Research Article

Is Combination Antiviral Therapy Mandatory for Maintenance Therapy in Fully Suppressed Multidrug-Resistant Hepatitis B Patients?

Table 1

Demographic and baseline characteristics of the patients.

Overall ()Combination group ()Single group () value

Male (%)153 (71.2)111 (72.5)33 (68.8)0.74
Age, years (IQR)53 (48–60)54.0 (48–60)51 (47–58.3)0.44
HBeAg-positive (%)117 (54.4)79 (51.6)29 (60.4)0.37
Previous drug exposure, (%)
 LAM182 (84.7)131 (85.6)39 (81.3)0.49
 LdT29 (13.5)11 (7.2)12 (25.0)0.003
 ETV166 (77.2)111 (72.5)36 (75.0)0.85
 ADV156 (72.6)121 (79.1)34 (70.8)0.32
HBV-resistant mutations, (%)
To LAM + LdT13 (6.5)10 (6.5)3 (6.3)
To LAM + ETV2 (1.0)2 (1.3)0 (0.0)
To LAM + LdT + ETV106 (52.7)77 (50.3)29 (60.4)
To LAM + LdT + ADV15 (7.5)11 (7.2)4 (8.3)
To LAM + ETV + ADV1 (0.5)1 (0.7)0 (0.0)
To LAM + LdT + ETV + ADV15 (7.5)12 (7.8)3 (6.3)
To LdT + ADV46 (22.9)37 (24.2)9 (18.8)
To ADV only3 (1.5)3 (2.0)0 (0.0)
Mutation location, (%)
rtL180141 (65.6)96 (62.7)35 (72.9)0.23
rtA18172 (33.5)55 (35.9)15 (31.3)0.60
rtT18465 (30.2)42 (27.5)20 (41.7)0.07
rtS20262 (28.8)44 (28.8)14 (29.2)1.00
rtM204158 (73.5)107 (69.9)39 (81.3)0.14
rtN23624 (11.2)17 (11.1)7 (14.6)0.61
rtM2506 (2.8)3 (2.0)3 (6.3)0.15
rtA181 and rtN23615 (7.0)10 (6.5)5 (10.4)0.36
Underlying LC, (%)99 (46.0)77 (50.3)18 (37.5)0.14
Previous history of HCC, (%)45 (20.9)36 (2354)6 (12.5)0.11
Laboratory data, median (IQR)
AST (IU/L)27 (23–34)27 (22–35)27 (23–34)0.37
ALT (IU/L)26 (21–36)26 (21–34)26.5 (17.8–37)0.21
Total bilirubin (mg/dL)0.9 (0.7–1.2)0.9 (0.7–1.2)0.8 (0.6–1.2)0.60
Albumin (g/dL)4.4 (4.2–4.6)4.4 (4.2–4.5)4.4 (4.3–4.6)0.46
Creatinine (mg/dL)0.9 (0.8–1.0)0.9 (0.8–1.0)0.9 (0.8–1.0)0.31
Phosphorous (mg/dL)3.3 (3.0–3.6)3.3 (2.9–3.6)3.3 (3.1–3.5)0.78

Data are (%) or median (IQR). ADV: adefovir; ALT: alanine aminotransferase; AST: aspartate aminotransferase; ETV: entecavir; HBV: hepatitis B virus; HCC: hepatocellular carcinoma; IQR: interquartile range; LAM: lamivudine; LC: liver cirrhosis; LdT: telbivudine; SD: standard deviation.