Inclusion criteria | |
• Adult patients (≥ 18 years of age) diagnosed with HBeAg-positive and/or HBeAg-negative chronic hepatitis B infection | |
• Treatment of interest: adefovir (ADV), entecavir (ETV), lamivudine (LAM), pegylated interferon (PEG-IFN), telbivudine (TBV), tenofovir alafenamide (TAF) , tenofovir disoproxil fumarate (TDF); as monotherapy or as combination therapy | |
• Comparators: treatment of interest versus placebo (PLA) or Treatment of interest versus different Treatment of interest | |
• Outcomes (Efficacy): | |
1. Virologic response (VR) | |
2. Alanine aminotransferase normalization (ALT norm) | |
3. HBeAg loss | |
4. HBeAg seroconversion | |
5. HBsAg loss | |
• Study design: published, randomized, controlled interventional studies | |
Exclusion criteria | |
• Studies that did not meet the aforementioned selection criteria, uncontrolled non-randomized studies, qualitative studies, observational studies, duplicate publications, conference abstracts, narrative reviews, and editorials were excluded | |
• Studies not conducted in English | |
• Studies on special populations: coinfections with HIV or other forms of hepatitis, decompensated cirrhosis, hepatocellular carcinoma, liver transplantation, and pregnancy | |
• Treatment duration shorter than 48 weeks (except for Interferon therapy) | |
• Treatment experienced population > 50% |