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. 2020 Aug 28;26(4):411–429. doi: 10.3350/cmh.2020.0049

Table 7.

Comparison of cessation criteria for chronic hepatitis B treatment

KASL AASLD EASL APASL
NAs
HBeAg-postive CHB 1) HBsAg loss 1) HBeAg seroconversion with 12 months consolidation plus undetectable HBV DNA 1) HBsAg loss with/without anti-HB seroconversion 1) HBeAg seroconversion with 12 months consolidation (preferably 3 years)
2) HBeAg loss/seroconversion with 12 months consolidation plus undetectable HBV DNA 2) Alternatively, treat until HBsAg is lost 2) HBeAg seroconversion with 12 months consolidation plus undetectable HBV DNA 2) HBsAg loss or seroconversion
HBeAg-negative CHB 1) HBsAg loss 1) Indefinite 1) HBsAg loss with/without seroconversion 1) HBsAg loss or seroconversion
2) May be considered after HBsAg loss 2) May be considered after long-term (≥3 years) virological suppression after NA therapy 2) Undetectable HBV DNA for at least 2 years on 3 separate occasions each 6 months apart
Liver cirrhosis 1) Long-term treatment for compensated cirrhosis 1) Indefinite (may be considered after HBsAg loss) 1) Indefinite 1) NA therapy should be continued for life in compensated and decompensated cirrhotic patients
2) Indefinite for decompensated cirrhosis
Peg-Interferon
HBeAg (+) 48 weeks 48 weeks 48 weeks 48 weeks
HBeAg (-) 48 weeks 48 weeks 1) 48 weeks 48 weeks
2) Extending treatment beyond 48 weeks may be beneficial

1) Preferred, 2) alternative.

KASL, Korean Association for the Study of the Liver; AASLD, American Association for the Study of Liver Diseases; EASL, European Association for the Study of the Liver; APASL, Asian-Pacific Association for the Study of the Liver; NA, nucleos(t)ide analog; HBeAg, hepatitis B e antigen; CHB, chronic hepatitis B; HBV, hepatitis B virus; HBsAg, hepatitis B surface antigen; peg-interferon, pegylated interferon.