Evidence map›Paper›PMID 17984230›Full record

Trial reportAntimicrobial agents and chemotherapy2008

Hepatitis B virus e antigen loss during adefovir dipivoxil therapy is associated with enhanced virus-specific CD4+ T-cell reactivity.

Helen Cooksley, Shilpa Chokshi, Yafit Maayan, Heiner Wedemeyer, Pietro Andreone, Richard Gilson, Thomas Warnes, Simona Paganin, Fabien Zoulim, David Frederick and 3 more

Open access · greenAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 51 citations in OpenAlex.

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  15. Role of interleukin-21 in HBV infection: friend or foe?Cellular & molecular immunology · 2015
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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

13 authors at 8 institutions in 6 countries.

Helen CooksleyInstitute of Hepatology, University College London, 69-75 Chenies Mews, London WC1E 6HX, United Kingdom.
Shilpa Chokshi
Yafit Maayan
Heiner Wedemeyer
Pietro Andreone
Richard Gilson
Thomas Warnes
Simona Paganin
Fabien Zoulim
David Frederick
Avidan U Neumann
Carol L Brosgart
Nikolai V Naoumov
University College London · GBBar-Ilan University · ILGilead Sciences (United States) · USInserm · FRManchester Royal Infirmary · GBMedizinische Hochschule Hannover · DEUniversity of Bologna · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Weak T-cell reactivity to hepatitis B virus (HBV) is thought to be the dominant cause for chronic HBV infection. Treatment with adefovir dipivoxil (ADV) increases the rate of HBV e antigen (HBeAg) loss; however, the immune mechanisms associated with this treatment response are not understood. Serial analysis of HBV-specific CD4+ T-cell reactivity was performed during 48 weeks of therapy with ADV and correlated with treatment outcome for 19 HBeAg-positive patients receiving ADV (n = 13) or the placebo (n = 6). We tested T-cell reactivity to HBV at seven protocol time points by proliferation, cytokine production, and enzyme-linked immunospot assays. A panel of serum cytokines was quantitated by cytokine bead array. ADV-treated patients showed increased CD4+ T-cell responses to HBV and lower serum levels of cytokines compared to those of placebo-treated patients. Enhanced CD4+ T-cell reactivity to HBV, which peaked at treatment week 16, was confined to a subgroup of ADV-treated patients who achieved greater viral suppression (5.3 +/- 0.3 log(10) copies/ml [mean +/- standard error of the mean {SEM}] serum HBV DNA reduction from baseline) and HBeAg loss, but not to ADV-treated patients with moderate (3.4 +/- 0.2 log(10) copies/ml [mean +/- SEM]) viremia reduction who remained HBeAg positive or to patients receiving the placebo. In conclusion, T-cell reactivity to HBV increases in a proportion of ADV-treated patients and is associated with greater suppression of HBV replication and HBeAg loss.

Indexed as

AdenineAdultAntiviral AgentsCD4-Positive T-LymphocytesDNA, ViralFemaleHepatitis B, ChronicHepatitis B e AntigensHepatitis B virusHumansLymphocyte ActivationMaleMiddle AgedOrganophosphonatesReverse Transcriptase InhibitorsTreatment Outcomeadefovir dipivoxilAdenineAntiviral AgentsDNA, ViralHepatitis B e AntigensOrganophosphonatesReverse Transcriptase Inhibitors

Identifiers

PMID17984230
PMCPMC2223883
OpenAlexW2125552160

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.