Viral infections evidence library
Hepatitis B
A living PubMed evidence library for acute and chronic hepatitis B, antiviral therapy, monitoring, complications, prevention, and emerging cure research.
Living evidence synopsis
What the current PubMed collection shows.
Alexandria currently organizes 1,233 non-retracted PubMed-indexed records for Hepatitis B. The structured collection includes 22 guideline or consensus records, 126 evidence syntheses/systematic reviews/meta-analyses, and 114 randomized or phase III studies. 360 records were identified by the configured last-24-month search. Conflict-of-interest statements are available in the PubMed record for 981 of 1,233 included records.
Research landscape
Charts are generated from Alexandria’s structured PubMed records, not copied from journal figures.
Records by publication year
Study designs
Conflict-of-interest reporting
Absence of a conflict-of-interest statement in PubMed does not establish that no conflict existed.
Extracted result direction
Numerical results extracted from PubMed abstracts
Each value remains attached to its original PMID. Alexandria does not pool these results or imply that unlike populations and endpoints are directly comparable.
Hazard, risk, and odds ratios reported in abstracts
View extracted numerical results 60
| Publication | Outcome | Measure | Reported value | Source |
|---|---|---|---|---|
| Utility of Serum Biomarkers in Addition to Ultrasound for Early Detection of Hepatocellular Carcinoma in High-Risk Patients: A Randomized Controlled Trial.Gastroenterology · 2026 | cirrhosis | Odds Ratio | 4.0 | PMID 41556856 |
| Efficacy and safety of immune checkpoint inhibitors in hepatocellular carcinoma: a comprehensive umbrella review of meta-analyses.International journal of surgery (London, England) · 2026 | overall survival | Hazard Ratio | 0.58 | PMID 41208807 |
| Efficacy and safety of immune checkpoint inhibitors in hepatocellular carcinoma: a comprehensive umbrella review of meta-analyses.International journal of surgery (London, England) · 2026 | overall survival | Odds Ratio | 3.17 | PMID 41208807 |
| Efficacy and safety of immune checkpoint inhibitors in hepatocellular carcinoma: a comprehensive umbrella review of meta-analyses.International journal of surgery (London, England) · 2026 | survival | Hazard Ratio | 0.48 | PMID 41208807 |
| Evaluating liver fibrosis in chronic hepatitis B patients using multi-compartment restriction spectrum imaging.The British journal of radiology · 2026 | not_reported | Percentage Comparison | 75.0percent vs 44.6percent P = .033 | PMID 41915030 |
| Short-cycle 4-days-per-week maintenance two-drug therapy in people living with HIV (ANRS-177 DUETTO): a randomised, open-label, multicentre, non-inferiority trial.The lancet. HIV · 2026 | not_reported | Odds Ratio | 7.0 | PMID 42140217 |
| Human papillomavirus vaccinations' impact on preterm birth rates.European journal of public health · 2026 | not_reported | Odds Ratio | 0.79 95% CI 0.59–1.04 | PMID 41206665 |
| ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial.The lancet. Gastroenterology & hepatology · 2026 | not_reported | Odds Ratio | 300.0 | PMID 41554267 |
| ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial.The lancet. Gastroenterology & hepatology · 2026 | not_reported | Odds Ratio | 300.0 | PMID 41554267 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.67 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.58 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.84 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.75 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.88 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | survival | Hazard Ratio | 0.71 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | not_reported | Hazard Ratio | 0.84 | PMID 41764966 |
| Differential Efficacy of Immunotherapy for Hepatocellular Carcinoma by Aetiology: A Systematic Review and Meta-Analysis.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2026 | not_reported | Hazard Ratio | 0.91 | PMID 41764966 |
| Technical systematic review supporting the 2025 AASLD Practice Guideline on management of chronic hepatitis B.Hepatology (Baltimore, Md.) · 2026 | HBsAg loss | Odds Ratio | 12.65 95% CI 1.58–101.51 | PMID 41186417 |
| Technical systematic review supporting the 2025 AASLD Practice Guideline on management of chronic hepatitis B.Hepatology (Baltimore, Md.) · 2026 | HBsAg loss | Odds Ratio | 47.17 95% CI 2.79–797.35 | PMID 41186417 |
| Improved appropriateness of electronic consultations in primary care with ongoing liver disease education.Journal of telemedicine and telecare · 2026 | not_reported | Odds Ratio | 2.001 95% CI 1.36–2.946 p < 0.001 | PMID 41359013 |
| Safety, Tolerability, and Pharmacodynamics of GS-4224 in Healthy Participants and Participants With Chronic Hepatitis B.Liver international : official journal of the International Association for the Study of the Liver · 2026 | not_reported | Odds Ratio | 700.0 | PMID 42163628 |
| Early antibiotic exposure reduces progression-free survival in unresectable hepatocellular carcinoma patients treated with TACE plus TKI and ICI therapy: a propensity score-matched analysis.BMC gastroenterology · 2026 | not_reported | Odds Ratio | 30.0 | PMID 42458307 |
| Awareness of Cancer Among Japanese Junior and Senior High School Students and Relevant Factors.Asian Pacific journal of cancer prevention : APJCP · 2026 | not_reported | Odds Ratio | 2.28 p < 0.001 | PMID 42517691 |
| Awareness of Cancer Among Japanese Junior and Senior High School Students and Relevant Factors.Asian Pacific journal of cancer prevention : APJCP · 2026 | not_reported | Odds Ratio | 1.04 p < 0.001 | PMID 42517691 |
| Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.The lancet. Gastroenterology & hepatology · 2026 | HBV DNA suppression | Risk Ratio | 31.0 | PMID 41839198 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 1.35 95% CI 1.15–1.59 P < 0.001 | PMID 41815830 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 1.08 95% CI 1.05–1.12 P < 0.001 | PMID 41815830 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 7.64 95% CI 3.5–17.55 P < 0.001 | PMID 41815830 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 2.35 95% CI 1.19–4.77 P < 0.001 | PMID 41815830 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 3.76 95% CI 1.15–12.64 P < 0.001 | PMID 41815830 |
| Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.Journal of clinical and experimental hepatology · 2026 | not_reported | Odds Ratio | 0.12 95% CI 0.05–0.26 P < 0.001 | PMID 41815830 |
| Efficacy and safety of immune checkpoint inhibitors in lung cancer patients with hepatitis B surface antigen positivity: a real-world cohort study.Lung cancer (Amsterdam, Netherlands) · 2026 | not_reported | Percentage Comparison | 30.2percent vs 35.8percent P = 0.428 | PMID 42531850 |
| Efficacy and safety of immune checkpoint inhibitors in lung cancer patients with hepatitis B surface antigen positivity: a real-world cohort study.Lung cancer (Amsterdam, Netherlands) · 2026 | not_reported | Percentage Comparison | 54.7percent vs 54.5percent P = 0.428 | PMID 42531850 |
| Long-Term Follow-Up of Patients in a Prospective Study of NA Discontinuation Identifies Different Patterns of HBsAg Loss.Alimentary pharmacology & therapeutics · 2026 | HBsAg loss | Hazard Ratio | 0.28 p < 0.001 | PMID 40842267 |
| Long-Term Follow-Up of Patients in a Prospective Study of NA Discontinuation Identifies Different Patterns of HBsAg Loss.Alimentary pharmacology & therapeutics · 2026 | HBsAg loss | Hazard Ratio | 1.14 p < 0.001 | PMID 40842267 |
| Long-Term Follow-Up of Patients in a Prospective Study of NA Discontinuation Identifies Different Patterns of HBsAg Loss.Alimentary pharmacology & therapeutics · 2026 | HBsAg loss | Odds Ratio | 0.5 p < 0.001 | PMID 40842267 |
| Clinical Trials for Curing Chronic Hepatitis B: A Comprehensive Analysis of Trial Design Considerations and Their Association With Trial Performance.Journal of gastroenterology and hepatology · 2026 | not_reported | Hazard Ratio | 0.819 95% CI 0.71–0.945 | PMID 41830065 |
| Clinical Trials for Curing Chronic Hepatitis B: A Comprehensive Analysis of Trial Design Considerations and Their Association With Trial Performance.Journal of gastroenterology and hepatology · 2026 | not_reported | Hazard Ratio | 0.897 95% CI 0.816–0.987 | PMID 41830065 |
| Clinical Trials for Curing Chronic Hepatitis B: A Comprehensive Analysis of Trial Design Considerations and Their Association With Trial Performance.Journal of gastroenterology and hepatology · 2026 | not_reported | Hazard Ratio | 0.936 95% CI 0.879–0.997 | PMID 41830065 |
| Clinical Trials for Curing Chronic Hepatitis B: A Comprehensive Analysis of Trial Design Considerations and Their Association With Trial Performance.Journal of gastroenterology and hepatology · 2026 | not_reported | Odds Ratio | 2.82 95% CI 1.16–7.08 | PMID 41830065 |
Funding and conflicts of interest
Conflict and funding fields reproduce what is available in PubMed records. Missing disclosure data does not establish that no conflict or funding existed.
View records with declared financial or industry relationships 12
Assessing the impact of buprenorphine for opioid use disorder on infectious disease management.
Declaration of competing interest Jamie Lo and Sabrina Gaiazov were employees of Indivior Inc. and William Pratt was an employee of Veradigm Inc. at the time the study was conducted. Anusorn Thanataveerat, Jennifer Falk, Ni Zeng, Stephanie Wall, and Taylor Ryan, are full-time employees of Veradigm Inc., which was contracted by Indivior Inc. to conduct this research.
PMID 42081946 · 2026Efficacy and safety of the siRNA JNJ-73763989 and the capsid assembly modulator JNJ-56136379 (bersacapavir) with nucleos(t)ide analogues for the treatment of chronic hepatitis B virus infection (REEF-1): a multicentre, double-blind, active-controlled, randomised, phase 2b trial.
Declaration of interests M-FY serves as an adviser or a consultant for AbbVie, AlloVir International, Arbutus Biopharma, Bristol Myers Squibb, ClearB Therapeutics, Dicerna Pharmaceuticals, Gilead Sciences, GlaxoSmithKline, Janssen, Merck Sharp & Dohme, Roche, and Spring Bank Pharmaceuticals; and receives grant or research support from Assembly Biosciences, Arrowhead Pharmaceuticals, Bristol Myers Squibb, Fujirebio Diagnostics, Gilead Sciences, Merck Sharp & Dohme, Roche, Spring Bank Pharmaceuticals, and Sysmex Corp. TA serves as an adviser or a consultant for AbbVie, Antios Therapeutics, Enyo Pharma, Gilead Sciences, GlaxoSmithKline, Janssen, Roche, and Vir Biotechnology. IMJ serves as a consultant for Aligos, Arbutus, Janssen, and Gilead; has received research funds from Janssen and Assembly Biosciences; and serves on a data monitoring committee for GlaxoSmithKline. MRB serves as a consultant and speaker for AbbVie, Gilead Sciences, Janssen, Eisai, MSD, and Roche. HLAJ received grants from AbbVie, Arbutus, Gilead Sciences, Janssen, and Roche, and is a consultant for Arbutus, Arena, Enyo, Gilead Sciences, GlaxoSmithKline, Janssen, Merck, Roche, Vir Biotechnology, and Viroclinics. TT has received lecturer fees Bristol Myers Squibb, Gilead Sciences, and GlaxoSmithKline; research funding from Janssen and Gilead Sciences; and consulting fees from Janssen. JLH serves as an adviser or a consultant for Aligos, Assembly, Gilead Sciences, Johnson & Johnson, and Roche, and receives grant or research support from Bristol Myers Squibb. TNK, TL, MBe, RK, CG-A, CM, JJ, TV, OL, US, and MBi are Janssen employees and are Johnson & Johnson stockholders.
PMID 37442152 · 2023Baseline serum HBV RNA is associated with the risk of hepatitis flare after stopping nucleoside analog therapy in HBeAg-negative participants.
Amanda J. Nicoll advises and is on the speakers’ bureau for Ipsen, Eisai, Roche, and AstraZeneca. Simone I. Strasser advises and is on the speakers’ bureau for Gilead, Eisai, Norgine, Roche, Chiesi, and AstraZeneca. She advises Pfizer and MSD and is on the speakers’ bureau for Otsuka and AbbVie. Gail Matthews advises and received grants from Gilead and ViiV. She advises AstraZeneca and received grants from AbbVie. Kumar Visvanathan consults, advises, and is on the speakers’ bureau for Gilead. He advises ViiV. The remaining authors have no conflicts to report.
PMID 37459199 · 2023Efficacy of Antiviral Prophylaxis up to 6 or 12 Months From Completion of Rituximab in Resolved Hepatitis B Patients: A Multicenter, Randomized Study.
Su Jong Yu received compensation for lectures from Bayer HealthCare Pharmaceuticals. Jeong-Hoon Lee received compensation for lectures from GreenCross Cell, Daewoong Pharmaceuticals and Gilead Korea; Jung-Hwan Yoon received a research grant from Bayer HealthCare Pharmaceuticals, Bukwang Pharmaceuticals and Daewoong Pharmaceuticals; and Yoon Jun Kim received research grants from BTG, AstraZeneca, Gilead Sciences, Daewoong, Bayer, Samjin, and Yuhan Pharmaceuticals.
PMID 37463687 · 2023Tenofovir alafenamide for prevention of HBV reactivation in HBsAg-negative, anti-HBc-positive patients undergoing rituximab-based chemotherapy: A multicenter randomized controlled trial.
Jordan J. Feld has received research grants from Altimmune, AbbVie, Gilead Sciences, Janssen, GlaxoSmithKline, Roche, and Vir Biotechnology Inc., and is a consultant for AbbVie, Bluejay Therapeutics, Gilead Sciences, Janssen, GlaxoSmithKline, Roche, and Vir Biotechnology Inc. Bettina E. Hansen has received grants from Mirum, Gilead Sciences, and Ipsen, and is a consultant for Intercept, Mirum, Ipsen, Gilead Sciences, Falk, Advanz, and ChemomAb. Harry L.A. Janssen has received grants from Gilead Sciences, GlaxoSmithKline, Janssen, Roche, and Vir Biotechnology Inc., and is a consultant for Aligos, Gilead Sciences, GlaxoSmithKline, Grifols, Roche, Vir Biotechnology Inc., Precision Biosciences, Academic Medical Education, and H.C. Wainwright & Co. The remaining authors have no conflicts to report.
PMID 41335575 · 2025The changing epidemiology of primary liver cancer in the 21st century.
Conflicts of interest TCFY served as an advisory committee member and a speaker for Gilead Sciences. He has received a research grant from Gilead Sciences. SAK has served as an advisory board member for Astra Zeneca, Clarivate, Taiho and a speaker for a Servier sponsored educational event. HES served as consultant for NovoNordisk and Madrigal, and received research grant funding from NovoNordisk. Please refer to the accompanying ICMJE disclosure forms for further details.
PMID 42542384 · 2026Single nucleotide polymorphisms in the bepirovirsen binding site have limited impact on treatment response in chronic hepatitis B.
Conflicts of interest Roche MagNA and COBAS are registered trademarks of F. Hoffmann-La Roche Ltd. M Savarese and C Lau are employed by GSK. A Koenig, J Bouquet, SD Speer, CM Livingston, L Maynard, S You, M Paff, D Theodore, R Elston, J Walker, and J Cremer are employed by GSK and hold financial equities in GSK. J Cremer, M Paff, D Theodore, and R Elston are named inventors on pending bepirovirsen patent applications. E Angelini was an employee of GSK at the time of the study. N Galwey and P Yates were employees and held financial equities in GSK at the time of study. Please refer to the accompanying ICMJE disclosure forms for further details.
PMID 41544767 · 2026Multidisciplinary management of thyroid eye disease (TED) in patients with latent tuberculosis or chronic hepatitis B.
Declarations. Ethics approval and consent to participate: This retrospective audit was registered and approved by Imperial College Healthcare National Health Service (NHS) Trust, London. Data were anonymised and confidentiality was maintained throughout. This audit adhered to the tenets of the Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: Miss Vickie Lee is: Principal Investigator for the Horizon, Viridian, Argenx, LIDS and Lassen Trials. British Oculoplastic Surgery Society (BOPSS) National Lead for Thyroid Eye Disease. Advisory board and consulting for Amgen, Viridian, Argenx and Roche Pharmaceuticals. Honoraria from Amgen.
PMID 41612401 · 2026A Phase 1 study of the safety, tolerability, and pharmacokinetics of ALG-000184 (pevifoscorvir sodium), a novel Class E capsid assembly modulator, in healthy participants.
Declaration of conflicting interestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: The authors declared the following conflicts of interest with respect to the research, authorship, and/or publication of this article: • Min Wu, Kha Le, Tse-I Lin, Lawrence Blatt, Sushmita Chanda are the employees of Aligos and owned equity in the company. • John Fry was an employee of Aligos Therapeutics at the time of study conduct and owned equity in the company. • Ed Gane is a consultant for Aligos, Assembly, AusperBio, Gilead, GSK, Janssen, Roche, Surrozen, VIR, Virion, Precision Biosciences, Tune, and has given lectures sponsored AbbVie, Roche Diagnostics. In addition, grants are provided by AbbVie for community HepC Microelimination Programme.
PMID 41268712 · 2025Therapeutic vaccination for chronic hepatitis B: why most vaccines failed and what may work.
Declaration of competing interest Bertoletti A and Le Bert N are founders and hold stock of T Cell Diagnostics (TCD). Bertoletti A is also a consultant of Brii-Biosciences.
PMID 42214471 · 2026Bepirovirsen induces innate immune activation in the liver potentially through TLR8 signaling.
Conflicts of interest RNAscope is a registered trademark of Advanced Cell Diagnostics (ACD). FlowJo is a registered trademark of BD Life Sciences. Cyto-Fast is a registered trademark of BioLegend. SIMOA is a registered trademark of Quanterix Corporation. COBAS is a trademark of Roche Diagnostics Operations, Inc. DiscoveryMAP is a trademark of Myriad RBM. Usha Nivarthi, Anne DeHart, and Kristen Jones, are employed by GSK. Megan E. Ermler, William Jordan, Amitabh Das, Nicholas Galwey, Valeriia Sherina, Avijit Ray, Melanie Paff, Daren Austin, Jennifer M. Singh, Bao Hoang, Rebecca L. Terry, and Jimmy Tarrant are employed by GSK and hold financial equities in GSK. Jared L. Delahaye, Shihyun You, and Dickens Theodore are employed by GSK, have financial equities in GSK, and have patent applications with GSK. Please refer to the accompanying ICMJE disclosure forms for further details.
PMID 42264034 · 2026Chinese medicinal herbs for chronic hepatitis B.
We certify that we have no affiliations with or involvement in any organisation or entity with a direct financial interest in the subject matter of the review (e.g., employment, consultancy, stock ownership, honoraria, expert testimony).
PMID 11279742 · 2001Current Standard-of-Care Sources
Alexandria uses this label only for PubMed-indexed guidelines or consensus documents. These are source publications, not individualized recommendations.
The APLAR Recommendations for the Management of Psoriatic Arthritis.
International journal of rheumatic diseases · 2025
PMID 40725984Guideline for the management of hepatitis B and C infection and subsequent liver disease surveillance (where indicated) in people with congenital bleeding disorders: A joint guideline from the British Society of Haematology and the British Viral Hepatitis Group.
British journal of haematology · 2026
PMID 41431438Updated recommendations for the management of hepatitis B, C, and E virus infections in patients with haematological malignancies and those undergoing haematopoietic cell transplantation: recommendations from the 9th European Conference on Infections in Leukaemia (ECIL-9).
The Lancet. Haematology · 2025
PMID 40306834[Chinese practice guidelines for the prevention and treatment of mother-to-child transmission of hepatitis B virus (version 2024)].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
PMID 39267564British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
PMID 42117446Brazilian Society of Rheumatology - 2025 recommendations on vaccination in immune-mediated rheumatic diseases.
Advances in rheumatology (London, England) · 2026
PMID 41578353Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
PMID 40197438Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026
PMID 42061813[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
PMID 42236454AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026
PMID 42017860AASLD ISDA Practice Guideline on treatment of chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026
PMID 41186418French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
PMID 41469898Highest-Priority Research
The APLAR Recommendations for the Management of Psoriatic Arthritis.
International journal of rheumatic diseases · 2025
OBJECTIVES: Under the auspices of the Asia-Pacific League of Associations for Rheumatology (APLAR), we aimed to develop broad, evidence- and consensus-based guidelines to aid health professionals managing patients with psoriatic arthritis (PsA) in the region. METHODS: A working group of 35 members comprising rheumatologists, dermatologists, and patient research partners from 18 APLAR countries was convened. The working group conducted systematic literature reviews to derive the quality of evidence via GRADE methods in supporting the efficacy and safety of classes of therapeutic agents for the management of active PsA, its comorbidities, and screening for specific infection concerns in the re…
PMID 40725984Guideline for the management of hepatitis B and C infection and subsequent liver disease surveillance (where indicated) in people with congenital bleeding disorders: A joint guideline from the British Society of Haematology and the British Viral Hepatitis Group.
British journal of haematology · 2026
This is a new British Society of Haematology (BSH) guideline which focuses on the management of hepatitis B and C (HBV and HCV) infection affecting people with bleeding disorders (PwBD), including those who cleared the infection many years previously. It is based on the European Association for the Study of the Liver (EASL) guidance and is a succinct practical guide for haematologists to support joint care with hepatology. It is compatible with the joint international guidance from the European Association for Haemophilia and Allied Disorders, European Haemophilia Consortium, International Society on Thrombosis and Haemostasis (ISTH) and World Federation of Hemophilia 2024. However, it provi…
PMID 41431438Updated recommendations for the management of hepatitis B, C, and E virus infections in patients with haematological malignancies and those undergoing haematopoietic cell transplantation: recommendations from the 9th European Conference on Infections in Leukaemia (ECIL-9).
The Lancet. Haematology · 2025
Viral hepatitis remains a global health challenge and immune status affects outcomes. In patients with haematological malignancies, including haematopoietic stem-cell transplantation recipients, viral hepatitis can be life-threatening due to the direct effects of the virus or the need to modify or delay chemotherapy. Additionally, haematopoietic stem-cell donors with past or current viral hepatitis infections might transmit the virus to recipients. The growing recognition of hepatitis E virus (HEV), advances in haematological therapies, and the availability of direct-acting antivirals for hepatitis C virus (HCV), led the 2022 9th European Conference on Infections in Leukaemia (ECIL-9) to upd…
PMID 40306834[Chinese practice guidelines for the prevention and treatment of mother-to-child transmission of hepatitis B virus (version 2024)].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
The Chinese Clinical Practice Guidelines for the prevention and treatment of mother-to-child transmission of hepatitis B virus, developed by the Chinese Society of Infectious Diseases of the Chinese Medical Association in 2019, serves as a valuable reference for standardizing the process of preventing mother-to-child transmission in China. As new evidence emerges, it is crucial that timely and regular updates are made to the clinical practice guidelines so that to optimize guidance for clinical practice and research. To this end, the Infectious Disease Physician Branch of Chinese Medical Doctor Association and the Chinese Society of Infectious Diseases of Chinese Medical Association, in coll…
PMID 39267564Vaccines for preventing infections in adults with haematological malignancies.
The Cochrane database of systematic reviews · 2025
BACKGROUND: Vaccination aims to prevent infections. People who are immunocompromised, such as those with haematological malignancies, often experience higher immunosuppression, increasing their vulnerability to infections compared to individuals with solid tumours or healthy individuals. OBJECTIVES: The aim of this review is to summarise and evaluate the benefits and risks of vaccines for preventing infections in adults with haematological malignancies. SEARCH METHODS: We conducted a comprehensive systematic search in CENTRAL, MEDLINE, Embase, LILACS, and Web of Science on 2 December 2024 for randomised controlled trials (RCTs) and for controlled non-randomised studies of interventions (NRSI…
PMID 40396505Histological severity, clinical outcomes and impact of antiviral treatment in indeterminate phase of chronic hepatitis B: A systematic review and meta-analysis.
Journal of hepatology · 2025
BACKGROUND & AIMS: Current international guidelines recommend close monitoring and evaluation of patients with chronic hepatitis B (CHB) in the indeterminate phase, and treatment of patients at high risk of adverse outcomes. Clinical outcomes and the effect of antiviral therapy on the indeterminate phase remain unclear. We performed a systematic review and meta-analysis to study the incidence of adverse clinical outcomes including hepatocellular carcinoma (HCC), cirrhosis, and hepatic decompensation, and the effect of antiviral therapy, in the indeterminate phase. METHODS: Two investigators independently searched Embase, MEDLINE, Web of Science and China National Knowledge Infrastructure fro…
PMID 39577468British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
PMID 42117446Brazilian Society of Rheumatology - 2025 recommendations on vaccination in immune-mediated rheumatic diseases.
Advances in rheumatology (London, England) · 2026
BACKGROUND: Patients with immune-mediated rheumatic diseases (IMRD) are at increased risk for infections due to both disease-related immune dysregulation and immunosuppressive therapy. Despite the benefits of vaccination, immunization rates in this population remain suboptimal, often due to concerns about safety, efficacy, and their potential for inducing disease flare. Regional-specific guidelines are necessary to address the particular epidemiological issues and aspects of the healthcare systems, especially in countries like Brazil. OBJECTIVE: To provide updated, evidence-based, and nationally relevant recommendations on vaccination in adult patients with IMRD in Brazil, focusing on immuno…
PMID 41578353Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed during competition, should undergo testing for HIV, hepatitis B (HBV), and hepatitis C (HCV). Testing should be conducted using serum samples, because rapid tests are not considered…
PMID 40197438Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026
The hepatitis delta virus (HDV), whose infection depends on the presence of the hepatitis B virus (HBV), is associated with one of the chronic viral hepatitis that most rapidly progresses to advanced liver disease, including liver cirrhosis and/or hepatocellular carcinoma. In this context, screening for HBV/HDV infection is key to the early diagnosis of hepatitis D, improving the prognosis of infected individuals through a strategy that has proven to be effective and efficient. This document reviews the epidemiology and current situation of hepatitis D in Spain, including the main barriers to its detection and diagnosis. The aim is to define recommendations for the diagnosis of hepatitis D, …
PMID 42061813[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clinical management of MDR/RR-TB in China. In response to recent advances in global evidence-based medicine and in consideration of China's specific context, the Chinese Medical Associ…
PMID 42236454AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillance with ultrasound and α-fetoprotein, but this strategy has suboptimal sensitivity, and alternative imaging techniques (eg, computed tomography and magnetic resonance imaging) have …
PMID 42017860Latest Research — Last 24 Months
Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · PMID 42061813
Serum M2BPGi as a predictor of hepatocellular carcinoma development in chronic hepatitis B and C: a systematic review and meta-analysis.
Frontiers in medicine · PMID 42529015
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · PMID 41839198
Efficacy of NAs in combination with Peg-IFN for functional cure in patients with CHB: a meta-analysis of RCTs.
Annals of medicine · PMID 41777119
Evidence for a relationship between concentrations of nucleos/tide analogue agents and treatment outcome in chronic hepatitis B infection: A systematic review.
The Journal of infection · PMID 42419520
Co-managing the double burden: strategies for simultaneously tackling infectious and non-communicable diseases.
Infectious diseases of poverty · PMID 42538553
The epidemiology of the viral hepatitis in Brazil: A scoping review.
PloS one · PMID 42467622
Seroprevalence of hepatitis B and C in asymptomatic blood donors in Saudi Arabia: A systematic review and meta-analysis.
Transfusion medicine (Oxford, England) · PMID 42538138
Malaria Coinfections Worldwide: An Umbrella Systematic Review of Prevalence and Epidemiological Patterns.
Tropical medicine and infectious disease · PMID 42506776
Infectious medical waste (IMW) and disease transmission: A critical public health challenge in Africa and the global implications - A systematic review.
Journal of public health research · PMID 42583079
Hepatitis B among hospital nurses worldwide: a meta-analysis of seroprevalence studies.
Vaccine · PMID 42566980
Treatment Options Studied in the PubMed Collection
These are interventions detected in PubMed metadata and abstracts. Inclusion does not establish approval, effectiveness, suitability, or standard-of-care status.
Antiviral Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, functional cure, hepatocellular carcinoma, HBsAg loss, adverse events, cirrhosis, mortality, relapse
- Populations represented
- general population; chronic hepatitis B; chronic hepatitis B; HBsAg; chronic hepatitis B; HBsAg; HBeAg; HBsAg; HBV DNA; chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA
- Mechanism
- Despite its clinical relevance, very few studies have explored direct targeting of eIF4E's cap-binding function using small molecules as a therapeutic strategy Our findings not only reinforce the feasibility of targeting eIF4E in cancer but also demonstrate that repurposing FDA-approved drugs like Entecavir could offer a practical and efficient route to therapeutic intervention
Hepatitis B Surface Antigens
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, functional cure, HBsAg loss, adverse events, cirrhosis, hepatocellular carcinoma, relapse, response rate
- Populations represented
- HBsAg; HBsAg; HBV DNA; chronic hepatitis B; HBsAg; general population; chronic hepatitis B; HBsAg; HBeAg; chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA
- Mechanism
- The risk of HBVr is influenced by the mechanism of action and the duration of immunosuppressants and immunomodulators, the underlying disease for which these drugs are used, and the virological patient's profile Targeting SPECT-1 as an addition to the CSP in the same vaccine may enhance immune response and protection
DNA, Viral
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HBsAg loss, cirrhosis, hepatocellular carcinoma, relapse, adverse events, functional cure, serious adverse events
- Populations represented
- general population; HBsAg; HBV DNA; HBV DNA; chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA; HBsAg; HBeAg; HBV DNA; chronic hepatitis B; HBsAg; HBeAg; HBV DNA
- Mechanism
- Lonafarnib (LNF) is an investigational drug targeting hepatitis delta virus (HDV) but not hepatitis B virus (HBV), providing a unique opportunity to model HDV kinetics and how changes in HDV affect HBV Conserved regions among Indian HBV and HCV genotypes are selected as targets of detection
Hepatitis B Vaccines
- Research status
- conflicting evidence
- Outcomes represented
- reported clinical outcomes, adverse events, functional cure, cirrhosis, hepatocellular carcinoma, HBsAg loss, mortality
- Populations represented
- general population; chronic hepatitis B; HBsAg; HBsAg; HBV DNA; children
- Mechanism
- Substantial institutional variation in vaccination practices is associated with disparities beyond what would be expected from patient demographics alone, highlighting the need for system-level interventions targeting organizational factors to achieve equitable vaccination coverage
tenofovir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, functional cure, ALT normalization, HBsAg loss, virologic suppression, mortality
- Populations represented
- general population; chronic hepatitis B; HBsAg; HBV DNA; HBsAg; chronic hepatitis B; HBsAg; HBeAg; HBV DNA; ALT; advanced; HBsAg
- Mechanism
- Regarding antenatal screening, adding tenofovir prophylaxis for HBsAg-positive pregnant women was more cost-effective than intervention solely targeting infants
Hepatitis B Antibodies
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, virologic suppression
- Populations represented
- general population; HBsAg; HBsAg; HBV DNA; HBV DNA
- Mechanism
- In this study, we established a sensitive and reliable immunospot assay for the visible quantitative detection of HBV infection based on an excellent detection antibody targeting the HBV core protein
Biomarkers
- Research status
- insufficiently reported
- Outcomes represented
- mortality, reported clinical outcomes, hepatocellular carcinoma, cirrhosis, HBsAg loss, functional cure, relapse
- Populations represented
- general population; chronic hepatitis B; HBsAg; HBeAg; chronic hepatitis B; chronic hepatitis B; HBsAg; HBeAg; ALT; chronic hepatitis B; advanced; ALT; chronic hepatitis B; HBsAg; HBV DNA
- Mechanism
- These findings provide new directions for the study of ACLF pathogenesis and identifying potential drug targets, which are conducive to early clinical decision-making Targeting MANF may represent a potential therapeutic strategy for preventing and treating digestive diseases
RNA, Viral
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, recurrence, relapse
- Populations represented
- general population; chronic hepatitis B; HBV DNA; HBsAg; chronic hepatitis B; HBeAg; chronic hepatitis B; HBsAg; HBV DNA
- Mechanism
- The assay demonstrated 95% limit of detection (LoD) values ranging from 2.42 to 6.65 copies/reaction across targets with high specificity This innovative platform enabled simultaneous amplification of two pgRNA targets within a single-tube RT-MIRA reaction, allowing dual-target detection via one-step amplification
Hepatitis B e Antigens
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, functional cure, HBsAg loss, serious adverse events, cirrhosis, reported clinical outcomes, HBeAg seroconversion, hepatocellular carcinoma
- Populations represented
- chronic hepatitis B; HBsAg; HBeAg; chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA; chronic hepatitis B; HBsAg; HBeAg; ALT; chronic hepatitis B; HBsAg; HBeAg; HBV DNA; ALT; chronic hepatitis B; HBsAg; HBeAg; ALT; children; chronic hepatitis B; HBsAg; HBeAg; HBV DNA
- Mechanism
- INTERPRETATION: Single and multiple doses of imdusiran were safe and well tolerated in healthy individuals and in individuals with chronic hepatitis B, supporting drug development of imdusiran as a future treatment targeting functional cure for chronic hepatitis B BACKGROUND & AIMS: Selgantolimod (GS-9688) is a Toll-like receptor 8 (TLR8) agonist that suppresses HBV in vitro
Interferon-alpha
- Research status
- insufficiently reported
- Outcomes represented
- HBsAg loss, reported clinical outcomes, functional cure, response rate, recurrence
- Populations represented
- chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA; chronic hepatitis B; chronic hepatitis B; HBsAg; chronic hepatitis B; HBsAg; HBV DNA; ALT; chronic hepatitis B; HBsAg; ALT
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Alanine Transaminase
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, hepatocellular carcinoma, virologic suppression, ALT normalization, HBsAg loss, functional cure, adverse events, serious adverse events
- Populations represented
- chronic hepatitis B; HBsAg; HBV DNA; ALT; chronic hepatitis B; chronic hepatitis B; ALT; chronic hepatitis B; HBsAg; HBeAg; ALT; chronic hepatitis B; HBsAg; HBV DNA; chronic hepatitis B; HBV DNA; ALT
- Mechanism
- BACKGROUND: Treatment with bepirovirsen, an antisense oligonucleotide targeting hepatitis B virus (HBV) transcripts, has the potential to result in a functional cure, defined by at least 24 weeks of a sustained HBV DNA level below the lower limit of quantification (LLOQ) and hepatitis B surface antigen (HBsAg) loss after fixed-duration therapy
Polyethylene Glycols
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, functional cure, HBsAg loss, response rate, recurrence
- Populations represented
- chronic hepatitis B; chronic hepatitis B; HBsAg; chronic hepatitis B; HBeAg-negative chronic hepatitis B; HBsAg; HBeAg; HBV DNA; chronic hepatitis B; HBsAg; HBV DNA; ALT; chronic hepatitis B; HBsAg; ALT
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
tenofovir disoproxil fumarate
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes
- Populations represented
- chronic hepatitis B; HBsAg; HBV DNA; general population
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
COVID-19 Vaccines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, mortality
- Populations represented
- general population
- Mechanism
- We evaluate vaccines targeting influenza, Streptococcus pneumoniae, SARS-CoV-2, and other relevant pathogens, and explore determinants influencing vaccine efficacy, including optimal timing, formulation, and patient-specific immune parameters
entecavir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, functional cure, virologic suppression, ALT normalization
- Populations represented
- chronic hepatitis B; general population; chronic hepatitis B; ALT
- Mechanism
- Mechanistically, KP strongly inhibited the transcriptional activity of the HBV core promoter (Cp), and enhanced the phosphorylation of both extracellular signal-regulated kinase (ERK) and its downstream target forkhead box protein O1 (FOXO1) Despite its clinical relevance, very few studies have explored direct targeting of eIF4E's cap-binding function using small molecules as a therapeutic strategy
tenofovir alafenamide
- Research status
- insufficiently reported
- Outcomes represented
- functional cure, adverse events, reported clinical outcomes, virologic suppression, ALT normalization
- Populations represented
- general population; chronic hepatitis B; chronic hepatitis B; ALT; first-line
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Immune Checkpoint Inhibitors
- Research status
- mostly supportive
- Outcomes represented
- hepatocellular carcinoma, adverse events, functional cure, overall survival, progression-free survival, objective response rate, response rate, mortality
- Populations represented
- general population; chronic hepatitis B; HBsAg; advanced; first-line
- Mechanism
- Here, we conducted a mechanistic study parallel to our phase 2 trial of perioperative anti-PD-1 therapy in patients with resectable recurrent hepatocellular carcinoma (HCC) (NCT04615143) to study its mechanism of action Mechanistically, HBcAg is exported into the extracellular space, triggering local B cell and antibody responses and complement activation
Vaccines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, mortality
- Populations represented
- general population; children
- Mechanism
- The model included nine Greek NIP routine vaccines for children aged 2 months to 11 years, targeting 14 vaccine-preventable diseases: diphtheria, hepatitis A, hepatitis B, Haemophilus influenzae type B, measles, meningococcal disease, mumps, pertussis, pneumococcal disease, poliomyelitis, rotavirus, rubella, tetanus, and varicella
Conflicting Research
Antiviral Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Hepatitis B Vaccines · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Hepatitis B Surface Antigens · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: HBsAg. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Antiviral Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B; HBsAg; HBeAg; HBV DNA; ALT. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
tenofovir · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Antiviral Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B; HBsAg; HBV DNA. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Hepatitis B Antibodies · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
DNA, Viral · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B; HBsAg; HBeAg; HBV DNA; ALT. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
DNA, Viral · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B; HBV DNA. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
tenofovir disoproxil fumarate · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
entecavir · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
tenofovir alafenamide · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: chronic hepatitis B. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Failed or Negative Trials
Hepatitis B virus (HBV) revaccination in MSM who were born in the nationwide neonatal HBV vaccination era: A randomized clinical trial.
randomized controlled trial · 2026 · PMID 41448530
Efficacy and safety of GLS4 with entecavir vs entecavir alone in chronic hepatitis B patients: A multicenter clinical trial.
randomized controlled trial · 2025 · PMID 39988055
PegIFN alpha-2a reduces relapse in HBeAg-negative patients after nucleo(s)tide analogue cessation: A randomized-controlled trial.
randomized controlled trial · 2025 · PMID 39094743
Tenofovir alafenamide for prevention of HBV reactivation in HBsAg-negative, anti-HBc-positive patients undergoing rituximab-based chemotherapy: A multicenter randomized controlled trial.
randomized controlled trial · 2025 · PMID 41335575
Comprehensive Interventions in HBV Care: Nursing-Sensitive Approach.
randomized controlled trial · 2025 · PMID 39820185
Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials.
randomized controlled trial · 2024 · PMID 39327857
Impact of Hepatitis B Virus Infection on the Efficacy and Safety of Pembrolizumab plus Chemotherapy for Advanced Biliary Tract Cancer in the KEYNOTE-966 Study.
randomized controlled trial · 2026 · PMID 41757470
Vaccine-Induced Anti-HBs Response is Associated with Protection Against Hepatitis B Virus Reactivation after Allogeneic Hematopoietic Cell Transplantation: A Randomized Trial.
randomized controlled trial · 2026 · PMID 42150672
Novel HBV Biomarkers-Guided NAs Withdrawal Strategy Promotes HBsAg Clearance in Asian CHB Patients: A Randomized Controlled Trial.
randomized controlled trial · 2026 · PMID 40953786
Long-Term Treatment With Tenofovir Alafenamide for Chronic Hepatitis B Results in High Rates of Viral Suppression and Favorable Renal and Bone Safety.
randomized controlled trial · 2024 · PMID 37561058
Emerging and Experimental Research
Interventions to Increase Hepatitis B Testing Uptake Amongst Detained Populations: A Systematic Review.
meta analysis · 2026 · PMID 42163587
[Clinical study on the efficacy of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia patients with chronic hepatitis B].
randomized controlled trial · 2026 · PMID 42373438
The small interfering RNA imdusiran as single and multiple doses in healthy, randomised individuals and non-randomised individuals with chronic hepatitis B (AB-729-001): a phase 1a/b trial.
randomized controlled trial · 2026 · PMID 42173110
A Phase 1, Randomized, Open-Label, Parallel Group Study to Evaluate the Relative Bioavailability and Safety of Subcutaneous Bepirovirsen when Delivered from a Vial or Prefilled Syringe Fitted with a Safety Syringe Device in Healthy Adult Participants.
randomized controlled trial · 2026 · PMID 41085094
ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial.
randomized controlled trial · 2026 · PMID 41554267
Safety and efficacy of tenofovir alafenamide in preventing hepatitis B virus recurrence after liver transplantation in patients with chronic kidney disease maintained on tenofovir disoproxil fumarate: Results from a phase 2 randomized trial.
randomized controlled trial · 2026 · PMID 40972902
Safety, Tolerability, and Pharmacodynamics of GS-4224 in Healthy Participants and Participants With Chronic Hepatitis B.
randomized controlled trial · 2026 · PMID 42163628
VRON-0200 alone and in combination with investigational antivirals for participants with chronic hepatitis B virus infection receiving stable nucleos(t)ide therapy: a phase 1b, randomised, open-label, multicentre trial.
randomized controlled trial · 2026 · PMID 42214405
Elebsiran and PEG-IFNα for chronic hepatitis B infection: a partially randomized, open-label, phase 2 trial.
randomized controlled trial · 2026 · PMID 41203919
Efficacy and Safety of Pegylated Interferon as Rescue Therapy for Patients with Chronic Hepatitis B Who Failed to Achieve Functional Cure After Antisense Oligonucleotides or Small Interfering RNA: A Prospective, Multicentre, Open-Label Randomized Controlled Trial (SPHERE) Protocol.
randomized controlled trial · 2026 · PMID 42176181
Evidence Gaps
Detailed risk-of-bias assessment remains limited
PubMed abstracts often do not include enough methodological detail for a complete study-level risk-of-bias assessment.
Complete Ranked PubMed Index
The retrieval-priority score orders records using publication type, recency, sample-size signals, and replication signals. It is not a recommendation or a formal risk-of-bias grade.
Current Standard Of Care60 records
The APLAR Recommendations for the Management of Psoriatic Arthritis.
International journal of rheumatic diseases · 2025 · PMID 40725984
OBJECTIVES: Under the auspices of the Asia-Pacific League of Associations for Rheumatology (APLAR), we aimed to develop broad, evidence- and consensus-based guidelines to aid health professionals managing patients with psoriatic arthritis (PsA) in the region. METHODS: A working group of 35 members comprising rheumatologists, dermatologists, and patient research partners from 18 APLAR countries was convened. The working group conducted systematic literature reviews to derive the quality of evidence via GRADE methods…
Guideline for the management of hepatitis B and C infection and subsequent liver disease surveillance (where indicated) in people with congenital bleeding disorders: A joint guideline from the British Society of Haematology and the British Viral Hepatitis Group.
British journal of haematology · 2026 · PMID 41431438
This is a new British Society of Haematology (BSH) guideline which focuses on the management of hepatitis B and C (HBV and HCV) infection affecting people with bleeding disorders (PwBD), including those who cleared the infection many years previously. It is based on the European Association for the Study of the Liver (EASL) guidance and is a succinct practical guide for haematologists to support joint care with hepatology. It is compatible with the joint international guidance from the European Association for Haem…
AASLD ISDA Practice Guideline on treatment of chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 41186418
BACKGROUND AND AIMS: Accumulating data related to prevention, surveillance and treatment of chronic hepatitis B (CHB) provided the impetus for this updated guideline, using the Grading of Recommendation Assessment, Development and Evaluation (GRADE) approach. METHODS: The guideline was developed in compliance with the National Academy of Medicine standards. The guideline panel developed structured questions following the Population, Intervention Comparison, Outcomes (PICO) framework. The panel addressed 6 PICO ques…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
EASL Clinical Practice Guidelines on the management of hepatitis B virus infection.
Journal of hepatology · 2025 · PMID 40348683
The updated EASL Clinical Practice Guidelines on the management of hepatitis B virus (HBV) infection provide comprehensive, evidence-based recommendations for its management. Spanning ten thematic sections, the guidelines address diagnostics, treatment goals, treatment indications, therapeutic options, hepatocellular carcinoma surveillance, management of special populations, HBV reactivation prophylaxis, post-transplant care, HBV prevention strategies, and finally address open questions and future research directio…
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
Brazilian Society of Rheumatology - 2025 recommendations on vaccination in immune-mediated rheumatic diseases.
Advances in rheumatology (London, England) · 2026 · PMID 41578353
BACKGROUND: Patients with immune-mediated rheumatic diseases (IMRD) are at increased risk for infections due to both disease-related immune dysregulation and immunosuppressive therapy. Despite the benefits of vaccination, immunization rates in this population remain suboptimal, often due to concerns about safety, efficacy, and their potential for inducing disease flare. Regional-specific guidelines are necessary to address the particular epidemiological issues and aspects of the healthcare systems, especially in co…
[Interpretation of key updates of the 2026 version of the APASL clinical practice guidelines for the management of chronic hepatitis B].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42706035
The Asia-Pacific region has the heavy burden of chronic hepatitis B. In 2026, the Asia-Pacific Association for the Study of the Liver (APASL) updated its clinical practice guidelines for the management of chronic hepatitis B. The recommendations in this version of the guideline are formulated around focusing 13 core areas: vaccination and universal screening strategies, an established system of progressive treatment goals, pathways for stratified assessment of liver fibrosis based on resource availability, expansio…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026 · PMID 42061813
The hepatitis delta virus (HDV), whose infection depends on the presence of the hepatitis B virus (HBV), is associated with one of the chronic viral hepatitis that most rapidly progresses to advanced liver disease, including liver cirrhosis and/or hepatocellular carcinoma. In this context, screening for HBV/HDV infection is key to the early diagnosis of hepatitis D, improving the prognosis of infected individuals through a strategy that has proven to be effective and efficient. This document reviews the epidemiolog…
Prevention, surveillance, and early detection of hepatocellular carcinoma - a Brazilian multidisciplinary consensus.
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026 · PMID 42615769
BACKGROUND: Hepatocellular carcinoma is a major cause of cancer-related mortality and represents a growing public health challenge. AIMS: To develop multidisciplinary evidence-based recommendations for the prevention and early detection of hepatocellular carcinoma. METHODS: This consensus was coordinated by the Brazilian Society of Surgical Oncology, with the participation of 13 additional national societies. A steering committee defined the key clinical questions addressing prevention, surveillance, and early dete…
Management of Hepatitis B virus infection in patients on treatment with immunosuppressants or immunomodulators: Position Paper of Associazione Italiana Studio del Fegato (AISF), Associazione Italiana di Oncologia Medica (AIOM), Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO), Società Italiana di Reumatologia (SIR), Società Italiana Trapianti d'Organo (SITO), Società Italiana di Gastroenterologia (SIGE), Società Italiana di Malattie Infettive e Tropicali (SIMIT).
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2025 · PMID 41219059
Immunosuppressants and immunomodulators are increasingly used for the treatment of several oncologic and immune-mediated diseases. However, reducing or inhibiting the immune system's activity can interfere with the natural mechanisms responsible for Hepatitis B Virus (HBV) control and may potentially induce HBV reactivation (HBVr) in both Hepatitis B surface Antigen (HBsAg) positive patients (overt infection) and HBsAg negative/anti-Hepatitis B core (anti-HBc) positive carriers. Among factors contributing to the pe…
Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026 · PMID 40197438
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed d…
APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update.
Hepatology international · 2026 · PMID 42365189
Globally, especially in the Asia Pacific region, chronic hepatitis B infection has led to an undesirable escalating morbidity and mortality with acute-on chronic liver failure, end-staged liver cirrhosis, and hepatocellular carcinoma. This has happened despite the past four decades of major scientific advances made in screening methods, vaccination strategies, highly effective low-cost anti-viral therapies, and surveillance strategies for early detection of hepatocellular carcinoma. To address this health threat, A…
[Chinese expert consensus on clinical practice of chronic hepatitis B functional (clinical) cure].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025 · PMID 41167769
Chronic hepatitis B functional (clinical) cure is currently an important therapeutic endpoint, which significantly reduces the incidence risk of cirrhosis and liver cancer. This expert consensus focuses on key clinical issues on the basis of previous studies, systematically elaborates population stratification and stepwise treatment strategies based on patient characteristics, consolidation therapy, relapse management, long-term monitoring after serum HBsAg clearance, and optimal management for patients who have no…
Clinical practice guidelines for hepatocellular carcinoma surveillance for people at high risk in Australia: summary of recommendations.
The Medical journal of Australia · 2025 · PMID 40976940
INTRODUCTION: Hepatocellular carcinoma (HCC) is the most common form of primary liver cancer, the sixth most common cause of cancer death in Australia. With shifting aetiologies and a growing at-risk population, consistent routine surveillance recommendations are key to early detection of HCC and improved survival. We developed new evidence-based HCC surveillance guidelines for people at high risk in Australia due to liver disease and/or other risk factors. These guidelines were developed by a working group of expe…
Serum chloride concentrations and outcomes in adult patients with cirrhosis: a systematic review and meta-analysis.
BMC nephrology · 2025 · PMID 41013381
PURPOSE: Electrolyte disturbances, including hyponatremia, are common in cirrhosis, with hyponatremia already incorporated into the MELD-Na score as a prognostic marker. However, the prognostic role of serum chloride, the main extracellular anion, remains underexplored. Emerging evidence suggests hypochloremia is independently associated with increased mortality and acute kidney injury (AKI) in cirrhotic patients. Proposed mechanisms include dysregulated activation of the renin-angiotensin, vasopressin, and sympath…
Evaluating Infections in Solid Organ Donors Before Transplantation: A Systematic Review of Clinical Practice Guidelines.
Transplantation · 2026 · PMID 41805905
BACKGROUND: Donor-derived infection remains a risk in solid organ transplantation. Clinical practice guidelines inform best practices for donor evaluation and acceptance, although they vary across centers and regions. This study aimed to evaluate the quality and consistency of guidelines for the evaluation of infections in solid organ donors and to summarize their recommendations. METHODS: We searched electronic databases and websites of professional organizations for clinical practice guidelines and consensus stat…
Identifying barriers and facilitators to accessing harm reduction services in prisons: A systematic narrative synthesis.
The International journal on drug policy · 2025 · PMID 40517606
BACKGROUND: Drug use is prevalent in carceral settings globally. Although a comprehensive harm reduction package for people in prison (PIP) is recommended by international agencies, its implementation is limited. The aim of this systematic narrative synthesis was to explore barriers and facilitators to accessing harm reduction services (HRS) in prisons. METHODS: We searched MEDLINE, PsycINFO, SCOPUS, and CINAHL for English and French language articles published before June 26, 2024. Studies evaluating any HRS defin…
Economic evaluation of hepatitis B screening in low- and middle-income countries: a systematic review.
International journal of clinical pharmacy · 2025 · PMID 40982118
INTRODUCTION: Hepatitis B virus (HBV) causes significant morbidity and mortality worldwide, particularly in low- and middle-income countries (LMICs) with intermediate to high endemicity. Screening interventions are essential for reducing infection rates. AIM: To synthesize economic evaluation evidence of hepatitis B (HBV) screening strategies in LMICs. METHOD: A comprehensive search of PubMed, Embase, and Scopus was conducted up to August 08, 2024. All types of economic evaluations comparing HBV screening strategie…
Risk of hepatitis B virus reactivation associated with interleukin inhibitor therapies: protocol for a systematic review and meta-analysis.
BMJ open · 2025 · PMID 41213667
INTRODUCTION: The widespread application of interleukin (IL) inhibitors for various conditions, including gastrointestinal, rheumatologic, dermatologic and pulmonary diseases, has raised concerns regarding the potential for hepatitis B virus reactivation (HBVr). However, the precise risk of HBVr remains unclear due to inconsistencies in existing research. This systematic review aims to quantify the risk of HBVr in patients receiving IL inhibitor therapies. METHODS AND ANALYSIS: This systematic review will follow Pr…
Advances in the management of hepatitis B.
BMJ (Clinical research ed.) · 2025 · PMID 40461178
Hepatitis B virus infection remains a pervasive global health challenge, affecting an estimated 254 million people worldwide. This review summarizes the current landscape of hepatitis B, including its epidemiology and the clinical spectrum of acute and chronic infection. It discusses the interplay between host and virus that underlies the progression from acute hepatitis to chronic liver disease, cirrhosis, and hepatocellular carcinoma. The review further examines current screening practices, diagnostic methods, an…
[Characteristics and predictive factors of recompensation in patients with hepatitis B-related decompensated cirrhosis: a retrospective cohort study].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42706038
Objective: To investigate and evaluate the incidence rate, time distribution, related factors, and prediction model discriminative ability for recompensation in patients with hepatitis B-related decompensated cirrhosis. Methods: Four hundred and five patients hospitalized for the first time due to hepatitis B-related decompensated cirrhosis were retrospectively enrolled, using the date of initial hospitalization for decompensation as the follow-up initial point. Recompensation was defined as the resolution conditio…
[Clinical outcomes of small-size grafts in auxiliary liver transplantation for the treatment of portal hypertension].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025 · PMID 41355128
Objective: To evaluate the safety and efficacy of using small and ultra-small sized grafts for in situ auxiliary liver transplantation in the treatment of portal hypertension. Methods: A prospective single-arm cohort study was conducted. Patients who underwent liver transplantation at Beijing Friendship Hospital from December 2014 to July 2025 were included. Intraoperative portal vein pressure was routinely monitored, with the target regulation for portal vein blood flow set at<15 mmHg (1 mmHg=0.133 kPa) and follow…
Diagnosis And Screening60 records
Prevention, surveillance, and early detection of hepatocellular carcinoma - a Brazilian multidisciplinary consensus.
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026 · PMID 42615769
BACKGROUND: Hepatocellular carcinoma is a major cause of cancer-related mortality and represents a growing public health challenge. AIMS: To develop multidisciplinary evidence-based recommendations for the prevention and early detection of hepatocellular carcinoma. METHODS: This consensus was coordinated by the Brazilian Society of Surgical Oncology, with the participation of 13 additional national societies. A steering committee defined the key clinical questions addressing prevention, surveillance, and early dete…
siRNA JNJ-73763989 decreases HBsAg and HDV RNA in NA-treated hepatitis D patients but may cause ALT flares.
Journal of hepatology · 2026 · PMID 42142631
BACKGROUND & AIMS: HDV requires HBsAg for viral assembly. The siRNA JNJ-73763989 (JNJ-3989) targets all HBV transcripts and reduces HBsAg in patients with chronic hepatitis B. We evaluated whether HBsAg reduction with JNJ-3989 leads to a decline in HDV RNA and ALT in patients with chronic hepatitis D (CHD). METHODS: REEF-D, a two-part, phase II, randomized, double-blind, placebo-controlled study, enrolled 22 adults with CHD in Part 1. Participants were randomized 4:1 to receive JNJ-3989 (100 mg subcutaneously every…
HBsAg isoforms predict HBsAg seroclearance and finite treatment in patients with chronic hepatitis B after cessation of long term nucleos(t)ide analogue.
JHEP reports : innovation in hepatology · 2026 · PMID 42562264
BACKGROUND AND AIMS: We examined the role of HBsAg isoforms to predict HBsAg seroclearance or finite treatment among patients with chronic hepatitis B (CHB) infection who stopped long-term nucleoside analogue (NUC). METHODS: This prospective study recruited patients with HBeAg-negative non-cirrhotic CHB on ≥3 years of first-line NUC with NUC cessation. NUC was resumed upon clinical relapse (CR) or major virological rebound (mVR). HBV biomarkers were measured at baseline, CR or mVR (if any), and end-of-follow-up. Th…
Evaluating the risk: Hepatitis B virus reactivation in ocrelizumab-treated patients with multiple sclerosis: A single-center experience and review of the literature.
Multiple sclerosis and related disorders · 2026 · PMID 42431141
BACKGROUND: Ocrelizumab is a highly effective anti-CD20 monoclonal antibody used in the treatment of multiple sclerosis (MS). However, B-cell depletion may increase the risk of hepatitis B virus (HBV) reactivation, particularly in patients with previous HBV exposure. Real-world data regarding this risk in patients receiving ocrelizumab remain limited. METHODS: We conducted a retrospective observational cohort study including adult patients with MS who received ocrelizumab between January 2018 and December 2025 at a…
Seroprevalence of hepatitis D among hepatitis B-infected patients attending the viral hepatitis treatment unit in Alexandria, Egypt: a prospective cross-sectional observational study.
BMC infectious diseases · 2026 · PMID 42608674
BACKGROUND: Hepatitis D virus (HDV) infection accelerates liver illness progression in hepatitis B surface antigen (HBsAg)-positive individuals, yet its prevalence in Alexandria, Egypt, is unknown. METHODS: We carried out a prospective cross-sectional observational study on 158 HBsAg-positive adults attending the Alexandria University Viral Hepatitis Treatment Unit (Sept 2022-Aug 2023). All underwent clinical, laboratory, and imaging assessment, and serum total anti-HDV antibodies were detected by ELISA. RESULTS: A…
Development and validation of GADA model for diagnosing hepatocellular carcinoma in Chinese hepatitis B patients.
Chinese medical journal · 2026 · PMID 42608650
BACKGROUND: Chronic hepatitis B virus (HBV) infection accounts for more than 40% of hepatocellular carcinoma (HCC) cases worldwide. The GALAD (Gender, Age, alpha fetoprotein heterogeneity [AFP-L3], AFP, and des-gamma-carboxy prothrombin [PIVKA-II/DCP]) model has potential for enhancing HCC diagnosis. However, its diagnostic performance in HBV-associated chronic liver disease requires further optimization. This study aimed to establish a diagnostic model for HBV-associated HCC. METHODS: The data from 2190 patients w…
Metabolomic machine learning predictor for the diagnosis of alcohol-associated liver disease.
Clinica chimica acta; international journal of clinical chemistry · 2026 · PMID 42259427
BACKGROUND: It is urgent to find novel non-invasive biomarkers that can accurately diagnose alcohol-associated liver disease (ALD). The objective of this study was to explore dysregulated metabolites in the serum of ALD patients by metabolomics, and establish a reliable diagnostic model by machine learning algorithms. METHODS: A total of 1800 participants, including ALD, metabolic dysfunction-associated steatotic liver disease (MASLD), chronic hepatitis B (CHB), alcohol use disorder (AUD) and normal control (NC) in…
Under-vaccination as a systems failure: A Monte Carlo simulation of the 2025 CDC/ACIP hepatitis B birth-dose policy shift and multi-level intervention packages, 2025-2035.
Vaccine · 2026 · PMID 42365679
BACKGROUND: In 2025, the CDC/ACIP reclassified the hepatitis B (HBV) birth-dose recommendation from universal vaccination to a shared clinical decision-making (SCDM) model. U.S. adult HBV vaccination rates remain stagnant at 30-32%, reflecting systemic delivery failures. The projected impact of this policy shift and whether multi-level interventions can protect vulnerable populations remains unquantified. METHODS: We developed a Monte Carlo simulation (N = 50,000 iterations) projecting U.S. vaccination outcomes fro…
Decoding Tumor Heterogeneity with Imaging Biomarkers Predicts Microvascular Invasion and Postoperative Risk Stratification in Hepatocellular Carcinoma.
Academic radiology · 2026 · PMID 42586894
RATIONALE AND OBJECTIVES: Microvascular invasion (MVI) is a major driver of recurrence and poor outcomes in hepatocellular carcinoma (HCC), yet biopsy-based pathologic assessment is invasive and susceptible to sampling bias and delayed availability. We aimed to develop and validate a noninvasive preoperative model integrating multiphase magnetic resonance imaging-derived habitat/intratumoral heterogeneity (ITH) features and clinical variables for MVI prediction and postoperative recurrence-risk stratification. METH…
Prevalence and predictive factors of chronic kidney disease among individuals with cardiometabolic risk factors: A multicenter cross-sectional study, North East Ethiopia.
Clinical medicine (London, England) · 2026 · PMID 42398670
BACKGROUND: Chronic kidney disease (CKD) is a major global public health concern, affecting more than 9% of adults worldwide and contributing to rising morbidity, mortality, and healthcare costs. The burden is disproportionately higher in low-resource settings such as Sub-Saharan Africa, where limited diagnostic capacity leads to delayed detection and accelerated progression to kidney failure. In Ethiopia, existing evidence is largely confined to diabetic populations, with minimal data on other high-risk groups. Th…
Hepatitis B and D burden in Uzbekistan: comprehensive analysis of seroprevalence and risk correlates from a countrywide study.
Infectious diseases of poverty · 2026 · PMID 42608708
BACKGROUND: Uzbekistan faces a substantial burden of hepatitis B and D virus (HBV and HDV) infections despite implementing universal hepatitis B vaccination in 1998. Regional variation in disease distribution and contemporary transmission dynamics remain inadequately characterized. Our objective was to evaluate the geographically stratified prevalence of HBV and HDV, while also identifying the key risk factors fueling transmission within the adult population of Uzbekistan. METHODS: We conducted a nationwide cross-s…
Preoperative gut microbiota combined with machine learning for predicting post-hepatectomy liver failure in HBV-related hepatocellular carcinoma: a pilot study.
Frontiers in cellular and infection microbiology · 2026 · PMID 42625750
OBJECTIVE: This study investigated the association between preoperative gut microbiota (GM) profiles and post-hepatectomy liver failure (PHLF) in patients with newly diagnosed HBV-related hepatocellular carcinoma (HBV-HCC), aiming to explore non-invasive, modifiable GM biomarkers for perioperative risk stratification. METHODS: A total of 233 fecal samples underwent 16S rRNA sequencing and were stratified into three distinct sets: a training set (n = 179), an internal validation set (n = 32), and an independent exte…
Self-reported hepatitis B diagnoses and vaccination history in trans and non-binary communities in Germany, the TASG-study* 2022.
BMC public health · 2026 · PMID 42576212
BACKGROUND: In Germany, little is known about hepatitis B (HepB) prevalence and vaccination coverage among transgender and non-binary people (TNBP), a WHO-defined viral hepatitis key population. Our study aimed to assess self-reported HepB diagnoses, self-reported positive vaccination history, and potential predictors for a positive vaccination history in a subset of participants for whom the German standing committee on vaccination recommend HepB vaccination. METHODS: We analysed data from a 2022 cross-sectional o…
Diagnosis of Small Focal Liver Lesions (≤2 cm): A Deep Learning Approach Based on B-Mode Ultrasound and Contrast-Enhanced Ultrasound.
Ultrasound in medicine & biology · 2026 · PMID 42350195
BACKGROUND: To develop and validate a deep learning (DL) model based on feature fusion with B-mode ultrasound (BMUS) and contrast enhanced ultrasound (CEUS) images for non-invasive diagnosis of benign and malignant focal liver lesions (FLLs), especially for small FLLs (≤2.0 cm). METHODS: A retrospective dataset of 687 patients who were diagnosed with FLLs by BMUS and underwent CEUS between September 2016 and March 2020 was collected in this study. The dataset was divided into a training set (80%) and a test set (20…
Metagenomic sequencing detects viruses and bacteria in a cross-sectional clinical cohort of undifferentiated febrile illness in Nigeria.
mSphere · 2026 · PMID 42584108
UNLABELLED: Molecular and microscopy-based diagnostic capacity is often insufficient or unavailable in places where infectious disease burdens are highest, such as in West Africa. Rapid diagnostic testing (RDT) can provide quick and affordable diagnoses of common infections but is an imperfect solution due to limitations around detecting and dealing with false-negative and false-positive results. An alternative to RDT is unbiased metagenomic sequencing for pathogen surveillance. Here, we present data from unbiased …
Red cell distribution width-to-platelet ratio (RPR) as a simple non-invasive predictor of liver cirrhosis in patients with chronic hepatitis B: a cross-sectional study.
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina · 2026 · PMID 42593001
AIM: Chronic hepatitis B (CHB) is a major cause of liver cirrhosis worldwide. This study aimed to evaluate the red cell distribution width-to-platelet ratio (RPR) as a simple non-invasive predictor of cirrhosis in CHB patients. METHODS: A cross-sectional study was conducted in 221 CHB patients at H. Adam Malik General Hospital, Medan, Indonesia (May 2024-May 2025). Cirrhosis was diagnosed by FibroScan (≥ 14 kPa) or ultrasonography findings. RPR was calculated from routine haematology data. Bivariate analysis was us…
Association of week-12 HBsAg Decline with HBsAg Clearance in Patients with Hepatitis B-Related Cirrhosis Receiving Pegylated Interferon Combined with Nucleos(T)ide Analogue Therapy: A Retrospective Cohort Study.
International journal of general medicine · 2026 · PMID 42583160
PURPOSE: This study aimed to evaluate the association between the relative decline rate of HBsAg at week 12 (HBsAg R) and achieving HBsAg clearance in patients with compensated HBV-related cirrhosis. PATIENTS AND METHODS: This study included 174 patients with compensated hepatitis B-related cirrhosis receiving pegylated interferon-alpha and nucleos(t)ide analogue therapy. HBsAgR was defined as (week-12 HBsAg - baseline HBsAg) / baseline HBsAg, where a more negative value indicates greater decline. To identify stabl…
Comparative analysis of biomarker profiles in chronic kidney disease with and without hepatitis B co-infection in Iraq.
Computational biology and chemistry · 2026 · PMID 42070332
BACKGROUND: Chronic kidney disease (CKD) and hepatitis B virus (HBV) infection are major health challenges. While both individually disrupt systemic homeostasis, their potential synergistic effects on hematological, lipid, and renal function profiles remain poorly defined in specific demographics. OBJECTIVE: This study aims to comparatively analyze key hematological, lipid, and renal function biomarkers among Iraqi CKD patients with HBV co-infection, CKD patients without HBV, and healthy controls. METHODS: A cross-…
Serum HBV RNA reflects persistent viral transcriptional activity in nucleos(t)ide analogue-treated patients despite suppressed HBV DNA.
Diagnostic microbiology and infectious disease · 2026 · PMID 42365785
BACKGROUND: Accurate assessment of viral transcriptional activity remains challenging in chronic hepatitis B (HBV) infection, especially in patients with suppressed HBV DNA. Serum HBV RNA has emerged as a potential biomarker reflecting covalently closed circular DNA (cccDNA) activity. METHODS: A total of 336 HBV-infected patients, including chronic hepatitis B (CHB, n = 67), liver cirrhosis (LC, n = 149), and hepatocellular carcinoma (HCC, n = 120), were retrospectively enrolled. Serum HBV RNA, HBV DNA, serological…
Change in Two-Dimensional Shear Wave Elastography: A New Predictor of Hepatitis B-Related HCC Progression After Ablation.
Ultrasound in medicine & biology · 2026 · PMID 42420054
OBJECTIVE: Ablation is an important therapy for hepatocellular carcinoma (HCC). This study aims to explore the changes in pre- and short-term-post-ablative two-dimensional shear wave elastography (2D-SWE) measurements and assess the feasibility of using pre- and short-term-post-ablative indicators, including 2D-SWE measurements, to predict HCC progression after curative ablation. METHODS: A total of 161 treatment-naïve chronic hepatitis B-related HCC patients were divided into training (n = 107) and validation (n =…
Therapeutic vaccination strategy targeting the PreS1 region of L-HBsAg for HBV/HDV co-infection.
JHEP reports : innovation in hepatology · 2026 · PMID 42607868
BACKGROUND & AIMS: Achieving functional cure for chronic hepatitis B (CHB) will likely require a combinatorial approach targeting multiple aspects of the complex hepatitis B virus (HBV) life cycle and host adaptive immune responses. Here, we developed a therapeutic vaccination strategy targeting the PreS1 region of L-HBsAg, required for cellular entry of both hepatitis B and D viruses. METHODS: An established potent T-cell inducing platform, recombinant adenovirus (Ad), was used as a nanoparticle scaffold for PreS1…
A prospective evaluation of Cepheid Xpert® and Roche cobas® HIV-1, HBV and HCV assays for nucleic acid quantification.
Diagnostic microbiology and infectious disease · 2026 · PMID 42184582
BACKGROUND: Quantification of HBV DNA, HIV and HCV RNA allows monitoring of disease progression and management. An easy-to-use cartridge-based real-time polymerase chain reaction (PCR) assay for quantification of HIV, HBV and HCV can provide supplementary benefits, for example, in low resource settings instead of large, automated PCR systems. Our aim was to assess interassay agreement between Cepheid Xpert HIV-1 Viral Load XC, HBV Viral Load and HCV Viral Load, and Roche cobas HIV-1, HBV and HCV assays with routine…
Comparative evaluation of noncontrast computed tomography (CT) histogram analysis, FibroScan, and serum markers for liver fibrosis assessment in chronic hepatitis B patients.
Clinical radiology · 2026 · PMID 42501700
AIM: This study aimed to evaluate the relationship between noncontrast computed tomography (CT) histogram analysis and biopsy-based fibrosis staging, FibroScan, and serum-based scoring systems in patients with chronic hepatitis B. MATERIALS AND METHODS: In 40 patients with histopathologically staged fibrosis, histogram parameters derived from noncontrast CT images were compared with FibroScan measurements and aspartate aminotransferase-to-platelet ratio index (APRI)/Fibrosis-4 (FIB-4) scores. Correlation analyses w…
Personal and family application of cancer prevention practices among physicians.
Scientific reports · 2026 · PMID 42613360
Healthcare providers play a pivotal role in cancer prevention through screening advocacy, lifestyle counseling, and risk communication. However, limited evidence exists on whether physicians apply these preventive practices to themselves and their families. This study assessed personal and family-oriented cancer prevention behaviors among physicians and explored behavioral determinants using the Health Belief Model (HBM), with particular attention to differences between oncology-related and non-oncology specialties…
A light-activated one-pot ERA/CRISPR-Cas12a assay for cost-effective dual-mode detection of HBV DNA.
Talanta · 2026 · PMID 42557140
Light-activatable CRISPR-Cas systems offer an effective strategy to overcome the kinetic incompatibility in one-pot nucleic acid assays; however, their practical application remains limited by high reagent cost, the lack of compatible reaction buffers, and reliance on instrument-dependent readout. In this work, we developed a cost-effective light-controlled one-pot ERA/CRISPR-Cas12a platform for rapid hepatitis B virus (HBV) DNA detection. NPOM-caged crRNA was employed to temporarily suppress Cas12a activity during…
Evidence Syntheses60 records
An umbrella review navigating the nationwide burden of hepatitis B virus infection in Ethiopia: A call for action on vaccination, safe blood, and infection prevention.
PloS one · 2026 · PMID 42330006
BACKGROUND: The Hepatitis B virus (HBV) is one of the major causes of viral hepatitis that may persist and lead to complications, including cirrhosis, hepatic decompensation, and liver cancer. Numerous systematic reviews and meta-analysis have been conducted on HBV infection among people in Ethiopia, showing inconsistent findings. This umbrella review aimed to assess the pooled prevalence of HBV infection and its associated factors among people in Ethiopia. METHODS: All published and unpublished systematic review a…
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
Prevention, surveillance, and early detection of hepatocellular carcinoma - a Brazilian multidisciplinary consensus.
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026 · PMID 42615769
BACKGROUND: Hepatocellular carcinoma is a major cause of cancer-related mortality and represents a growing public health challenge. AIMS: To develop multidisciplinary evidence-based recommendations for the prevention and early detection of hepatocellular carcinoma. METHODS: This consensus was coordinated by the Brazilian Society of Surgical Oncology, with the participation of 13 additional national societies. A steering committee defined the key clinical questions addressing prevention, surveillance, and early dete…
[Interpretation of key updates of the 2026 version of the APASL clinical practice guidelines for the management of chronic hepatitis B].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42706035
The Asia-Pacific region has the heavy burden of chronic hepatitis B. In 2026, the Asia-Pacific Association for the Study of the Liver (APASL) updated its clinical practice guidelines for the management of chronic hepatitis B. The recommendations in this version of the guideline are formulated around focusing 13 core areas: vaccination and universal screening strategies, an established system of progressive treatment goals, pathways for stratified assessment of liver fibrosis based on resource availability, expansio…
APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update.
Hepatology international · 2026 · PMID 42365189
Globally, especially in the Asia Pacific region, chronic hepatitis B infection has led to an undesirable escalating morbidity and mortality with acute-on chronic liver failure, end-staged liver cirrhosis, and hepatocellular carcinoma. This has happened despite the past four decades of major scientific advances made in screening methods, vaccination strategies, highly effective low-cost anti-viral therapies, and surveillance strategies for early detection of hepatocellular carcinoma. To address this health threat, A…
AASLD ISDA Practice Guideline on treatment of chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 41186418
BACKGROUND AND AIMS: Accumulating data related to prevention, surveillance and treatment of chronic hepatitis B (CHB) provided the impetus for this updated guideline, using the Grading of Recommendation Assessment, Development and Evaluation (GRADE) approach. METHODS: The guideline was developed in compliance with the National Academy of Medicine standards. The guideline panel developed structured questions following the Population, Intervention Comparison, Outcomes (PICO) framework. The panel addressed 6 PICO ques…
Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026 · PMID 42061813
The hepatitis delta virus (HDV), whose infection depends on the presence of the hepatitis B virus (HBV), is associated with one of the chronic viral hepatitis that most rapidly progresses to advanced liver disease, including liver cirrhosis and/or hepatocellular carcinoma. In this context, screening for HBV/HDV infection is key to the early diagnosis of hepatitis D, improving the prognosis of infected individuals through a strategy that has proven to be effective and efficient. This document reviews the epidemiolog…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
Seroprevalence and Molecular Epidemiology of Hepatitis B and D Viruses in Mauritania: a Systematic Review and Meta-Analysis.
Journal of epidemiology and global health · 2026 · PMID 41996018
Mauritania has a high prevalence of chronic hepatitis B virus (HBV) and hepatitis D virus (HDV), posing a major public health burden. A comprehensive analysis of seroprevalence, transmission dynamics, and molecular epidemiology would help inform strategies for public health interventions. This study systematically reviews the published literature in the field between 1983 and 2024, employing PRISMA 2020 guidelines. Where insufficient data were available for meta-analyses on specific inquiries, summative description…
The incidence of spontaneous HBsAg loss in patients with different baseline HBsAg levels: a systematic review and meta-analysis.
Hepatology international · 2026 · PMID 41686332
BACKGROUND AND AIMS: Hepatitis B surface antigen (HBsAg) seroclearance is an ideal treatment end point in chronic hepatitis B (CHB), linked to improved clinical outcomes. Baseline HBsAg level is a key predictor, but pooled evidence on the annual incidence of spontaneous HBsAg clearance in untreated CHB patients, stratified by baseline HBsAg levels, is lacking. We conducted a systematic review and meta-analysis to quantify this incidence. METHODS: Six databases were searched for cohort studies and randomized trials …
Efficacy and safety of clipping prior to cyanoacrylate embolization in gastric varices: a single-arm systematic review and meta-analysis.
Surgical endoscopy · 2026 · PMID 42377512
BACKGROUND: Gastric variceal bleeding is a life-threatening complication of portal hypertension. Cyanoacrylate injection is the standard endoscopic treatment that carries a significant risk of ectopic embolization, particularly in patients with gastrorenal shunts. Adding endoscopic clips before injection may enhance safety and efficacy, yet evidence remains limited. This study evaluates the safety and effectiveness of clip-assisted cyanoacrylate injection (clip-ECI). METHODOLOGY: A systematic search was conducted o…
Clinicopathological significance of Gli1 expression in hepatocellular carcinoma: a meta-analysis.
Scientific reports · 2026 · PMID 41968128
This meta-analysis assessed the clinicopathological significance of GLI1 in hepatocellular carcinoma (HCC). We systematically searched PubMed, Web of Science, Embase, Cochrane Library, Wan Fang, and CNKI for studies through October 2025. Studies assessing GLI1 by immunohistochemistry in HCC tissue and reporting its clinicopathological correlations were included. Study quality was evaluated using the Newcastle-Ottawa Scale. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Publication bia…
First-line immunotherapy for advanced hepatocellular carcinoma: a network meta-analysis of randomized trials with overall and HBV/HCV-stratified efficacy and safety.
Frontiers in immunology · 2026 · PMID 42220514
BACKGROUND: Immune checkpoint inhibitors (ICIs) have revolutionized the front-line treatment of advanced hepatocellular carcinoma (HCC). However, the comparative efficacy and safety of different ICI-based regimens-and their consistency across etiologic subgroups [HBV, HCV, and non-HBV/non-HCV (NBNC)]-remain uncertain. This study conducted a Bayesian network meta-analysis (NMA) of recent randomized controlled trials (RCTs) to compare the first-line immunotherapy strategies both overall and by viral etiology. METHODS…
Effectiveness of Digital Health Interventions to Improve Self-Care in Patients With Chronic Diseases: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42263266
BACKGROUND: Chronic diseases account for most global morbidity and mortality, increasing the need for effective long-term self-care support. Digital health interventions, such as mobile apps, telemonitoring, and connected devices, are increasingly used to promote self-care; yet, their overall effectiveness across chronic conditions remains unclear. OBJECTIVE: This systematic review and meta-analysis evaluated whether digital health interventions improve self-care in adults with chronic diseases. METHODS: We searche…
Viral hepatitis co-infections with tuberculosis in India: A systematic review and meta-analysis.
The Indian journal of medical research · 2026 · PMID 42295712
Background and objectives Tuberculosis (TB) and viral hepatitis (hepatitis B and C) co-infection is a significant threat in low-and middle-income countries like India. To optimise treatment protocols and prevent liver-related complications, it is essential to estimate the burden of these co-infections. This systematic review and meta-analysis were conducted to determine the prevalence of hepatitis B and C co-infection with tuberculosis in India. Methods In line with PRISMA guidelines, a systematic search of PubMed,…
Efficacy and safety of TDF+3TC + EFV‑centric antiretroviral regimens for HIV/HBV co-infection: a systematic review and network meta‑analysis.
BMC infectious diseases · 2026 · PMID 42288778
OBJECTIVE: To evaluate the efficacy and safety of antiretroviral therapy(ART) regimens based on tenofovir(TDF) + lamivudine(3TC) + efavirenz(EFV) in patients co-infected with Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV), thereby providing evidence-based support for clinical treatment decision-making. METHODS: Relevant studies published from database inception to March 2025 were systematically retrieved from the CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and Cochrane Library datab…
Thymosin-ɑ1 for people with chronic hepatitis B.
The Cochrane database of systematic reviews · 2026 · PMID 42713852
RATIONALE: Chronic hepatitis B is a global public health concern. It is caused by infection with the hepatitis B virus (HBV). The goal of treating chronic HBV infection is to prevent progression to chronic hepatitis, cirrhosis, hepatic decompensation, liver failure, hepatocellular carcinoma, and death. Individual studies have evaluated various immunomodulatory therapies with inconsistent results. Thymosin-ɑ1 is known to have antiviral effects; however, results of randomised clinical trials on the effects of thymosi…
Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42287020
BACKGROUND AND AIMS: This study aimed to determine the incidence of hepatitis B virus reactivation (HBVr) in patients with chronic or occult HBV infection who were treated with IL-12/23, IL-23 (together referred to as anti-IL-23/12), IL-17, or JAK inhibitors without antiviral prophylaxis. In addition, we sought to assess whether the risk of HBVr varies according to anti-HBs status among individuals who are anti-HBc positive. METHODS: A systematic review and meta-analysis were conducted in accordance with PRISMA and…
HBsAg decline and clearance with peg-IFN therapy added to nucleos(t)ide analogues: an individual participant data meta-analysis of prospective trials (PROSPER).
Gut · 2026 · PMID 41198171
BACKGROUND: Peg-interferon (peg-IFN) plays an increasingly important role in HBV cure strategies, either in combination with novel antivirals, as a lead-in or as consolidation treatment. OBJECTIVE: We aimed to provide estimates of hepatitis B surface antigen (HBsAg) decline and clearance that can be achieved with peg-IFN addition to nucleos(t)ide analogue (NA) therapy. DESIGN: This is a post hoc meta-analysis of individual participant data from eight clinical trials involving chronic hepatitis B patients on NA ther…
Evaluating Infections in Solid Organ Donors Before Transplantation: A Systematic Review of Clinical Practice Guidelines.
Transplantation · 2026 · PMID 41805905
BACKGROUND: Donor-derived infection remains a risk in solid organ transplantation. Clinical practice guidelines inform best practices for donor evaluation and acceptance, although they vary across centers and regions. This study aimed to evaluate the quality and consistency of guidelines for the evaluation of infections in solid organ donors and to summarize their recommendations. METHODS: We searched electronic databases and websites of professional organizations for clinical practice guidelines and consensus stat…
Transmission Risk of Intentional Transplantation of Kidneys From Donors With Active Hepatitis B to Recipients Without Active Hepatitis B: A Systematic Review and Meta-Analysis.
Transplantation · 2026 · PMID 41427832
BACKGROUND: Potential kidney donors with active hepatitis B virus (HBV: positive hepatitis B surface antigen [HBsAg] and/or nucleic acid test [NAT]) are usually declined for HBsAg-negative recipients. Safety may be improved by recipient vaccination and/or antivirals, thereby increasing transplantation opportunities. We quantified HBV transmission risk in this setting to inform donation decisions. METHODS: Systematic review and meta-analysis (MEDLINE, to November 2024) of cohorts comprised of kidney donors with acti…
Global coverage of interventions for reduction of injecting drug use-related harm, HIV, viral hepatitis and tuberculosis in prisons and other carceral settings: A systematic review.
The International journal on drug policy · 2026 · PMID 41651702
BACKGROUND: People who are incarcerated experience disproportionately high rates of injecting drug use and infectious disease, including HIV, viral hepatitis and tuberculosis. However, comprehensive global data regarding the availability of services that prevent and manage infectious disease, injecting drug use and related harms remain limited and outdated. We provide the first systematic review to comprehensively examine the availability and coverage of infectious disease prevention, treatment, and harm reduction …
The global epidemiology of injecting drug use, HIV, viral hepatitis and tuberculosis among people who are incarcerated: a multistage systematic review.
The International journal on drug policy · 2026 · PMID 41651703
BACKGROUND: This global systematic review assesses the prevalence of injecting drug use (IDU) and key infectious diseases (HIV, hepatitis C virus [HCV], tuberculosis and hepatitis B virus [HBV]) among people who are incarcerated. METHODS: We conducted a systematic search of peer-reviewed (Medline, Embase, PsycINFO), internet, and grey literature databases, from January 2000 through 2nd June 2025 and engaged international experts and relevant agencies liaising with key agencies focused on incarcerated populations (W…
Landmark Evidence126 records
[Chinese practice guidelines for the prevention and treatment of mother-to-child transmission of hepatitis B virus (version 2024)].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024 · PMID 39267564
The Chinese Clinical Practice Guidelines for the prevention and treatment of mother-to-child transmission of hepatitis B virus, developed by the Chinese Society of Infectious Diseases of the Chinese Medical Association in 2019, serves as a valuable reference for standardizing the process of preventing mother-to-child transmission in China. As new evidence emerges, it is crucial that timely and regular updates are made to the clinical practice guidelines so that to optimize guidance for clinical practice and researc…
Vaccines for preventing infections in adults with haematological malignancies.
The Cochrane database of systematic reviews · 2025 · PMID 40396505
BACKGROUND: Vaccination aims to prevent infections. People who are immunocompromised, such as those with haematological malignancies, often experience higher immunosuppression, increasing their vulnerability to infections compared to individuals with solid tumours or healthy individuals. OBJECTIVES: The aim of this review is to summarise and evaluate the benefits and risks of vaccines for preventing infections in adults with haematological malignancies. SEARCH METHODS: We conducted a comprehensive systematic search…
Histological severity, clinical outcomes and impact of antiviral treatment in indeterminate phase of chronic hepatitis B: A systematic review and meta-analysis.
Journal of hepatology · 2025 · PMID 39577468
BACKGROUND & AIMS: Current international guidelines recommend close monitoring and evaluation of patients with chronic hepatitis B (CHB) in the indeterminate phase, and treatment of patients at high risk of adverse outcomes. Clinical outcomes and the effect of antiviral therapy on the indeterminate phase remain unclear. We performed a systematic review and meta-analysis to study the incidence of adverse clinical outcomes including hepatocellular carcinoma (HCC), cirrhosis, and hepatic decompensation, and the effect…
EASL Clinical Practice Guidelines on the management of hepatitis B virus infection.
Journal of hepatology · 2025 · PMID 40348683
The updated EASL Clinical Practice Guidelines on the management of hepatitis B virus (HBV) infection provide comprehensive, evidence-based recommendations for its management. Spanning ten thematic sections, the guidelines address diagnostics, treatment goals, treatment indications, therapeutic options, hepatocellular carcinoma surveillance, management of special populations, HBV reactivation prophylaxis, post-transplant care, HBV prevention strategies, and finally address open questions and future research directio…
Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026 · PMID 42061813
The hepatitis delta virus (HDV), whose infection depends on the presence of the hepatitis B virus (HBV), is associated with one of the chronic viral hepatitis that most rapidly progresses to advanced liver disease, including liver cirrhosis and/or hepatocellular carcinoma. In this context, screening for HBV/HDV infection is key to the early diagnosis of hepatitis D, improving the prognosis of infected individuals through a strategy that has proven to be effective and efficient. This document reviews the epidemiolog…
[Chinese expert consensus on clinical practice of chronic hepatitis B functional (clinical) cure].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025 · PMID 41167769
Chronic hepatitis B functional (clinical) cure is currently an important therapeutic endpoint, which significantly reduces the incidence risk of cirrhosis and liver cancer. This expert consensus focuses on key clinical issues on the basis of previous studies, systematically elaborates population stratification and stepwise treatment strategies based on patient characteristics, consolidation therapy, relapse management, long-term monitoring after serum HBsAg clearance, and optimal management for patients who have no…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
An umbrella review navigating the nationwide burden of hepatitis B virus infection in Ethiopia: A call for action on vaccination, safe blood, and infection prevention.
PloS one · 2026 · PMID 42330006
BACKGROUND: The Hepatitis B virus (HBV) is one of the major causes of viral hepatitis that may persist and lead to complications, including cirrhosis, hepatic decompensation, and liver cancer. Numerous systematic reviews and meta-analysis have been conducted on HBV infection among people in Ethiopia, showing inconsistent findings. This umbrella review aimed to assess the pooled prevalence of HBV infection and its associated factors among people in Ethiopia. METHODS: All published and unpublished systematic review a…
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
Seroprevalence and Molecular Epidemiology of Hepatitis B and D Viruses in Mauritania: a Systematic Review and Meta-Analysis.
Journal of epidemiology and global health · 2026 · PMID 41996018
Mauritania has a high prevalence of chronic hepatitis B virus (HBV) and hepatitis D virus (HDV), posing a major public health burden. A comprehensive analysis of seroprevalence, transmission dynamics, and molecular epidemiology would help inform strategies for public health interventions. This study systematically reviews the published literature in the field between 1983 and 2024, employing PRISMA 2020 guidelines. Where insufficient data were available for meta-analyses on specific inquiries, summative description…
Efficacy and safety of clipping prior to cyanoacrylate embolization in gastric varices: a single-arm systematic review and meta-analysis.
Surgical endoscopy · 2026 · PMID 42377512
BACKGROUND: Gastric variceal bleeding is a life-threatening complication of portal hypertension. Cyanoacrylate injection is the standard endoscopic treatment that carries a significant risk of ectopic embolization, particularly in patients with gastrorenal shunts. Adding endoscopic clips before injection may enhance safety and efficacy, yet evidence remains limited. This study evaluates the safety and effectiveness of clip-assisted cyanoacrylate injection (clip-ECI). METHODOLOGY: A systematic search was conducted o…
Clinicopathological significance of Gli1 expression in hepatocellular carcinoma: a meta-analysis.
Scientific reports · 2026 · PMID 41968128
This meta-analysis assessed the clinicopathological significance of GLI1 in hepatocellular carcinoma (HCC). We systematically searched PubMed, Web of Science, Embase, Cochrane Library, Wan Fang, and CNKI for studies through October 2025. Studies assessing GLI1 by immunohistochemistry in HCC tissue and reporting its clinicopathological correlations were included. Study quality was evaluated using the Newcastle-Ottawa Scale. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Publication bia…
First-line immunotherapy for advanced hepatocellular carcinoma: a network meta-analysis of randomized trials with overall and HBV/HCV-stratified efficacy and safety.
Frontiers in immunology · 2026 · PMID 42220514
BACKGROUND: Immune checkpoint inhibitors (ICIs) have revolutionized the front-line treatment of advanced hepatocellular carcinoma (HCC). However, the comparative efficacy and safety of different ICI-based regimens-and their consistency across etiologic subgroups [HBV, HCV, and non-HBV/non-HCV (NBNC)]-remain uncertain. This study conducted a Bayesian network meta-analysis (NMA) of recent randomized controlled trials (RCTs) to compare the first-line immunotherapy strategies both overall and by viral etiology. METHODS…
Effectiveness of Digital Health Interventions to Improve Self-Care in Patients With Chronic Diseases: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42263266
BACKGROUND: Chronic diseases account for most global morbidity and mortality, increasing the need for effective long-term self-care support. Digital health interventions, such as mobile apps, telemonitoring, and connected devices, are increasingly used to promote self-care; yet, their overall effectiveness across chronic conditions remains unclear. OBJECTIVE: This systematic review and meta-analysis evaluated whether digital health interventions improve self-care in adults with chronic diseases. METHODS: We searche…
Viral hepatitis co-infections with tuberculosis in India: A systematic review and meta-analysis.
The Indian journal of medical research · 2026 · PMID 42295712
Background and objectives Tuberculosis (TB) and viral hepatitis (hepatitis B and C) co-infection is a significant threat in low-and middle-income countries like India. To optimise treatment protocols and prevent liver-related complications, it is essential to estimate the burden of these co-infections. This systematic review and meta-analysis were conducted to determine the prevalence of hepatitis B and C co-infection with tuberculosis in India. Methods In line with PRISMA guidelines, a systematic search of PubMed,…
[Guideline for stratified screening and surveillance of primary liver cancer(2020 Edition)].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021 · PMID 33541021
The age-adjusted incidence of primary liver cancer (PLC) has been declining in China. However, PLC cases in China account for 55% globally. The disease burden is still high and the 5-year survival rate was not improved significantly in the past two decades. This guideline outlines PLC screening in the risk populations, both in hospital and community. Liver cirrhosis and chronic hepatitis B are the main causes of PLC in China. For better PLC surveillance and screening in clinical practices, it is recommended to stra…
Significant histologic alterations in untreated chronic hepatitis B children: a meta-analysis.
BMC infectious diseases · 2025 · PMID 41233830
BACKGROUND: Chronic hepatitis B (CHB) in children poses a significant public health challenge, yet data on the prevalence of significant liver lesions in this group are limited. METHODS: A comprehensive meta-analysis pooled data on the proportion of significant liver lesions among CHB children. Using the double arcsine transformation and a random-effects model, we combined data on moderate to severe liver inflammation, fibrosis, and cirrhosis. Subgroup analysis and meta-regression were conducted to explore heteroge…
Entecavir for children and adults with chronic hepatitis B.
The Cochrane database of systematic reviews · 2025 · PMID 40260837
RATIONALE: Chronic hepatitis B is a major worldwide public health concern. Entecavir, one nucleos(t)ide analogue antiviral therapy option, is recommended as the first-line drug for chronic hepatitis B in many clinical guidelines. However, none of the guideline recommendations are based on the findings of a systematic review with meta-analysis, where entecavir versus no treatment or placebo are compared directly. OBJECTIVES: To evaluate the benefits and harms of entecavir versus no treatment or placebo in children a…
Long noncoding RNA small nucleolar RNA host genes as prognostic molecular biomarkers in hepatocellular carcinoma: A meta-analysis.
Cancer medicine · 2024 · PMID 38634194
BACKGROUND: Recently, increasing data have suggested that the lncRNA small nucleolar RNA host genes (SNHGs) were aberrantly expressed in hepatocellular carcinoma (HCC), but the association between the prognosis of HCC and their expression remained unclear. The purpose of this meta-analysis was to determine the prognostic significance of lncRNA SNHGs in HCC. METHODS: We systematically searched Embase, Web of Science, PubMed, and Cochrane Library for eligible articles published up to February 2024. The prognostic sig…
Prevalence and risk factors for key infectious diseases amongst migrants to the UK: a systematic review.
BMC infectious diseases · 2026 · PMID 41776448
BACKGROUND: Migrants are at increased risk of infections including HIV, tuberculosis and viral hepatitis, with poorer outcomes. Early diagnosis and management can reduce morbidity, mortality and onward transmission. This systematic review summarises prevalence of HIV, latent and active tuberculosis and hepatitis B and C among UK migrants and evaluates associated risk factors. METHODS: PubMed/Medline, EMBASE, Web of Science and the Cochrane Library were systematically searched from 2004 to 11 June 2025. The review w…
TNF-α Inhibitors and HBV Reactivation Risk in HBsAg-/Anti-HBc+ Patients: A Systematic Review and Meta-Analysis.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 41623121
BACKGROUND: Tumour necrosis factor-α (TNF-α) inhibitors are integral in the treatment of immune-mediated inflammatory diseases but may precipitate hepatitis B virus reactivation (HBVr) in HBsAg-/anti-HBc+ patients. APASL guidance presumes a greater risk with higher-potency agents, but the evidence is limited and conflicting. We conducted a systematic review and meta-analysis to assess whether TNF-α inhibitor potency alters HBVr risk in HBsAg-/anti-HBc+ individuals and to identify predictors. METHODS: PubMed, Embase…
Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42287020
BACKGROUND AND AIMS: This study aimed to determine the incidence of hepatitis B virus reactivation (HBVr) in patients with chronic or occult HBV infection who were treated with IL-12/23, IL-23 (together referred to as anti-IL-23/12), IL-17, or JAK inhibitors without antiviral prophylaxis. In addition, we sought to assess whether the risk of HBVr varies according to anti-HBs status among individuals who are anti-HBc positive. METHODS: A systematic review and meta-analysis were conducted in accordance with PRISMA and…
Association between hepatitis B virus infection and colorectal liver metastasis: a meta-analysis.
Bioengineered · 2021 · PMID 33629626
The paper aims to assess the association between Hepatitis B Virus infection and colorectal liver metastasis by conducting a meta-analysis. The relevant studies were searched until 24 July 2020, Studies that assessed the correlation between HBV infection and CRLM were recruited. A random effects model was applied to calculate the odds ratio (OR) with 95% confidence interval (CI). All data analyses were performed by STATA 12.0 software. Ten studies involving 17529 participants were included in the study. The results…
Impact of fatty liver on long-term outcomes in chronic hepatitis B: a systematic review and matched analysis of individual patient data meta-analysis.
Clinical and molecular hepatology · 2023 · PMID 37157776
BACKGROUND/AIMS: Chronic hepatitis B (CHB) and fatty liver (FL) often co-exist, but natural history data of this dual condition (CHB-FL) are sparse. Via a systematic review, conventional meta-analysis (MA) and individual patient-level data MA (IPDMA), we compared liver-related outcomes and mortality between CHB-FL and CHB-no FL patients. METHODS: We searched 4 databases from inception to December 2021 and pooled study-level estimates using a random- effects model for conventional MA. For IPDMA, we evaluated outcome…
Role of hepatitis B core-related antigen in predicting the occurrence and recurrence of hepatocellular carcinoma in patients with chronic hepatitis B: A systemic review and meta-analysis.
Journal of gastroenterology and hepatology · 2024 · PMID 38686439
BACKGROUND AND AIM: The purpose of the current study was to investigate the predictive value of hepatitis B core-related antigen (HBcrAg) on the occurrence and recurrence of hepatocellular carcinoma (HCC) in patients with chronic hepatitis B (CHB). METHODS: We searched PubMed, Embase, Scopus, and Web of Science from database inception to April 6, 2023. Pooled hazard ratio (HR) or odds ratio (OR) with 95% confidence interval (CI) was calculated for the occurrence and recurrence of HCC. RESULTS: Of the 464 articles c…
Most Effective Evidence Supported Treatments60 records
AGA Clinical Practice Update on Risk Stratification and Emerging Surveillance Strategies for Hepatocellular Carcinoma: Expert Review.
Gastroenterology · 2026 · PMID 42017860
DESCRIPTION: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death in patients with cirrhosis. Although advancements in surgical, locoregional, and systemic therapies have improved outcomes for patients with early-stage HCC, most cases are diagnosed at later stages due to both the limitations of currently recommended surveillance modalities and their underuse, with fewer than 1 in 4 patients with cirrhosis receiving surveillance for this tumor. Current guidelines recommend semiannual surveillanc…
French guidelines on systemic treatments for moderate-to-severe psoriasis in adults: Update 2025.
Journal of the European Academy of Dermatology and Venereology : JEADV · 2026 · PMID 41469898
The current French guidelines for the treatment of psoriasis date from 2019 and do not include the most up-to-date interventions. The Psoriasis Research Group of the French Society of Dermatology has developed new guidelines to provide updated decision-making algorithms for the systemic treatment of adult patients with moderate-to-severe psoriasis. The algorithms were created following a thorough review of existing psoriasis treatment guidelines and recent publications on new systemic therapies not included in prev…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
Efficacy and safety of clipping prior to cyanoacrylate embolization in gastric varices: a single-arm systematic review and meta-analysis.
Surgical endoscopy · 2026 · PMID 42377512
BACKGROUND: Gastric variceal bleeding is a life-threatening complication of portal hypertension. Cyanoacrylate injection is the standard endoscopic treatment that carries a significant risk of ectopic embolization, particularly in patients with gastrorenal shunts. Adding endoscopic clips before injection may enhance safety and efficacy, yet evidence remains limited. This study evaluates the safety and effectiveness of clip-assisted cyanoacrylate injection (clip-ECI). METHODOLOGY: A systematic search was conducted o…
First-line immunotherapy for advanced hepatocellular carcinoma: a network meta-analysis of randomized trials with overall and HBV/HCV-stratified efficacy and safety.
Frontiers in immunology · 2026 · PMID 42220514
BACKGROUND: Immune checkpoint inhibitors (ICIs) have revolutionized the front-line treatment of advanced hepatocellular carcinoma (HCC). However, the comparative efficacy and safety of different ICI-based regimens-and their consistency across etiologic subgroups [HBV, HCV, and non-HBV/non-HCV (NBNC)]-remain uncertain. This study conducted a Bayesian network meta-analysis (NMA) of recent randomized controlled trials (RCTs) to compare the first-line immunotherapy strategies both overall and by viral etiology. METHODS…
Effectiveness of Digital Health Interventions to Improve Self-Care in Patients With Chronic Diseases: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42263266
BACKGROUND: Chronic diseases account for most global morbidity and mortality, increasing the need for effective long-term self-care support. Digital health interventions, such as mobile apps, telemonitoring, and connected devices, are increasingly used to promote self-care; yet, their overall effectiveness across chronic conditions remains unclear. OBJECTIVE: This systematic review and meta-analysis evaluated whether digital health interventions improve self-care in adults with chronic diseases. METHODS: We searche…
Viral hepatitis co-infections with tuberculosis in India: A systematic review and meta-analysis.
The Indian journal of medical research · 2026 · PMID 42295712
Background and objectives Tuberculosis (TB) and viral hepatitis (hepatitis B and C) co-infection is a significant threat in low-and middle-income countries like India. To optimise treatment protocols and prevent liver-related complications, it is essential to estimate the burden of these co-infections. This systematic review and meta-analysis were conducted to determine the prevalence of hepatitis B and C co-infection with tuberculosis in India. Methods In line with PRISMA guidelines, a systematic search of PubMed,…
Efficacy and safety of TDF+3TC + EFV‑centric antiretroviral regimens for HIV/HBV co-infection: a systematic review and network meta‑analysis.
BMC infectious diseases · 2026 · PMID 42288778
OBJECTIVE: To evaluate the efficacy and safety of antiretroviral therapy(ART) regimens based on tenofovir(TDF) + lamivudine(3TC) + efavirenz(EFV) in patients co-infected with Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV), thereby providing evidence-based support for clinical treatment decision-making. METHODS: Relevant studies published from database inception to March 2025 were systematically retrieved from the CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and Cochrane Library datab…
Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42287020
BACKGROUND AND AIMS: This study aimed to determine the incidence of hepatitis B virus reactivation (HBVr) in patients with chronic or occult HBV infection who were treated with IL-12/23, IL-23 (together referred to as anti-IL-23/12), IL-17, or JAK inhibitors without antiviral prophylaxis. In addition, we sought to assess whether the risk of HBVr varies according to anti-HBs status among individuals who are anti-HBc positive. METHODS: A systematic review and meta-analysis were conducted in accordance with PRISMA and…
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839198
BACKGROUND: In the 2015 WHO guidelines for chronic hepatitis B (CHB), antiviral therapy was recommended for individuals with cirrhosis and individuals without cirrhosis with persistently elevated alanine aminotransferase (ALT) concentrations and hepatitis B virus (HBV) DNA >20 000 IU/mL, whereas treatment was deferred for individuals with persistently normal ALT concentrations and HBV DNA <2000 IU/mL. To inform 2024 WHO guidelines on CHB and the potential expansion of treatment threshold recommendations, we conduct…
Impact of male genital tract infections on semen quality: a systematic review and meta-analysis.
Fertility and sterility · 2026 · PMID 41825760
Male genitourinary (GU) infections have been proposed to adversely affect semen quality and reproductive outcomes; however, existing evidence remains heterogeneous. This systematic review and meta-analysis evaluated the association between GU infections and semen parameters, reproductive outcomes, and assisted reproductive technology (ART) outcomes using control-comparator studies identified through PubMed, Web of Science, and Embase. Studies compared men with documented GU infections with noninfected controls and …
A bibliometric analysis of immunotherapy for chronic hepatitis B: trends and hotspots prediction.
Frontiers in immunology · 2026 · PMID 42317314
BACKGROUND: Chronic hepatitis B virus (HBV) infection represents a major global public health issue, affecting hundreds of millions worldwide and serving as a primary cause of cirrhosis and hepatocellular carcinoma. In recent years, immunotherapies aimed at reconstituting or enhancing the host immune response to control or even clear HBV have emerged as one of the most promising strategies for achieving functional cure. METHODS: A systematic search of the Web of Science Core Collection (WoSCC) and Scopus databases …
Clinical Trials for Curing Chronic Hepatitis B: A Comprehensive Analysis of Trial Design Considerations and Their Association With Trial Performance.
Journal of gastroenterology and hepatology · 2026 · PMID 41830065
BACKGROUND AND AIM: The development of novel agents with curative intent for chronic hepatitis B (CHB) has accelerated, but few candidates transition to phase III trials. We evaluated trial design features associated with registry-defined trial completion and phase transition, and synthesized end-of-treatment hepatitis B surface antigen (HBsAg) decline as an on-treatment antiviral signal. METHODS: We systematically reviewed clinical trial registries and bibliographic databases for CHB cure trials. Associations betw…
HBV RNA Predicts the Risk of Off-Treatment Relapse in Chronic Hepatitis B Patients With NAs Therapy: A Systematic Review and Meta-Analysis.
Journal of viral hepatitis · 2026 · PMID 41830105
Since there are currently few antiviral drugs that can effectively reduce hepatitis B surface antigen levels, the recurrence rate remains high in patients with chronic hepatitis B (CHB) after discontinuing nucleoside analogues (NAs) treatment. This study aims to provide recommendations for monitoring relapse after treatment cessation, while also elucidating the significance of HBV RNA in predicting relapse in CHB patients. Studies published between 2019 and 2025 were searched using PubMed, Embase, Web of Science, C…
Natural history of chronic hepatitis B in untreated adults without cirrhosis according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839199
BACKGROUND: Chronic hepatitis B (CHB) affects an estimated 254 million people globally. Historically, WHO and professional society guidelines have recommended treatment for individuals at high risk of disease progression, including those with hepatitis B virus (HBV) DNA concentrations >20 000 IU/mL. Whether individuals at lower risk, including those with HBV DNA <20 000 IU/mL and normal alanine aminotransferase concentrations, benefit from treatment remains uncertain. To inform 2024 WHO guidelines and the potential…
Viral hepatitis and immunotherapy outcome in advanced hepatocellular carcinoma: A comprehensive umbrella review of 15 meta-analyses.
Critical reviews in oncology/hematology · 2026 · PMID 41794163
BACKGROUND: First-line systemic therapy for unresectable/advanced hepatocellular carcinoma (HCC) now prioritizes immune checkpoint inhibitor (ICI)-based combinations, but whether viral hepatitis etiology modifies benefit remains clinically uncertain. OBJECTIVE: To synthesize meta-analytic evidence for first-line systemic therapy in unresectable/advanced HCC, assessing hepatitis B (HBV), hepatitis C (HCV), and nonviral etiology as effect modifiers. This umbrella review uniquely quantifies overlap across meta-analyse…
Efficacy of NAs in combination with Peg-IFN for functional cure in patients with CHB: a meta-analysis of RCTs.
Annals of medicine · 2026 · PMID 41777119
BACKGROUND: The goal of treating chronic hepatitis B (CHB) is to achieve functional cure. We aimed to evaluate the efficacy of the combination of nucleoside (acid) analogues (NAs) and pegylated interferon (Peg-IFN) on the functional cure of CHB patients at the EOT and at the EOF. METHOD: PubMed, Embase, and Web of Science were searched systematically up to March 15, 2025. Sixteen RCTs on CHB patients receiving combination or monotherapy were included. RESULT: Compared with NAs treatment, the NAs combined with Peg-I…
Prevalence of HIV and hepatitis B co-infection in Nigeria: a systematic review and meta-analysis.
BMC infectious diseases · 2026 · PMID 42129696
INTRODUCTION: Hepatitis B virus (HBV) and Human Immunodeficiency virus (HIV) infections are both major public health concerns in sub-Saharan Africa. Co-infection with these virus accelerates liver disease progression, increases hepatotoxicity, undermines treatment effectiveness, and raises mortality risk. We conducted a systematic review and meta-analysis to determine the pooled prevalence of HBV-HIV co-infection in Nigeria. METHODS: We searched databases (PubMed, Scopus, and Embase) from their respective start dat…
Evidence for a relationship between concentrations of nucleos/tide analogue agents and treatment outcome in chronic hepatitis B infection: A systematic review.
The Journal of infection · 2026 · PMID 42419520
INTRODUCTION: Treatment of hepatitis B virus (HBV) infection relies on nucleos(t)ide analogues to achieve viral suppression, with tenofovir or entecavir as first-line agents. Expanding treatment, and improving its outcomes, are crucial strategies to support progress towards global viral hepatitis elimination targets. However, therapeutic drug monitoring has not been optimized for HBV therapy. METHODS: We conducted a systematic review (PROSPERO CRD420250599139) to identify studies reporting on the relationship betwe…
Efficacy and Safety of Switching from Entecavir to Tenofovir Alafenamide in Chronic Hepatitis B: A Multicenter Randomized Trial in Korea.
Gut and liver · 2026 · PMID 42015653
BACKGROUND/AIMS: Tenofovir alafenamide (TAF) has emerged as a safe and effective alternative to entecavir (ETV) in the management of chronic hepatitis B (CHB). We aimed to evaluate the efficacy and safety of switching to TAF compared with maintaining ETV in patients with CHB who had achieved virologic suppression on ETV. METHODS: In this multicenter, randomized, open-label, active-controlled, noninferiority clinical trial conducted at 13 Korean centers, 196 CHB patients who had experienced virologic suppression aft…
[Clinical study on the efficacy of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia patients with chronic hepatitis B].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42373438
Objective: To comprehensively evaluate the efficacy and safety profile of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia in chronic hepatitis B. Methods: A randomized, controlled, multicenter clinical trial was conducted. One hundred patients with low-level viremia in chronic hepatitis B admitted between December 2021 and March 2024 were randomly divided into an experimental group and a control group, with 50 cases in each group. The experimental group received nucleos(t…
Efficacy of dolutegravir/lamivudine in adults with HIV-1 and isolated reactive hepatitis B core antibody: Insights from Phase 3/3b study results.
HIV medicine · 2026 · PMID 41992416
OBJECTIVES: As two-drug HIV-1 antiretroviral therapy (ART) regimens become standard, data gaps remain concerning their safety and efficacy among people with isolated reactive hepatitis B core antibodies (anti-HBc). Here, we assessed the safety and efficacy of dolutegravir/lamivudine (DTG/3TC) versus three- or four-drug regimens (3DRs/4DRs) among people with HIV-1 and isolated reactive anti-HBc. METHODS: Data were evaluated from GEMINI-1, GEMINI-2, STAT, TANGO and SALSA at various time points, including Weeks 48, 96…
Phase 3 Results of Bepirovirsen Treatment for Chronic Hepatitis B Virus Infection.
The New England journal of medicine · 2026 · PMID 42206582
BACKGROUND: Treatment with bepirovirsen, an antisense oligonucleotide targeting hepatitis B virus (HBV) transcripts, has the potential to result in a functional cure, defined by at least 24 weeks of a sustained HBV DNA level below the lower limit of quantification (LLOQ) and hepatitis B surface antigen (HBsAg) loss after fixed-duration therapy. METHODS: In two replicate, double-blind trials (B-Well 1 and B-Well 2), we randomly assigned adults with noncirrhotic chronic HBV infection in a 2:1 ratio to receive subcuta…
Novel HBV Biomarkers-Guided NAs Withdrawal Strategy Promotes HBsAg Clearance in Asian CHB Patients: A Randomized Controlled Trial.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 40953786
BACKGROUND & AIMS: Nucleos(t)ide analogue (NAs) discontinuation promotes hepatitis B surface antigen (HBsAg) clearance among European patients with chronic hepatitis B virus (HBV) infection. The efficacy and safety of a novel HBV biomarker-guided NAs withdrawal strategy among Asian patients was evaluated in this multicenter randomized controlled trial. METHODS: NAs-experienced patients achieving HBsAg <200 IU/mL and undetectable HBV DNA for ≥12 months with HBV RNA or hepatitis core-related antigen undetectable were…
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Recommendations for the diagnosis of patients with hepatitis delta virus (HDV) in Spain.
Gastroenterologia y hepatologia · 2026 · PMID 42061813
The hepatitis delta virus (HDV), whose infection depends on the presence of the hepatitis B virus (HBV), is associated with one of the chronic viral hepatitis that most rapidly progresses to advanced liver disease, including liver cirrhosis and/or hepatocellular carcinoma. In this context, screening for HBV/HDV infection is key to the early diagnosis of hepatitis D, improving the prognosis of infected individuals through a strategy that has proven to be effective and efficient. This document reviews the epidemiolog…
Serum M2BPGi as a predictor of hepatocellular carcinoma development in chronic hepatitis B and C: a systematic review and meta-analysis.
Frontiers in medicine · 2026 · PMID 42529015
BACKGROUND: Hepatocellular carcinoma (HCC) kills about 830,000 people each year, and most cases arise in chronic viral hepatitis. Better risk markers would let clinicians focus surveillance where it matters. Mac-2 binding protein glycosylation isomer (M2BPGi) is a serum glycobiomarker of liver fibrosis. Several cohort studies tie elevated M2BPGi to HCC. No quantitative synthesis has pooled this evidence across viral etiologies. METHODS: We searched PubMed/MEDLINE, Embase, the Cochrane Library, Web of Science, and S…
The efficacy of traditional Chinese medicine on immune function in patients with hepatitis B-related liver fibrosis or cirrhosis: a systematic review and meta-analysis.
Frontiers in medicine · 2026 · PMID 42548801
OBJECTIVE: Currently, there is no effective treatment to reverse hepatitis B-related liver fibrosis or cirrhosis. Current nucleos(t)ide analogs (NAs) control but rarely eliminate hepatitis B virus (HBV), leaving chronic hepatitis B at risk of developing liver fibrosis/cirrhosis. Traditional Chinese medicine (TCM) shows promise in slowing the progression of hepatitis B-related liver fibrosis/cirrhosis, but its impact on immune function remains debated. METHODS: The electronic databases, including Chinese National Kn…
Evidence for a relationship between concentrations of nucleos/tide analogue agents and treatment outcome in chronic hepatitis B infection: A systematic review.
The Journal of infection · 2026 · PMID 42419520
INTRODUCTION: Treatment of hepatitis B virus (HBV) infection relies on nucleos(t)ide analogues to achieve viral suppression, with tenofovir or entecavir as first-line agents. Expanding treatment, and improving its outcomes, are crucial strategies to support progress towards global viral hepatitis elimination targets. However, therapeutic drug monitoring has not been optimized for HBV therapy. METHODS: We conducted a systematic review (PROSPERO CRD420250599139) to identify studies reporting on the relationship betwe…
Co-managing the double burden: strategies for simultaneously tackling infectious and non-communicable diseases.
Infectious diseases of poverty · 2026 · PMID 42538553
BACKGROUND: Evidence increasingly shows close, bidirectional links between infectious diseases (IDs) and non-communicable diseases (NCDs). However, research, health policy, and prevention practices still largely address them in separate frameworks. This scoping review summarises the current evidence on the interconnections between IDs and NCDs and explores integrated strategies for their prevention and management. METHODS: This scoping review systematically searched PubMed, Web of Science, and Scopus for English-la…
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839198
BACKGROUND: In the 2015 WHO guidelines for chronic hepatitis B (CHB), antiviral therapy was recommended for individuals with cirrhosis and individuals without cirrhosis with persistently elevated alanine aminotransferase (ALT) concentrations and hepatitis B virus (HBV) DNA >20 000 IU/mL, whereas treatment was deferred for individuals with persistently normal ALT concentrations and HBV DNA <2000 IU/mL. To inform 2024 WHO guidelines on CHB and the potential expansion of treatment threshold recommendations, we conduct…
Efficacy of NAs in combination with Peg-IFN for functional cure in patients with CHB: a meta-analysis of RCTs.
Annals of medicine · 2026 · PMID 41777119
BACKGROUND: The goal of treating chronic hepatitis B (CHB) is to achieve functional cure. We aimed to evaluate the efficacy of the combination of nucleoside (acid) analogues (NAs) and pegylated interferon (Peg-IFN) on the functional cure of CHB patients at the EOT and at the EOF. METHOD: PubMed, Embase, and Web of Science were searched systematically up to March 15, 2025. Sixteen RCTs on CHB patients receiving combination or monotherapy were included. RESULT: Compared with NAs treatment, the NAs combined with Peg-I…
Efficacy and Safety of Switching from Entecavir to Tenofovir Alafenamide in Chronic Hepatitis B: A Multicenter Randomized Trial in Korea.
Gut and liver · 2026 · PMID 42015653
BACKGROUND/AIMS: Tenofovir alafenamide (TAF) has emerged as a safe and effective alternative to entecavir (ETV) in the management of chronic hepatitis B (CHB). We aimed to evaluate the efficacy and safety of switching to TAF compared with maintaining ETV in patients with CHB who had achieved virologic suppression on ETV. METHODS: In this multicenter, randomized, open-label, active-controlled, noninferiority clinical trial conducted at 13 Korean centers, 196 CHB patients who had experienced virologic suppression aft…
Switching to besifovir in patients with chronic hepatitis B receiving tenofovir disoproxil fumarate: A randomized trial.
Clinical and molecular hepatology · 2025 · PMID 39828249
BACKGROUND/AIMS: Besifovir (BSV) showed comparable antiviral activity and superior safety profiles to tenofovir disoproxil fumarate (TDF) in treatment-naïve chronic hepatitis B (CHB). However, no data are available regarding the antiviral efficacy and safety of BSV in patients with CHB who switched from long-term TDF to BSV. This study aimed to evaluate the outcome of a 48-week BSV therapy in patients with CHB who switched from long-term TDF treatment. METHODS: In this non-inferiority trial, 153 CHB patients treate…
Infectious medical waste (IMW) and disease transmission: A critical public health challenge in Africa and the global implications - A systematic review.
Journal of public health research · 2026 · PMID 42583079
BACKGROUND: Infectious Medical Waste (IMW) from both human and animal healthcare sources have the potential to transmit diseases in human populations due to its pathogenic composition. Conversely, a paucity of data regarding cause-and-effect relationships inhibits our understanding of the extent to which disease transmission occurs. In parts of Africa where the management of IMW is not prioritized, the risks to public health, along with its global implications cannot be ignored. METHODOLOGY: A systematic literature…
Bridging Gaps in Hepatitis B Virus Prevention: A Systematic Review and Meta-Analysis of Knowledge, Attitudes and Preventive Practices in Ethiopia.
Health services insights · 2026 · PMID 42471811
BACKGROUND: Hepatitis B virus (HBV) infection continues to pose a significant global health challenge, with prevention efforts heavily dependent on individuals' knowledge, attitudes, and practices. Recognizing the critical role of comprehensive data in shaping policy, we sought to pool estimates from primary studies conducted across various regions of Ethiopia. METHODS: Full text studies published in English from December 31st 2010 to May 31st, 2025 were identified through searches in the PubMed, Embase, Web of Sci…
Malaria Coinfections Worldwide: An Umbrella Systematic Review of Prevalence and Epidemiological Patterns.
Tropical medicine and infectious disease · 2026 · PMID 42506776
Malaria coinfections with other infectious agents represent a clinically relevant epidemiological challenge, but evidence remains fragmented across individual systematic reviews. This umbrella systematic review synthesized review-level evidence on the prevalence and epidemiological patterns of concurrent malaria coinfections in human populations. PubMed/MEDLINE, Scopus, Web of Science, Embase, and LILACS/BVS were searched for systematic reviews published from 1 January 2000 to March 2026. Risk of bias, certainty of…
Seroprevalence of hepatitis B and C in asymptomatic blood donors in Saudi Arabia: A systematic review and meta-analysis.
Transfusion medicine (Oxford, England) · 2026 · PMID 42538138
Viral hepatitis remains a serious risk to transfusion safety, despite being considerably reduced by donor screening. Objectives: The aim of this study was to evaluate the seroprevalence of HBV and HCV among asymptomatic blood donors in Saudi Arabia in the past 15 years (2010-2025). A literature search has been conducted on seven databases. Prevalence rates with 95% confidence intervals (CIs) were pooled via a random effects model. Twelve studies, examining 597 820 blood donors, were included in this study. The over…
Long-Term Clinical Outcomes of Kidney Transplantation from Hepatitis B Surface Antigen (HBsAg)-Positive Donors to HBsAg-Negative Recipients: A Systematic Review and Meta-Analysis of Real-World Studies.
Journal of clinical medicine · 2026 · PMID 42590149
Background: The use of hepatitis B surface antigen-positive (HBsAg+) kidneys may expand the donor pool for transplantation. This study evaluated the incidence, risk factors, complications, organ function, and survival outcomes of transplants from HBsAg+ donors to HBsAg- recipients. Methods: A systematic search of five databases was conducted through 20 August 2023. Incidence was expressed with 95% confidence intervals (CIs); odds ratios (ORs) and hazard ratios (HRs) assessed risk factors and survival. Results: Sixt…
Hepatitis B virus outcomes in people with HIV after cessation of tenofovir-containing antiretroviral therapy: a systematic review and meta-analysis.
EClinicalMedicine · 2026 · PMID 42541296
BACKGROUND: Antiretroviral therapy (ART) regimens without tenofovir have risks related to hepatitis B virus (HBV). As these regimens are being used more frequently, clinicians and policy makers would benefit from an accurate estimate of the risk of HBV outcomes following tenofovir cessation. METHODS: We conducted a systematic review of HBV reactivation and infection in people with HIV who discontinue tenofovir. We searched Medline, Embase, Google Scholar, and the Cochrane database (1 January 2006-15 February 2026) …
The epidemiology of the viral hepatitis in Brazil: A scoping review.
PloS one · 2026 · PMID 42467622
BACKGROUND: Brazil has advanced toward eliminating viral hepatitis by 2030 through broad prevention, diagnosis, and treatment policies. Yet substantial gaps persist across the care continuum, especially in vulnerable populations and underserved regions. This scoping review synthesizes nationwide epidemiologic patterns and identifies knowledge gaps to inform policy. METHODS: We conducted a PRISMA‑guided scoping review on seven databases (2013-2024) for Portuguese/Spanish/English observational studies or systematic r…
Hepatitis B among hospital nurses worldwide: a meta-analysis of seroprevalence studies.
Vaccine · 2026 · PMID 42566980
BACKGROUND: Nurses face disproportionate occupational risk for hepatitis B virus (HBV) infection, yet global data on their seroprevalence remain fragmented. We aimed to provide the first comprehensive global estimate of HBsAg seroprevalence specifically among hospital-based nurses. METHODS: In this systematic review and meta-analysis, we searched PubMed, Scopus, EMBASE, and Web of Science from inception to Dec 31, 2025. We included studies reporting laboratory-confirmed HBsAg seroprevalence in hospital nurses. A ra…
Nucleos(t)ide withdrawal vs Nucleos(t)ide withdrawal with adjuvant pegylated-interferon in HBeAg-negative hepatitis B virus infection (NUC-B Trial).
Hepatology (Baltimore, Md.) · 2026 · PMID 42549812
BACKGROUND: Finite therapy resulting in sustained hepatitis B surface antigen (HBsAg) loss for patients with chronic HBV infection (CHB) is an important therapeutic goal. In patients with HBeAg-negative infection, nucleos(t)ide analogue (NA) withdrawal may achieve HBsAg loss in 5-20% of patients after 3 years. Pegylated interferon (PEG-IFNa) is a recognised treatment for CHB. METHODS: NUC-B was a randomised, multi-centre trial in NA-treated non-cirrhotic HBeAg negative patients with CHB. Patients were allocated to …
Adherence and efficacy of the 0 - 7 - 21-day versus the 0 - 1 - 6-month hepatitis B vaccination schedules among people who use drugs: a two-year randomized controlled trial.
Expert review of vaccines · 2026 · PMID 41622674
BACKGROUND: To compare the adherence and efficacy between the 0 - 7 - 21-day and the 0 - 1 - 6-month hepatitis B virus (HBV) vaccination schedules among people who use drugs (PWUD) in China. RESEARCH DESIGN AND METHODS: A randomized controlled trial was conducted in 1261 HBV-susceptible PWUD from compulsory isolated detoxification centers (CIDCs) and methadone maintenance treatment (MMT) clinics in Xi'an. A 20 µg per-dose vaccine was used. HBV surface antibody (anti-HBs), surface antigen, and core antibody were tes…
Risk of Virological Failure After Switch to a Tenofovir-Sparing Dual Therapy in Virologically Suppressed People With HIV and Past HBV Infection.
Journal of medical virology · 2026 · PMID 42479941
We compared the effectiveness of tenofovir (TFV)-based triple regimens (TT) to TFV-sparing dual therapies (DT) in virologically suppressed, HBsAg-/HBcAb+ people living with HIV (PLWH). We emulated a target trial including adults PLWH from five University Hospitals, with HBsAg-/HBcAb+ serostatus, starting a TT with unsuppressed serum HIV-RNA and reaching HIV-RNA < 50 cp/mL (baseline). PLWH starting a DT (3TC + bPI or DTG, DTG + RPV, DOR + DTG or long-acting CAB + RPV) were considered in the "treatment"-group only if…
Effect of an Integrated Exercise Training Program on Muscle Mass and Functional Capacity in Sarcopenic Patients With Decompensated Liver Cirrhosis.
Cureus · 2026 · PMID 42577566
BACKGROUND: Liver cirrhosis is an end-stage disease with extensive fibrosis that disrupts normal architecture and impairs hepatic function. Progression to decompensation triggers severe complications like ascites, jaundice, and hepatic encephalopathy. A major extrahepatic consequence is sarcopenia (muscle wasting), which affects over 65% of these patients. Driven by ammonia accumulation and chronic inflammation, this muscle loss drastically increases frailty and mortality risk. Combined aerobic and resistance exerc…
Safety and HBsAg reduction with a lentiviral vaccine J-51 in chronic hepatitis B: An investigator-initiated pilot trial.
Molecular therapy. Advances · 2026 · PMID 42564720
This first-in-human, investigator-initiated trial evaluated the novel non-integrating lentiviral-vector-based therapeutic vaccine J-51 for chronic hepatitis B. The open-label pilot study enrolled seven HBeAg-negative patients with HBsAg <5,000 IU/mL. Participants received varying doses (5.0 × 107 TU-2.0 × 109 TU) in sequential cohorts to assess safety and preliminary efficacy. J-51 demonstrated a favorable safety profile across all doses, with no serious adverse events reported; all adverse events were mild and sel…
Current and future advances in practice: polyarteritis nodosa and related vasculitides.
Rheumatology advances in practice · 2026 · PMID 42559421
Polyarteritis nodosa (PAN) is a rare vasculitis affecting predominately medium-sized vessels. Our evolving understanding of PAN, including the role of HBV and discovery of monogenic variants such as deficiency of adenosine deaminase 2 (DADA2), has resulted in idiopathic PAN becoming a very rare condition with an annual incidence of 0.6-19.9/million. The investigative approach is to assess organ involvement and confirm the diagnosis either by imaging or biopsy. Conventional catheter angiography is being replaced by …
Occult hepatitis B and risk of reactivation following switch to non-hepatitis B virus-active antiretroviral therapy in people with HIV.
AIDS (London, England) · 2026 · PMID 42332911
Occult hepatitis B infection (OBI), defined by the persistence of replication-competent hepatitis B virus (HBV) DNA in the liver in the absence of detectable hepatitis B surface antigen (HBsAg), represents a clinically relevant condition among people with HIV (PWH). The long-term persistence of covalently closed circular DNA within hepatocytes provides the biological basis for potential HBV reactivation, particularly after discontinuations of HBV-active antiretrovirals. In recent years, the increasing use of tenofo…
A First-in-Human study of AHB-137, an unconjugated antisense oligonucleotide, in healthy subjects and patients with chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 42594347
BACKGROUND AIMS: AHB-137 is a novel ASO targeting a conserved region near the 3' end of all HBV mRNA. This first-in-human phase 1 study evaluated the safety, tolerability, pharmacokinetics (PK), and antiviral efficacy in healthy subjects and chronic hepatitis B (CHB) patients. METHODS: Forty healthy subjects were randomized into four placebo-controlled single ascending dose (100-450 mg, 6:2 AHB-137:placebo) cohorts and one multiple-dose (MD; 300 mg, 6:2) cohort receiving four weekly subcutaneous doses with a Day 4 …
Preclinical Research117 records
Chemoprophylaxis effect of EGCG on various digestive system diseases: a systematic review and meta-analysis.
Frontiers in medicine · 2026 · PMID 42359071
BACKGROUND: Epigallocatechin-3-gallate (EGCG) constitutes the main component of tea polyphenols found in tea leaves and has been found to have a positive therapeutic effect on various digestive system diseases. However, no systematic review has been conducted on the research progress and mechanisms of EGCG in relation to digestive system diseases, an its toxicity. METHODS: We conducted a comprehensive literature search for preclinical studies from the inception of each database to 28th September 2025, including Emb…
Virus-directed CAR immunotherapies for chronic HBV and HIV: a systematic synthesis of preclinical and early clinical evidences.
Frontiers in medicine · 2026 · PMID 41970383
BACKGROUND: Chronic hepatitis B virus (HBV) and human immunodeficiency virus (HIV) infections are among the most important global health issues. Virus-directed CAR-T and CAR-NK are promising strategies capable of targeting virally infected cells. The therapeutic potential, safety, and translational readiness of these platforms have not been fully synthesised. OBJECTIVES: This study assessed preclinical and early clinical evidence of CAR-T and CAR-NK immunotherapies against HBV and HIV, including efficacy, safety an…
The impact of maternal chronic viral hepatitis infections on pregnancy and neonatal outcomes in in vitro fertilization: a systematic review and meta-analysis.
Journal of ovarian research · 2026 · PMID 41840684
BACKGROUND: Chronic hepatitis B (HBV) and hepatitis C (HCV) infections represent a substantial global health burden and increasing numbers of infertile women with chronic HBV/HCV infections seek conception through in vitro fertilization (IVF), raising clinical concerns regarding potential perinatal risks. OBJECTIVE: To investigate the association between maternal viral hepatitis status and pregnancy and neonatal outcomes in IVF populations. METHODS: English-language publications in databases including PubMed, Embas…
Add-on PD-1 inhibitor with Peg-IFNα therapy favors functional cure of chronic hepatitis B patients.
Journal of translational internal medicine · 2026 · PMID 41727963
BACKGROUND AND OBJECTIVES: The treatment options for hepatitis B surface antigen (HBsAg) clearance are limited for patients who have failed pegylated interferon-α (Peg-IFNα) therapy. Given preclinical evidence that PD-1 blockade boosts antiviral immunity, this study aims to evaluate the efficacy and safety of PD-1 inhibitors in chronic hepatitis B (CHB) patients who have failed interferon therapy. METHODS: This non-randomized controlled trial was conducted in CHB patients who failed to achieve HBsAg clearance after…
Virological and pathological characterization of an outbreak of domestic cat hepatitis B virus infection in a cat shelter in Japan.
The Journal of veterinary medical science · 2026 · PMID 41951368
Domestic cat hepatitis B virus (DCHBV) infections are associated with chronic hepatitis and hepatic cancer in cats, similar to human HBV. We previously demonstrated that the positivity rate for DCHBV in Japan is less than 1% among tested samples, suggesting lower viral dissemination in Japan than in other countries. Furthermore, the transmission dynamics of DCHBV remain poorly understood. In this study, we document the first recorded outbreak of DCHBV in a cat shelter in Japan, which had an unprecedentedly high pre…
Transcriptomic profiling of HBV transgenic mouse livers reveals ZBP1-associated necroptotic signaling.
Scientific reports · 2026 · PMID 42552328
Although transcriptome studies have been performed in cell culture models of HBV infection, the in vivo hepatic transcriptional response to persistent HBV expression remains incompletely characterized. In addition, whether HBV is associated with activation of necroptotic signaling in the liver has not been fully clarified. Therefore, this study aimed to: (1) define transcriptomic alterations in livers from an HBV transgenic mouse model; and (2) explore whether ZBP1-associated necroptotic signaling is present in HBV…
Molecular insights into domestic cat hepatitis B virus linking genome to function.
Veterinary research communications · 2026 · PMID 42068381
Domestic cat hepatitis B virus (DCHBV) is a member of the Hepadnaviridae family and has been associated with hepatocellular carcinoma (HCC) in cats. This study aimed to determine the prevalence of DCHBV and associations with feline immunodeficiency virus (FIV), feline leukaemia virus (FeLV) and feline coronavirus (FCoV) infections in cats in Serbia, and to characterise the detected DCHBV genomes. Whole blood, serum and liver samples from 308 animals were screened by real-time (RT-)PCR for DCHBV, FIV, FeLV, and FCoV…
Bivalent virus-like particles expressing SPECT1 and CSP trigger pre-erythrocytic malaria immunity and protect against transgenic Plasmodium falciparum sporozoite challenge in mice.
Frontiers in immunology · 2026 · PMID 42220505
INTRODUCTION: The decline in protective antibody titers and efficacy over time of the circumsporozoite protein (CSP)-based RTS,S/AS01 and R21/Matrix-M vaccines highlights the need for improved vaccines. Sporozoite microneme protein essential for cell traversal-1 (SPECT-1) is a conserved Plasmodium falciparum (Pf) antigen that plays a key role in parasite movements while traversing host cells. Targeting SPECT-1 as an addition to the CSP in the same vaccine may enhance immune response and protection. METHODS: We engi…
Virus infections and cancers: from mechanisms to therapeutics.
Molecular biomedicine · 2026 · PMID 42417944
Viral infections are a major contributor to global cancer incidence and mortality. However, integrative reviews that connect viral classification, carcinogenic mechanisms, tumor microenvironment remodeling, and translational strategies remain limited. This review summarizes the classification and epidemiological characteristics of major oncogenic viruses, including human papillomavirus (HPV), Epstein-Barr virus (EBV), hepatitis B virus (HBV), hepatitis C virus (HCV), Merkel cell polyomavirus (MCPyV), human T-lympho…
Epidemiological and recombination analysis of duck hepatitis B virus in domestic ducks from Hunan province, China.
Comparative immunology, microbiology and infectious diseases · 2026 · PMID 42033854
Duck hepatitis B virus (DHBV), a member of the Avihepadnavirus genus, serves as an important model for human hepatitis B virus (HBV) due to shared genomic and replication features. Although typically asymptomatic in adult ducks, DHBV infection is associated with substantial economic losses in commercial flocks, including reduced egg hatchability and impaired duckling development. As the world's largest producer of waterfowl, China faces significant economic threats from such endemic viruses, highlighting the import…
Development of RPA and nested-RPA based CRISPR/Cas13a diagnostic platform for the identification of HBV DNA and HCV RNA in Indian patient cohort.
Diagnostic microbiology and infectious disease · 2026 · PMID 42289138
BACKGROUND: Among the Indian population, hepatitis B virus (HBV) is one of the major burdens and the hepatitis C virus (HCV) chronically infects around 1% Indian population. CRISPR-based detection platforms have shown to be a novel low-cost technology with high sensitivity and specificity. In the presence of target nucleic acids, Cas13a molecule is activated to trans-cleave the fluorophore quencher (FQ)-labeled ssRNA reporter, and illuminate detectable fluorescent signals. METHODS: Leptotrichia wadei (Lwa) cas13a w…
Double derivatization-enhanced LC-MS/MS for isomer-resolved identification and quantification of fatty acids.
Analytica chimica acta · 2026 · PMID 41644260
BACKGROUND: Fatty acids (FAs) are essential metabolites involved in energy storage, signaling, and inflammation regulation, and their biological functions are closely linked to the position and geometric configuration of carbon-carbon double bonds (CC). However, the isomer-resolved characterization and highly sensitive detection of FAs in complex biological matrices remain challenging due to their co-elution, similar fragmentation, and low ionization efficiency. Therefore, there remains a critical need for an effic…
Self-assembly of the domestic cat hepadnavirus core antigen (DCHcAg) into virus-like particles (VLPs).
Virology · 2026 · PMID 41833205
Domestic cat hepadnavirus (DCHBV) is an emerging Orthohepadnavirus associated with chronic hepatitis and hepatocellular carcinoma in cats, sharing structural similarity with human hepatitis B virus (HBV). We successfully expressed the DCHBV core antigen (DCHBVcAg) in a baculovirus-insect cell system and demonstrated its self-assembly into virus-like particles (VLPs). Full-length DCHBVcWT and C-terminally truncated DCHBVcN149 (residues 1-149) were expressed in Sf9 cells, formed dimers, and purified by sucrose gradie…
Coupling of Size Exclusion Chromatography to High Throughput Charge Detection Mass Spectrometry for the Analysis of Large Proteins and Virus-like Particles.
Analytical chemistry · 2025 · PMID 39878296
Charge detection mass spectrometry (CD-MS) is an emerging single-particle technique where both the m/z and charge are measured individually to determine each ion's mass. It is particularly well-suited for analyzing high mass and heterogeneous samples. With conventional MS, the loss of charge state resolution with high mass samples has hindered the direct coupling of MS to separation techniques like size exclusion chromatography (SEC) and forced the use of lower resolution detectors. Here, we show how CD-MS, leverag…
Wedelolactone Inhibits Hepatitis B Virus Replication by Modulating NF-κB and Nrf2/HO-1 Signaling: An in-vitro Huh7 1.3-mer HBV Plasmid Model.
Iranian journal of pharmaceutical research : IJPR · 2026 · PMID 42157795
BACKGROUND: Chronic hepatitis B virus (HBV) infection is a well-recognized cause of hepatic injury through prolonged viral replication, inflammation, and oxidative stress. Existing antiviral drugs limit viral replication but cannot eliminate viral transcription or even totally preclude liver injury, thus reemphasizing the significance of drugs with combined antiviral and hepatoprotective effects. OBJECTIVES: To evaluate the effects of wedelolactone on HBV replication, gene expression, inflammation, and oxidative st…
Assessment of the fish tumors or other deformities beneficial use impairment and associated risks at two Lake Michigan Areas of Concern.
Ecotoxicology (London, England) · 2026 · PMID 41483024
The U.S. Great Lakes Areas of Concern (AOCs) have been designated due to significant environmental degradation, with multiple Beneficial Use Impairments (BUIs) requiring remediation before delisting. The “fish tumors or other deformities” BUI remains at the Sheboygan River and the Lower Green Bay and Fox River AOCs, necessitating evaluation in white sucker (Catostomus commersonii), a sentinel species. This study documented the prevalence of skin and liver neoplastic and preneoplastic lesions at these AOCs, assessed…
NK cells limit therapeutic vaccine-induced CD8+T cell immunity in a PD-L1-dependent manner.
Science translational medicine · 2022 · PMID 35417187
A better understanding of mechanisms that regulate CD8+T cell responses to therapeutic vaccines is needed to develop approaches to enhance vaccine efficacy for chronic viral infections and cancers. We show here that NK cell depletion enhanced antigen-specific T cell responses to chimp adenoviral vector (ChAdOx) vaccination in a mouse model of chronic HBV infection (CHB). Probing the mechanism underlying this negative regulation, we observed that CHB drove parallel up-regulation of programmed cell death ligand 1 (PD…
Meropenem treatment failure in severe melioidosis despite in vitro susceptibility: A case report.
IDCases · 2026 · PMID 42382259
Burkholderia pseudomallei causes melioidosis, a potentially life-threatening infection that can rapidly progress to septic shock and multi-organ failure if not promptly recognized and treated. Current international guidelines recommend meropenem as first-line therapy for severe melioidosis, whereas prolonged oral eradication therapy is essential to prevent relapse. We report a 39-year-old man with diabetes mellitus and chronic hepatitis B who initially improved on intravenous ceftazidime for disseminated melioidosi…
Neu5Gc-associated Serum Immunoglobulin G Glycosylation as a Diagnostic Biomarker for Hepatocellular Carcinoma.
Journal of clinical and translational hepatology · 2026 · PMID 42181844
BACKGROUND AND AIMS: Given the lack of efficient biomarkers for hepatocellular carcinoma (HCC) diagnosis, this study aimed to develop an HCC diagnostic strategy based on serum protein glycosylation signatures. We characterized differential N-glycosylation patterns of serum IgG to differentiate HCC from healthy controls and liver cirrhosis, and elucidated the molecular mechanisms driving aberrant Neu5Gc elevation in HCC to provide a theoretical basis for clinical application and differential diagnosis of HCC. METHOD…
Hyperhomocysteinemia reduces the high-quality embryo rate in PCOS patients undergoing IVF/ICSI: clinical evidence and a preliminary exploration of mechanisms in KGN cells.
Journal of ovarian research · 2026 · PMID 42129831
BACKGROUND: Homocysteine (Hcy) is a sulfur-containing intermediate metabolite during methionine metabolism. Studies indicate that individuals with polycystic ovary syndrome (PCOS) have higher circulating Hcy levels relative to unaffected populations. Hyperhomocysteinemia (HHcy) has been implicated in multisystem cytotoxicity. This study was designed to evaluate the association between Hcy levels and embryo quality and pregnancy outcomes in PCOS patients undergoing assisted reproductive technologies (ART). Mechanist…
Distribution of domestic cat hepatitis B virus in cholangiocarcinoma and non-neoplastic liver tissue.
The Journal of veterinary medical science · 2026 · PMID 41526269
Domestic cat hepatitis B virus (DCHBV), shares similarities with human hepatitis B virus (HBV) which is associated with liver disease. We report the first case of cholangiocarcinoma in a 17-year-old spayed female cat infected with DCHBV and positive for feline immunodeficiency virus. The patient presented with vomiting, anorexia, and an elevated globulin level. Ultrasonography revealed multiple hypoechoic hepatic lesions, and histopathology confirmed cholangiocarcinoma. The tumor exhibited CK7 positivity and HepPar…
Impact of hepatitis B virus carrier status on IVF-ET outcomes across different ovarian reserve levels: A retrospective study.
Medicine · 2026 · PMID 42152314
To evaluate the impact of hepatitis B virus (HBV) carrier status on oocyte quality, embryonic development, and pregnancy outcomes in women with varying ovarian reserve undergoing in vitro fertilization and embryo transfer (IVF-ET). This retrospective study included 112 infertile women with HBV carrier status and 104 HBV-negative controls who underwent IVF-ET between December 2020 and December 2024. Participants were stratified by serum anti-müllerian hormone levels into low (<2 μg/L), normal (2-7 μg/L), and high (>…
RRM2B is associated with low-level viremia during entecavir therapy in pediatric chronic hepatitis B and promotes profibrotic signaling in vitro.
Virology journal · 2026 · PMID 42436559
BACKGROUND: Low-level viremia (LLV) during nucleos(t)ide analogue therapy for chronic hepatitis B (CHB) is clinically relevant, but its biological basis in children remains unclear. We investigated the clinical features of pediatric LLV and sought host factors linking incomplete virological suppression to stress adaptation and profibrotic signaling. METHODS: Children with CHB who initiated entecavir therapy between 2019 and 2024 were retrospectively enrolled. LLV and maintained virological response (MVR) were defin…
Plasma gamma-glutamylglycine predicts the seroconversion of hepatitis B e antigen in patients with chronic hepatitis B.
Frontiers in immunology · 2026 · PMID 42338590
BACKGROUND: The seroconversion of hepatitis B e antigen (HBeAg) remains difficult to be completely obtained in the treatment of hepatitis B. This study aimed to characterize the metabolic signatures of HBeAg-positive patients and identify key metabolites associated with HBeAg seroconversion. METHODS: Untargeted metabolomic analysis was conducted to investigate the plasma metabolic profiles of HBeAg-positive (n=54) and negative (n=33) patients. Subgroup analyses were performed in patients with persistent HBeAg<20IU/…
Monocyte-derived IL-1β predicts and promotes HBsAg decline in chronic hepatitis B patients under nucleoside analogue therapy.
Hepatology communications · 2026 · PMID 42190271
BACKGROUND: Although nucleos(t)ide analogs (NAs) suppress HBV replication, functional cure-defined by hepatitis B surface antigen (HBsAg) loss-is rarely achieved in chronic hepatitis B (CHB). Immune correlates of HBsAg decline may inform new therapeutic strategies. METHODS: We profiled peripheral blood mononuclear cells (PBMCs) from NA-treated CHB patients with declining versus sustained HBsAg levels by single-cell RNA sequencing (scRNA-seq), followed by validation in an independent multicenter cohort using transcr…
Promising Experimental Therapies72 records
Entecavir for children and adults with chronic hepatitis B.
The Cochrane database of systematic reviews · 2025 · PMID 40260837
RATIONALE: Chronic hepatitis B is a major worldwide public health concern. Entecavir, one nucleos(t)ide analogue antiviral therapy option, is recommended as the first-line drug for chronic hepatitis B in many clinical guidelines. However, none of the guideline recommendations are based on the findings of a systematic review with meta-analysis, where entecavir versus no treatment or placebo are compared directly. OBJECTIVES: To evaluate the benefits and harms of entecavir versus no treatment or placebo in children a…
Interventions to Increase Hepatitis B Testing Uptake Amongst Detained Populations: A Systematic Review.
Journal of viral hepatitis · 2026 · PMID 42163587
People who have been detained have a higher prevalence of hepatitis B virus (HBV) than the general population, yet testing uptake remains limited. Improving testing uptake in high-risk settings is essential to the World Health Organization 2030 elimination target. This systematic review examines interventions aimed at increasing hepatitis B testing uptake in prison. MEDLINE, EMBASE, CENTRAL and CINAHL were searched from January 2000 to April 2025. Quantitative interventional studies were included. Quality appraisal…
Huangjia Ruangan granules with entecavir for fibrosis regression in Chroinc Hepatitis B: A multicenter, randomized, double-blind, phase II trial.
Phytomedicine : international journal of phytotherapy and phytopharmacology · 2025 · PMID 41138575
BACKGROUND: Huangjia Ruangan Granules (HRG) has shown promising therapeutic effects in treating hepatic fibrosis in China. This study aimed to assess its specific efficacy. METHODS: This 48-week phase II study was a multicenter, randomized, double-blind, placebo-controlled trial conducted at 14 centers in China (No. ChiCTR2400086796). patients with chronic hepatitis B (CHB) and an Ishak fibrosis score between 2 to 5 were eligible for inclusion. Patients were randomly assigned to three groups (1:1:1 ratio): ETV (0.5…
[Clinical study on the efficacy of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia patients with chronic hepatitis B].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42373438
Objective: To comprehensively evaluate the efficacy and safety profile of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia in chronic hepatitis B. Methods: A randomized, controlled, multicenter clinical trial was conducted. One hundred patients with low-level viremia in chronic hepatitis B admitted between December 2021 and March 2024 were randomly divided into an experimental group and a control group, with 50 cases in each group. The experimental group received nucleos(t…
Perioperative camrelizumab plus rivoceranib versus surgery alone in patients with resectable hepatocellular carcinoma at intermediate or high risk of recurrence (CARES-009): a randomised phase 2/3 trial.
Lancet (London, England) · 2025 · PMID 41125112
BACKGROUND: Surgical resection is the preferred curative approach for patients with early-stage hepatocellular carcinoma, but recurrence remains a major challenge. Consequently, neoadjuvant and adjuvant therapies have been proposed to reduce tumour burden and mitigate the risk of recurrence. The CARES-009 trial aimed to evaluate perioperative camrelizumab plus rivoceranib in patients with resectable hepatocellular carcinoma at intermediate or high risk of recurrence. METHODS: This multicentre, open-label, randomise…
The small interfering RNA imdusiran as single and multiple doses in healthy, randomised individuals and non-randomised individuals with chronic hepatitis B (AB-729-001): a phase 1a/b trial.
The lancet. Gastroenterology & hepatology · 2026 · PMID 42173110
BACKGROUND: Functional cure of chronic hepatitis B requires a sustained loss of HBsAg and hepatitis B virus (HBV) DNA, which is unlikely with current therapies. We aimed to investigate the safety, antiviral activity, and anti-HBV immune responses of the N-acetylgalactosamine-conjugated, small interfering RNA imdusiran, a therapeutic strategy designed to reduce viral antigens on the path to achieving immune control. METHODS: AB-729-001 was a phase 1a/b trial conducted at 11 centres and hospitals: three in Australia,…
A Phase 1, Randomized, Open-Label, Parallel Group Study to Evaluate the Relative Bioavailability and Safety of Subcutaneous Bepirovirsen when Delivered from a Vial or Prefilled Syringe Fitted with a Safety Syringe Device in Healthy Adult Participants.
Clinical pharmacology in drug development · 2026 · PMID 41085094
Bepirovirsen, an antisense oligonucleotide in development for the treatment of chronic hepatitis B virus (HBV) infection, is administered from glass vials as a subcutaneous (SC) injection by healthcare professionals (HCPs). A ready-to-use prefilled syringe (PFS) assembled with a safety syringe device (SSD) has been developed to make administration more convenient and facilitate patient self-administration. This Phase 1, open-label, randomized, parallel-group study evaluated the relative bioavailability of bepirovir…
ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41554267
BACKGROUND: ALG-000184 (pevifoscorvir sodium) is a prodrug of the class-E (empty) capsid assembly modulator (CAM), ALG-001075. CAM-Es prevent hepatitis B virus (HBV) replication by inhibiting capsid assembly and pregenomic RNA encapsidation and preventing covalently closed circular DNA (cccDNA) establishment. This part of the study aimed to assess the safety, tolerability, pharmacokinetics and short-term antiviral activity of ALG-000184 in participants with HBeAg-negative and HBeAg-positive chronic HBV infection to…
A Double-Blind, Placebo-Controlled, Single-Ascending Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of HT-101, an RNAi Therapeutic Targeting HBV Infection.
Clinical pharmacology in drug development · 2025 · PMID 40607962
HT-101, a liver-targeted N-acetylgalactosamine-conjugated ribonucleic acid interference therapeutic, exhibits promising potential for the treatment of chronic hepatitis B virus infection. This randomized, double-blind, placebo-controlled, and single-ascending-dose Phase Ia study included 50 healthy volunteers. Regarding methods, 2 subjects received a single subcutaneous dose of HT-101 at 25 mg, while 48 volunteers were randomized (6:2 active:placebo) in the remaining 6 cohorts to receive a single subcutaneous dose …
A Phase 1 study of the safety, tolerability, and pharmacokinetics of ALG-000184 (pevifoscorvir sodium), a novel Class E capsid assembly modulator, in healthy participants.
Antiviral therapy · 2025 · PMID 41268712
BackgroundClass E (empty) capsid assembly modulators (CAM-Es) inhibit HBV capsid assembly, pregenomic RNA encapsidation preventing formation the establishment of covalently closed circular HBV DNA (ccDNA). ALG-000184 (pevifoscorvir sodium), is a prodrug of the Class E CAM ALG-001075.MethodsALG-000184-201 was a Phase 1 randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability and pharmacokinetics of ALG-000184. Healthy participants (n = 8/cohort) received oral single-ascending doses (SA…
Safety and efficacy of tenofovir alafenamide in preventing hepatitis B virus recurrence after liver transplantation in patients with chronic kidney disease maintained on tenofovir disoproxil fumarate: Results from a phase 2 randomized trial.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026 · PMID 40972902
Tenofovir disoproxil fumarate (TDF) effectively prevents hepatitis B virus (HBV) reactivation after orthotopic liver transplantation (OLT) in patients with chronic HBV infection. Tenofovir alafenamide (TAF) demonstrated efficacy noninferior to TDF with improved renal and bone safety in phase 3 studies but has not been studied in patients who have undergone OLTs. In a phase 2 open-label trial, 51 patients with chronic HBV infection maintained on TDF therapy after OLTs with stage ≥ 2 chronic kidney disease (CKD) were…
Enhancing Hepatitis B and C Prevention Among People Who Use Drugs: Evaluating an Educational Intervention at a Drop-In Center in Southwest Iran based on Protection Motivation Theory.
BMC public health · 2025 · PMID 41126184
BACKGROUND: Substance abuse, particularly injection drug use, remains a significant public health challenge in Iran, where an estimated 2 million people use illicit drugs daily. Injection drug users are at high risk for bloodborne infections such as hepatitis B and C, which contribute substantially to morbidity and mortality in this population. Understanding individual factors that influence risky behaviors through frameworks like the Protection Motivation Theory (PMT) is essential for effective prevention. This st…
Safety, Tolerability, and Pharmacodynamics of GS-4224 in Healthy Participants and Participants With Chronic Hepatitis B.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 42163628
BACKGROUND & AIMS: This Phase 1a/b clinical study evaluated the safety, tolerability, pharmacodynamics (PD) response, and antiviral activity of GS-4224, a first-in-class, programmed death-ligand 1 (PD-L1)-binding orally bioavailable small molecule. METHODS: Participants were randomised to single and multiple ascending doses (S/MAD) of GS-4224 or placebo-to-match (PTM). Healthy participants (HPs; 5 cohorts) received once-daily GS-4224 doses for 10 days, escalating from 20 to 1 000 mg. Participants with chronic hepat…
VRON-0200 alone and in combination with investigational antivirals for participants with chronic hepatitis B virus infection receiving stable nucleos(t)ide therapy: a phase 1b, randomised, open-label, multicentre trial.
The Lancet. Microbe · 2026 · PMID 42214405
BACKGROUND: Functional cure treatments for hepatitis B virus (HBV) have been restricted by their inability to restore anti-HBV immunity, often leading to viral rebound after treatment. VRON-0200 is a novel immunotherapy for functional cure of HBV that contains a checkpoint modifier together with HBV core and polymerase (pol) antigens-but not surface antigens-to enhance, broaden, and prolong T-cell responses with the aim to prevent after treatment viral rebound and improve functional cure response rates. We report t…
The Effect of Grasp Reflex Stimulation on Pain During Vaccine Administration.
The Journal of perinatal & neonatal nursing · 2025 · PMID 39420477
BACKGROUND: The administration of vaccination, being an invasive procedure, can induce considerable pain in preterm infants. OBJECTIVE: This study was conducted to evaluate the effect of grasp reflex stimulation on pain and crying time during hepatitis B vaccine administration in infants. METHODS: This parallel randomized controlled trial was conducted between November 1, 2022, and April 1, 2023, at the Neonatal Intensive Care Unit of a public hospital in Turkey. The study included preterm infants whose parents pro…
Elebsiran and PEG-IFNα for chronic hepatitis B infection: a partially randomized, open-label, phase 2 trial.
Nature medicine · 2026 · PMID 41203919
Functional cure is a goal for the treatment of chronic hepatitis B virus (HBV) infection; however, it is infrequently achieved with currently approved treatments. Here we provide a randomized evaluation of the small interfering RNA elebsiran, in combination with pegylated interferon alfa (PEG-IFNα), compared with PEG-IFNα monotherapy. In addition, this study evaluates the potential role of the HBV therapeutic vaccine BRII-179 in identifying immunologically responsive patients and improving hepatitis B surface antig…
Safety, pharmacokinetics, and pharmacodynamics of the antisense oligonucleotide RO7239958 in healthy volunteers and adults with chronic hepatitis B infection.
Antimicrobial agents and chemotherapy · 2025 · PMID 41186228
Poly(A) RNA polymerases D5 and D7 (PAPD5, PAPD7) are host factors that stabilize hepatitis B virus (HBV) RNA transcripts. RO7239958, a liver-targeted locked nucleic acid (LNA) antisense oligonucleotide (ASO), induces intracellular degradation of PAPD5- and PAPD7-encoding messenger RNAs (mRNAs). This first-in-human study evaluated the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics of RO7239958 in healthy volunteers and adults with chronic hepatitis B (CHB) receiving standard-of-care antiviral ther…
A Phase 2 Trial of Tobevibart plus Elebsiran in Hepatitis D.
The New England journal of medicine · 2026 · PMID 41211943
BACKGROUND: Both tobevibart (a monoclonal antibody) and elebsiran (a small interfering RNA) target hepatitis B virus surface antigen (HBsAg). Their efficacy and safety in the treatment of chronic hepatitis D virus (HDV) infection are unknown. METHODS: In this ongoing, phase 2, open-label trial, we randomly assigned participants to receive tobevibart plus elebsiran every 4 weeks or tobevibart monotherapy every 2 weeks. The primary end point was a combined response, defined by an HDV RNA level below the limit of dete…
Efficacy and Safety of Pegylated Interferon as Rescue Therapy for Patients with Chronic Hepatitis B Who Failed to Achieve Functional Cure After Antisense Oligonucleotides or Small Interfering RNA: A Prospective, Multicentre, Open-Label Randomized Controlled Trial (SPHERE) Protocol.
Advances in therapy · 2026 · PMID 42176181
INTRODUCTION: Although novel targeted therapies such as antisense oligonucleotides (ASO) or small interfering RNA (siRNA) can rapidly reduce hepatitis B surface antigen (HBsAg), only a subset of patients can achieve HBsAg seroclearance, and recurrence is common after discontinuation. This trial aims to evaluate the efficacy and safety of sequencing pegylated interferon alpha (Peg-IFNα) as rescue therapy for patients who have not achieved functional cure after initial therapy with ASO or siRNA. METHODS: This is a pr…
Effect of pembrolizumab on viral hepatitis load and transaminases in advanced hepatocellular carcinoma.
Annals of hepatology · 2026 · PMID 41453647
INTRODUCTION AND OBJECTIVES: Prospective data are limited regarding viral hepatitis viral load and serology and immunotherapy in patients with hepatocellular carcinoma (HCC). This analysis evaluated hepatitis viral load and serology and transaminase levels in patients with sorafenib-treated advanced HCC who were receiving immunotherapy with pembrolizumab in the KEYNOTE-224 and KEYNOTE-240 studies. MATERIALS AND METHODS: This was a post hoc analysis of the single-arm phase II KEYNOTE-224 (NCT02702414) and the placeb…
Twenty-four-week anti-PD-1 antibody regimen promoted HBsAg reduction and concurrently enhanced HBV-specific T cell responses in patients with chronic hepatitis B.
Gut · 2026 · PMID 41443982
BACKGROUND: PD-1 blockade has emerged as a promising approach for functional cure of chronic hepatitis B (CHB). OBJECTIVE: This study aimed to evaluate the safety profile of anti-PD-1 antibody (αPD-1), as well as its impact on hepatitis B surface antigen (HBsAg) and immune responses in a larger cohort of CHB patients. DESIGN: In this prospective, open-label study, virally suppressed patients with CHB on nucleos(t)ide analogue (NA) were assigned to receive either 24-week NA monotherapy (n=62) or αPD-1 (half-dose sin…
Prompt initiation of durvalumab and tremelimumab for unresectable hepatocellular carcinoma in patients with chronic active hepatitis B: a phase 2 clinical trial.
British journal of cancer · 2025 · PMID 40128285
BACKGROUND: Chronic hepatitis B virus (HBV) infection is an etiology of HCC, but clinical trials using immune checkpoint inhibitors (ICIs) usually exclude patients with chronic active hepatitis B (serum HBV viral load > 2000 IU/mL). This study examined the safety and efficacy of concurrently administering the ICI and anti-HBV medications in this patient population. METHODS: In this single-arm phase 2 clinical trial, we enrolled patients with advanced HCC and untreated chronic active hepatitis B. Patients received 1…
Peginterferon alpha-2a add-on to siRNA JNJ-73763989 in untreated patients with HBeAg-positive chronic hepatitis B virus (HBV) infection: the phase 2 REEF-IT study.
Gut · 2026 · PMID 41193172
BACKGROUND: In the hepatitis B e antigen positive (HBeAg+) chronic infection disease phase, approved treatments have limited effects on hepatitis B surface antigen (HBsAg) and HBeAg. OBJECTIVE: The phase 2 REEF-IT study (NCT04439539) assessed safety, efficacy and pharmacokinetics of pegylated interferon-α2a (PegIFN-α2a) add-on to JNJ-73763989 (JNJ-3989)±bersacapavir+nucleos(t)ide analogues (NA) in not currently treated, HBeAg+chronic hepatitis B. DESIGN: Participants received JNJ-3989 (200 mg every 4 weeks)+NA±bers…
Safety and efficacy of libevitug in patients with chronic hepatitis B and D virus coinfection: A single-center, open-label, phase IIa trial in China.
Hepatology communications · 2026 · PMID 42486799
BACKGROUND: Chronic HBV and HDV coinfection represents the most severe form of viral hepatitis. This study aimed to assess the safety and efficacy of libevitug (HH-003), a novel human monoclonal antibody targeting the PreS1 domain of the HBV large envelope protein, in patients with chronic HBV and HDV coinfection. METHODS: This single-center, open-label, proof-of-concept phase IIa clinical trial enrolled 9 participants who received i.v. infusion of 20 mg/kg libevitug every 2 weeks for 24 weeks, followed by a 24-wee…
Population Pharmacokinetic Model of Pegbing in Healthy Subjects and Chronic Hepatitis B Patients.
CPT: pharmacometrics & systems pharmacology · 2025 · PMID 40838600
Pegbing (peginterferon alpha-2b) is a polyethylene glycol-modified interferon α-2b injection that has demonstrated favorable efficacy and safety profiles in the treatment of chronic hepatitis B (CHB). This study aimed to develop a population pharmacokinetic (PopPK) model of Pegbing in both healthy subjects and CHB patients and to investigate the influence of covariates on its pharmacokinetic behavior. Pharmacokinetic data were obtained from a Phase I trial in healthy volunteers and a Phase II trial in CHB patients.…
Prospective Cohort Studies60 records
External Validation of the GOLDEN Model for Predicting HBsAg Loss in Noncirrhotic Chronic Hepatitis B Patients With Interferon-Alpha-Based Therapy.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 40562289
BACKGROUND & AIMS: GOLDEN model is designed to predict hepatitis B surface antigen (HBsAg) loss based on patients with chronic hepatitis B (CHB) receiving nucleos(t)ide analogues therapy. We aimed to validate GOLDEN model's effectiveness in predicting HBsAg loss or decline in interferon-α-treated patients with CHB. METHODS: Interferon-α-treated patients were enrolled from EXCEL study, a randomized controlled trial that included hepatitis B e antigen-positive, noncirrhotic, treatment-naive patients with CHB, and Sea…
Hepatic flares, their immune signatures, and ALT variability after nucleos(t)ide analogue cessation in HBeAg-negative hepatitis B.
JHEP reports : innovation in hepatology · 2026 · PMID 42067192
BACKGROUND & AIMS: Hepatic flares frequently occur after nucleos(t)ide analogue (NA) cessation in patients with chronic hepatitis B (CHB) and can be beneficial ('good flares') or harmful ('bad flares'). We characterised flares after NA cessation aiming to identify predictors and immunological correlates of good and bad flares. METHODS: This study was nested in the prospective Nuc-Stop study, in which 127 patients with e-antigen negative CHB discontinued NA treatment with a 36-month follow-up. Flares were defined as…
Tenofovir Alafenamide Fumarate Reduces Virological Replication in HBeAg-Negative Patients With Normal Alanine Aminotransferase: A 48-Week Randomised Controlled Trial.
Journal of viral hepatitis · 2026 · PMID 41608776
The optimal strategy for chronic hepatitis B virus (HBV) infected patients with negative hepatitis B e-antigen (HBeAg) and normal alanine aminotransferase (ALT) remains uncertain. This study aimed to evaluate the safety and efficacy of tenofovir alafenamide fumarate (TAF) treatment in this patient population. This prospective, open-label, randomised controlled trial enrolled HBeAg-negative patients with normal ALT and randomised them 1:1 to either the treatment group (TAF) or the control group (no treatment). The p…
Comparison of the impact of shunting the left versus right portal vein branch during TIPS on the postoperative overt hepatic encephalopathy: a randomized trial.
Hepatology international · 2026 · PMID 40965723
BACKGROUND AND AIM: The effect of shunting the left or right branch of the portal vein on the post-transjugular intrahepatic portosystemic shunt (TIPS) hepatic encephalopathy (HE) remains controversial. Therefore, we designed this prospective, randomized, single-blinded trial to compare the incidence of HE after shunting the left or right branch of the portal vein during TIPS in cirrhotic patients to prevent variceal rebleeding. METHODS: Consecutive patients diagnosed with hepatitis B virus (HBV)-related cirrhosis …
Efficacy and Safety of Pegylated Interferon as Rescue Therapy for Patients with Chronic Hepatitis B Who Failed to Achieve Functional Cure After Antisense Oligonucleotides or Small Interfering RNA: A Prospective, Multicentre, Open-Label Randomized Controlled Trial (SPHERE) Protocol.
Advances in therapy · 2026 · PMID 42176181
INTRODUCTION: Although novel targeted therapies such as antisense oligonucleotides (ASO) or small interfering RNA (siRNA) can rapidly reduce hepatitis B surface antigen (HBsAg), only a subset of patients can achieve HBsAg seroclearance, and recurrence is common after discontinuation. This trial aims to evaluate the efficacy and safety of sequencing pegylated interferon alpha (Peg-IFNα) as rescue therapy for patients who have not achieved functional cure after initial therapy with ASO or siRNA. METHODS: This is a pr…
Twenty-four-week anti-PD-1 antibody regimen promoted HBsAg reduction and concurrently enhanced HBV-specific T cell responses in patients with chronic hepatitis B.
Gut · 2026 · PMID 41443982
BACKGROUND: PD-1 blockade has emerged as a promising approach for functional cure of chronic hepatitis B (CHB). OBJECTIVE: This study aimed to evaluate the safety profile of anti-PD-1 antibody (αPD-1), as well as its impact on hepatitis B surface antigen (HBsAg) and immune responses in a larger cohort of CHB patients. DESIGN: In this prospective, open-label study, virally suppressed patients with CHB on nucleos(t)ide analogue (NA) were assigned to receive either 24-week NA monotherapy (n=62) or αPD-1 (half-dose sin…
Proteomics-based machine learning model for predicting secondary infection in HBV-related liver failure.
Nature communications · 2026 · PMID 41776162
Patients with Hepatitis B Virus-related liver failure are highly vulnerable to secondary infections (SI), yet early predictive tools remain limited. In this work, we aim to develop and validate a plasma proteomics-based model for early SI risk assessment. In a prospective multicenter study, 114 patients are enrolled in the discovery cohort, 60 each in two validation cohorts. Untargeted proteomics is used to identify SI-related proteins, followed by Minimum Redundancy Maximum Relevance based feature selection and lo…
Paired liver-spleen high-frequency ultrasound deep learning network for full-stage liver fibrosis classification and clinical benefit compared with 2D-SWE in chronic hepatitis B cohort: a prospective multicenter study.
Journal of gastroenterology · 2026 · PMID 41432913
BACKGROUND: Elastography techniques such as two-dimensional shear wave elastography (2D-SWE) often result in missed or misdiagnoses when distinguishing between intermediate stages of liver fibrosis in clinical practice for patients with chronic hepatitis B (CHB). METHODS: Between January 2020 and August 2023, we prospectively enrolled 964 potentially eligible CHB patients from 6 hospitals who underwent liver biopsy. Finally, 598 patients with 2139 high-frequency ultrasound (HF-US) images were included. LS-Net, a de…
Low-level viremia increases the risk of adverse long-term outcomes in entecavir-treated patients with chronic hepatitis B.
Antiviral research · 2026 · PMID 41412547
Low-level viremia (LLV) still occurs in some patients with chronic hepatitis B (CHB) after entecavir (ETV) treatment. We aimed to evaluate the effects of LLV on the adverse long-term outcomes. A secondary analysis of a multicenter prospective cohort study, consisting patients who underwent liver biopsy and received entecavir treatment, was conducted. LLV was defined as detectable HBV DNA levels (20-2000 IU/mL) at week 48 after the imitation of ETV treatment, maintained complete virological response (CVR) was define…
Incidence and predictors of HBsAg loss following addition of pegylated interferon Alfa-2b in chronic hepatitis B patients suppressed by nucleos(t)ide analogues: a multicenter, prospective, cohort study.
Virology journal · 2026 · PMID 41634714
BACKGROUNDS &AIMS: Nucleos(t)ide analog (NAs) treatment achieves limited HBsAg loss rates; switching to or adding Peginterferon (PegIFN) therapy may improve outcomes. This study aimed to evaluate the efficacy of adding PegIFNα-2b therapy in chronic hepatitis B (CHB) patients who are virally suppressed by NAs. METHOD: 250 CHB patients on NAs treatment with HBsAg < 1500 IU/mL, serum HBV DNA < 20 IU/mL, and ALT ≤ 1.5 × ULN were enrolled. Patients continued their NAs regimen and initiated PegIFNα-2b (180 µg/week) for 4…
Efficacy of pegylated interferon alpha in treating postpartum women with chronic hepatitis B virus infection: a multicenter prospective study.
Frontiers in cellular and infection microbiology · 2026 · PMID 42136734
OBJECTIVE: Hepatitis B surface antigen (HBsAg) clearance is a key milestone for functional (clinical) cure of chronic hepatitis B virus (HBV) infection. However, data on the efficacy and safety of pegylated interferon alpha (Peg-IFNα) for HBsAg clearance in postpartum women with chronic HBV infection remain scarce. This study aimed to prospectively evaluate the efficacy and safety of Peg-IFNα in promoting HBsAg clearance in this specific population. METHODS: A total of 263 HBV-infected postpartum women with a basel…
Hepatitis B Virus Infection and the Risk of Cardiovascular Disease: Findings From the China Kadoorie Biobank.
Journal of viral hepatitis · 2026 · PMID 41724869
The existing evidence on the association of hepatitis B virus (HBV) infection with the risk of cardiovascular disease (CVD) is limited and mixed. Moreover, no epidemiological studies have been conducted to comprehensively investigate this association in China. Hence, we performed a nationwide prospective cohort study to address these issues. Our study included 477,126 adults without a history of CVD. Participants were recruited from 10 diverse areas in China during 2004-2008, and followed up through December 31, 20…
Development and validation of a dynamic prognostic score for hepatitis B virus-related acute-on-chronic liver failure.
The Journal of international medical research · 2026 · PMID 41889080
ObjectiveHepatitis B virus-related acute-on-chronic liver failure is a rapidly progressive syndrome associated with high mortality. The aim of this study was to develop a dynamic prognostic score for precise outcome prediction in patients with hepatitis B virus-related acute-on-chronic liver failure.MethodsData from a single-center retrospective cohort were used to develop a dynamic prognostic score. The score was subsequently validated in an external multicenter prospective cohort.ResultsA total of 124 patients wi…
Anti-HBs Immune Complex Levels: A Novel Marker of Hepatitis Flare Following Nucleos(t)ide Analog Withdrawal in HBeAg-negative Chronic Hepatitis B.
The Journal of infectious diseases · 2026 · PMID 41239780
BACKGROUND AND AIMS: Humoral immunity is thought to play a key role in the immunopathogenesis of chronic hepatitis B (CHB). Peaks in anti-HBs immune complexes (HBsAg-ICs) have been associated with subsequent HBsAg seroclearance. Discontinuation of nucleos(t)ide analog (NA) therapy can promote HBsAg seroclearance but also carries a risk of hepatitis flare. We evaluated the relationship between serum HBsAg-IC levels and hepatitis flare following NA cessation in HBeAg-negative CHB. METHODS: In a multicentre prospectiv…
The DePASS initiative in healthcare access units: Do not miss the opportunity to detect HIV, HBV, and HCV.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 41475655
OBJECTIVES: HIV, HBV, and HCV infections remain major public health concerns, particularly among vulnerable populations. Free-of-charge healthcare units provide essential care for individuals facing barriers to healthcare. However, systematic testing remains inconsistent. The DePASS initiative aimed to promote routine screening, assess infection seroprevalences, and identify barriers and facilitators to implementation. METHODS: This multicenter prospective observational study was conducted in 12 free-of-charge heal…
Community-based integrated care for HIV, viral hepatitis and sexually transmitted infections, Thailand.
Bulletin of the World Health Organization · 2026 · PMID 41602500
OBJECTIVE: To assess the impact of an integrated model of care in curing hepatitis C in people who use drugs in Thailand. METHODS: The C-Free Study enrolled people with current or prior drug use and their partners in a prospective cohort at community drop-in centres providing harm reduction services. Participants were screened for human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV) and sexually transmitted infections. Eligible participants with HCV infection received a 12-week cours…
Retention in care and viral suppression in people living with HIV and chronic hepatitis B in Maputo City, Mozambique: a prospective cohort study.
Scientific reports · 2026 · PMID 41776181
Early antiretroviral treatment (ART) has reduced mortality among people living with HIV (PLHIV), but outcomes for HIV-HBV coinfected people in Sub-Saharan Africa remain poorly understood. This study evaluated the impact of HBV coinfection on 12-month retention in care, attrition, mortality, lost to follow-up (LTFU) and viral suppression among PLHIV. This prospective cohort study enrolled newly diagnosed, ART-naïve PLHIV at Mavalane Health Center, Maputo City, from May 2021 to November 2022 and followed participants…
Early on-treatment LSM reliably predicts liver-related events in CHB patients with significant fibrosis and cirrhosis.
Hepatology (Baltimore, Md.) · 2026 · PMID 40888242
BACKGROUND AND AIMS: Evidence comparing longitudinal liver stiffness measurements (LSMs) dynamics to on-treatment LSM for predicting clinical outcomes in patients receiving etiology therapy is limited. This study aimed to assess the prognostic value of on-treatment LSM in patients with chronic hepatitis B (CHB) receiving antiviral therapy. APPROACH AND RESULTS: This prospective cohort included patients with CHB and significant fibrosis or cirrhosis. Liver-related events (LREs) were defined as hepatic decompensation…
Hepatitis B Outcomes After Switching to Long-Acting Cabotegravir/Rilpivirine in People With HIV: Reactivation, Incident Infection, and Liver Safety Across Diverse Serological Profiles.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41539988
BACKGROUND: Long-acting cabotegravir/rilpivirine (LA-CAB/RPV) therapy for HIV, lacks activity against hepatitis B virus (HBV). We evaluate HBV serological profiles and risk of HBV reactivation (HBVr) or incident infection (HBVi) in people with HIV (PWH) switching to LA-CAB/RPV. METHODS: Prospective cohort study of PWH initiating LA-CAB/RPV at Hospital Clínic Barcelona between February/2023 and February/2025. HBV serology, vaccination status, and liver function tests (LFTs) were assessed at baseline. Follow-up LFTs …
HBsAg Quantification-Based Models for Predicting Hepatocellular Carcinoma Risk in Nucleos(t)ide Analogs-Experienced Patients With Chronic Hepatitis B: The HBsAg-HCC Score.
Alimentary pharmacology & therapeutics · 2026 · PMID 41933428
BACKGROUND: Chronic hepatitis B (CHB) virus infection is the leading cause of hepatocellular carcinoma (HCC). Nucleos(t)ide analogs (NAs) effectively suppress HBV replication, but residual HCC risk remains in treated patients, highlighting the need for reliable risk stratification tools. Existing prediction models rely heavily on age and liver function parameters and often overlook hepatitis B surface antigen (HBsAg) quantification, a key marker closely tied to HBV-related HCC, resulting in inadequate clinical pred…
Clinical Trial: Hepatitis B Virus Genotype and a Combination of End-of-Treatment Biomarkers Predict Severe Flares After Nucleos(t)ide Analogue Cessation.
Alimentary pharmacology & therapeutics · 2026 · PMID 41261561
BACKGROUND: Nucleos(t)ide analogue (NUC) cessation can induce a functional cure in chronic hepatitis B virus (HBV) infections, but severe post-cessation virologic relapses (SVRel) and severe biochemical flares (SBF) frequently occur. AIMS: To identify predictive biomarkers for patients at highest risk for SVRel and SBF. METHODS: In the multicentre prospective COIN-B trial, start-of-treatment HBeAg-negative, long-term virologically suppressed patients without advanced fibrosis are followed up for 72 weeks after NUC …
Concordance between self-report and six commonly used clinical estimates or serological measures: Insights from a Canadian healthy aging study.
PloS one · 2026 · PMID 41950243
OBJECTIVE: To assess the concordance between self-reported and clinically assessed prevalence of selected chronic conditions and latent viral infections among women living with and without HIV. METHODS: Women (aged ≥ 16 years residing in British Columbia) enrolled in the BCC3 Study, a prospective cohort, between 2020 and 2024 were included in the cross-sectional analysis. Self-reported prevalence of six conditions/viruses (chronic kidney disease, liver disease, depression, post-traumatic stress disorder, and hepati…
Predicting hepatocellular carcinoma in people with hepatitis B: a comparison between Cox proportional hazard and machine learning models.
Journal of epidemiology and population health · 2026 · PMID 41962179
BACKGROUND AND AIM: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related death worldwide, with chronic hepatitis B virus (HBV) infection being a major risk factor. To date, existing predictive scores of HCC are mainly based on traditional Cox proportional hazard (CPH) models. This study aimed to compare the variable selection process and performance of CPH models with those of machine learning (ML) and deep learning (DL) algorithms in predicting HCC among patients with chronic HBV infection. METHODS:…
Tenofovir alafenamide prevents HBV reactivation in anticancer/immunosuppression: 24-month multicentre prospective study.
The Journal of infection · 2026 · PMID 41763570
OBJECTIVE: Our prior interim report remains the only prospective study evaluating tenofovir alafenamide (TAF) for HBV reactivation prevention, with prophylaxis assessed up to 12 months. Herein, we report the final 24-month follow-up results. METHODS: This multicentre prospective-study enrolled HBV carriers who received prophylactic TAF before antineoplastic or immunosuppressive therapy and patients with resolved HBV infection who developed reactivation and received TAF as reactivation-related hepatitis prophylaxis.…
Breastfeeding practices among hepatitis b-infected mothers: a prospective cohort study.
BMC pregnancy and childbirth · 2026 · PMID 41749120
BACKGROUND: Mother-to-child transmission (MTCT) remains a primary route of Hepatitis B virus (HBV) infection in China. Despite World Health Organisation (WHO) recommendations supporting the safety of breastfeeding under timely immunoprophylaxis, rates among HBV-infected mothers in China remain low. OBJECTIVE: To investigate breastfeeding practices, maternal perceptions, and factors influencing feeding decisions among HBV-infected mothers whose infants received standard immunoprophylaxis. METHODS: Between April 2016…
Quality Of Life62 records
Vaccines for preventing infections in adults with haematological malignancies.
The Cochrane database of systematic reviews · 2025 · PMID 40396505
BACKGROUND: Vaccination aims to prevent infections. People who are immunocompromised, such as those with haematological malignancies, often experience higher immunosuppression, increasing their vulnerability to infections compared to individuals with solid tumours or healthy individuals. OBJECTIVES: The aim of this review is to summarise and evaluate the benefits and risks of vaccines for preventing infections in adults with haematological malignancies. SEARCH METHODS: We conducted a comprehensive systematic search…
Vaccines for preventing infections in adults with solid tumours.
The Cochrane database of systematic reviews · 2025 · PMID 40237463
BACKGROUND: Infections are one of the most frequent complications seen in adults with cancer, often arising from the underlying condition or as a result of immunosuppressive treatments. Certain infections (e.g. influenza, pneumococcal disease, and meningococcal disease) may be prevented through vaccination. However, adults with solid tumours may elicit varying immune responses compared to healthy individuals. OBJECTIVES: To assess the benefits and risks of vaccines for the prevention of infectious diseases in adult…
Entecavir for children and adults with chronic hepatitis B.
The Cochrane database of systematic reviews · 2025 · PMID 40260837
RATIONALE: Chronic hepatitis B is a major worldwide public health concern. Entecavir, one nucleos(t)ide analogue antiviral therapy option, is recommended as the first-line drug for chronic hepatitis B in many clinical guidelines. However, none of the guideline recommendations are based on the findings of a systematic review with meta-analysis, where entecavir versus no treatment or placebo are compared directly. OBJECTIVES: To evaluate the benefits and harms of entecavir versus no treatment or placebo in children a…
Global Systematic Review of the Measurement of Stigma Associated With People Living With Hepatitis B or Hepatitis C Viruses.
Journal of viral hepatitis · 2025 · PMID 40856266
Chronic hepatitis B and C affect over 300 million people globally. Despite treatment advances, stigma towards people living with hepatitis B/C (PLWHB/C) remains a barrier to care and impacts health outcomes. Addressing this stigma is key to achieving hepatitis elimination goals. This systematic review aims to synthesise existing approaches to measuring stigma experienced by PLWHB/C and examine factors associated with stigma in different social contexts. Databases searched included PubMed, PsycInfo and Web of Scienc…
Utility of mobile applications in the management of hepatitis B: A systematic review.
Gastroenterologia y hepatologia · 2025 · PMID 39983899
Hepatitis B virus is a public health issue, with severe complications such as cirrhosis and liver cancer that impose significant economic, emotional, and psychosocial burdens. Despite the availability of a vaccine and oral treatments, effective management of this disease remains a challenge. Telemedicine and mobile applications have the potential to improve the management of chronic diseases; this study examines their utility in hepatitis B. A search was conducted in four databases in November 2024 following the PR…
Efficacy and Safety of Erzhu Jiedu Decoction Granules in Treating Mid-advanced Hepatitis B Virus-Associated Primary Liver Cancer Patients with Pi (Spleen)-Deficiency and Dampness-Heat Syndrome.
Chinese journal of integrative medicine · 2025 · PMID 39636494
OBJECTIVE: To assess the efficacy and safety of Erzhu Jiedu Decoction (EZJDD) Granules in treating mid-advanced hepatitis B virus-associated primary liver cancer (HBV-PLC) patients with Pi (Spleen)-deficiency and dampness-heat syndrome. METHODS: From January 2021 to June 2023, a cohort of 132 patients were enrolled and randomly assigned to a control group or a EZJDD group according to the random numbers, with 66 patients in each group. The patients in the control group received conventional treatment for 3 months, …
Integrated care management model for liver transplantation: a narrative review and single-center implementation experience.
Translational gastroenterology and hepatology · 2026 · PMID 41675341
BACKGROUND AND OBJECTIVE: Liver transplantation (LT) is the most effective end-stage liver disease (ESLD) therapeutic intervention. However, in China, many liver transplant recipients lack a comprehensive management approach. This narrative review summarizes the current deficiencies in long-term post-transplant care and proposes a comprehensive model for Integrated Care Management (ICM) aimed at improving long-term outcomes after LT. METHODS: An extensive electronic literature search was performed using PubMed data…
Efficacy and safety of Yangxiao Fukang granule in the treatment of stage Ⅲ hepatitis B related liver cancer: study protocol for a randomized controlled trial.
Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025 · PMID 41015811
Primary liver cancer (PLC) is the third major cause of cancer related death, which seriously affects the survival period and quality of life of patients. However, there is currently no evidence to prove which treatment method is most effective. Traditional Chinese Medicine (TCM) has shown certain advantages in the treatment of PLC, especially in the side effects of Western Medicine. Therefore, we designed a clinical trial protocol for the treatment of PLC using TCM granules. Our purpose is to explore the efficacy a…
Effect of an Integrated Exercise Training Program on Muscle Mass and Functional Capacity in Sarcopenic Patients With Decompensated Liver Cirrhosis.
Cureus · 2026 · PMID 42577566
BACKGROUND: Liver cirrhosis is an end-stage disease with extensive fibrosis that disrupts normal architecture and impairs hepatic function. Progression to decompensation triggers severe complications like ascites, jaundice, and hepatic encephalopathy. A major extrahepatic consequence is sarcopenia (muscle wasting), which affects over 65% of these patients. Driven by ammonia accumulation and chronic inflammation, this muscle loss drastically increases frailty and mortality risk. Combined aerobic and resistance exerc…
Impact of Fatigue on Patient-Reported Outcomes and Work Productivity in Chronic Hepatitis B and C: Insights From a Multinational Registry Study.
Journal of viral hepatitis · 2026 · PMID 42144799
Fatigue in chronic viral hepatitis may be associated with decreased health-related quality of life and other patient-reported outcomes (PROs). We evaluated the relationship between fatigue and PROs in patients with chronic hepatitis B (CHB) and chronic hepatitis C (CHC). Patients with CHB and CHC enrolled in the Global Liver Registry completed PRO instruments: FACIT-F, CLDQ (for CHB), CLDQ-HCV (for CHC), and WPAI:SHP. Fatigue was defined as FACIT-F Fatigue Scale (FS) score < 30 (scale range: 0-52). Among 2888 patie…
Meaningful differences in patient-reported outcome measurement scores in liver disease.
Hepatology communications · 2025 · PMID 40434652
BACKGROUND: Patient-reported outcome measures (PROMs) are being used more often in chronic liver disease (CLD) clinical care and research. Their interpretability can be greatly enhanced by establishing the smallest meaningful score difference (MSD). We report scores of commonly used PROMs and their MSDs in patients at different stages of liver disease. METHODS: Patient-Reported Outcomes Measurement Information System (PROMIS)-29 Profile, Chronic Liver Disease Questionnaire (CLDQ), and Short Form-36 (SF-36) v1.0 sco…
[Chronic HBV infection affects health-related quality of life in pregnant women in the second and third trimesters and postpartum period: a prospective cohort study].
Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025 · PMID 40415431
OBJECTIVES: To evaluate the impact of HBV infection on pre- and postpartum health-related quality of life (HRQoL) in pregnant women. METHODS: A prospective matched cohort consisting of 70 HBV-infected and 70 healthy pregnant women was recruited from the Fifth Affiliated Hospital of Guangzhou Medical University between April 17 and September 25, 2023. HRQoL of the participants was assessed at 16-24 weeks of gestation, between 32 weeks and delivery, and 5-13 weeks postpartum. Mixed linear models were used for evaluat…
Development and Validation of a Prediction Model for Overt Hepatic Encephalopathy (OHE) After Transjugular Intrahepatic Portosystemic Shunt: A Multicenter Retrospective Study.
Journal of clinical and experimental hepatology · 2026 · PMID 41815830
BACKGROUND: Hepatic encephalopathy (HE), especially overt HE (OHE), is the most common transjugular intrahepatic portosystemic shunt (TIPS) complication, affecting quality of life. Existing noninvasive models have suboptimal predictive performance. AIM: To develop a novel model integrating preoperative and intraoperative indicators to predict post-TIPS OHE. METHODS: We included 455 TIPS patients from three centers (Army Medical Center, Xinqiao Hospital, and West China Hospital) between March 2018 and September 2024…
Chronic Viral Hepatitis With MASLD: Implications for Clinical and Patient-Reported Outcomes.
Journal of gastroenterology and hepatology · 2026 · PMID 42419754
BACKGROUND: Hepatitis B virus (HBV), hepatitis C virus (HCV), and metabolic dysfunction-associated steatotic liver disease (MASLD) are common liver diseases. Clinical characteristics and patient-reported outcomes (PROs) of HBV and HCV patients with/without superimposed MASLD were evaluated. METHODS: Cross-sectional study of clinical and PRO (FACIT-Fatigue [FACIT-F], Chronic Liver Disease Questionnaire [CLDQ], Work Productivity and Activity Impairment [WPAI] questionnaire) data from Global Liver Registry, HBV and HC…
Chronic liver disease questionnaire analysis in pregnant women with hepatitis B: a prospective study.
BMC pregnancy and childbirth · 2026 · PMID 42151851
BACKGROUND: Although domestic and international guidelines increasingly emphasize preventing mother-to-child transmission (MTCT) of hepatitis B virus (HBV), the multidimensional impacts of HBV infection on pregnant women's health-related quality of life (HRQoL) have received insufficient attention. Our previous 1:1 matched cohort study [1] identified HBV infection as an independent risk factor for impaired HRQoL in pregnant women, after adjusting for age, gestational age, and parity. Building upon this foundation, …
Quantitatively Evaluate the Improvement of Functional Cure for the Quality of Life of Chronic Hepatitis B Cases: Evidence from a Cross-Sectional Study in China.
Healthcare (Basel, Switzerland) · 2025 · PMID 41154268
Background: Functional cure of chronic hepatitis B (CHB) can be achieved with appropriate antiviral treatment. However, few studies have evaluated the added benefits of achieving functional cure. We aimed to conduct a quantitative analysis of the health-related quality of life (HRQoL) of CHB patients who achieved functional cure to provide evidence for economic analysis. Methods: We conducted a cross-sectional study in five provinces in China in 2021. The study population was recruited in hospitals and divided into…
Comorbidity Burden and Biologic Access in an Uninsured Psoriasis Population: A 20-Year Descriptive Study.
International journal of dermatology · 2026 · PMID 41609515
BACKGROUND: Psoriasis is a chronic immune-mediated disease associated with multiple systemic comorbidities. Biologic therapies have transformed the management of moderate-to-severe psoriasis; however, their high cost remains a major barrier for uninsured and socioeconomically disadvantaged individuals. The Psoriasis Biologics Center for Indigent Patients at Jackson Memorial Hospital provides a structured dermatology access model for underserved populations. METHODS: We conducted a descriptive retrospective cohort s…
Enhancing Chronic Hepatitis B and D Management Through a Tailored Mobile Health Application: Real-World Outcomes From the Adaptation of the NORA App.
Journal of viral hepatitis · 2026 · PMID 41731678
Chronic hepatitis B (CHB) and hepatitis D (CHD) remain global health challenges, where sustained care engagement, treatment adherence and regular monitoring are essential but often limited by stigma and healthcare access. Digital health tools offer new opportunities to bridge these gaps. This study aimed to adapt the NORA mobile health app for CHB and CHD patients and evaluate its real-world utility in improving knowledge, adherence, communication and quality of life. We conducted a prospective, comparative study (…
Health-related Quality of Life in Patients With Chronic Hepatitis B and Liver-Related Complications in The Gambia.
Value in health regional issues · 2026 · PMID 42240545
OBJECTIVES: Health related quality of life (HRQoL) in chronic hepatitis B infection (CHB) is poorly studied in Africa despite the high burden of disease. We aimed to assess HRQoL and health utility (HU) across different stages of infection and liver-related disease in The Gambia, West Africa. METHODS: A cross-sectional study was carried out between January and November 2019. Participants were recruited from outpatient clinics and inpatient wards. Patients were stratified into 5 disease stages CHB not meeting treatm…
MRI-based machine-learning radiomics of the liver to predict liver-related events in hepatitis B virus-associated fibrosis.
European radiology experimental · 2025 · PMID 40864355
BACKGROUND: The onset of liver-related events (LREs) in fibrosis indicates a poor prognosis and worsens patients' quality of life, making the prediction and early detection of LREs crucial. The aim of this study was to develop a radiomics model using liver magnetic resonance imaging (MRI) to predict LRE risk in patients undergoing antiviral treatment for chronic fibrosis caused by hepatitis B virus (HBV). METHODS: Patients with HBV-associated liver fibrosis and liver stiffness measurements ≥ 10 kPa were included. F…
Eligibility for Intramuscular Cabotegravir/Rilpivirine in HIV-Positive Patients: An Observational Study.
The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2025 · PMID 40352251
Background: HIV treatment has advanced significantly with the introduction of simpler antiretroviral regimens, but adherence remains a challenge. In this context, the long-acting injectable combination cabotegravir/rilpivirine (CAB/RPV) emerges as a promising alternative to improve adherence and quality of life for patients. Objective: The purpose of this study was to determine the proportion of patients with HIV-1 on antiretroviral therapy (ART) who meet the criteria for the use of intramuscular CAB/RPV. Methods: …
Psychiatric symptoms and necroinflammatory activity in chronic hepatitis B: a cross-sectional study.
BMC infectious diseases · 2025 · PMID 41239311
BACKGROUND: Patients with chronic hepatitis B (CHB) are at risk of developing psychiatric symptoms such as depression, anxiety, and fatigue, which may adversely affect quality of life, treatment adherence, and disease outcomes. Emerging evidence suggests that these psychological symptoms are influenced not only by psychosocial stressors but also by biological mechanisms related to hepatic necroinflammation and fibrosis. This study aimed to investigate the relationship between depression, anxiety, fatigue, and non-i…
Primary versus systemic sclerosis-associated Raynaud's phenomenon: relationship with clinical and environmental factors.
Clinical and experimental rheumatology · 2025 · PMID 40183325
OBJECTIVES: Raynaud's phenomenon (RP) can be induced by stress and environmental factors, occurring as a primary disease (pRP) or associated with connective tissue disease. RP is seen in more than 95% of patients with systemic sclerosis (SSc) and may precede its diagnosis by several years. Accordingly, there is a clear need to identify those patients with RP who will eventually develop connective tissue disease, including SSc. The aim of this case-control study was to assess the association of SSc-RP versus pRP wit…
Evaluation of Quality of Life and Risk Factors in Patients With Covert Hepatic Encephalopathy Including Those With Hepatocellular Carcinoma.
Cancer diagnosis & prognosis · 2026 · PMID 42078318
BACKGROUND/AIM: Covert hepatic encephalopathy (CHE) is associated with a decline in quality of life (QOL), requiring early detection and intervention. We aimed to determine CHE prevalence, QOL correlations, and risk factors in hospitalized patients with cirrhosis. This study evaluated neuropsychological test (NPT) results and QOL in these patients. PATIENTS AND METHODS: This retrospective study included 56 patients with liver cirrhosis who were hospitalized at our institution from January to November 2024 and under…
Comparison of the long-term effects of digestive endoscopy variceal ligation and propranolol in preventing variceal rebleeding in patients with liver cirrhosis.
Medicine · 2026 · PMID 41731834
This study aimed to assess the long-term effects of endoscopic variceal ligation (EVL) and propranolol in preventing variceal rebleeding in patients with liver cirrhosis and esophageal varices. A retrospective analysis was conducted on patients with hepatitis B-related liver cirrhosis and class A Child-Pugh scores who received either EVL (n = 51) or propranolol (n = 53) for variceal rebleeding prevention. Baseline characteristics, hemodynamic parameters, variceal rebleeding frequency, complications, quality-of-life…
Randomized Controlled Trials60 records
The incidence of spontaneous HBsAg loss in patients with different baseline HBsAg levels: a systematic review and meta-analysis.
Hepatology international · 2026 · PMID 41686332
BACKGROUND AND AIMS: Hepatitis B surface antigen (HBsAg) seroclearance is an ideal treatment end point in chronic hepatitis B (CHB), linked to improved clinical outcomes. Baseline HBsAg level is a key predictor, but pooled evidence on the annual incidence of spontaneous HBsAg clearance in untreated CHB patients, stratified by baseline HBsAg levels, is lacking. We conducted a systematic review and meta-analysis to quantify this incidence. METHODS: Six databases were searched for cohort studies and randomized trials …
Efficacy and safety of clipping prior to cyanoacrylate embolization in gastric varices: a single-arm systematic review and meta-analysis.
Surgical endoscopy · 2026 · PMID 42377512
BACKGROUND: Gastric variceal bleeding is a life-threatening complication of portal hypertension. Cyanoacrylate injection is the standard endoscopic treatment that carries a significant risk of ectopic embolization, particularly in patients with gastrorenal shunts. Adding endoscopic clips before injection may enhance safety and efficacy, yet evidence remains limited. This study evaluates the safety and effectiveness of clip-assisted cyanoacrylate injection (clip-ECI). METHODOLOGY: A systematic search was conducted o…
First-line immunotherapy for advanced hepatocellular carcinoma: a network meta-analysis of randomized trials with overall and HBV/HCV-stratified efficacy and safety.
Frontiers in immunology · 2026 · PMID 42220514
BACKGROUND: Immune checkpoint inhibitors (ICIs) have revolutionized the front-line treatment of advanced hepatocellular carcinoma (HCC). However, the comparative efficacy and safety of different ICI-based regimens-and their consistency across etiologic subgroups [HBV, HCV, and non-HBV/non-HCV (NBNC)]-remain uncertain. This study conducted a Bayesian network meta-analysis (NMA) of recent randomized controlled trials (RCTs) to compare the first-line immunotherapy strategies both overall and by viral etiology. METHODS…
Effectiveness of Digital Health Interventions to Improve Self-Care in Patients With Chronic Diseases: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42263266
BACKGROUND: Chronic diseases account for most global morbidity and mortality, increasing the need for effective long-term self-care support. Digital health interventions, such as mobile apps, telemonitoring, and connected devices, are increasingly used to promote self-care; yet, their overall effectiveness across chronic conditions remains unclear. OBJECTIVE: This systematic review and meta-analysis evaluated whether digital health interventions improve self-care in adults with chronic diseases. METHODS: We searche…
Efficacy and safety of TDF+3TC + EFV‑centric antiretroviral regimens for HIV/HBV co-infection: a systematic review and network meta‑analysis.
BMC infectious diseases · 2026 · PMID 42288778
OBJECTIVE: To evaluate the efficacy and safety of antiretroviral therapy(ART) regimens based on tenofovir(TDF) + lamivudine(3TC) + efavirenz(EFV) in patients co-infected with Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV), thereby providing evidence-based support for clinical treatment decision-making. METHODS: Relevant studies published from database inception to March 2025 were systematically retrieved from the CNKI, Wanfang, VIP, SinoMed, PubMed, Embase, Web of Science, and Cochrane Library datab…
TNF-α Inhibitors and HBV Reactivation Risk in HBsAg-/Anti-HBc+ Patients: A Systematic Review and Meta-Analysis.
Liver international : official journal of the International Association for the Study of the Liver · 2026 · PMID 41623121
BACKGROUND: Tumour necrosis factor-α (TNF-α) inhibitors are integral in the treatment of immune-mediated inflammatory diseases but may precipitate hepatitis B virus reactivation (HBVr) in HBsAg-/anti-HBc+ patients. APASL guidance presumes a greater risk with higher-potency agents, but the evidence is limited and conflicting. We conducted a systematic review and meta-analysis to assess whether TNF-α inhibitor potency alters HBVr risk in HBsAg-/anti-HBc+ individuals and to identify predictors. METHODS: PubMed, Embase…
Thymosin-ɑ1 for people with chronic hepatitis B.
The Cochrane database of systematic reviews · 2026 · PMID 42713852
RATIONALE: Chronic hepatitis B is a global public health concern. It is caused by infection with the hepatitis B virus (HBV). The goal of treating chronic HBV infection is to prevent progression to chronic hepatitis, cirrhosis, hepatic decompensation, liver failure, hepatocellular carcinoma, and death. Individual studies have evaluated various immunomodulatory therapies with inconsistent results. Thymosin-ɑ1 is known to have antiviral effects; however, results of randomised clinical trials on the effects of thymosi…
Interventions to increase vaccine uptake among socially excluded groups: A systematic review.
Vaccine · 2026 · PMID 41666790
BACKGROUND: There are known inequalities in vaccine uptake and the distribution of vaccine-preventable diseases. Understanding the best ways to increase vaccine uptake among socially excluded groups is vital to reduce these inequalities. AIM: To assess the effectiveness of interventions to increase vaccine uptake among socially excluded groups. METHODS: Systematic review of randomised controlled trials (RCTs) and non-randomised studies of interventions. Studies were eligible if they evaluated an intervention to inc…
Efficacy of antiviral therapy in adults with chronic hepatitis B according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839198
BACKGROUND: In the 2015 WHO guidelines for chronic hepatitis B (CHB), antiviral therapy was recommended for individuals with cirrhosis and individuals without cirrhosis with persistently elevated alanine aminotransferase (ALT) concentrations and hepatitis B virus (HBV) DNA >20 000 IU/mL, whereas treatment was deferred for individuals with persistently normal ALT concentrations and HBV DNA <2000 IU/mL. To inform 2024 WHO guidelines on CHB and the potential expansion of treatment threshold recommendations, we conduct…
Comparative efficacy of immune checkpoint inhibitor-based regimens versus tyrosine kinase inhibitors in advanced hepatocellular carcinoma stratified by etiology: a systematic review and meta-analysis.
International journal of clinical oncology · 2026 · PMID 41701457
BACKGROUND: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide, with limited treatment success in advanced stages. Tyrosine kinase inhibitors (TKIs), such as sorafenib and lenvatinib, are the first-line treatments; however, their modest survival benefits and toxicity require better alternatives. Immune checkpoint inhibitors (ICIs) have shown promise; however, direct comparisons between ICI-based regimens and TKIs, particularly those stratified by hepatocellular carcinoma (H…
Natural history of chronic hepatitis B in untreated adults without cirrhosis according to baseline hepatitis B virus DNA and alanine aminotransferase concentrations: a systematic review and meta-analysis.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41839199
BACKGROUND: Chronic hepatitis B (CHB) affects an estimated 254 million people globally. Historically, WHO and professional society guidelines have recommended treatment for individuals at high risk of disease progression, including those with hepatitis B virus (HBV) DNA concentrations >20 000 IU/mL. Whether individuals at lower risk, including those with HBV DNA <20 000 IU/mL and normal alanine aminotransferase concentrations, benefit from treatment remains uncertain. To inform 2024 WHO guidelines and the potential…
Efficacy and Safety of Switching from Entecavir to Tenofovir Alafenamide in Chronic Hepatitis B: A Multicenter Randomized Trial in Korea.
Gut and liver · 2026 · PMID 42015653
BACKGROUND/AIMS: Tenofovir alafenamide (TAF) has emerged as a safe and effective alternative to entecavir (ETV) in the management of chronic hepatitis B (CHB). We aimed to evaluate the efficacy and safety of switching to TAF compared with maintaining ETV in patients with CHB who had achieved virologic suppression on ETV. METHODS: In this multicenter, randomized, open-label, active-controlled, noninferiority clinical trial conducted at 13 Korean centers, 196 CHB patients who had experienced virologic suppression aft…
Tolvaptan for hyponatremia in patients with cirrhosis: a post hoc subgroup analysis of a multicenter, randomized, double-blind, placebo-controlled trial.
Hepatology international · 2026 · PMID 42213313
OBJECTIVES: The objective of this study was to investigate the efficacy and safety of oral tolvaptan for hyponatremia in patients with cirrhosis in China. PATIENTS AND METHODS: In this post hoc subgroup analysis of a phase 2 clinical trial of oral tolvaptan for hyponatremia due to cirrhosis, heart failure, and syndrome of inappropriate antidiuretic hormone secretion in China, patients with hyponatremia due to cirrhosis received placebo or tolvaptan for 7 days (15 mg titrated to 30 or 60 mg/day). The primary endpoin…
[Clinical study on the efficacy of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia patients with chronic hepatitis B].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026 · PMID 42373438
Objective: To comprehensively evaluate the efficacy and safety profile of Wuling capsules combined with nucleos(t)ide analogues in the treatment of low-level viremia in chronic hepatitis B. Methods: A randomized, controlled, multicenter clinical trial was conducted. One hundred patients with low-level viremia in chronic hepatitis B admitted between December 2021 and March 2024 were randomly divided into an experimental group and a control group, with 50 cases in each group. The experimental group received nucleos(t…
Efficacy of dolutegravir/lamivudine in adults with HIV-1 and isolated reactive hepatitis B core antibody: Insights from Phase 3/3b study results.
HIV medicine · 2026 · PMID 41992416
OBJECTIVES: As two-drug HIV-1 antiretroviral therapy (ART) regimens become standard, data gaps remain concerning their safety and efficacy among people with isolated reactive hepatitis B core antibodies (anti-HBc). Here, we assessed the safety and efficacy of dolutegravir/lamivudine (DTG/3TC) versus three- or four-drug regimens (3DRs/4DRs) among people with HIV-1 and isolated reactive anti-HBc. METHODS: Data were evaluated from GEMINI-1, GEMINI-2, STAT, TANGO and SALSA at various time points, including Weeks 48, 96…
Safety of a quadrivalent meningococcal conjugate vaccine (MenACYW-TT) administered concomitantly with routine pediatric vaccines in healthy infants and toddlers in USA and Puerto Rico: Results from a Phase III, randomized, active-controlled study.
Human vaccines & immunotherapeutics · 2026 · PMID 42642862
MenACYW-TT, a quadrivalent meningococcal tetanus toxoid-conjugate vaccine, is approved for prevention of invasive meningococcal disease in infants ≥ 6 weeks of age in the USA. This Phase III study (NCT03673462; September 17, 2018 - March 16, 2023) evaluated the safety of MenACYW-TT compared with a licensed quadrivalent meningococcal oligosaccharide diphtheria CRM197-conjugate vaccine (MenACWY-CRM) when administered concomitantly with routine pediatric vaccines in healthy infants and toddlers in a four-dose series (…
Utility of Serum Biomarkers in Addition to Ultrasound for Early Detection of Hepatocellular Carcinoma in High-Risk Patients: A Randomized Controlled Trial.
Gastroenterology · 2026 · PMID 41556856
BACKGROUND & AIMS: Hepatocellular carcinoma (HCC) surveillance is key to early diagnosis and timely curative treatment. Current strategies are suboptimal with many patients presenting with advanced HCC. This randomized controlled trial compared the combined use of serum biomarker (BM) measurements and abdominal ultrasound (US) with US alone for the diagnosis of early-stage HCC. METHODS: Adults with cirrhosis or high-risk hepatitis B virus (HBV) infection were randomized (1:1) to biannual surveillance with US alone …
Impact of Hepatitis B Virus Infection on the Efficacy and Safety of Pembrolizumab plus Chemotherapy for Advanced Biliary Tract Cancer in the KEYNOTE-966 Study.
Cancer research communications · 2026 · PMID 41757470
PURPOSE: In the randomized phase 3 KEYNOTE-966 trial, first-line pembrolizumab plus chemotherapy significantly improved overall survival (OS) versus placebo plus chemotherapy for participants with advanced biliary tract cancer (BTC). This post hoc analysis investigated whether hepatitis B virus (HBV) infection affected the efficacy and safety of pembrolizumab plus chemotherapy. PATIENTS AND METHODS: Eligible participants had histologically confirmed extrahepatic or intrahepatic cholangiocarcinoma or gallbladder can…
Vaccine-Induced Anti-HBs Response is Associated with Protection Against Hepatitis B Virus Reactivation after Allogeneic Hematopoietic Cell Transplantation: A Randomized Trial.
Transplantation and cellular therapy · 2026 · PMID 42150672
Hepatitis B virus (HBV) reactivation is a well-recognized complication in patients with resolved HBV infection undergoing allogeneic hematopoietic cell transplantation (allo-HCT). Although HBV DNA-guided preemptive nucleos(t)ide analog therapy prevents HBV-related hepatitis, strategies to prevent HBV reactivation itself remain limited. Hepatitis B vaccination after allo-HCT has been suggested as a potential preventive strategy, but prospective randomized evidence is lacking. To evaluate whether hepatitis B (HepB) v…
Optimising DTwP-containing vaccine infant immunisation schedules in Uganda and Nepal (OptImms): two open-label, non-inferiority, randomised controlled trials.
The Lancet. Infectious diseases · 2026 · PMID 41865748
BACKGROUND: Few data are available comparing the WHO diphtheria-tetanus-pertussis (DTP)-containing vaccine schedule with reduced-dose or delayed three-dose schedules in infants. We aimed to identify an alternative schedule that is non-inferior or superior to the WHO schedule in maintaining early pertussis antibody levels before booster, while creating space for integration of new vaccines. METHODS: In two parallel, open-label, randomised, non-inferiority trials in Uganda and Nepal, healthy infants aged 42-50 days w…
Phase 3 Results of Bepirovirsen Treatment for Chronic Hepatitis B Virus Infection.
The New England journal of medicine · 2026 · PMID 42206582
BACKGROUND: Treatment with bepirovirsen, an antisense oligonucleotide targeting hepatitis B virus (HBV) transcripts, has the potential to result in a functional cure, defined by at least 24 weeks of a sustained HBV DNA level below the lower limit of quantification (LLOQ) and hepatitis B surface antigen (HBsAg) loss after fixed-duration therapy. METHODS: In two replicate, double-blind trials (B-Well 1 and B-Well 2), we randomly assigned adults with noncirrhotic chronic HBV infection in a 2:1 ratio to receive subcuta…
Novel HBV Biomarkers-Guided NAs Withdrawal Strategy Promotes HBsAg Clearance in Asian CHB Patients: A Randomized Controlled Trial.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 40953786
BACKGROUND & AIMS: Nucleos(t)ide analogue (NAs) discontinuation promotes hepatitis B surface antigen (HBsAg) clearance among European patients with chronic hepatitis B virus (HBV) infection. The efficacy and safety of a novel HBV biomarker-guided NAs withdrawal strategy among Asian patients was evaluated in this multicenter randomized controlled trial. METHODS: NAs-experienced patients achieving HBsAg <200 IU/mL and undetectable HBV DNA for ≥12 months with HBV RNA or hepatitis core-related antigen undetectable were…
Short-cycle 4-days-per-week maintenance two-drug therapy in people living with HIV (ANRS-177 DUETTO): a randomised, open-label, multicentre, non-inferiority trial.
The lancet. HIV · 2026 · PMID 42140217
BACKGROUND: Previous trials have validated the strategy of short-cycle three-drug (triple) antiretroviral therapy for HIV treatment. The main objective of ANRS-177 DUETTO was to assess whether a two-drug (dual) regimen taken on 4 consecutive days per week (4/7-days) was virologically non-inferior to standard dual therapy regimen taken 7 days per week (7/7-days) in participants with HIV and sustained viral suppression. METHODS: This open-label, randomised, parallel, multicentre, non-inferiority trial enrolled adults…
The small interfering RNA imdusiran as single and multiple doses in healthy, randomised individuals and non-randomised individuals with chronic hepatitis B (AB-729-001): a phase 1a/b trial.
The lancet. Gastroenterology & hepatology · 2026 · PMID 42173110
BACKGROUND: Functional cure of chronic hepatitis B requires a sustained loss of HBsAg and hepatitis B virus (HBV) DNA, which is unlikely with current therapies. We aimed to investigate the safety, antiviral activity, and anti-HBV immune responses of the N-acetylgalactosamine-conjugated, small interfering RNA imdusiran, a therapeutic strategy designed to reduce viral antigens on the path to achieving immune control. METHODS: AB-729-001 was a phase 1a/b trial conducted at 11 centres and hospitals: three in Australia,…
144 Weeks of bulevirtide monotherapy for chronic hepatitis D: Final and post-treatment results from a phase III randomized trial.
Journal of hepatology · 2026 · PMID 41966308
BACKGROUND & AIMS: Bulevirtide is approved in several countries and regions for the treatment of compensated chronic hepatitis D (CHD). However, long-term outcomes after treatment discontinuation remain unknown. METHODS: Patients with CHD (n = 150) were randomized to immediate treatment with bulevirtide 2 mg/day (n = 49) or 10 mg/day (n = 50) for 144 weeks (W), or a 48W delay before starting treatment (DT; n = 51) followed by bulevirtide 10 mg/day for 96W (DT/10 mg; n = 50), and 96W of post-treatment follow-up (FU9…
Safety And Adverse Effects60 records
Vaccination and Safe Living Strategies for Solid Organ Transplant Candidates and Recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026 · PMID 42632426
These updated guidelines of the AST IDCOP review safe living practices including routine vaccinations, travel vaccinations including general travel advice, as well as non-pharmacological strategies for safe living. General principles of vaccination as well as the use of specific vaccines in this population are discussed. Vaccination status should be reviewed and updated in the pre-transplant setting and when travel is planned. The optimal timing of vaccination post-transplant should be taken into account. There are…
Efficacy of NAs in combination with Peg-IFN for functional cure in patients with CHB: a meta-analysis of RCTs.
Annals of medicine · 2026 · PMID 41777119
BACKGROUND: The goal of treating chronic hepatitis B (CHB) is to achieve functional cure. We aimed to evaluate the efficacy of the combination of nucleoside (acid) analogues (NAs) and pegylated interferon (Peg-IFN) on the functional cure of CHB patients at the EOT and at the EOF. METHOD: PubMed, Embase, and Web of Science were searched systematically up to March 15, 2025. Sixteen RCTs on CHB patients receiving combination or monotherapy were included. RESULT: Compared with NAs treatment, the NAs combined with Peg-I…
Vaccine-Induced Anti-HBs Response is Associated with Protection Against Hepatitis B Virus Reactivation after Allogeneic Hematopoietic Cell Transplantation: A Randomized Trial.
Transplantation and cellular therapy · 2026 · PMID 42150672
Hepatitis B virus (HBV) reactivation is a well-recognized complication in patients with resolved HBV infection undergoing allogeneic hematopoietic cell transplantation (allo-HCT). Although HBV DNA-guided preemptive nucleos(t)ide analog therapy prevents HBV-related hepatitis, strategies to prevent HBV reactivation itself remain limited. Hepatitis B vaccination after allo-HCT has been suggested as a potential preventive strategy, but prospective randomized evidence is lacking. To evaluate whether hepatitis B (HepB) v…
144 Weeks of bulevirtide monotherapy for chronic hepatitis D: Final and post-treatment results from a phase III randomized trial.
Journal of hepatology · 2026 · PMID 41966308
BACKGROUND & AIMS: Bulevirtide is approved in several countries and regions for the treatment of compensated chronic hepatitis D (CHD). However, long-term outcomes after treatment discontinuation remain unknown. METHODS: Patients with CHD (n = 150) were randomized to immediate treatment with bulevirtide 2 mg/day (n = 49) or 10 mg/day (n = 50) for 144 weeks (W), or a 48W delay before starting treatment (DT; n = 51) followed by bulevirtide 10 mg/day for 96W (DT/10 mg; n = 50), and 96W of post-treatment follow-up (FU9…
A randomized trial of viral vector and adjuvanted protein HBV therapeutic vaccine in people with chronic hepatitis B on nucleos(t)ide analogs.
Hepatology communications · 2026 · PMID 42623526
BACKGROUND: This study assessed the safety, efficacy, and immunogenicity of a therapeutic immunization strategy aimed at reaching a functional cure for chronic hepatitis B (CHB), relying on a heterologous prime-boost with viral vectors ChAd155-hIi-HBV and MVA-HBV, combined with sequential or concomitant administration of adjuvanted recombinant HBV proteins (HBc-HBs/AS01B). METHODS: This single-blind, randomized, controlled, first-in-human, phase 1/2 trial enrolled adults aged 18-65 years with HBeAg-negative CHB, vi…
Seroprevalence of hepatitis B and C in asymptomatic blood donors in Saudi Arabia: A systematic review and meta-analysis.
Transfusion medicine (Oxford, England) · 2026 · PMID 42538138
Viral hepatitis remains a serious risk to transfusion safety, despite being considerably reduced by donor screening. Objectives: The aim of this study was to evaluate the seroprevalence of HBV and HCV among asymptomatic blood donors in Saudi Arabia in the past 15 years (2010-2025). A literature search has been conducted on seven databases. Prevalence rates with 95% confidence intervals (CIs) were pooled via a random effects model. Twelve studies, examining 597 820 blood donors, were included in this study. The over…
Systemic Treatment Patterns and Clinical Outcomes in Hepatocellular Carcinoma: A Multicenter Real-World Study from China (STAR-HCC).
JHEP reports : innovation in hepatology · 2026 · PMID 42595051
BACKGROUND & AIMS: Systemic therapy for hepatocellular carcinoma (HCC) has evolved rapidly with the introduction of tyrosine kinase inhibitors (TKI), immune checkpoint inhibitors (ICIs), anti-vascular endothelial growth factor (anti-VEGF) antibodies, and their combinations. This multicenter study aimed to characterize real-world systemic treatment patterns and clinical outcomes in treatment-naïve patients with HCC in China. METHODS: Patients initiating systemic therapy for HCC between 2017 and 2023 across five cent…
siRNA JNJ-73763989 decreases HBsAg and HDV RNA in NA-treated hepatitis D patients but may cause ALT flares.
Journal of hepatology · 2026 · PMID 42142631
BACKGROUND & AIMS: HDV requires HBsAg for viral assembly. The siRNA JNJ-73763989 (JNJ-3989) targets all HBV transcripts and reduces HBsAg in patients with chronic hepatitis B. We evaluated whether HBsAg reduction with JNJ-3989 leads to a decline in HDV RNA and ALT in patients with chronic hepatitis D (CHD). METHODS: REEF-D, a two-part, phase II, randomized, double-blind, placebo-controlled study, enrolled 22 adults with CHD in Part 1. Participants were randomized 4:1 to receive JNJ-3989 (100 mg subcutaneously every…
Efficacy and Safety of Pegylated Interferon as Rescue Therapy for Patients with Chronic Hepatitis B Who Failed to Achieve Functional Cure After Antisense Oligonucleotides or Small Interfering RNA: A Prospective, Multicentre, Open-Label Randomized Controlled Trial (SPHERE) Protocol.
Advances in therapy · 2026 · PMID 42176181
INTRODUCTION: Although novel targeted therapies such as antisense oligonucleotides (ASO) or small interfering RNA (siRNA) can rapidly reduce hepatitis B surface antigen (HBsAg), only a subset of patients can achieve HBsAg seroclearance, and recurrence is common after discontinuation. This trial aims to evaluate the efficacy and safety of sequencing pegylated interferon alpha (Peg-IFNα) as rescue therapy for patients who have not achieved functional cure after initial therapy with ASO or siRNA. METHODS: This is a pr…
Safety and HBsAg reduction with a lentiviral vaccine J-51 in chronic hepatitis B: An investigator-initiated pilot trial.
Molecular therapy. Advances · 2026 · PMID 42564720
This first-in-human, investigator-initiated trial evaluated the novel non-integrating lentiviral-vector-based therapeutic vaccine J-51 for chronic hepatitis B. The open-label pilot study enrolled seven HBeAg-negative patients with HBsAg <5,000 IU/mL. Participants received varying doses (5.0 × 107 TU-2.0 × 109 TU) in sequential cohorts to assess safety and preliminary efficacy. J-51 demonstrated a favorable safety profile across all doses, with no serious adverse events reported; all adverse events were mild and sel…
A First-in-Human study of AHB-137, an unconjugated antisense oligonucleotide, in healthy subjects and patients with chronic hepatitis B.
Hepatology (Baltimore, Md.) · 2026 · PMID 42594347
BACKGROUND AIMS: AHB-137 is a novel ASO targeting a conserved region near the 3' end of all HBV mRNA. This first-in-human phase 1 study evaluated the safety, tolerability, pharmacokinetics (PK), and antiviral efficacy in healthy subjects and chronic hepatitis B (CHB) patients. METHODS: Forty healthy subjects were randomized into four placebo-controlled single ascending dose (100-450 mg, 6:2 AHB-137:placebo) cohorts and one multiple-dose (MD; 300 mg, 6:2) cohort receiving four weekly subcutaneous doses with a Day 4 …
Current and future advances in practice: polyarteritis nodosa and related vasculitides.
Rheumatology advances in practice · 2026 · PMID 42559421
Polyarteritis nodosa (PAN) is a rare vasculitis affecting predominately medium-sized vessels. Our evolving understanding of PAN, including the role of HBV and discovery of monogenic variants such as deficiency of adenosine deaminase 2 (DADA2), has resulted in idiopathic PAN becoming a very rare condition with an annual incidence of 0.6-19.9/million. The investigative approach is to assess organ involvement and confirm the diagnosis either by imaging or biopsy. Conventional catheter angiography is being replaced by …
Predicting Post-hepatectomy Liver Failure for Patients with Hepatocellular Carcinoma Undergoing Major Liver Resection: A Multicenter Retrospective Study.
Annals of surgical oncology · 2026 · PMID 42045725
BACKGROUND: Post-hepatectomy liver failure (PHLF) is a serious complication after liver resection for hepatocellular carcinoma (HCC). However, reliable predictive models for PHLF in patients undergoing major hepatectomy remain limited. This study aimed to predict PHLF using clinical factors and to evaluate its impact on short- and long-term outcomes for patients with HCC undergoing major liver resection. METHODS: This multicenter retrospective study included 1037 patients undergoing liver resection exceeding sectio…
Safety and efficacy of libevitug in patients with chronic hepatitis B and D virus coinfection: A single-center, open-label, phase IIa trial in China.
Hepatology communications · 2026 · PMID 42486799
BACKGROUND: Chronic HBV and HDV coinfection represents the most severe form of viral hepatitis. This study aimed to assess the safety and efficacy of libevitug (HH-003), a novel human monoclonal antibody targeting the PreS1 domain of the HBV large envelope protein, in patients with chronic HBV and HDV coinfection. METHODS: This single-center, open-label, proof-of-concept phase IIa clinical trial enrolled 9 participants who received i.v. infusion of 20 mg/kg libevitug every 2 weeks for 24 weeks, followed by a 24-wee…
Efficacy and Safety of Durvalumab plus Tremelimumab for Unresectable Hepatocellular Carcinoma: A Real-World Multicenter Observational Study.
Oncology research · 2026 · PMID 42630704
Introduction: Durvalumab plus tremelimumab (Durva/Treme) improved survival in the HIMALAYA trial for unresectable hepatocellular carcinoma (HCC), but real-world evidence remains limited. This study aimed to evaluate clinical outcomes of Durva/Treme in routine practice. Methods: This retrospective multicenter study included patients with unresectable or advanced HCC who received Durva/Treme through the Expanded Access Program in Thailand between August 2023 and November 2025. Treatment outcomes and adverse events (A…
Concurrent antiviral-immunochemotherapy strategy safely overcomes high hepatitis B viral load barrier in diffuse large B-cell lymphoma: A multicentre cohort study.
British journal of haematology · 2026 · PMID 42226728
Although antiviral prophylaxis is standard for lymphoma patients with chronic hepatitis B virus (HBV) infection to prevent HBV reactivation (HBVr), the optimal timing for high-risk patients (baseline HBV deoxyribonucleic acid (DNA) ≥4 log10 IU/mL) during immunochemotherapy remains unclear. A multicentre retrospective study analysed 112 chronic HBV patients among 1120 newly diagnosed diffuse large B-cell lymphoma (DLBCL) patients, stratified by baseline viral load (low: <104 IU/mL, n = 82; high: ≥104 IU/mL, n = 30).…
Immunogenicity and safety of a 2 + 1 schedule of the DTaP-IPV-HB-Hib hexavalent combination vaccine in preterm infants in Spain.
Human vaccines & immunotherapeutics · 2026 · PMID 42359964
Preterm infants are at higher risk of mortality, disabilities, and infections. Hexavalent DTaP-IPV-HB-Hib vaccines against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis, and Haemophilus influenzae type b are standards of care in pediatric immunization. Evidence on the use of these vaccines in preterm infants remains limited, particularly in extreme preterms. This open-label, multicenter, non-randomized phase IV trial conducted in Spain evaluated the immunogenicity and safety of a 2 + 1 schedule of the …
Evaluating the risk: Hepatitis B virus reactivation in ocrelizumab-treated patients with multiple sclerosis: A single-center experience and review of the literature.
Multiple sclerosis and related disorders · 2026 · PMID 42431141
BACKGROUND: Ocrelizumab is a highly effective anti-CD20 monoclonal antibody used in the treatment of multiple sclerosis (MS). However, B-cell depletion may increase the risk of hepatitis B virus (HBV) reactivation, particularly in patients with previous HBV exposure. Real-world data regarding this risk in patients receiving ocrelizumab remain limited. METHODS: We conducted a retrospective observational cohort study including adult patients with MS who received ocrelizumab between January 2018 and December 2025 at a…
Viral infectious characteristics of cornea donors from the Londrina eye bank: a retrospective study and the impact of the COVID-19 pandemic.
Arquivos brasileiros de oftalmologia · 2026 · PMID 42561317
PURPOSE: To evaluate the impact of the COVID-19 pandemic and characterize the serological profile of discarded corneal donations in the coverage area of the Banco de Olhos de Londrina, through reverse transcription-polymerase chain reaction testing for COVID-19 and serological screening of cornea donors excluded because of positive test results. METHODS: This observational retrospective study included 776 cornea donors who's serological and reverse transcription-polymerase chain reaction test results were processed…
Efficacy and safety of immune checkpoint inhibitors in lung cancer patients with hepatitis B surface antigen positivity: a real-world cohort study.
Lung cancer (Amsterdam, Netherlands) · 2026 · PMID 42531850
OBJECTIVE: This study evaluated the efficacy and hepatic safety of first-line chemoimmunotherapy in lung cancer patients according to baseline hepatitis B surface antigen (HBsAg) status, and explored whether baseline anti-HBs level was associated with outcomes among HBsAg-negative/anti-HBc-positive patients. METHODS: We conducted a single-center retrospective observational cohort study of consecutive lung cancer patients who received first-line chemoimmunotherapy between June 1, 2019 and July 31, 2024. Patients wer…
Prevalence of renal and bone risk factors and nucleos(t)ide analogue treatment among patients with chronic hepatitis B in the United States.
Journal of managed care & specialty pharmacy · 2026 · PMID 42424106
BACKGROUND: Chronic hepatitis B (CHB) can lead to serious health complications. Patients with CHB often have a higher burden of extrahepatic comorbidities such as chronic kidney disease (CKD) and osteopenia/osteoporosis (OP) compared with the general population. Understanding the burden of these comorbidities in those with CHB may facilitate the development of strategies to better support patients and guide treatment decisions. OBJECTIVE: To evaluate demographic characteristics and prevalence of CKD, OP, and establ…
Incidence of Hepatitis B Virus Reactivation in Patients Treated With Immunosuppressive and Chemotherapeutic Agents.
Alimentary pharmacology & therapeutics · 2026 · PMID 42186906
BACKGROUND: Data on the incidence of hepatitis B virus reactivation (HBVr) remain limited. In Japan, patients who are HBsAg-negative and anti-HBc-positive with undetectable HBV DNA are monitored without antiviral prophylaxis, allowing the estimation of HBVr incidence. METHODS: Using administrative claims data from Japan (2008-2022), we included patients receiving immunosuppressive or chemotherapeutic agents who were HBV DNA-negative at baseline, underwent at least two HBV DNA tests, and did not receive antiviral th…
Preoperative gut microbiota combined with machine learning for predicting post-hepatectomy liver failure in HBV-related hepatocellular carcinoma: a pilot study.
Frontiers in cellular and infection microbiology · 2026 · PMID 42625750
OBJECTIVE: This study investigated the association between preoperative gut microbiota (GM) profiles and post-hepatectomy liver failure (PHLF) in patients with newly diagnosed HBV-related hepatocellular carcinoma (HBV-HCC), aiming to explore non-invasive, modifiable GM biomarkers for perioperative risk stratification. METHODS: A total of 233 fecal samples underwent 16S rRNA sequencing and were stratified into three distinct sets: a training set (n = 179), an internal validation set (n = 32), and an independent exte…
Comparative effectiveness of antiviral therapy according to immune status among pregnant women with chronic hepatitis B virus infection: a retrospective cohort study.
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2026 · PMID 41942346
PURPOSE: This study evaluates phase-specific antiviral efficacy of tenofovir disoproxil fumarate (TDF) in pregnant women with hepatitis B virus (HBV) infection, comparing immune-tolerant (IT), inactive carrier (IC), and their corresponding gray zone (GZ-A, GZ-C). Perinatal outcomes and mother-to-child transmission (MTCT) risks were also assessed across these phases. METHODS: In this retrospective study, 717 pregnant women with HBV infection from Nanjing, China (2021-2023) were stratified into IT (n = 317), IC (n = …
Survival Outcome Was Better with Liver Resection than with Percutaneous Radiofrequency Ablation in Patients with Very Early-Stage Hepatocellular Carcinoma: A Single-Center Retrospective Study.
Journal of investigative surgery : the official journal of the Academy of Surgical Research · 2026 · PMID 41660702
BACKGROUND: Antiviral therapies for hepatitis B or C virus may be associated with reduced risk of tumor recurrence and mortality of patients with hepatocellular carcinoma (HCC) undergoing curative treatments, compared to untreated patients. Previous studies comparing survival outcomes between percutaneous radiofrequency ablation (RFA) and liver resection (LR) for treating patients with very early-stage HCC did not evaluate the effects of antiviral treatments on survival outcome. Our study aimed to clarify this issu…
Treatments That Failed Clinical Trials67 records
Hepatitis B virus (HBV) revaccination in MSM who were born in the nationwide neonatal HBV vaccination era: A randomized clinical trial.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 41448530
OBJECTIVES: Waning immunity and reduced vaccine effectiveness among people with HIV (PWH) raise concerns about optimal HBV revaccination dosing. This study compared double-dose versus standard-dose HBV revaccination among men who have sex with men (MSM) born in the neonatal HBV vaccination era in Taiwan. METHODS: In this multicenter randomized trial, 526 participants negative for all HBV seromarkers received either standard-dose (20 µg) or double-dose (40 µg) aluminum-adjuvanted recombinant vaccine at Weeks 0, 4, a…
Efficacy and safety of GLS4 with entecavir vs entecavir alone in chronic hepatitis B patients: A multicenter clinical trial.
The Journal of infection · 2025 · PMID 39988055
OBJECTIVES: GLS4 is a first-in-class hepatitis B virus (HBV) capsid assembly modulator that inhibits HBV replication by interfering with assembly and disassembly of the virus nucleocapsid, this prospective, open-label, comparative, phase 2b trial evaluated the antiviral activity and safety of GLS4/ritonavir (RTV) combined with entecavir in hepatitis B e antigen-positive patients. METHODS: 250 CHB patients were enrolled, including treatment-naïve patients and those interrupted anti-HBV drugs for ≥ 6 months (Part A, …
PegIFN alpha-2a reduces relapse in HBeAg-negative patients after nucleo(s)tide analogue cessation: A randomized-controlled trial.
Journal of hepatology · 2025 · PMID 39094743
BACKGROUND & AIMS: Nucleo(s)tide analogue (NUC) cessation can lead to hepatitis B surface antigen (HBsAg) clearance but also a high rate of virological relapse. However, the effect of pegylated interferon alpha-2a (PegIFN-α-2a) on virological relapse after NUC cessation is unknown. Therefore, this study aimed to evaluate the effect of switching from NUC to PegIFN-α-2a treatment for 48 weeks on virological relapse up to week 96. METHODS: In this multicenter randomized-controlled clinical trial, 180 non-cirrhotic pat…
Tenofovir alafenamide for prevention of HBV reactivation in HBsAg-negative, anti-HBc-positive patients undergoing rituximab-based chemotherapy: A multicenter randomized controlled trial.
Hepatology communications · 2025 · PMID 41335575
BACKGROUND AND AIMS: Immunosuppression can cause hepatitis B virus (HBV) reactivation, leading to severe outcomes in patients with "resolved" HBV infection. This multicenter, randomized, placebo-controlled trial assessed the efficacy of preemptive antiviral therapy in HBsAg-negative, anti-HBc-positive patients receiving rituximab-based chemotherapy for non-Hodgkin lymphoma (NHL). METHODS: Patients were randomized 1:1 to tenofovir alafenamide (TAF)/placebo across 3 phases: chemotherapy plus TAF/placebo (phase 1), TA…
Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials.
Alimentary pharmacology & therapeutics · 2024 · PMID 39327857
BACKGROUND: In two phase 3 studies, tenofovir alafenamide (TAF) showed non-inferior efficacy versus tenofovir disoproxil fumarate (TDF), with more favourable renal and bone safety in patients with chronic hepatitis B (CHB). AIMS: Here, we report the studies' final 8-year results. METHODS: CHB patients (hepatitis B e antigen [HBeAg]-negative and HBeAg-positive) were randomised (2:1) to double-blind TAF 25 mg/day or TDF 300 mg/day for up to 3 years, followed by open-label (OL) TAF through year 8. Virological, biochem…
Comprehensive Interventions in HBV Care: Nursing-Sensitive Approach.
Gynecologic and obstetric investigation · 2025 · PMID 39820185
OBJECTIVES: The objective of this study was to evaluate the impact of a comprehensive intervention using nursing-sensitive quality indicators on pregnant women with hepatitis B and their newborns. DESIGN: A randomized controlled monocentric trial was conducted from January 2020 to May 2022. Participants/Materials: 80 pregnant women diagnosed with hepatitis B were randomly assigned to either a control group (n = 40) or an experimental group (n = 40). The experimental group received care-sensitive quality indicators …
Impact of Hepatitis B Virus Infection on the Efficacy and Safety of Pembrolizumab plus Chemotherapy for Advanced Biliary Tract Cancer in the KEYNOTE-966 Study.
Cancer research communications · 2026 · PMID 41757470
PURPOSE: In the randomized phase 3 KEYNOTE-966 trial, first-line pembrolizumab plus chemotherapy significantly improved overall survival (OS) versus placebo plus chemotherapy for participants with advanced biliary tract cancer (BTC). This post hoc analysis investigated whether hepatitis B virus (HBV) infection affected the efficacy and safety of pembrolizumab plus chemotherapy. PATIENTS AND METHODS: Eligible participants had histologically confirmed extrahepatic or intrahepatic cholangiocarcinoma or gallbladder can…
Vaccine-Induced Anti-HBs Response is Associated with Protection Against Hepatitis B Virus Reactivation after Allogeneic Hematopoietic Cell Transplantation: A Randomized Trial.
Transplantation and cellular therapy · 2026 · PMID 42150672
Hepatitis B virus (HBV) reactivation is a well-recognized complication in patients with resolved HBV infection undergoing allogeneic hematopoietic cell transplantation (allo-HCT). Although HBV DNA-guided preemptive nucleos(t)ide analog therapy prevents HBV-related hepatitis, strategies to prevent HBV reactivation itself remain limited. Hepatitis B vaccination after allo-HCT has been suggested as a potential preventive strategy, but prospective randomized evidence is lacking. To evaluate whether hepatitis B (HepB) v…
Novel HBV Biomarkers-Guided NAs Withdrawal Strategy Promotes HBsAg Clearance in Asian CHB Patients: A Randomized Controlled Trial.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026 · PMID 40953786
BACKGROUND & AIMS: Nucleos(t)ide analogue (NAs) discontinuation promotes hepatitis B surface antigen (HBsAg) clearance among European patients with chronic hepatitis B virus (HBV) infection. The efficacy and safety of a novel HBV biomarker-guided NAs withdrawal strategy among Asian patients was evaluated in this multicenter randomized controlled trial. METHODS: NAs-experienced patients achieving HBsAg <200 IU/mL and undetectable HBV DNA for ≥12 months with HBV RNA or hepatitis core-related antigen undetectable were…
Relieving effect of jiao-tune of 5-element music on negative emotions in patients with decompensated hepatitis B virus cirrhosis: A randomized and controlled experiment study.
Medicine · 2024 · PMID 39287243
BACKGROUND: Depression and anxiety are common in patients with decompensated hepatitis B virus (HBV) cirrhosis. This study aimed to evaluate the relieving effects of the jiao-tune of 5-element music on negative emotions in patients with decompensated HBV cirrhosis. METHODS: The patients were randomly allocated into the control group (standard nursing care) and the jiao-tune group (standard nursing care plus a 2-month course of music therapy with the jiao-tune of 5-element music). The negative emotions of patients w…
Long-Term Treatment With Tenofovir Alafenamide for Chronic Hepatitis B Results in High Rates of Viral Suppression and Favorable Renal and Bone Safety.
The American journal of gastroenterology · 2024 · PMID 37561058
INTRODUCTION: The results from 2 phase 3 studies, through 2 years, in chronic hepatitis B infection showed tenofovir alafenamide (TAF) had similar efficacy to tenofovir disoproxil fumarate (TDF) with superior renal and bone safety. We report updated results through 5 years. METHODS: Patients with HBeAg-negative or HBeAg-positive chronic hepatitis B infection with or without compensated cirrhosis were randomized (2:1) to TAF 25 mg or TDF 300 mg once daily in double-blind (DB) fashion for up to 3 years, followed by o…
The small interfering RNA imdusiran as single and multiple doses in healthy, randomised individuals and non-randomised individuals with chronic hepatitis B (AB-729-001): a phase 1a/b trial.
The lancet. Gastroenterology & hepatology · 2026 · PMID 42173110
BACKGROUND: Functional cure of chronic hepatitis B requires a sustained loss of HBsAg and hepatitis B virus (HBV) DNA, which is unlikely with current therapies. We aimed to investigate the safety, antiviral activity, and anti-HBV immune responses of the N-acetylgalactosamine-conjugated, small interfering RNA imdusiran, a therapeutic strategy designed to reduce viral antigens on the path to achieving immune control. METHODS: AB-729-001 was a phase 1a/b trial conducted at 11 centres and hospitals: three in Australia,…
A multicenter randomized-controlled trial of nucleos(t)ide analogue cessation in HBeAg-negative chronic hepatitis B.
Journal of hepatology · 2023 · PMID 37062574
BACKGROUND & AIMS: Nucleos(t)ide analogues (NUCs) are the standard and mostly lifelong treatment for chronic HBeAg-negative hepatitis B, as functional cure (loss of HBsAg) is rarely achieved. Discontinuation of NUC treatment may lead to functional cure; however, to date, the evidence for this has been based on small or non-randomized clinical trials. The STOP-NUC trial was designed with the aim of increasing the HBsAg loss rate using a NUC treatment interruption approach. METHODS: In this multicenter, randomized-co…
ALG-000184 (pevifoscorvir sodium) monotherapy in participants with chronic HBV infection: a phase 1, multicentre, randomised, dose escalation trial.
The lancet. Gastroenterology & hepatology · 2026 · PMID 41554267
BACKGROUND: ALG-000184 (pevifoscorvir sodium) is a prodrug of the class-E (empty) capsid assembly modulator (CAM), ALG-001075. CAM-Es prevent hepatitis B virus (HBV) replication by inhibiting capsid assembly and pregenomic RNA encapsidation and preventing covalently closed circular DNA (cccDNA) establishment. This part of the study aimed to assess the safety, tolerability, pharmacokinetics and short-term antiviral activity of ALG-000184 in participants with HBeAg-negative and HBeAg-positive chronic HBV infection to…
Pien Tze Huang plus entecavir improves hepatic fibrosis in Chinese patients with chronic hepatitis B.
Phytomedicine : international journal of phytotherapy and phytopharmacology · 2025 · PMID 40318534
BACKGROUND: Pien Tze Huang (PTH), a well-established traditional Chinese medicine compound, has exhibited anti-hepatic fibrosis properties both in vitro and in vivo animal models, but the randomized clinical trials to evaluate anti-hepatic fibrosis efficacy of PTH are deficient. Chronic hepatitis B (CHB) is a leading cause of hepatic fibrosis in China. Although antiviral therapies have demonstrated significant effectiveness in arresting the progression of fibrotic disease, complete regression of established fibrosi…
JNJ-73763989 and bersacapavir treatment in nucleos(t)ide analogue-suppressed patients with chronic hepatitis B: REEF-2.
Journal of hepatology · 2024 · PMID 38583491
BACKGROUND & AIMS: Functional cure for chronic hepatitis B (CHB) requires finite treatment. Two agents under investigation with the goal of achieving functional cure are the small-interfering RNA JNJ-73763989 (JNJ-3989) and the capsid assembly modulator JNJ-56136379 (JNJ-6379; bersacapavir). METHODS: REEF-2, a phase IIb, double-blind, placebo-controlled, randomized study, enrolled 130 nucleos(t)ide analogue (NA)-suppressed hepatitis B e-antigen (HBeAg)-negative patients with CHB who received JNJ-3989 (200 mg subcut…
Hepatic flares, their immune signatures, and ALT variability after nucleos(t)ide analogue cessation in HBeAg-negative hepatitis B.
JHEP reports : innovation in hepatology · 2026 · PMID 42067192
BACKGROUND & AIMS: Hepatic flares frequently occur after nucleos(t)ide analogue (NA) cessation in patients with chronic hepatitis B (CHB) and can be beneficial ('good flares') or harmful ('bad flares'). We characterised flares after NA cessation aiming to identify predictors and immunological correlates of good and bad flares. METHODS: This study was nested in the prospective Nuc-Stop study, in which 127 patients with e-antigen negative CHB discontinued NA treatment with a 36-month follow-up. Flares were defined as…
Multiple Low-Level Viraemia Suggest Hindered Liver Fibrosis Regression in Chronic Hepatitis B Patients During Antiviral Therapy.
Journal of viral hepatitis · 2024 · PMID 39373164
Low-level viraemia (LLV) occurs in chronic hepatitis B (CHB) patients despite antiviral treatment, which may cause failed histological regression. Our study aimed to investigate the impact of different LLV types on fibrosis regression. The prospective study enrolled CHB patients with paired liver biopsies before and after 260 weeks of entecavir treatment. Fibrosis regression was defined by the Ishak score or P-I-R system. Patients were grouped as the SVR (HBV DNA < 20 IU/mL persistently) or LLV (HBV DNA between 20 …
Efficacy of Antiviral Prophylaxis up to 6 or 12 Months From Completion of Rituximab in Resolved Hepatitis B Patients: A Multicenter, Randomized Study.
Journal of Korean medical science · 2023 · PMID 37463687
BACKGROUND: Rituximab occasionally induces reactivation of hepatitis B virus (HBV) in patients with resolved HBV, at times with fatal consequences. The optimal duration of prophylactic antiviral therapy in this situation is unclear. We aimed to investigate the difference in HBV reactivation according to the duration of prophylactic tenofovir disoproxil fumarate (TDF) in patients with resolved HBV and receiving rituximab. METHODS: A multicenter, randomized, open-label, prospective study was conducted in hepatitis B …
Therapeutic effects of reduced glutathione on liver function, fibrosis, and HBV DNA clearance in chronic hepatitis B patients.
BMC gastroenterology · 2025 · PMID 39920583
OBJECTIVE: To evaluate the therapeutic impact of reduced glutathione combined with entecavir on liver function, fibrosis, and HBV-DNA clearance in chronic hepatitis B patients. METHODS: This was a randomized controlled trial. This study included 90 patients diagnosed with chronic hepatitis B, who were randomly divided into two groups (observation group and control group) using a random number table, with 45 patients in each group. The control group received standard entecavir treatment (0.5 mg/time, once a day, con…
Addition of PEG-interferon to long-term nucleos(t)ide analogue therapy enhances HBsAg decline and clearance in HBeAg-negative chronic hepatitis B: Multicentre Randomized Trial (PAS Study).
Journal of viral hepatitis · 2024 · PMID 38243144
We studied whether 48 weeks of PEG-IFN alfa-2a add-on increases HBsAg-decline and clearance in HBeAg-negative patients on long-term nucleo(s)tide analogue (NA) therapy. In this investigator-initiated, randomized, controlled trial conducted in Europe and Canada, HBeAg-negative patients treated with NA > 12 months, with HBVDNA < 200 IU/mL, were enrolled. Patients were randomized 2:1 to 48 weeks of PEG-IFN alfa-2a add-on (180 μg per week) or continued NA-monotherapy with subsequent follow-up to Week 72. Endpoints were…
Evaluation of the Efficacy and Safety of Tenofovir Disoproxil Fumarate in Intercepting Mother-to-Child Transmission of Hepatitis B Virus.
Acta medica Okayama · 2024 · PMID 38688828
Vertical transmission of hepatitis B virus (HBV), especially in Asia, is a key target in the global elimination of HBV. This study assessed the effects of tenofovir disoproxil fumarate (TDF) in pregnant women for mother-to-infant transmission of HBV. A total of 122 pregnant women at our hospital met the inclusion criteria for high HBV DNA viral loads. They were randomly divided into TDF-treatment (n=70) and placebo (n=52) groups. Maternal liver function and serum HBV DNA load were tested before and after treatment.…
Comparison of Pharmacokinetics of the GalNAc-Conjugated Antisense Oligonucleotide GSK3389404 in Participants with Chronic Hepatitis B Infection across the Asia-Pacific Region.
Antimicrobial agents and chemotherapy · 2023 · PMID 36507675
GSK3389404, an N-acetyl galactosamine-conjugated antisense oligonucleotide (ASO), was in clinical development for chronic hepatitis B (CHB) treatment. Few studies have examined ASOs in Asian participants. In this analysis, the plasma pharmacokinetics (PK) of GSK3389404 were characterized and compared in patients with CHB across the Asia-Pacific region (N = 64), including mainland China (n = 16), Hong Kong (n = 8), Japan (n = 21), South Korea (n = 12), Singapore (n = 4), and the Philippines (n = 3), from a phase 2a,…
Tenofovir Alafenamide Fumarate Reduces Virological Replication in HBeAg-Negative Patients With Normal Alanine Aminotransferase: A 48-Week Randomised Controlled Trial.
Journal of viral hepatitis · 2026 · PMID 41608776
The optimal strategy for chronic hepatitis B virus (HBV) infected patients with negative hepatitis B e-antigen (HBeAg) and normal alanine aminotransferase (ALT) remains uncertain. This study aimed to evaluate the safety and efficacy of tenofovir alafenamide fumarate (TAF) treatment in this patient population. This prospective, open-label, randomised controlled trial enrolled HBeAg-negative patients with normal ALT and randomised them 1:1 to either the treatment group (TAF) or the control group (no treatment). The p…
Enhancing Hepatitis B and C Prevention Among People Who Use Drugs: Evaluating an Educational Intervention at a Drop-In Center in Southwest Iran based on Protection Motivation Theory.
BMC public health · 2025 · PMID 41126184
BACKGROUND: Substance abuse, particularly injection drug use, remains a significant public health challenge in Iran, where an estimated 2 million people use illicit drugs daily. Injection drug users are at high risk for bloodborne infections such as hepatitis B and C, which contribute substantially to morbidity and mortality in this population. Understanding individual factors that influence risky behaviors through frameworks like the Protection Motivation Theory (PMT) is essential for effective prevention. This st…
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