Failure of adefovir 20 mg to improve suboptimal response in lamivudine-resistant hepatitis B patients treated with adefovir 10 mg and lamivudine
Article first published online: 6 OCT 2008
DOI: 10.1111/j.1365-2893.2008.01047.x
© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd
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How to Cite
Viganò, M., Lampertico, P., Facchetti, F., Lunghi, G. and Colombo, M. (2008), Failure of adefovir 20 mg to improve suboptimal response in lamivudine-resistant hepatitis B patients treated with adefovir 10 mg and lamivudine. Journal of Viral Hepatitis, 15: 922–924. doi: 10.1111/j.1365-2893.2008.01047.x
Publication History
- Issue published online: 12 NOV 2008
- Article first published online: 6 OCT 2008
- Received March 2008; accepted for publication July 2008
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Keywords:
- adefovir dipivoxil;
- antiviral treatment;
- HBV DNA;
- hepatitis B;
- lamivudine resistance;
- suboptimal response
Summary. Nine patients with lamivudine-resistant chronic hepatitis B infection who had been treated with adefovir 10 mg/day and had had a suboptimal response but did not have genotypic resistance to adefovir were treated with high-dose adefovir (20 mg/day). The response to the increased dose of adefovir was compared with the response in 15 patients with a suboptimal response who did not receive an increase in the dose of adefovir. The increase in the dose of adefovir did not lead to a significant reduction in hepatitis B DNA when compared with patients maintained on the standard dose. These data suggest that increasing the dose of adefovir in patients with a suboptimal response does not lead to an improved response.

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