Review Article

Efficacy of Tenofovir-Based Combination Therapy versus Tenofovir Monotherapy in Chronic Hepatitis B Patients Presenting with Suboptimal Responses to Pretreatment: A Meta-Analysis

Table 1

Characteristics of studies included in the meta-analysis.

StudyCentersDesignAge (year)Sex (M/F)Positive
HBeAg ()
HBV DNA
( copies/mL)
Regimen Therapy
duration
(week)
Treatment
experience
Resistant mutations

Berg et al. [14]MultiRCTM: 5340 ± 11.438/15386.06 ± 1.43TDF 300 mg/d48LAM, ADVrtM204V/I, rtL180M, rtV173L, rtN236T, rtA181V/T
C: 5239 ± 10.442/10395.87 ± 1.78TDF 300 mg/d;
FTC 200 mg/d

Liaw et al. [15] MultiRCTM: 4552 ± 2.337/8195.7 ± 0.43TDF 300 mg/d48LAM, ADVrtM204V/I, rtL180M
C: 4550 ± 440/5236.28 ± 0.7TDF 300 mg/d;
FTC 200 mg/d

Seto et al. [19] SingleCohortM: 71NANANANATDF 300 mg/d144LAM, LdT, ETV, ADVrtA181V/T, rtN236T, rtA194T
C: 54NANANANATDF 300 mg/d;
LAM 100 mg/d

Lee et al. [22] SingleCohortM: 3354 ± 10.822/11162.83 ± 1.62TDF 300 mg/d48LAM, ADVrtM204V/I, rtL180M
C: 12054 ± 8.384/36802.77 ± 1.09TDF 300 mg/d;
LAM 100 mg/d

Fung et al. [16] MultiRCTM: 14147.1 ± 13.6104/37655.64 ± 1.83TDF 300 mg/d96LAMrtM204V/I, rtL180M
C: 13946.3 ± 13.6107/32685.77 ± 1.97TDF 300 mg/d;
FTC 200 mg/d

Lu et al. [20] MultiCohortM: 2540 ± 1416/9223.10 ± 0.95TDF 300 mg/d48ETVNA
C: 4340 ± 10.827/16413.57 ± 0.90TDF 300 mg/d;
ETV 1 mg/d

Choi et al. [21] SingleCohortM: 3448 ± 823/11264.76 ± 1.7TDF 300 mg/d48LAM, LdT, ETV, ADVrtM204V/I, rtL180M, rt181A, rt236T, rtT184, rtI169, rtS202
C: 4250 ± 1333/9364.54 ± 1.76TDF 300 mg/d;
NAs

Lim et al. [17] SingleRCTM: 4551 ± 932/13404.09 ± 0.6TDF 300 mg/d48LAM, LdT, ETV, ADVrtM204V/I, rtL180M, rt236T, rtT184, rtI169T, rtS202G, rtM250L/V
C: 4552 ± 1036/9403.74 ± 0.46TDF 300 mg/d;
ETV 1 mg/d

Yoo et al. [18] SingleRCTM: 5049 ± 1042/8443.27 ± 1.8TDF 300 mg/d96LAM, LdT, ETV, ADVrtM204V/I, rtL180M, rtA181T/V, rtN236T, rtT184, rtS202G, rtM250 L/V, rtM204V/I
C: 5250 ± 1146/6463.50 ± 1.69TDF 300 mg/d;
ETV 1 mg/d

M: monotherapy group; C: combination therapy group; TDF: tenofovir disoproxil fumarate; FTC: emtricitabine; LAM: lamivudine; ETV: entecavir; ADV: adefovir dipivoxil; LdT: telbivudine; RCT: randomized controlled trial; and NA: not available.