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HBV Therapy and the Problem of Drug Resistance

  • A. J. ThompsonEmail author
  • S. A. Locarnini
Reference work entry

Abstract

The current goal of management for patients with chronic hepatitis B is to achieve sustained virological suppression. This has been shown to reduce the risk of liver disease progression, including cirrhosis, hepatic failure, and hepatocellular carcinoma. Nucleos(t)ide analogue monotherapy is commonly used as first-line therapy, and most patients will require long-term antiviral therapy. As for all direct-acting antiviral agents, the emergence of drug resistance is an important clinical concern. In this chapter, we discuss the principles of HBV antiviral resistance and clinical pathways for preventing the selection of drug-resistant variants, as well as appropriate management strategies for antiviral treatment failure.

Keywords

Hepatitis B Tenofovir Entecavir Adefovir Lamivudine Telbivudine Multidrug resistance Hepatocellular cancer (HCC) 

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of GastroenterologySt Vincent’s Hospital Melbourne and The University of MelbourneFitzroyAustralia
  2. 2.Victorian Infectious Diseases Reference LaboratoryNorth MelbourneAustralia

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