Table 3.
Guidelines | HBeAg positive | HBeAg negative | Decompensated |
1st line | 48-wk of PEG-IFN-α-2a | 48-wk of PEG-IFN-α-2a | ETV or TDF (LAM resistance) |
2nd line | TDF or ETV (TDF contraindication) | ETV or TDF | |
3rd line | LAM + TDFor ETV + TDF (LAM resistance) | ETV or TDF |
In adults with compensated liver disease, current guidelines advise first-line treatment with 48 wk of PEG-IFN-α-2a. If PEG-IFN-α-2a is contraindicated, tenofovir or entecavir should be trialed. PEG-IFN: Pegylated interferon; HBeAg: Hepatitis B e antigen; ETV: Entecavir; LAM: Lamivudine; TDF: Tenofovir disoproxil fumarate.