Evidence map›Paper›PMID 15800981›Full record

Trial reportWorld journal of gastroenterology2005

Relationship between serum b2-microglobulin levels and virological breakthrough in HBeAg-negative chronic hepatitis B patients, under long-term treatment schedules including lamivudine.

Ioannis-S Elefsiniotis, Antonios Moulakakis, Konstantinos-D Pantazis, Irene Glynou, Ioannis Ketikoglou, Elena Vezali, Helen Kada, Epameinondas Tsianos

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in World journal of gastroenterology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ioannis-S ElefsiniotisDepartment of Internal Medicine, Hippokration General Hospital, Athens, Greece. ielefs@acn.gr
Antonios Moulakakis
Konstantinos-D Pantazis
Irene Glynou
Ioannis Ketikoglou
Elena Vezali
Helen Kada
Epameinondas Tsianos

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPredictive value of serum b2-microglobulin (b2m) levels for virological breakthrough (VB) in HBeAg-negative chronic hepatitis B (CHB) patients under long-term treatment schedules including lamivudine (LAM).

methodsSerum b2m levels were calculated during treatment in 25 CHB patients under long-term LAM monotherapy (group A) and 12 patients under initial interferon plus LAM treatment followed by LAM monotherapy (group B), using the MEIA technology. We used Cox proportional hazard models in order to investigate the association between serum b2m levels and VB.

resultsSeven of 25 patients (28%), 9/25 (36%) and 14/25 (56%) from group A and 0/12, 2/12 (16.6%) and 3/12 (25%) from group B exhibited VB at months 12, 24 and 36 of treatment, respectively. All patients, from both groups, who did not show VB exhibited b2m elevation in mo 3. The duration of b2m elevation was significantly longer in the virological responder's subgroup from group A than the non-responder's one (7.3+/-2.6 vs 3.8+/-3.4 mo, P = 0.02). In comparison to group A patients whose b2m levels were increased at 3 mo, patients whose b2m levels were decreased had 4.6 times higher risk of experiencing VB (RR = 4.6, P = 0.024). When baseline variables were simultaneously included in the same Cox model, decreased b2m status was still associated with increased risk of VB (RR = 12.2, P = 0.03).

conclusionIn HBeAg-negative CHB patients under either long-term LAM monotherapy or initial combination treatment, serum b2m levels at 3 mo of treatment, compared to baseline ones, might be a predictor of risk for VB.

Indexed as

AdultAntiviral Agentsbeta 2-MicroglobulinBiomarkersDrug Therapy, CombinationFemaleHepatitis B, ChronicHepatitis B e AntigensHumansInterferonsLamivudineMaleMiddle AgedPilot ProjectsProportional Hazards ModelsReverse Transcriptase InhibitorsAntiviral Agentsbeta 2-MicroglobulinBiomarkersHepatitis B e AntigensInterferonsLamivudineReverse Transcriptase Inhibitors

Identifiers

PMID15800981
PMCPMC4305712

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.