Tenofovir disoproxil fumarate monotherapy for nucleos(t)ide-naive chronic hepatitis B patients in Korea: data from the clinical practice setting in a single-center cohort

Tenofovir disoproxil fumarate monotherapy for nucleos(t)ide-naive chronic hepatitis B patients in Korea: data from the clinical practice setting in a single-center cohort
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DOI:
10.3350/cmh.2014.20.3.261
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发表时间:
2014-09-01
影响因子:
8.9
通讯作者:
Park, Jun Yong
Park, Jun Yong
中科院分区:
医学2区
文献类型:
--
作者:
Ahn, Sung Soo;Chon, Young Eun;Park, Jun Yong

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背景/目的:本研究评估了富马酸替诺福韦二吡呋酯 (TDF) 在韩国初治慢性乙型肝炎 (CHB) 患者中长达 12 个月的抗病毒功效和安全性。方法:连续纳入 411 名接受 TDF 治疗至少 3 个月(中位数 5.6)的初治 CHB 患者。每3个月常规评估一次临床、生化、病毒学参数和治疗依从性。结果:中位年龄51.3岁,63.0%患者为男性,49.6%为HBeAg(+),210例患者患有肝硬化。基线 HBV DNA 中位数为 5.98 (SD 1.68) log(10) IU/mL。在完成第 48 周的患者中,83.3% 的患者达到了完全病毒学缓解(CVR、
Background/Aims: This study assessed the antiviral efficacy and safety of tenofovir disoproxil fumarate (TDF) for up to 12 months in Korean treatment-naive chronic hepatitis B (CHB) patients.Methods: A total of 411 treatment-naive CHB patients who had been treated with TDF for at least 3 months (median 5.6) were consecutively enrolled. Clinical, biochemical, virological parameters and treatment adherence were routinely assessed every 3 months.Results: The median age was 51.3 years, 63.0% of the patients were male, 49.6% were HBeAg (+), and 210 patients had liver cirrhosis. The median baseline HBV DNA was 5.98 (SD 1.68) log(10) IU/mL. Among the patients completing week 48, 83.3% had a complete virologic response (CVR,