interferon+tenofovir is the best option today, mono vs combo below:
peginterferon: hbsag clearance at 1 year about 7-10% which increases to about 30% at 5-10years after intf is finished (intf effect remains after finished for years)
tenofovir: 16% hbsag clearance at 3 years
peginterferon+tenofovir: 24% hbsag clearance at 1 year
sequential combination:
3 years of tenofovir and then interferon add on for 2 years:
hbsag clearance about 40% first year, 50% hbsag decrease to very low levels around 10-300iu/ml which ususally clear hbv even with no drugs slowly with time, 10% no hbsag decrease
we dont have the data on tdf+intf add on on the second year but with such low hbsag 10-300iu/ml hbv clearance is just a question of time