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TITLE:

VIABILITY OF ADDING PEG-IFN-𝛼-2A TO ENTECAVIR WITH A VIEW TO DISCONTINUING ENTECAVIR

AUTHORS:

Dr Farayah Shafqat, Dr Faizan Akbar, Dr. Kiran Bashir

ABSTRACT:

Entecavir needs longstanding organization. Treatment with pegylated interferon results in a substantial decrease in hepatitis B surface antigen (HBs Ag) levels. The current review should investigate the well-being and viability of adding PEG-IFN-𝛼-2a to entecavir with a view to discontinuing entecavir. The overall of 26 cases cured through entecavir received additional treatment with PEG-IFN-𝛼-2a (90 𝜇g each week) for 49 weeks. Our current research was conducted at LGH, Lahore from April 2018 to March 2019. The viral reaction (VR) was characterized by a decrease of more than half of the baseline hepatitis B surface antigen (HBs Ag) level at 72 weeks from the start of treatment. The complete reaction (CR) was characterized by decreased levels of HBs Ag <100 IU/mL. The hepatitis B e antigen (HBe Ag) seroconversion rate was 25% (2/8), and the VR rate remained 53% (12/23). An OR was observed in four cases (17%). Though, the CR degree in baseline cases with HBsAg <2000 IU/mL and HBeAg-negative cases was half (4/8). The univariate examination indicated that the decrease in HBs Ag at week 12 was primarily related to VR. The area underneath elbow remained 0.849. The addition of PEG-IFN-𝛼-2a to entecavir limited viability. The drop in HBs Ag at week 13 might be the valuable indicator for VR.

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