Volume 29, Issue 4 pp. 240-251
INVITED REVIEW

Chronic hepatitis D—What is changing?

David Yardeni

Corresponding Author

David Yardeni

Liver Diseases Branch, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA

Correspondence

David Yardeni, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, 10 Center Drive, Bldg. 10, Room 4-5722, Bethesda, MD 20892, USA.

Email: [email protected]

Christopher Koh, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, 10 Center Drive, Bldg. 10, Room 5-2740, Bethesda, MD 20892, USA.

Email: [email protected]

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Theo Heller

Theo Heller

Liver Diseases Branch, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA

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Christopher Koh

Corresponding Author

Christopher Koh

Liver Diseases Branch, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA

Correspondence

David Yardeni, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, 10 Center Drive, Bldg. 10, Room 4-5722, Bethesda, MD 20892, USA.

Email: [email protected]

Christopher Koh, National Institute of Diabetes & Digestive & Kidney Diseases, National Institutes of Health, 10 Center Drive, Bldg. 10, Room 5-2740, Bethesda, MD 20892, USA.

Email: [email protected]

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First published: 04 February 2022
Citations: 8

Abstract

Hepatitis D virus (HDV) infection is a chronic viral disease of the liver that is still largely considered to be incurable due to lack of effective treatment options. Without treatment, the risk for the development of advanced liver disease, cirrhosis and hepatocellular carcinoma is significantly high. Currently, new therapeutic options are emerging out of ongoing phase 3 clinical trials, promising a new hope of cure for this devastating liver infection. Recently, bulevirtide, a first in its class HDV entry inhibitor, has received conditional authorization of use from the European Medicines Agency (EMA) and was also submitted for approval in the United States. Other novel therapeutic options in clincal trials include interferon lambda, the prenylation inhibitor lonafarnib and nucleic acidic polymers (NAPs). This review describes all recent advances and ongoing changes to the field of HDV therpaeutics.

CONFLICT OF INTEREST

The authors declare they have no competing interests.

DATA AVAILABILITY STATEMENT

The authors confirm that the data supporting the findings of this study are available within the article or its supplementary materials.

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