Evidence map›Paper›PMID 16641430›Full record

Trial reportAntimicrobial agents and chemotherapy2006

Randomized, double-blind study of emtricitabine (FTC) plus clevudine versus FTC alone in treatment of chronic hepatitis B.

Seng Gee Lim, Zahary Krastev, Tay Meng Ng, Grigor Mechkov, Iskren Andreev Kotzev, Sing Chan, Elsa Mondou, Andrea Snow, Jeff Sorbel, Franck Rousseau

Open access · greenAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Interferon and lamivudine vs. interferon for hepatitis B e antigen-positive hepatitis B treatment: meta-analysis of randomized controlled trials.Liver international : official journal of the International Association for the Study of the Liver · 2007
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Role of combination therapy in chronic hepatitis B.Current gastroenterology reports · 2009
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. The "return" of hepatitis B.World journal of gastroenterology · 2006
    Review
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

10 authors at 6 institutions in 3 countries.

Seng Gee LimGilead Sciences Inc., 4 University Place, 4611 University Drive, Durham, NC 27707, USA.
Zahary Krastev
Tay Meng Ng
Grigor Mechkov
Iskren Andreev Kotzev
Sing Chan
Elsa Mondou
Andrea Snow
Jeff Sorbel
Franck Rousseau
Gilead Sciences (United States) · USChangi General Hospital · SGNational University Hospital · SGNew York Hospital Queens · USUniversity Hospital St. Ivan Rilski · BGUniversity Hospital St. Marina · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emtricitabine (FTC) is approved for the treatment of human immunodeficiency virus. FTC and clevudine (CLV) have activity against hepatitis B virus (HBV). This report summarizes the results of a double-blind, multicenter study of patients with chronic hepatitis B who had completed a phase 3 study of FTC and were randomized 1:1 to 200 mg FTC once daily (QD) plus 10 mg CLV QD or 200 mg FTC QD plus placebo for 24 weeks with 24 weeks of follow-up. One hundred sixty-three patients were treated (82 with FTC plus CLV [FTC+CLV] and 81 with FTC); 72% were men, 53% were Asian, 47% were Caucasian, and 52% were hepatitis B e antigen positive, and the median baseline HBV DNA level was 6 log(10) copies/ml. After 24 weeks of treatment, 74% (FTC+CLV) versus 65% (FTC alone) had serum HBV DNA levels of <4,700 copies/ml (P = 0.114) (Digene HBV Hybrid Capture II assay). Twenty-four weeks posttreatment, the mean change in serum HBV DNA levels from baseline was -1.25 log(10) copies/ml (FTC+CLV), 40% had undetectable viremia (versus 23% for FTC alone), and 63% had normal alanine aminotransferase levels (versus 42% for FTC alone) (P < or = 0.025 for all endpoints). The safety profile was similar between arms during treatment, with less posttreatment exacerbation of hepatitis B in the combination arm. In summary, after 24 weeks of treatment, no significant difference between arms was observed, but there was a significantly greater virologic and biochemical response 24 weeks posttreatment in the FTC+CLV arm.

Indexed as

Randomized Controlled Trials as TopicAdultAlanine TransaminaseAlkaline PhosphataseAmylasesAntiviral AgentsArabinofuranosyluracilAspartate AminotransferasesBicarbonatesBilirubinBlood GlucoseCreatine KinaseDeoxycytidineDNA, ViralDouble-Blind MethodDrug Administration ScheduleAlanine TransaminaseAlkaline PhosphataseAmylasesAntiviral AgentsArabinofuranosyluracilAspartate AminotransferasesBicarbonatesBilirubinBlood GlucoseclevudineCreatine KinaseDeoxycytidineDNA, ViralElectrolytesEmtricitabineHepatitis B e AntigensL-Lactate DehydrogenaseSerum Albumin

Identifiers

PMID16641430
PMCPMC1472200
OpenAlexW2060138851

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.