EASL 2015: Tenofovir Cessation After Long-Term Treatment in HBV-Infected Patients Associated With Greater Decline in HBsAg

VIENNA, Austria -- April 29, 2015 -- Stopping tenofovir disoproxil fumarate treatment after long-term virologic suppression is safe and associated with a more profound decline in hepatitis B surface antigen (HBsAg) levels than continuous treatment in patients with hepatitis B e antigen (HBeAg)-negative chronic hepatitis B (CHB) who have undetectable hepatitis B virus (HBV) DNA, according to a study presented here at the International Liver Congress, the 50th Annual Meeting of the European Association for the Study of the Liver (EASL).

For patients with HBeAg-negative CHB, optimal nucleos(t)ide therapy duration remains to be defined. The various guidelines recommend long-term nucleos(t)ide therapy until HBsAg loss is reached.


However, “although long-term nucleos(t)ide therapy may partially restore HBV-specific T-cell function, HBsAg loss is rarely achieved in HBeAg-negative patients,” said Thomas Berg, MD, Hepatology Section, Internal Medicine, Leipzig University, Leipzig, Germany, on April 25.

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