Current and Evolving Management of Chronic Hepatitis Delta Virus (HDV) Infection

被引:0
作者
Anolli, Maria Paola [1 ]
Degasperi, Elisabetta [1 ]
Lampertico, Pietro [1 ,2 ]
机构
[1] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Div Gastroenterol & Hepatol, Via F Sforza 35, I-20122 Milan, Italy
[2] Univ Milan, CRC AM & A Migliavacca Ctr Liver Dis, Dept Pathophysiol & Transplantat, Milan, Italy
关键词
Hepatitis; Delta; Bulevirtide; Lonafarnib; HDV RNA; Cirrhosis; MG DOSE LEVEL; 3; CLINICAL-TRIALS; BULEVIRTIDE MONOTHERAPY; PEGINTERFERON ALPHA-2A; COMPENSATED CIRRHOSIS; TENOFOVIR DISOPROXIL; LAMBDA MONOTHERAPY; 24-WEEK DATA; EFFICACY; SAFETY;
D O I
10.1007/s11901-023-00606-7
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose of ReviewThis review aims to examine the current and evolving management of chronic hepatitis delta virus (HDV) infection, a severe form of viral hepatitis characterized by accelerated liver disease progression, leading to cirrhosis and its complications. Previously, off-label interferon (IFN) administration was the only treatment option for HDV infection, with limited effectiveness and several side effects.Recent FindingsThe discovery of the entry inhibitor bulevirtide (BLV) has been a breakthrough in HDV treatment, showing high rates of viral suppression in clinical trials and in real-life studies. Other compounds, such as lonafarnib and new anti-HBV drugs, are under development to provide alternative or combined treatment strategies.SummarySince HDV's discovery, more than 40 years ago, the current treatment scenario for HDV is rapidly evolving: while BLV is the first approved drug for HDV treatment, with proven effectiveness also in real-life settings, many other compounds are currently under investigation.
引用
收藏
页码:138 / 146
页数:9
相关论文
共 50 条
[1]  
Agarwal K, Late Breaking Abstracts of the 2022 AASLD Liver
[2]  
Allweiss L, 2021, HEPATOLOGY, V74, p148A
[3]   Extension of Bulevirtide monotherapy to 72 weeks in HDV patients with compensated cirrhosis: Efficacy and safety from the italian multicenter study (HEP4Di) [J].
Anolli, M. P. ;
Degasperi, E. ;
D'Offizi, G. ;
Brunetto, M. R. ;
Verucchi, G. ;
Federico, A. ;
Ciancio, A. ;
Mangia, A. ;
Santantonio, T. A. ;
Coppola, N. ;
Pellicelli, A. ;
Loglio, A. ;
Vigano, M. ;
Pileri, F. ;
Maracci, Monia ;
Puoti, M. ;
Piscaglia, F. ;
Lampertico, P. .
DIGESTIVE AND LIVER DISEASE, 2023, 55 :S7-S7
[4]   A 3-year course of bulevirtide monotherapy may cure HDV infection in patients with cirrhosis [J].
Anolli, Maria Paola ;
Degasperi, Elisabetta ;
Allweiss, Lena ;
Sangiovanni, Angelo ;
Maggioni, Marco ;
Scholtes, Caroline ;
Oberhardt, Valerie ;
Neumann-Haefelin, Christoph ;
Dandri, Maura ;
Zoulim, Fabien ;
Lampertico, Pietro .
JOURNAL OF HEPATOLOGY, 2023, 78 (04) :876-880
[5]  
Anolli MP, 2023, Liver Int
[6]  
Asselah T, 2021, J HEPATOL, V75, pS291
[7]   Safety and Efficacy of 48 Weeks REP 2139 or REP 2165, Tenofovir Disoproxil, and Pegylated Interferon Alfa-2a in Patients With Chronic HBV Infection Naive to Nucleos(t)ide Therapy [J].
Bazinet, Michel ;
Pantea, Victor ;
Placinta, Gheorghe ;
Moscalu, Iurie ;
Cebotarescu, Valentin ;
Cojuhari, Lilia ;
Jimbei, Pavlina ;
Iarovoi, Liviu ;
Smesnoi, Valentina ;
Musteata, Tatiana ;
Jucov, Alina ;
Dittmer, Ulf ;
Krawczyk, Adalbert ;
Vaillant, Andrew .
GASTROENTEROLOGY, 2020, 158 (08) :2180-2194
[8]   Treatment of chronic hepatitis due to hepatitis B and hepatitis delta virus coinfection [J].
Brancaccio, Giuseppina ;
Gaeta, Giovanni B. .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2019, 54 (06) :697-701
[9]   Automated nucleic acid isolation methods for HDV viral load quantification can lead to viral load underestimation [J].
Bremer, Birgit ;
Anastasiou, Olympia E. ;
Ciesek, Sandra ;
Weelemeyer, Heiner .
ANTIVIRAL THERAPY, 2019, 24 (02) :117-123
[10]  
Buti M, 2022, HEPATOLOGY, V76, pS224