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. 2021 Aug 26;9(24):6979–6986. doi: 10.12998/wjcc.v9.i24.6979

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.