Table 3.
Characteristics of seven patients developing genotypic mutations to entecavir
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Group A (entecavir)
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Group B (entecavir maleate)
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Patient 1
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Patient 2
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Patient 3
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Patient 4
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Patient 5
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Patient 6
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Patient 7
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| Age, yr | 32 | 34 | 28 | 29 | 43 | 34 | 21 |
| Sex | Male | Male | Male | Male | Male | Male | Male |
| Prior LAM exposure | Yes | Yes | No | No | Yes | Yes | No |
| Prior ADV exposure | Yes | Yes | No | No | Yes | No | No |
| Baseline | |||||||
| HBeAg status | Positive | Positive | Positive | Positive | Positive | Positive | Positive |
| HBV DNA, log10 IU/mL | 6.69 | 7.99 | 8.06 | 5.32 | 7.77 | 7.47 | 7.81 |
| LAM resistance | No | No | No | No | No | Yes | No |
| ADV resistance | Yes | Yes | No | No | Yes | No | No |
| At maximum viral suppression | |||||||
| wk | 24 | 48 | 72 | 84 | 48 | 12 | 120 |
| HBV DNA, log10 IU/mL | 4.07 | 1.18 | 2.97 | 1.76 | 2.26 | 4.78 | TND |
| At time of resistance confirmed | |||||||
| wk | 144 | 144 | 144 | 144 | 144 | 144 | 144 |
| HBV DNA, log10 IU/mL | 6.91 | 6.04 | 4.41 | 1.73 | 6.73 | 4.96 | 1.79 |
| Mutational pattern | rtL180M | rtL180M | rtL180M | rtL180M | rtL180M | rtL180M | rtL180M |
| rtS202G | rtS202G | rtS202G | rtV173L | rtT184S | rtS202G | rtT184S | |
| rtM204V | rtM204V | rtM204V | rtM204V | rtM204V | rtM204V | rtM204V | |
| rtM250V | |||||||
| Addition of ADV | Yes | Yes | Yes | No | Yes | Yes | No |
| HBV DNA, log10 IU/mL | |||||||
| Week 168 | 5.14 | 5.08 | 3.18 | 1.84 | 3.43 | 4.86 | TND |
| Week 192 | 4.2 | 2.77 | 3.1 | Missing | 2.89 | 4.28 | Missing |
ADV: Adefovir dipivoxil; ETV: Entecavir; HBeAg: Hepatitis B e antigen; HBV: Hepatitis B virus; LAM: Lamivudine; TND: Target not detected.