Literature DB >> 28200098

Use of Current and New Endpoints in the Evaluation of Experimental Hepatitis B Therapeutics.

Timothy M Block1, Stephen Locarnini2, Brian J McMahon3, Barbara Rehermann4, Marion G Peters5.   

Abstract

New hepatitis B virus (HBV) therapies are expected to have breakthrough benefit for patients. HBV functional cure is sustained hepatitis B surface antigen loss and anti-HBs gain, with normalization of serum aminotransferases off therapy. Virologic or complete cure additionally includes loss of HBV covalently closed circular DNA. Currently available endpoints of therapy are inadequate to evaluate the efficacy of many of the new therapeutics. Therefore, either new ways of using the existing virologic endpoints and laboratory values or entirely new biomarkers are needed. In this review, we discuss the currently used endpoints, potential new endpoints, as well as what new markers are needed to assess the ability of HBV therapeutics to achieve functional and virologic cure in various phases of HBV infection. In addition, we discuss how patient selection from differing phases of HBV impacts the choice of HBV drug(s) needed to achieve cure.
© The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  immunology; pathology; therapeutics; virology; markers

Mesh:

Substances:

Year:  2017        PMID: 28200098      PMCID: PMC5848252          DOI: 10.1093/cid/cix129

Source DB:  PubMed          Journal:  Clin Infect Dis        ISSN: 1058-4838            Impact factor:   9.079


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Journal:  Hepatology       Date:  2015-02       Impact factor: 17.425

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Review 8.  Liver sampling: a vital window into HBV pathogenesis on the path to functional cure.

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9.  Hepatitis B and HIV-1 2019 IAS Cure Forum: lessons and benefits from interdisciplinary research.

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Review 10.  Chronic Hepatitis B Treatment Strategies Using Polymerase Inhibitor-Based Combination Therapy.

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