Drug intelligence / Profile preview

lamivudine + adefovir vs entecavir

Development stage
Unknown
Lead developer
Korea University
Modality
Small Molecules
Administration
Oral
01

Overview

"Lamivudine + adefovir vs entecavir" refers to a Phase 4 randomized clinical trial (NCT00531167) sponsored by Korea University that compared two rescue strategies for patients with lamivudine-resistant chronic hepatitis B (CHB). The study evaluated the efficacy of adding adefovir dipivoxil (10 mg/day) to ongoing lamivudine (100 mg/day) therapy versus switching to entecavir monotherapy (1.0 mg/day). All three agents—lamivudine, adefovir, and entecavir—are nucleoside/nucleotide analogue antivirals that function by inhibiting the hepatitis B virus (HBV) DNA polymerase/reverse transcriptase. The trial results indicated that the combination of lamivudine and adefovir provided superior virological response rates and lower rates of genotypic resistance compared to switching to entecavir monotherapy in this specific treatment-refractory population.

Brand names
Epivir-HBVHepseraBaraclude
Other names
Adefovir Add-on vs Entecavir Switch in Lamivudine-Resistant Chronic Hepatitis B
02

Targets

Human immunodeficiency virus type 1 reverse transcriptaseHBV Pol (Hepatitis B virus polymerase)POLG (Mitochondrial DNA polymerase gamma)Human nuclear DNA polymerase

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