Evidence map›Paper›PMID 26399763›Full record

ArticleHepatology international2016

Efficacy and resistance to telbivudine treatment in chronic hepatitis B patients with favorable predictors: a multicenter study in Taiwan.

Chia-Chi Wang, Chih-Lin Lin, Tsai-Yuan Hsieh, Kuo-Chih Tseng, Cheng-Yuan Peng, Tung-Hung Su, Sheng-Shun Yang, Yu-Chun Hsu, Tsung-Ming Chen, Jia-Horng Kao

Abstract readMulticenter Study
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In one paragraph

Article in Hepatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Chia-Chi WangDepartment of Gastroenterology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and School of Medicine, Tzu Chi University, Hualien, Taiwan. uld888@yahoo.com.tw.
Chih-Lin LinDepartment of Gastroenterology, Taipei City Hospital, Ren-Ai Branch, Taipei, Taiwan. DAB53@tpech.gov.tw.
Tsai-Yuan HsiehDepartment of Gastroenterology, Tri-service General Hospital, Taipei, Taiwan. tyh1216@ms46.hinet.net.
Kuo-Chih TsengDepartment of Hepatology, Da-Lin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and School of Medicine, Tzu Chi University, Hualien, Taiwan. tsengkuochih@gmail.com.
Cheng-Yuan PengDepartment of Gastroenterology, China Medical University Hospital, Shenyang, China. cypeng@mail.cmuh.org.tw.
Tung-Hung SuGraduate Institute of Clinical Medicine and Hepatitis Research Center, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan. tunghungsu@gmail.com.
Sheng-Shun YangDivision of Gastroenterology & Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. yansh@vghtc.gov.tw.
Yu-Chun HsuDepartment of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan. 77149@cch.org.tw.
Tsung-Ming ChenDepartment of Gastroenterology and Hepatology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan. reilybabybaby@yahoo.com.tw.
Jia-Horng KaoGraduate Institute of Clinical Medicine and Hepatitis Research Center, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan. kaojh@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeA subgroup analysis of a GLOBE study identified subgroups of chronic hepatitis B (CHB) patients with excellent outcomes to telbivudine (LdT) treatment. The aim of this study was to validate this concept using a real-world clinical population.

methodsThis prospective, retrospective, and multicenter study examined both HBeAg-positive and HBeAg-negative CHB patients treated with LdT for 2 years.

resultsA total of 116 CHB patients were recruited. Of the 64 HBeAg-positive patients, 35 had favorable baseline characteristics [hepatitis B virus (HBV) DNA ≤ 9 log(10) copies/mL and alanine aminotransferase ≥ 2× the upper limit of normal (ULN)], but only 40% (14/35) achieved polymerase chain reaction (PCR) negativity at week 24. Among the 14 patients with favorable baseline characteristics and on-treatment response, the rates of virologic, biochemical, and serologic response and genotypic resistance were 78.6% (11/14), 64.3% (9/14), 50% (7/14), and 7.1% (1/14), respectively, at week 104 of therapy. Of the 52 HBeAg-negative patients, 34 met the criteria of a baseline serum HBV-DNA level less than 7 log(10) copies/mL, and 29 (85.3%) achieved PCR negativity at week 24. Among the 29 patients with favorable baseline characteristics and on-treatment response, the rates of virologic and biochemical response and genotypic resistance were 96.6% (28/29), 72.4% (21/29), and 6.9% (2/29), respectively. In addition, the PCR negativity at week 24 was the only factor associated with the virologic response and genotypic resistance to LdT treatment.

conclusionThe efficacy and resistance to LdT treatment in CHB patients with favorable predictors were comparable between a real-world clinical population and the GLOBE study. In addition, PCR negativity at week 24 could predict virologic response and genotypic resistance to LdT treatment.

Indexed as

AdultAgedAntiviral AgentsDNA, ViralDrug Resistance, ViralFemaleHepatitis B, ChronicHepatitis B e AntigensHepatitis B virusHumansMaleMiddle AgedProspective StudiesRetrospective StudiesTaiwanTelbivudineAntiviral AgentsDNA, ViralHepatitis B e AntigensTelbivudineThymidineHepatitis B virusRoadmap conceptSuper-responderTelbivudine

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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.