Carcinoma, Hepatocellular / surgery
  • DNA, Viral
  • Female
  • Hepatitis B e Antigens / blood
  • Hepatitis B, Chronic / complications
  • Humans
  • Liver Function Tests
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / etiology
  • Liver Neoplasms / surgery
  • Male
  • Neoplasm Recurrence, Local
  • Nucleosides / therapeutic use
  • Nucleotides / therapeutic use
  • Organophosphonates / administration & dosage
  • Organophosphonates / therapeutic use*
  • Prognosis
  • Retrospective Studies
  • Telbivudine / administration & dosage
  • Telbivudine / therapeutic use*

Substances

  • Antiviral Agents
  • DNA, Viral
  • Hepatitis B e Antigens
  • Nucleosides
  • Nucleotides
  • Organophosphonates
  • Telbivudine
  • Adenine
  • adefovir dipivoxil