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This entry refers to a Phase 4 randomized clinical trial, known as the ACE (Adefovir Add-on vs Entecavir Switch) study, conducted by Korea University to evaluate treatment strategies for lamivudine-resistant chronic hepatitis B. The study compared the efficacy of adding adefovir dipivoxil to ongoing lamivudine therapy (a combination of a nucleoside and a nucleotide analogue) against switching to entecavir monotherapy (a potent nucleoside analogue). All three agents—lamivudine, adefovir dipivoxil, and entecavir—are small molecule antivirals that target the hepatitis B virus (HBV) RNA-directed DNA polymerase (reverse transcriptase), effectively inhibiting viral DNA replication and reducing viral load in patients with chronic HBV infection.
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