{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:12:52Z","timestamp":1777651972659,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background &amp; Aims<\/jats:title><jats:p>Several studies suggested that efficacy of tenofovir in reducing the risk of the development of hepatocellular carcinoma (HCC) might be better than that of entecavir. It remains unknown whether a change in therapy can further reduce the risk of HCC in patients receiving entecavir therapy and achieved goal of antiviral therapy, a maintained undetectable hepatitis B virus (HBV) DNA level in the serum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 1336 treatment\u2010na\u00efve chronic HBV mono\u2010infected adult patients, who started entecavir or tenofovir treatment and achieved a maintained virologic response during follow\u2010up were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During a median 4.4\u00a0years of follow\u2010up (range, 1.0\u20137.4\u00a0years) after achieving virologic response, 99 patients developed HCC. The 5\u2010year cumulative HCC incidence rate was 7.3% and 6.3% for the entecavir and tenofovir groups, respectively, with similar risk of HCC between the two groups (adjusted HR, 0.82; 95% CI, 0.52\u20131.29; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.3). The risk of HCC was similar in the propensity score\u2010matched cohort (HR, 1.02; 95% CI, 0.68\u20131.52; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.94) and inverse probability treatment weighting analysis (HR, 1.11; 95% CI, 0.74\u20131.66; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.62). In the subgroup analysis, HCC risk was similar between the two drugs in both patients with and without cirrhosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In patients showing maintained virologic response, no difference in the risk of HCC between entecavir and tenofovir was observed. This indicates entecavir might be as effective as tenofovir in the prevention of HCC among those patients and suggest that a change in therapy in anticipation of further reducing the risk of HCC might not be necessary for patients receiving entecavir and showing virologic response.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jvh.13572","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T16:01:10Z","timestamp":1626105670000},"page":"1392-1399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Efficacy of entecavir versus tenofovir in preventing hepatocellular carcinoma in patients with chronic hepatitis B with maintained virologic response"],"prefix":"10.1111","volume":"28","author":[{"given":"Ji Eun","family":"Na","sequence":"first","affiliation":[{"name":"Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul 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