Evidence map›Paper›PMID 24597697›Full record

ArticleJournal of viral hepatitis2014

Incidence and risk factors for incomplete HBV DNA suppression in HIV/HBV-co-infected patients initiating tenofovir-based therapy.

J S Hafkin, M K Osborn, A R Localio, V K Amorosa, J R Kostman, J J Stern, P De La Torre, K Mounzer, I Frank, R Gross and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of viral hepatitis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Hepatitis B virus (HBV) viremia despite tenofovir disoproxil fumarate-containing antiretroviral therapy in persons with HBV/HIV coinfection.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2024
    Article
  4. Cumulative Tenofovir Exposure Among Patients With HIV/Hepatitis B Coinfection With Differential Viral Suppression.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Incidence, determinants and outcomes of pregnancy-associated hepatitis B flares: A regional hospital-based cohort study.Liver international : official journal of the International Association for the Study of the Liver · 2018
    Article
  10. Article
  11. Impact of Antiretroviral Therapy on Liver Fibrosis Among Human Immunodeficiency Virus-Infected Adults With and Without HBV Coinfection in Zambia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  12. Article
  13. Risk of End-Stage Liver Disease in HIV-Viral Hepatitis Coinfected Persons in North America From the Early to Modern Antiretroviral Therapy Eras.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  14. 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

12 authors at 5 institutions in 2 countries.

J S HafkinDivision of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Medicine Service, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA.
M K Osborn
A R Localio
V K Amorosa
J R Kostman
J J Stern
P De La Torre
K Mounzer
I Frank
R Gross
K-M Chang
V Lo Re
University of Pennsylvania · USVeterans Health Administration · USCooper University Hospital · USEmory University · USPennsylvania Hospital · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Infectious Diseases Epidemiology Training GrantT32AI055435 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2003 to 2023
$6.9M
CTRS FOR EDUCATION AND RESEARCH ON THERAPEUTICS (CERTS)U18HS010399 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI STROM, BRIAN LESLIE · 2000 to 2006
$800k
Risk factors and prediction of liver disease in HIV/HCVK01AI070001 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LO RE, VINCENT · 2007 to 2011
$665k
AHRQ HHS HS10399AHRQ HHS U18 HS010399NIAID NIH HHS K01 AI070001NIAID NIH HHS P30 AI 045008NIAID NIH HHS P30 AI045008NIAID NIH HHS T32 AI055435
6 · The paper itself

Abstract

Suppression of hepatitis B virus (HBV)-DNA to undetectable levels is an important goal for HIV/HBV-co-infected patients receiving anti-HBV-active antiretroviral therapy (ART), and current guidelines recommend that this outcome should be reached by 1 year of treatment. However, the proportion of patients that fail to achieve an undetectable HBV DNA at this time point and its determinants remain unknown in clinical practice. The objective of this study was to determine the incidence and risk factors for incomplete HBV suppression following 1 year of tenofovir-based ART. We performed a cohort study among tenofovir-treated HIV/HBV-co-infected patients. Patients had HBV viraemia, initiated tenofovir-based ART and had HBV DNA measured at 1 year of therapy. The primary outcome was incomplete HBV suppression (HBV DNA ≥2.6 log IU/mL) at 1 year. Logistic regression determined odds ratio (ORs) of incomplete HBV suppression for risk factors of interest. Among 133 patients, 54% (95% CI, 46-63%) had incomplete HBV suppression at 1 year. Incomplete suppression was associated with higher baseline HBV DNA (OR, 1.46 per log IU/mL increase; 95% CI, 1.1-1.94) and detectable HIV viraemia at 1 year (OR, 2.52; 95% CI, 1.19-5.32). Among 66 patients with suppressed HIV RNA at 1 year, 28 (42%) failed to achieve an undetectable HBV DNA. Failure to suppress HBV DNA by 1 year occurred in a sizeable proportion of tenofovir-treated HIV/HBV-co-infected patients. Higher HBV DNA and detectable HIV viraemia were risk factors for incomplete HBV suppression.

Indexed as

AdenineAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCohort StudiesCoinfectionDNA, ViralDrug Resistance, ViralFemaleHepatitis BHepatitis B virusHIV InfectionsHumansIncidenceLamivudineMaleAdenineAnti-HIV AgentsDNA, ViralLamivudineOrganophosphonatesTenofovirhepatitis B virusHIVHIV/hepatitis B virus co-infectionlamivudinetenofovir

Identifiers

PMID24597697
PMCPMC3950944
OpenAlexW2029527941

What OpenQuestion holds

Textmetadata
LicenceTDM
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.