恩替卡韦
肝细胞癌
医学
内科学
替诺福韦
胃肠病学
肝硬化
慢性肝炎
累积发病率
乙型肝炎
乙型肝炎病毒
队列
肿瘤科
病毒学
拉米夫定
病毒
人类免疫缺陷病毒(HIV)
作者
Ji Eun Na,Dong Hyun Sinn,Jeong Hoon Lee,Heejoon Jang,Seon Yeong Baek,Kyung A Kim,Won Seok Kang,Geum Youn Gwak,Y.-H. Paik,Yoon Jun Kim,Moon Seok Choi,Jung Hwan Yoon,Joon Hyeok Lee,Kwang Cheol Koh,Seung Woon Paik
摘要
Abstract Background & Aims Several studies suggested that efficacy of tenofovir in reducing the risk of the development of hepatocellular carcinoma (HCC) might be better than that of entecavir. It remains unknown whether a change in therapy can further reduce the risk of HCC in patients receiving entecavir therapy and achieved goal of antiviral therapy, a maintained undetectable hepatitis B virus (HBV) DNA level in the serum. Methods A total of 1336 treatment‐naïve chronic HBV mono‐infected adult patients, who started entecavir or tenofovir treatment and achieved a maintained virologic response during follow‐up were analysed. Results During a median 4.4 years of follow‐up (range, 1.0–7.4 years) after achieving virologic response, 99 patients developed HCC. The 5‐year cumulative HCC incidence rate was 7.3% and 6.3% for the entecavir and tenofovir groups, respectively, with similar risk of HCC between the two groups (adjusted HR, 0.82; 95% CI, 0.52–1.29; p = 0.3). The risk of HCC was similar in the propensity score‐matched cohort (HR, 1.02; 95% CI, 0.68–1.52; p = 0.94) and inverse probability treatment weighting analysis (HR, 1.11; 95% CI, 0.74–1.66; p = 0.62). In the subgroup analysis, HCC risk was similar between the two drugs in both patients with and without cirrhosis. Discussion In patients showing maintained virologic response, no difference in the risk of HCC between entecavir and tenofovir was observed. This indicates entecavir might be as effective as tenofovir in the prevention of HCC among those patients and suggest that a change in therapy in anticipation of further reducing the risk of HCC might not be necessary for patients receiving entecavir and showing virologic response.
科研通智能强力驱动
Strongly Powered by AbleSci AI