Evidence map›Paper›PMID 26152237›Full record

ArticleBMC gastroenterology2015

HBV genotypes and response to tenofovir disoproxil fumarate in HIV/HBV-coinfected persons.

Florian Bihl, Gladys Martinetti, Gilles Wandeler, Rainer Weber, Bruno Ledergeber, Alexandra Calmy, Manuel Battegay, Matthias Cavassini, Pietro Vernazza, Anna-Paola Caminada and 3 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. The evolution and clinical impact of hepatitis B virus genome diversity.Nature reviews. Gastroenterology & hepatology · 2020
    Review
  7. Article
  8. Management of Virologic Failure and HIV Drug Resistance.Infectious disease clinics of North America · 2019
    Review
  9. Observational
  10. Article
  11. Hepatitis B virus genotypes A and D in Uganda.Journal of virus eradication · 2016
    Article
  12. 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

13 authors at 10 institutions in 1 country.

Florian BihlCantonal Hepatobiliary Unit, Ente Ospedaliera Cantonale, Ospedale San Giovanni Bellinzona,Switzerland and Gastroenterology and Hepatology Service, University Hospital of Geneva, Geneva, Switzerland. florian.bihl@eoc.ch.
Gladys MartinettiInstitute of Microbiology, Ente Ospedaliera Cantonale, Bellinzona, Switzerland. gladys.martinetti@eoc.ch.
Gilles WandelerDepartment of Infectious Diseases, University Hospital of Bern, and Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. gwandeler@ispm.unibe.ch.
Rainer WeberDivision of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, University of Zurich, Zurich, Switzerland. Rainer.Weber@usz.ch.
Bruno LedergeberDivision of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, University of Zurich, Zurich, Switzerland. infled@usz.uzh.ch.
Alexandra CalmyDivision of Infectious Diseases, University Hospital of Geneva, Geneva, Switzerland. Alexandra.Calmy@hcuge.ch.
Manuel BattegayDivision of Infectious Diseases, University Hospital of Basel, Basel, Switzerland. Manuel.Battegay@usb.ch.
Matthias CavassiniDivision of Infectious Diseases, University Hospital of Lausanne, Lausanne, Switzerland. Matthias.Cavassini@chuv.ch.
Pietro VernazzaDivision of Infectious Diseases, Cantonal Hospital of S. Gallen, St. Gallen, Switzerland. pietro.vernazza@kssg.ch.
Anna-Paola CaminadaInstitute of Microbiology, Ente Ospedaliera Cantonale, Bellinzona, Switzerland. annapaola.caminada@eoc.ch.
Martin RickenbachSHCS Datacenter, Lausanne, Switzerland. Martin.Rickenbach@chuv.ch.
Enos BernasconiDivision of Infectious Diseases, Regional Hospital of Lugano, Lugano, Switzerland. Enos.bernasconi@eoc.ch.
Swiss HIV Cohort Study
Ente Ospedaliero Cantonale · CHUniversity Hospital of Lausanne · CHUniversity of St.Gallen · CHOspedale regionale di Lugano · CHOspedale San Giovanni Bellinzona · CHUniversity Hospital of Basel · CHUniversity Hospital of Bern · CHUniversity Hospital of Zurich · CHUniversity of Bern · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis B virus (HBV) genotypes can influence treatment outcome in HBV-monoinfected and human immunodeficiency virus (HIV)/HBV-coinfected patients. Tenofovir disoproxil fumarate (TDF) plays a pivotal role in antiretroviral therapy (ART) of HIV/HBV-coinfected patients. The influence of HBV genotypes on the response to antiviral drugs, particularly TDF, is poorly understood.

methodsHIV/HBV-co-infected participants with detectable HBV DNA prior to TDF therapy were selected from the Swiss HIV Cohort Study. HBV genotypes were identified and resistance testing was performed prior to antiviral therapy, and in patients with delayed treatment response (>6 months). The efficacy of TDF to suppress HBV (HBV DNA <20 IU/mL) and the influence of HBV genotypes were determined.

results143 HIV/HBV-coinfected participants with detectable HBV DNA were identified. The predominant HBV genotypes were A (82 patients, 57 %); and D (35 patients, 24 %); 20 patients (14 %) were infected with multiple genotypes (3 % A + D and 11 % A + G); and genotypes B, C and E were each present in two patients (1 %). TDF completely suppressed HBV DNA in 131 patients (92 %) within 6 months; and in 12 patients (8 %), HBV DNA suppression was delayed. No HBV resistance mutations to TDF were found in patients with delayed response, but all were infected with HBV genotype A (among these, 5 patients with genotype A + G), and all had previously been exposed to lamivudine.

conclusionIn HIV/HBV-coinfected patients, infection with multiple HBV genotypes was more frequent than previously reported. The large majority of patients had an undetectable HBV viral load at six months of TDF-containing ART. In patients without viral suppression, no TDF-related resistance mutations were found. The role of specific genotypes and prior lamivudine treatment in the delayed response to TDF warrant further investigation.

Indexed as

GenotypeAdultAgedAntiviral AgentsCoinfectionDrug Resistance, ViralFemaleHepatitis BHepatitis B virusHIV InfectionsHumansLamivudineMaleMiddle AgedRetrospective StudiesSwitzerlandAntiviral AgentsLamivudineTenofovir

Identifiers

PMID26152237
PMCPMC4495698
OpenAlexW1632832247

What OpenQuestion holds

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LicenceCC BY
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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.