Virologic Monitoring of Hepatitis B Virus Therapy in Clinical Trials and Practice: Recommendations for a Standardized Approach

Treatment of chronic hepatitis B virus (HBV) infection is aimed at suppressing viral replication to the lowest possible level, and thereby to halt the progression of liver disease and prevent the onset of complications. Two categories of drugs are used in HBV therapy: the interferons, including stan...

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Veröffentlicht in:Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 2008-02, Vol.134 (2), p.405-415
Hauptverfasser: Pawlotsky, Jean–Michel, Dusheiko, Geoffrey, Hatzakis, Angelos, Lau, Daryl, Lau, George, Liang, T. Jake, Locarnini, Stephen, Martin, Paul, Richman, Douglas D, Zoulim, Fabien
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container_end_page 415
container_issue 2
container_start_page 405
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 134
creator Pawlotsky, Jean–Michel
Dusheiko, Geoffrey
Hatzakis, Angelos
Lau, Daryl
Lau, George
Liang, T. Jake
Locarnini, Stephen
Martin, Paul
Richman, Douglas D
Zoulim, Fabien
description Treatment of chronic hepatitis B virus (HBV) infection is aimed at suppressing viral replication to the lowest possible level, and thereby to halt the progression of liver disease and prevent the onset of complications. Two categories of drugs are used in HBV therapy: the interferons, including standard interferon alfa or pegylated interferon alfa, and specific nucleoside or nucleotide HBV inhibitors that target the reverse-transcriptase function of HBV-DNA polymerase. The reported results of clinical trials have used varying definitions of efficacy, failure, and resistance based on different measures of virologic responses. This article discusses HBV virologic markers and tests, and their optimal use both for planning and reporting clinical trials and in clinical practice.
doi_str_mv 10.1053/j.gastro.2007.11.036
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source MEDLINE; Elsevier ScienceDirect Journals; Alma/SFX Local Collection
subjects Antiviral Agents - therapeutic use
Biomarkers - metabolism
Clinical Trials as Topic - standards
Endpoint Determination
Gastroenterology and Hepatology
Hepatitis B - blood
Hepatitis B - drug therapy
Humans
Interferons - therapeutic use
Practice Guidelines as Topic - standards
Treatment Outcome
Virus Replication - drug effects
title Virologic Monitoring of Hepatitis B Virus Therapy in Clinical Trials and Practice: Recommendations for a Standardized Approach
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