Adefovir for lamivudine-resistant hepatitis B

Antivir Ther. 2022 Apr;27(2):13596535211067605. doi: 10.1177/13596535211067605.

Abstract

Adefovir, a nucleotide analog developed by John Martin, was a major breakthrough in the treatment of chronic Hepatitis B. Prior to adefovir, Hepatitis B treatment was limited to two therapeutic modalities, either interferon, which carried significant side effects and was efficacious in a minority of patients, or lamivudine which showed no durable effects with short-term use and a high rate of resistance with long-term use. Adefovir was found to be effective in suppressing viral replication and in resolving the hepatic inflammation associated with hepatitis B with only rare instances of resistance. In this article, we appreciate John Martin's contribution to science and medicine as we review the landmark trials of adefovir that brought forth a new era of treatment of Hepatitis B.

Publication types

  • Review

MeSH terms

  • Adenine / analogs & derivatives
  • Drug Resistance, Viral
  • Hepatitis B* / drug therapy
  • Humans
  • Lamivudine / pharmacology
  • Lamivudine / therapeutic use
  • Organophosphonates* / pharmacology
  • Organophosphonates* / therapeutic use

Substances

  • Organophosphonates
  • Lamivudine
  • adefovir
  • Adenine