Table 7.
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.