Palumbo Emilio
Recenti Prog Med. 2007 Apr;98(4):237-8.
Adefovir dipivoxil is an analogue nucleotide recently approved for the treatment of chronic hepatitis HBV-related. Some recent studies have evidenced that treatment with 10 mg/die orally with adefovir dipivoxil is efficacy and well tolerate in patients with chronic hepatitis B, both HBeAg-positive and anti-HBe-positive, with LAM-resistance. Also, adefovir dipivoxil effectively suppresses lamivudine-resistant HBV in patients with chronic hepatitis B after liver transplantation, compensated or decompensated liver disease and co-infection with HIV. Other studies are needed to evaluate the efficacy of prolonged treatment in relation to emerge of adefovir-resistant HBV mutants.
阿德福韦酯是一种最近被批准用于治疗慢性乙型肝炎病毒相关疾病的核苷酸类似物。最近的一些研究表明,对于拉米夫定耐药的慢性乙型肝炎患者,无论其HBeAg阳性还是抗-HBe阳性,口服10mg/日的阿德福韦酯进行治疗是有效的且耐受性良好。此外,阿德福韦酯能有效抑制肝移植后慢性乙型肝炎患者、代偿期或失代偿期肝病患者以及合并感染HIV患者体内的拉米夫定耐药乙型肝炎病毒。还需要其他研究来评估长期治疗对于阿德福韦耐药乙型肝炎病毒突变体出现的疗效。