Review
Copyright ©The Author(s) 2015.
World J Hepatol. Feb 27, 2015; 7(2): 189-203
Published online Feb 27, 2015. doi: 10.4254/wjh.v7.i2.189
Table 2 Definition of response to nucleos(t)ide analogue antiviral therapy of chronic hepatitis B
Category of response
Biochemical (BR)Decrease in serum ALT to within the normal range
Virologic (VR)Decrease in serum HBV DNA to undetectable
levels by PCR assays, and loss of HBeAg in
patients who were initially HBeAg positive
Primary non-responseDecrease in serum HBV DNA by 2 log10 IU/mL
after at least 24 wk of therapy
Virologic relapseIncrease in serum HBV DNA of 1 log10 IU/mL
after discontinuation of treatment in at least
two determinations more than 4 wk apart
Histologic (HR)Decrease in histology activity index by at least 2
points and no worsening of fibrosis score
compared to pre-treatment liver biopsy
Complete (CR)Fulfill criteria of biochemical and virological
response and loss of HBsAg
Time of assessment
On-therapyDuring therapy
MaintainedPersist throughout the course of treatment
End-of-treatmentAt the end of a defined course of therapy
Off-therapyAfter discontinuation of therapy
Sustained (SR-6)6 mo after discontinuation of therapy
Sustained (SR-12)12 mo after discontinuation of therapy