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September 24, 2025Diseases2 citationsOpen Access

Chronic Hepatitis B: Current Management and Future Directions

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HEHamza ErtugrulTrinity HealthEEEsra EkizTrinity HealthSMSibel Işlak MutcalıCharleston Area Medical Center

Key Points

  • Current treatments for chronic hepatitis B virus infection improve viral suppression and disease management.
  • Novel antiviral agents and immunomodulatory therapies are being researched to achieve a functional cure.
  • The persistence of cccDNA in liver cells remains a significant barrier to achieving complete eradication.
  • Future directions include combination strategies to enhance treatment efficacy and patient quality of life.

Abstract

Chronic hepatitis B virus (HBV) infection remains a major global health burden, affecting millions and contributing significantly to liver-related morbidity and mortality. While substantial progress has been made in elucidating the virology and natural history of HBV, the management of chronic hepatitis B (CHB) continues to present clinical challenges. The development of potent nucleos(t)ide analogs and pegylated interferon has improved viral suppression and delayed disease progression, yet a definitive cure remains elusive due to the persistence of covalently closed circular DNA (cccDNA). Recent research has focused on novel antiviral agents, immunomodulatory therapies, and combination strategies aimed at achieving a functional cure. This review summarizes current therapeutic approaches, recent advancements, and emerging directions in CHB management.

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Cite This Study

Ertugrul et al. (2025) studied this question.

synapsesocial.com/papers/68d6d8768b2b6861e4c3eaachttps://doi.org/10.3390/diseases13100311
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