Evidence map›Paper›PMID 25532501›Full record

Trial reportDigestive diseases and sciences2015

Seven-year efficacy and safety of treatment with tenofovir disoproxil fumarate for chronic hepatitis B virus infection.

Maria Buti, Naoky Tsai, Joerg Petersen, Robert Flisiak, Selim Gurel, Zahary Krastev, Raul Aguilar Schall, John F Flaherty, Eduardo B Martins, Prista Charuworn and 4 more

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 122 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 7 pooled it
19.5field-weighted citation impact, top 1% 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.

NCT00116805 phase3completednot on this map

A Randomized, Double-Blind, Controlled Evaluation of Tenofovir DF Versus Adefovir Dipivoxil for the Treatment of HBeAg Positive Chronic Hepatitis B

TypeinterventionalSponsorGilead SciencesRan2005 to 2016Enrolled266ConditionsChronic Hepatitis BArmsTDF, ADV, TDF placebo, ADV placebo, FTC/TDF
NCT00117676 phase3completednot on this map

A Randomized, Double-Blind, Controlled Evaluation of Tenofovir DF Versus Adefovir Dipivoxil for the Treatment of Presumed Pre-Core Mutant Chronic Hepatitis B

TypeinterventionalSponsorGilead SciencesRan2005 to 2016Enrolled382ConditionsChronic Hepatitis BArmsTDF, ADV, TDF placebo, ADV placebo, FTC/TDF
NCT02995005 phase1 / phase2completednot on this mapstarted 2018, after this paper: background citation

Prevention of Mother-to-child Transmission of Hepatitis B Virus: a One Arm, Open Label Intervention Study to Estimate the Optimal Timing of Tenofovir (TDF) in Pregnancy

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2018 to 2023Enrolled98ConditionsHepatitis BArmsTenofovir Disoproxil Fumarate
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 7 syntheses or guidelines pooled it, 297 citations in OpenAlex.

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62 more citing papers are in PubMed but not listed here.

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

14 authors at 8 institutions in 8 countries.

Maria ButiDepartment of Hepatology, Hepatic and Digestive Diseases (CIBERehd), Hospital General Universitari Vall d'Hebron and Networked Biomedical Research Center, Pg. Vall d'Hebron, 119-129, 08035, Barcelona, Spain, mbuti@vhebron.net.
Naoky Tsai
Joerg Petersen
Robert Flisiak
Selim Gurel
Zahary Krastev
Raul Aguilar Schall
John F Flaherty
Eduardo B Martins
Prista Charuworn
Kathryn M Kitrinos
G Mani Subramanian
Edward Gane
Patrick Marcellin
Gilead Sciences (United States) · USAsklepios Klinik St. Georg · DEAuckland City Hospital · NZBursa Uludağ Üni̇versi̇tesi̇ · TRHôpital Beau-Séjour · CHQueen's Medical Center · USUniversity Hospital St. Ivan Rilski · BGUniversity of Białystok · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term tenofovir disoproxil fumarate (TDF) treatment for chronic hepatitis B (CHB) is associated with sustained viral suppression and regression of fibrosis and cirrhosis at year 5 (240 weeks) and no TDF resistance through 6 years (288 weeks).

aimWe assessed the efficacy, safety, and resistance of TDF for up to 7 years (336 weeks) in HBeAg-positive and HBeAg-negative CHB patients.

methodsPatients who completed 1 year (48 weeks) of randomized treatment with TDF or adefovir dipivoxil were eligible to receive open-label TDF for a total duration of 8 years (384 weeks).

resultsOf 641 patients initially randomized, 585 (91.3 %) entered the open-label phase; 437/585 (74.7 %) remained on study at year 7. For patients on treatment at year 7, 99.3 % maintained viral suppression (HBV DNA < 69 IU/mL), 80.0 % achieved serum alanine aminotransferase normalization, and in HBeAg-positive patients, 84/154 (54.5 %) and 25/154 (11.8 %) achieved HBeAg and HBsAg loss, respectively. One/375 (0.3 %) HBeAg-negative patients achieved HBsAg loss. No resistance to TDF was detected through 7 years. During the open-label phase, grade 3/4 drug-related adverse events were uncommon (1.0 %); ten (1.7 %) patients had elevation of serum creatinine ≥ 0.5 mg/dL above baseline. No significant change in bone mineral density was observed from year 4 to year 7 (week 192 to week 336).

conclusionsLong-term TDF treatment was associated with sustained virologic, biochemical, and serologic responses, without resistance. TDF treatment was well tolerated, with a low incidence of renal and bone events. These data confirm the safety and efficacy of long-term TDF for CHB.

Indexed as

AdenineAntiviral AgentsBiomarkersDNA, ViralDrug Administration ScheduleDrug Resistance, ViralHepatitis B, ChronicHepatitis B e AntigensHepatitis B virusHumansPhosphorous AcidsTime FactorsTreatment OutcomeViral Load9-(2-((bis(pivaloyloxymethoxy)phosphinoyl)methoxy)propyl)adenineAdenineAntiviral AgentsBiomarkersDNA, ViralHepatitis B e AntigensPhosphorous Acids

Identifiers

PMID25532501
PMCPMC4427621
OpenAlexW2076571011

What OpenQuestion holds

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Registered trials

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.