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 3 Definition of terms relating to antiviral resistance to nucleos(t)ide analogue treatment
Term Definition
Virologic breakthroughIncrease in serum HBV DNA by > 1 log10 (10-fold) above nadir after achieving virologic response, during continued treatment
Viral reboundIncrease in serum HBV DNA to > 20000 IU/mL or above pretreatment level after achieving virologic response, during continued treatment
Biochemical breakthroughIncrease in ALT above upper limit of normal after achieving normalization, during continued treatment
Genotypic resistanceDetection of mutations that have been shown in “in vitro” studies to confer resistance to the NA that is being administered
Phenotypic resistanceIn vitro confirmation that the mutation detected decreases susceptibility (as demonstrated by increase in inhibitory
concentrations) to the NUC administered