Management and Treatment of Patients with Chronic Hepatitis B: Towards Personalized Medicine

Viruses. 2022 Mar 28;14(4):701. doi: 10.3390/v14040701.

Abstract

The currently available antiviral treatments (Peg-Interferon-α and Nucleos(t)ide Analogues, NA) for chronic hepatitis B (CHB) achieve a functional cure (serum HBsAg and HDV-DNA clearance) of HBV infection in a limited number of patients. Nevertheless, the continuous pharmacological suppression of viral replication by NA halts liver disease progression lowering the risk of HCC development and improving the survival. In the near future, to fully exploit the potential of old and new drugs for HBV treatment a personalized approach to the patients will be required according to an accurate definition of their virologic, immunologic and clinical profile.

Keywords: HBV; HBV functional cure; Interferon-α; antiviral treatment; chronic hepatitis B; nucleos(t)ide analogues.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Carcinoma, Hepatocellular* / drug therapy
  • DNA, Viral
  • Hepatitis B Surface Antigens
  • Hepatitis B virus / genetics
  • Hepatitis B, Chronic* / drug therapy
  • Humans
  • Liver Neoplasms* / drug therapy
  • Precision Medicine

Substances

  • Antiviral Agents
  • DNA, Viral
  • Hepatitis B Surface Antigens