What toxicity threshold would make you stop bepirovirsen while pursuing functional cure in a noncirrhotic patient with chronic HBV on suppressive nucleos(t)ide analogue therapy?
In reference to Hou et al., PMID 42206582
1 Answer
Mednet MemberInvited Expert
Hepatology · Mount Sinai Hospital
Answered on
From the paper: "On the basis of a phase 2a randomized controlled trial assessing safety, tolerability, and antiviral activity of bepirovirsen, in which ALT elevations associated with HBsAg reductions were reported for NA-naïve patients, ALT increases were considered AEs of special interest. Class effects of antisense oligonucleotides, including vascular inflammation and complement activation, thrombocytopenia, renal injury, and injection-site reactions, were also considered AEs of special inter...
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