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History. 49-year-old man, bank employee, married, 2 kids.Consults a gastroenterologist for HBeAg CHB.Diagnosis had been established 3 years before, when donating blood (HBsAg positive). He had received 2-year therapy with lamivudine achieving HBV DNA negativization and ALT normalization within t
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1. Treatment of Chronic Hepatitis B in an HBeAg Positive PatientGeographical Area: America
11. Early viral suppression with Telbivudine leads to a reduced rate of resistance at 2 years in HBeAg-Pos patients References: CSR p367
Therapeutic Response=HBV DNA suppressed to = 5 log10, with ALT normalized OR HBeAg lossReferences: CSR p367
Therapeutic Response=HBV DNA suppressed to = 5 log10, with ALT normalized OR HBeAg loss
15. Data from 5 studies
High HBV DNA levels at 1 year are predictive of ADV resistance Two mutations detected:
N236T
A181V
28. Early viral suppression with Telbivudine leads to a reduced rate of resistance at 2 years in HBeAg-Pos patients References: CSR p367
Therapeutic Response=HBV DNA suppressed to = 5 log10, with ALT normalized OR HBeAg lossReferences: CSR p367
Therapeutic Response=HBV DNA suppressed to = 5 log10, with ALT normalized OR HBeAg loss