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Roadmap to functional cure of chronic hepatitis B: An expert consensus

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept & Inst Infect Dis, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China [2]Peking Univ First Hosp, Ctr Liver Dis, Dept Infect Dis, Beijing, Peoples R China [3]Second Affiliated Hosp Chongqing Med Univ, Dept Infect Dis, Chongqing, Peoples R China [4]Third Affiliated Hosp Sun Yat sen Univ, Dept Infect Dis, Guangzhou, Guangdong, Peoples R China [5]Fudan Univ, Huashan Hosp, Dept Infect Dis, Shanghai, Peoples R China [6]Peking Univ, Sch Basic Med Sci, Hlth Sci Ctr, Dept Microbiol, Beijing, Peoples R China [7]Peking Univ, Sch Basic Med Sci, Hlth Sci Ctr, Ctr Infect Dis, Beijing, Peoples R China [8]PLA, Gen Hosp, Med Ctr 5, Treatment & Res Ctr Infect Dis, Beijing, Peoples R China
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关键词: chronic hepatitis B combination therapy consensus functional cure HBsAg loss

摘要:
Hepatitis B virus (HBV) infection continues to be a major public health issue worldwide. HBsAg loss is associated with functional remission and improved long-term outcome, and is considered to be a 'functional cure' (also referred to as clinical or immunologic cure) for chronic hepatitis B. This ideal goal of therapy can be achieved using optimized combination regimens with direct-acting antivirals [eg nucleos(t)ide analogues (NAs)] and immunomodulators [eg pegylated interferon alpha2a (Peg-IFN)] in selected patients with chronic hepatitis B. Among different combination therapies currently available, those with NA lead-in followed by Peg-IFN in virally suppressed patients has been demonstrated to be effective. This review provides an updated overview of the evidence supporting the use of combination therapies and summarizes expert consensus on the roadmap to attain functional cure for chronic hepatitis B patients.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 胃肠肝病学 2 区 传染病学 2 区 病毒学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 传染病学 3 区 病毒学 4 区 胃肠肝病学
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出版当年[2017]版:
Q1 INFECTIOUS DISEASES Q1 GASTROENTEROLOGY & HEPATOLOGY Q2 VIROLOGY
最新[2023]版:
Q3 GASTROENTEROLOGY & HEPATOLOGY Q3 INFECTIOUS DISEASES Q3 VIROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept & Inst Infect Dis, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
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