Table 2. Predictive value for outcomes of early HBV DNA measurements during antiviral therapy.
Time | Antiviral | Predictive level | Seroconversion | Resistance Rate |
---|---|---|---|---|
Week 4 | LMV | HBV DNA <2000 IU/mL | 100% PPV for HBeAg seroconversion | - |
Week 8 | PEG/LMV | HBV DNA > 104 copies/mL | 92% NPV for HBeAg seroconversion | - |
Week 12 | ADV | >3 log10 decline in HBV DNA | 87% HBeAg seroconversion (vs 24% if <3 log10) | - |
Week 24 | TEL/LMV | HBV DNA <300 copies/mL | 41% HBeAg seroconversion (vs 4% if >104 copies/mL) | 2% (vs 15% if HBV DNA >104 copies/mL) |
Week 24 | LMV | HBV DNA <200 copies/mL | - | 8% (vs 64% if HBV DNA >104 copies/mL) |
Abbreviations: SC, seroconversion; PPV, positive predictive value; NPV, negative predictive value, TEL, telbivudine, LMV, Lamivudine; PEG, pegylated interferon; ADV, adefovir; IU, international units;