Evidence map›Paper›PMID 24516703›Full record

ArticleGut and liver2014

Efficacy and safety of tenofovir-based rescue therapy for chronic hepatitis B patients with previous nucleo(s/t)ide treatment failure.

Cho I Lee, So Young Kwon, Jeong Han Kim, Won Hyeok Choe, Chang Hong Lee, Eileen L Yoon, Jong Eun Yeon, Kwan Soo Byun, Yun Soo Kim, Ju Hyun Kim

Abstract read
In one paragraph

Article in Gut and liver, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

10 authors.

Cho I LeeDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
So Young KwonDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Jeong Han KimDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Won Hyeok ChoeDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Chang Hong LeeDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
Eileen L YoonDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Jong Eun YeonDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Kwan Soo ByunDepartment of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Yun Soo KimDepartment of Internal Medicine, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea.
Ju Hyun KimDepartment of Internal Medicine, Gachon University Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsWe investigated the efficacy and safety of tenofovir disoproxil fumarate (TDF)-based treatment in chronic hepatitis B (CHB) patients who failed previous antiviral therapies.

methodsSeventeen patients who failed to achieve virological responses during sequential antiviral treatments were included. The patients were treated with TDF monotherapy (four patients) or a combination of TDF and lamivudine (13 patients) for a median of 42 months. Hepatitis B virus (HBV) DNA and hepatitis B e antigen (HBeAg) were measured, and renal function was also monitored.

resultsPrior to TDF therapy, 180 M, 204 I/V/S, 181 T/V, 236 T, and 184 L mutations were detected. After TDF therapy, the median HBV DNA level decreased from 4.6 log10 IU/mL to 2.0 log10 IU/mL and to 1.6 log10 IU/mL at 12 and 24 months, respectively. HBV DNA became undetectable (≤20 IU/mL) in 14.3%, 41.7%, and 100% of patients after 12, 24, and 48 months of treatment, respectively. HBeAg loss was observed in two patients. Viral breakthrough occurred in five patients who had skipped their medication. No significant changes in renal function were observed.

conclusionsTDF-based rescue treatment is effective in reducing HBV DNA levels and is safe for patients with CHB who failed prior antiviral treatments. Patients' adherence to medication is related to viral rebound.

Indexed as

AdenineAdultBiomarkersDNA, ViralDrug Resistance, ViralDrug Therapy, CombinationFemaleHepatitis B, ChronicHepatitis B e AntigensHumansLamivudineMaleMiddle AgedOrganophosphonatesReverse Transcriptase InhibitorsTenofovirAdenineBiomarkersDNA, ViralHepatitis B e AntigensLamivudineOrganophosphonatesReverse Transcriptase InhibitorsTenofovirAntiviral agentsHepatitis BResistanceTenofovirTreatment outcome

Identifiers

PMID24516703
PMCPMC3916689

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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.