May 2025
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7 Reads
Journal of Hepatology
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May 2025
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7 Reads
Journal of Hepatology
May 2025
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14 Reads
Journal of Hepatology
May 2025
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4 Reads
Journal of Hepatology
May 2025
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12 Reads
Journal of Hepatology
May 2025
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8 Reads
Journal of Hepatology
March 2025
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6 Reads
Liver international: official journal of the International Association for the Study of the Liver
March 2025
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5 Reads
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2 Citations
Liver international: official journal of the International Association for the Study of the Liver
Background and Aims Early assessment of hepatocellular carcinoma (HCC) risk could improve long‐term outcomes in people with chronic hepatitis B virus (HBV) infection. Some existing HCC predictive scores are not easily implementable. We developed easy‐to‐use HCC predictive scores based on behavioural and routine bio‐clinical data in people with chronic HBV infection. Methods Eight‐year follow‐up data was analysed from people with chronic HBV infection enrolled in the French ANRS CO22 HEPATHER cohort. Patients were randomly split into two samples (training/testing). A multivariable Cox model for time to HCC was estimated on the training sample. The HCC predictive score was computed by summing the points assigned to model predictors, normalising their coefficients over a 10‐year age increment, and rounding to the nearest integer. The Youden index identified the score's optimal risk threshold. Comparisons with existing predictive scores were performed on the testing sample. Results In the study population ( N = 4370; 63% of men; 65% of < 50 years old), 56 HCC cases occurred during 25,900 follow‐up person‐years. Two HCC predictive scores were defined: SADAPTT (daily soft drink consumption, age, hepatitis Delta infection, unhealthy alcohol use, platelet count, heavy tobacco smoking, and HBV treatment) and ADAPTT (the same predictors except for daily soft drink consumption), with ranges 0–13 and 0–14, respectively, and values ≥ 3 indicating a high HCC risk. Their performances were similar to existing scores. Conclusions We developed two effective behaviour‐based HCC predictive scores, implementable in many settings, including primary care and decentralised areas. Further studies are needed to validate these scores in other datasets.
March 2025
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10 Reads
Journal of Viral Hepatitis
People with mental health disorders have a significant lack of physical health care. They also have higher rates of medical co‐morbidity. The aim of this study was to assess the feasibility and the linkage to care of systematic screening for hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in patients admitted for an acute psychiatric event at the emergency department (ED). This was an observational prospective cohort study for 1 year. Systematic screening was performed for HBV, HCV and HIV for all adult patients presenting to the ED for acute psychiatric reasons. This was a collaborative work between 3 departments (emergency, hepatology and psychiatry). A total of 584 patients were included. The median age was 42 years (range 29–56) with 304 (52%) men. Among all study patients, 50% were hospitalised in the psychiatry ward, and 38 (7%) had a positive serological screening, including 9 (2%), 19 (3%) and 12 (2%), respectively, for HBV, HCV and HIV. Among 19 patients with HCV, 12 had negative HCV RNA, 2 were treated and cured, and 5 were lost to follow‐up. This study demonstrated the feasibility of HBV, HCV and HIV screening and linkage to care programmes in people with mental health disorders in the ED. The medical importance for this at‐risk population confirms the significant benefit of continuing this screening in hospitals or as outpatients.
February 2025
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27 Reads
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1 Citation
Journal of Hepatology
February 2025
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227 Reads
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3 Citations
Journal of Hepatology
... To accomplish this, expanded access, active HCV screening, and linkage to care are required. 4 Sofosbuvir-Velpatasvir (SOF-VEL) is a pangenotypic regimen coformulated with fixed-dose combinations of the nucleotide polymerase inhibitor sofosbuvir (400 mg) and the NS5A inhibitor velpatasvir (100 mg) for adult patients. The treatment with SOF-VEL for 12 weeks resulted in high rates of continuous absence of detectable HCV RNA for at least 12 weeks after the end of therapy (SVR12). ...
February 2025
Journal of Hepatology
... Baseline HBsAg was a key determinant of treatment effects, as HBsAg seroclearance only occurred in patients with baseline HBsAg < 3 log IU/ml. [57] Elebsiran (siRNA) + Peg-IFNα has been studied in NUCtreated patients in phase II trials. Among 69 patients who received elebsiran (ranging from 6-13 doses) + Peg-IFNα (ranging from 12-48 doses), mean maximum HBsAg reduction by 1.7-3.0 ...
December 2024
The New-England Medical Review and Journal
... Consistent with prior studies, patients with CHD showed higher transaminases and advanced fibrosis compared to CHB, alongside a higher prevalence of HBeAg positivity [6,17,18]. Our novel finding of a more frequent and pronounced ALT elevation in young adults with CHD suggests a more active or prolonged phase of immune response targeting infected hepatocytes than previously known compared to HBV-monoinfection [19]. ...
October 2024
Clinical Gastroenterology and Hepatology
... Elevated alanine aminotransferase levels or laboratory-based scores such as FIB-4 ( brosis index score) or APRI (aspartate-platelets ratio index) might be more feasible to detect early liver diseases in healthy individuals, but cutoffs need further validation in populations with CHD. [32] On another aspect, our nding of increased prevalence of overweight and obesity among study participants, particularly in men might be considered for future screening of metabolic-related morbidities in this population. We believe that this screening included 10-20% of the Mongol population living in Sweden, however a selection favoring persons who use social media and having internet access (unknown the extent in this population) could not be ruled out. ...
August 2024
Clinical Gastroenterology and Hepatology
... Among patients with qHBsAg < 1000 IU/mL, xalnesiran 200 mg + Peg-IFNα led to HBsAg seroclearance in 30% and 23% of patients at EOT and at 24 weeks post-EOT, respectively. In contrast, 18% and 12% of patients on xalnesiran 200 mg + ruzotolimod achieved HBsAg seroclearance at EOT and at 24 weeks post-EOT, respectively, whereas 3% of patients on xalnesiran 200 mg monotherapy achieved HBsAg seroclearance at both EOT and 24 weeks post-EOT [73]. The OCTOPUS-1 trial studied the use of daplusiran/ tomligisiran 200 mg for 24 weeks with nivolumab (antiprogrammed cell death 1). ...
June 2024
Journal of Hepatology
... BLV has been approved by regulatory agencies as a monotherapy, and the combination of BLV and Peg-IFN has not yet been clinically evaluated in large studies. The virological response of the combination in randomized clinical trials have been so far heterogeneous with rates of viral undetectability ranging from 44% in MYR204 19 to 60% in MYR203 20 after 48 weeks of treatments, but both of these results were obtained on a small number of patients. 21,22 In France, where off-label treatments can be reimbursed by the healthcare system, BLV can be used either alone or in combination with Peg-IFN, at the prescriber's discretion. ...
June 2024
Journal of Hepatology
... The HBsAg levels remained at 1.70-1.85 log IU/ml below baseline at 24 weeks post-EOT, with 72-84% of patients remaining at HBsAg < 100 IU/ml at 24 weeks post-EOT [67]. ...
June 2024
Journal of Hepatology
... MYR 202 [38] MYR 204 [40] Objectif principal ARN VHD indétectable ou une diminution ≥ 2 log 10 ...
Reference:
Chimiothérapie des hépatites virales
June 2024
The New-England Medical Review and Journal
... Le traitement par BLV est généralement bien toléré, et les effets indésirables observés lors des essais cliniques sont principalement bénins ou modérés. Des réactions au site d'injection sont courantes [41,42] . Une élévation des sels biliaires a été observée particulièrement chez les personnes avec une insuffisance rénale, sans retentissement clinique. ...
Reference:
Chimiothérapie des hépatites virales
March 2024
JHEP Reports
... This variability in prevalence primarily stems from the absence of routine HDV screening and the lack of rapid diagnostic tests, which limits opportunities for early diagnosis [2]. In 2016, HBV infection prevalence in France was 0.3% [5], and HDV affected 3.5% of the population of people with HBV infection [6]. ...
November 2023
Journal of Hepatology