[History and presence of hepatitis B and C therapy]

Vnitrni Lekarstvi
|September 22, 2017
PubMed

Insights

Hepatitis B virus (HBV) and hepatitis C virus (HCV) treatments have advanced significantly. Current therapies for chronic hepatitis B focus on managing progression, while new IFN-free regimens offer a cure for chronic hepatitis C with high efficacy.

Area of Science:

  • Hepatology
  • Virology
  • Infectious Diseases

Background:

  • Hepatitis B virus (HBV) and hepatitis C virus (HCV) are leading causes of chronic liver disease globally.
  • Significant advancements in understanding pathophysiology, diagnostics, and therapeutics have improved patient care over the past two decades.

Purpose of the Study:

  • To outline current treatment goals and strategies for chronic hepatitis B (CHB) and chronic hepatitis C (CHC).
  • To highlight the efficacy and advantages of new interferon-free (IFN-free) therapies for CHC.

Main Methods:

  • Review of current treatment options for CHB, including oral antivirals (tenofovir, entecavir) and pegylated interferon α-2a.
  • Description of CHC treatment aiming for sustained virological response (SVR) using IFN-free regimens.

Main Results:

  • CHB treatment aims to prevent progression to cirrhosis, decompensation, and hepatocellular carcinoma (HCC), often requiring long-term or lifelong oral therapy.
  • IFN-free regimens for CHC achieve cure rates of 95-100% with minimal side effects and contraindications, representing the current standard of care.

Conclusions:

  • Treatment strategies for CHB focus on long-term management and disease progression prevention.
  • IFN-free therapies have revolutionized CHC treatment, offering high cure rates and improved patient outcomes.

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