AGA issues updated guidance on HDV management
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by Amy Pfeiffer
November 6, 2025
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3 min
7 Key Takeaways
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1
AGA guidelines focus on HDV management related to HBV infection.
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2
Significant health risks include cirrhosis and liver-related mortality.
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3
Universal screening for HDV in chronic HBV patients is recommended.
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4
Pegylated interferon-alpha is currently the only approved treatment in the U.S.
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5
New therapies are under trial, with potential for improved outcomes.
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6
Screening rates among high-risk populations remain low.
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7
Patients with HDV should undergo surveillance for liver cancer.
The American Gastroenterological Association has issued a Clinical Practice Update on hepatitis delta virus (HDV) management, emphasizing its association with hepatitis B virus (HBV) and the increased risks of cirrhosis and liver cancer. Approximately 30,000 to 60,000 people in the U.S. have active HDV infection, especially prevalent among specific high-risk groups. The AGA recommends universal screening for HDV in chronic HBV patients, beginning with anti-HDV antibody tests. Current treatment options remain limited, but promising new therapies are under development to enhance efficacy and safety for HDV patients.
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