Review Article

Recompensation of Decompensated Hepatitis B Cirrhosis: Current Status and Challenges

Table 1

Oral antiviral therapy in HBV-related decompensated cirrhosis.

Year, (ref.)CountryDrugs usedNumber of patientsFollow-up periodALT normalization (%)HBV DNA undetectable (%)MELD scoreCTP scoreHCC (%)Liver transplantation (%)Death (%)

2018, Jang JWKoreaETV/LAM179/11610 yearsn.r.<20 IU/ml
39.3%
Change from baseline
LAM –3.28
ETV –5.00
Change from baseline
LAM –3.09
ETV –2.40
20.0%0-0.5y
10.5%
0.5-10 y
0-0.5y
6.8%
0.5-10y
25.8%
2017, Wan YMChinaLdT/LAM/ETV31/45/542 yearsLdT 83.3%
LAM 64.3%
ETV 85.4%
<500 copies/ml
LdT 83.7%
LAM 65.3%
ETV 89.1%
Significantly improved compared to baseline.Significantly improved compared to baseline.LdT 15.0%
LAM 15.6%
ETV 14.8%
n.r.LdT 20.0%
LAM 6.7%
ETV 12.7%
2017, Lee SKKoreaTDF571 year77.2%<116 copies/ml
70.2%
Change from baseline –2.9Change from baseline –1.7n.r.n.r.0%
2012, Chan HLGlobalLdT/LAM116/1162 yearsLdT 61.4%
LAM 52.4%
<300 copies/ml
LdT 49.1%
LAM 39.5%
n.r.D point
LdT 38.6%
LAM 40.4%
LdT 15%
LAM 16%
LdT 4.35%
LAM 3.48%
LdT 16%
LAM 22%
2011, Liaw YFTaiwanETV (1 mg)/ADV100/911 yearETV 63%
ADV 46%
<300 copies/ml
ETV 57%
ADV 20%
Change from baseline
ETV –2.6
ADV –1.7
Improvement
ETV 38%
ADV 36%
ETV 12%
ADV 20%
ETV 11%
ADV 3%
ETV 23%
ADV 33%
2011, Liaw YFGlobalTDF/FTC+TDF/ETV45/45/221 yearTDF 56.8%
FTC+TDF 75.6%
ETV 54.5%
<400 copies/ml
TDF 70.5%
FTC+TDF 87.8%
ETV 72.7%
Change from baseline
TDF –2.0
FTC+TDF –2.0
ETV –2.0
point
TDF 25.9%
FTC+TDF 48.0%
ETV 41.7%
n.r.5.6%TDF 4.4%
FTC+TDF 4.4%
ETV 9.1%
2010, Shim JHKoreaETV701 year76.4%<51 copies/ml 89.1%Change from baseline –2.3Change from baseline –1.56.9%4.3%12.9%
2007, Schiff EGlobalADV1761 year77%<1000 copies/ml 59%Change from baseline –2.0n.r.n.r.n.r.14.0%
2003, Hann HWUSALAM751 year55%<0.7 MEq/ml 69%n.r. point 31%n.r.n.r.13.3%

ALT: alanine aminotransferase; HBV: hepatitis B virus; MELD: model for end-stage liver disease; CTP: Child–Turcotte–Pugh; HCC: hepatocellular carcinoma; ETV: entecavir; LAM: lamivudine; n.r.: not reported; LdT: telbivudine; ADV: adefovir; TDF: tenofovir disoproxil fumarate; FTC: emtricitabine.