Evidence map›Paper›PMID 17696228›Full record

Trial reportWorld journal of gastroenterology2007

Low-dose tenofovir is more potent than adefovir and is effective in controlling HBV viremia in chronic HBeAg-negative hepatitis B.

Paolo Del Poggio, Maurizio Zaccanelli, Maria Oggionni, Silvia Colombo, Carlo Jamoletti, Vesna Puhalo

Open access · greenAbstract readClinical TrialComparative Study
In one paragraph

Trial report in World journal of gastroenterology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Tenofovir and its potential in the treatment of hepatitis B virus.Therapeutics and clinical risk management · 2009
    Article
  6. The treatment of chronic hepatitis B: Focus on adefovir-like antivirals.Therapeutics and clinical risk management · 2008
    Article
  7. Current status of antiviral therapy for hepatitis B.Therapeutic advances in gastroenterology · 2008
    Article
  8. 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

6 authors at 1 institution in 1 country.

Paolo Del PoggioHepatology Unit, Treviglio Hospital, Piazza Ospedale 1, 24047 Treviglio (Bg), Italy. pdpoggio@ospedale.treviglio.bg.it
Maurizio Zaccanelli
Maria Oggionni
Silvia Colombo
Carlo Jamoletti
Vesna Puhalo
Azienda Ospedaliera Treviglio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo study the efficacy of tenofovir disoproxil fumarate (TDF) at low dose in a small open trial of chronic hepatitis B patients with advanced stage disease.

methodsEleven patients were treated with TDF 75 mg for a median period of 80 (range, 24-576) wk and then 7 cases were shifted to an adefovir 10 mg treatment group. All patients had been pre-treated with lamivudine: 5 had YMDD resistant mutants and 6 wild-type virus. When TDF was started, 4 patients had low-level viremia and 6 were PCR-negative.

resultsDuring TDF treatment, PCR remained negative in 10 patients, transaminase levels were normal and no significant viral breakthrough was observed. The drug was well tolerated in all cases. When TDF 75 mg was substituted with adefovir 10 mg, 3 out of 7 patients had a persistent viral rebound (2700-130,000 copies/mL), in whom lamivudine had to be reintroduced.

conclusionLow-dose TDF monotherapy can control HBV viremia for an extended period of time without the emergence of resistance and is more potent than adefovir at the standard dosage. The use of a reduced dose of TDF could diminish the cost of therapy in low-income countries, but further studies in a larger population and in HBeAg-positive subjects are needed.

Indexed as

AdenineAdultAgedAntiviral AgentsDose-Response Relationship, DrugDrug Resistance, ViralFemaleHepatitis BHepatitis B e AntigensHepatitis B virusHumansMaleMiddle AgedOrganophosphonatesTenofovirViremiaadefovirAdenineAntiviral AgentsHepatitis B e AntigensOrganophosphonatesTenofovir

Identifiers

PMID17696228
PMCPMC4205311
OpenAlexW51140721

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.