Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.
Clin Pharmacol Ther. 2024 Aug;116(2):295-303. doi: 10.1002/cpt.3287. Epub 2024 Apr 30.
Chronic hepatitis B (CHB) remains a major global public health problem. The functional cure is the ideal therapeutic target recommended by the latest guidelines, and pursuing a functional cure has become the key treatment end point of current therapy and for upcoming clinical trials. In this review, based on the latest published clinical research evidence, we analyzed the concept and connotation of clinical cures and elaborated on the benefits of clinical cures in detail. Secondly, we have summarized various potential treatment methods for achieving clinical cures, especially elaborating on the latest research progress of interferon-based optimized treatment strategies in achieving clinical cures. We also analyzed which populations can achieve clinical cures and conducted a detailed analysis of relevant virological and serological markers in screening clinical cure advantage populations and predicting clinical cure achievement. In addition, we also introduced the difficulties that may be encountered in the current pursuit of achieving a clinical cure.
慢性乙型肝炎(CHB)仍然是一个全球性的重大公共卫生问题。功能性治愈是最新指南推荐的理想治疗目标,追求功能性治愈已成为当前治疗和即将到来的临床试验的关键治疗终点。在这篇综述中,我们基于最新发表的临床研究证据,分析了临床治愈的概念和内涵,并详细阐述了临床治愈的益处。其次,我们总结了实现临床治愈的各种潜在治疗方法,特别是详细阐述了基于干扰素的优化治疗策略在实现临床治愈方面的最新研究进展。我们还分析了哪些人群可以实现临床治愈,并对筛选临床治愈优势人群和预测临床治愈实现的相关病毒学和血清学标志物进行了详细分析。此外,我们还介绍了在目前追求临床治愈过程中可能遇到的困难。