Evidence map›Paper›PMID 26700861›Full record

Trial reportVirology journal2015

Long-term effects of peginterferon alfa-2a therapy in Japanese patients with chronic hepatitis B virus infection.

Keiichi Masaki, Fumitaka Suzuki, Tasuku Hara, Yusuke Kawamura, Hitomi Sezaki, Tetsuya Hosaka, Norio Akuta, Masahiro Kobayashi, Satoshi Saitoh, Yoshiyuki Suzuki and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Virology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Keiichi MasakiDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. masakik8097@hiroshima-u.ac.jp.
Fumitaka SuzukiDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. fumitakas@toranomon.gr.jp.
Tasuku HaraDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. nottask_tasuku@yahoo.co.jp.
Yusuke KawamuraDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. k-yusuke@toranomon.gr.jp.
Hitomi SezakiDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. hitomis@mx1.harmonix.ne.jp.
Tetsuya HosakaDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. hosa-p@toranomon.gr.jp.
Norio AkutaDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. akuta-gi@umin.ac.jp.
Masahiro KobayashiDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. mshkobayashi@toranomon.gr.jp.
Satoshi SaitohDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. ss3110@toranomon.gr.jp.
Yoshiyuki SuzukiDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. suzunari@interlink.or.jp.
Yasuji AraseDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. es9y-ars@asahi-net.or.jp.
Kenji IkedaDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. ikedakenji@tora.email.ne.jp.
Mariko KobayashiResearch Institute for Hepatology, Toranomon Hospital, Tokyo, Japan. vj7m-kbys@asahi-net.or.jp.
Hiromitsu KumadaDepartment of Hepatology, Toranomon Hospital, Tokyo, Japan. kumahiro@tora.email.ne.jp.
Toranomon Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no information on the long-term effects of peginterferon (PEG-IFN) alfa-2a therapy for chronic hepatitis B (CHB) in Japan. This double-blind, randomized trial investigated the efficacy of PEG-IFN therapy.

methodsWe analyzed 22 Japanese patients with CHB (hepatitis B e antigen [HBeAg]-positive: 17, HBeAg-negative: 5) treated with PEG-IFN alfa-2a and followed-up posttreatment for 5 years. Responders represented patients who showed persistent normalization of alanine transferase (ALT) levels, HBeAg clearance, and low hepatitis B virus (HBV) DNA levels (HBeAg-positive patient; <5 log copies/mL, HBeAg-negative patient; <4.3 log copies/mL) at end of treatment, and at 1, 2, 3, 4 and 5 years posttreatment. In addition, baseline HBeAg-positive patients who showed sustained normalization of ALT level, HBeAg clearance, and low HBV DNA level for more than 6 months until at 1, 2, 3, 4, and 5 years after completion of PEG-IFN were also classified as "triple responders" and the proportion of triple responders relative to all patients was termed the "triple response rate".

resultsThe response rates among HBeAg-positive patients were 13%, 25%, 14%, 21% and 21% at end of treatment, and at 1, 2, 3, 4, and 5 years, respectively. The response rate tended to be higher in patients treated for 48 than 24 weeks. The respective response rates among HBeAg-negative patients were 0%, 20%, 20%, 20% and 25%. During the treatment period, hepatitis B surface antigen (HBsAg) clearance at 3.5 years was noted in one patient, who was 37-year-old, male, had genotype C and received PEG-IFN alfa-2a at 90 μg for 48 weeks.

conclusionAt 5 years after completion of PEG-IFN, the triple response rate in HBeAg-positive patients and combined response rate in HBeAg-negative patients were 21% (3/14) and 25% (1/4), respectively. The triple response was seen in three patients who had all been treated with PEG-IFN for 48 weeks.

Indexed as

AdultAlanine TransaminaseAntiviral AgentsAsian PeopleDNA, ViralDouble-Blind MethodFemaleFollow-Up StudiesHepatitis B, ChronicHepatitis B e AntigensHumansInterferon-alphaMaleMiddle AgedPolyethylene GlycolsRecombinant ProteinsAlanine TransaminaseAntiviral AgentsDNA, ViralHepatitis B e AntigensInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant Proteins

Identifiers

PMID26700861
PMCPMC4690279
OpenAlexW2248791294

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.