Table 1.
Recommendations on discontinuation of antiviral therapy in chronic hepatitis B patients by the European Association for the Study of Liver, American Association for the Study of Liver, and Asian Pacific Association for the Study of Liver guidelines
|
|
HBeAg-positive
|
HBeAg-negative
|
Cirrhosis
|
| EASL (2017) | HBsAg seroclearance | HBsAg seroclearance | No recommendation until HBsAg loss |
| HBeAg seroconversion and HBV DNA undetectable with at least 12 mo of consolidation therapy | May be consider before HBsAg loss if undetectable HBV DNA for at least 3 yr (close monitoring for at least 1 yr) | ||
| AASLD (2018) | HBsAg seroclearance | HBsAg seroclearance (close monitoring every 3 mo for at least 1 yr) | No recommendation until HBsAg loss |
| HBeAg seroconversion with at least 12 mo of persistent ALT levels and undetectable HBV DNA (close monitoring every 3 mo for at least 1 yr) | May be consider if there is a compelling rationale and under careful monitoring every 3 mo for at least 1 yr | ||
| APASL (2015) | HBeAg seroconversion with undetectable HBV DNA and persistently normal ALT levels with at least 1 yr of consolidation therapy (preferably 3 yr) | HBsAg seroclearance with anti-HBs seroconversion or at least 12 mo of a post-HBsAg clearance consolidation period | May be consider before HBsAg loss if disease is compensated and under a careful monitoring plan |
| -After treatment for at least 2 yr with undetectable HBV DNA documented on 3 separate occasions, 6 mo apart |
AALSD: American Association for the Study of Liver; APASL: Asian Pacific Association for the Study of Liver; EASL: European Association for the Study of Liver; HBeAg: Hepatitis B e antigen.