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With the latest hepatitis B guidelines and recent phase 3 trial of Bepirovirsen mentioning the utility of quantifying HBsAg levels, how have you incorporated HBsAg in your practice?

Have you found labs that actually offer HBsAg quantification? Latest Hepatitis B guidelines: Ghany et al., PMID 41186418 Recent Phase 3 Trial of Bepirovirsen: Hou et al., PMID 42206582
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Do you order HBsAg levels?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Hepatology · Mount Sinai Hospital
Answered on

Since the first New England journal publication on Bepi (Yuen et al., PMID 36346079), which demonstrated functional cure in patients with less than 1,000 international units of surface antigen, we’ve been quantifying surface antigen in all of our hepatitis B patients. Almost all the large commercial...

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Mednet Member
Mednet MemberInvited Expert
Hepatology · University of Pennsylvania
Answered on

I have started sending qHBsAg on patients who might be future candidates for Bepirovirsen. Labcorp and Quest have the test but often entered incorrectly by their check-in clerks. So far, patients with whom I have discussed the Phase 3 BEPI trial have not been that interested in 24 weeks of SQ inject...

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