Evidence map›Paper›PMID 30136045›Full record

Trial reportDigestive diseases and sciences2018

Hepatitis B Surface Antigen Loss with Tenofovir Disoproxil Fumarate Plus Peginterferon Alfa-2a: Week 120 Analysis.

Sang Hoon Ahn, Patrick Marcellin, Xiaoli Ma, Florin A Caruntu, Won Young Tak, Magdy Elkhashab, Wan-Long Chuang, Fehmi Tabak, Rajiv Mehta, Jörg Petersen and 12 more

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systematic review and meta-analysis:Frontiers in pharmacology · 2024
    Pooled it
  4. Article
  5. Review
  6. Review
  7. Current status of drug therapy for chronic hepatitis B.World journal of gastroenterology · 2025
    Article
  8. Article
  9. Hepatitis B cure: Current situation and prospects.World journal of hepatology · 2024
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 15 institutions in 11 countries.

Sang Hoon AhnDepartment of Internal Medicine, Yonsei University College of Medicine, Brain Korea 21 Plus Project for Medical Science, Seoul, Republic of Korea.
Patrick MarcellinHôpital Beaujon, University Paris-Diderot, Clichy, France. patrick.marcellin@bjn.aphp.fr.
Xiaoli MaDrexel University College of Medicine, Philadelphia, PA, USA.
Florin A CaruntuNational Institute for Infectious Diseases "Matei Bals", Bucharest, Romania.
Won Young TakKyungpook National University Hospital, Daegu, South Korea.
Magdy ElkhashabToronto Liver Centre, Toronto, Canada.
Wan-Long ChuangKaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Fehmi TabakCerrahpasa Medical Faculty, University of Istanbul, Istanbul, Turkey.
Rajiv MehtaLiver Clinic, Surat, India.
Jörg PetersenIFI Institute for Interdisciplinary Medicine, Asklepios Klinik St. George, University of Hamburg, Hamburg, Germany.
William GuyerDepartment of Internal Medicine, Yonsei University College of Medicine, Brain Korea 21 Plus Project for Medical Science, Seoul, Republic of Korea.
Belinda JumpGilead Sciences Inc, Foster City, CA, USA.
Alain ChanGilead Sciences Inc, Foster City, CA, USA.
Mani SubramanianGilead Sciences Inc, Foster City, CA, USA.
Gerald CransGilead Sciences Inc, Foster City, CA, USA.
Scott FungToronto General Hospital, Toronto, Canada.
Maria ButiHepatology Unit, Hospital Universitari Vall d'Hebron and CIBEREHD del Instituto Carlos III, Barcelona, Spain.
Giovanni B GaetaInfectious Diseases and Viral Hepatitis Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Aric J HuiThe Chinese University of Hong Kong, Hong Kong, China.
George PapatheodoridisMedical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", Athens, Greece.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Bialystok, Białystok, Poland.
Henry L Y ChanDepartment of Medicine and Therapeutics and Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong, China. hlychan@cuhk.edu.hk.
Gilead Sciences (United States) · USYonsei University · KRAlice Ho Miu Ling Nethersole Hospital · CNChinese University of Hong Kong · CNDrexel University · USHôpital Beaujon · FRInstitute for Interdisciplinary Medicine · DEIstanbul University · TRKaohsiung Medical University · TWKyungpook National University Hospital · KRMedical University of Białystok · PLNational and Kapodistrian University of Athens · GRToronto General Hospital · CAToronto Liver Centre · CAUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHepatitis B surface antigen (HBsAg) loss is the ideal clinical endpoint but is achieved rarely during oral antiviral treatment. A current unmet need in CHB management is achievement of HBsAg loss with a finite course of oral antiviral therapy, thereby allowing discontinuation of treatment. Significantly higher rates of HBsAg loss at 72 weeks post-treatment have been demonstrated when tenofovir disoproxil fumarate (TDF) was combined with pegylated interferon (PEG-IFN) for 48 weeks compared with either monotherapy. This analysis provides follow-up data at week 120.

methodsIn an open-label, active-controlled study, 740 patients with chronic hepatitis B were randomly assigned to receive TDF plus PEG-IFN for 48 weeks (group A), TDF plus PEG-IFN for 16 weeks followed by TDF for 32 weeks (group B), TDF for 120 weeks (group C), or PEG-IFN for 48 weeks (group D). Efficacy and safety at week 120 were assessed.

resultsRates of HBsAg loss at week 120 were significantly higher in group A (10.4%) than in group B (3.5%), group C (0%), and group D (3.5%). Rates of HBsAg loss and HBsAg seroconversion in group A were significantly higher than rates in group C (P < 0.001 for both) or group D (HBsAg loss: P = 0.002; HBsAg seroconversion: P < 0.001).

conclusionsThe results of this analysis confirm the results from earlier time points which demonstrate the increased rate of HBsAg loss in patients treated with a finite course of PEG-IFN plus TDF compared with the rates in patients receiving either monotherapy.

Indexed as

Hepatitis B, ChronicInterferon-alphaPolyethylene GlycolsTenofovirAdultAntiviral AgentsDrug MonitoringDrug SynergismDrug Therapy, CombinationFemaleHepatitis B Surface AntigensHumansMaleMiddle AgedRecombinant ProteinsSustained Virologic ResponseAntiviral AgentsHepatitis B Surface AntigensInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant ProteinsTenofovirChronic hepatitis BHBsAg lossHBsAg seroconversionVirological response

Identifiers

PMID30136045
PMCPMC6244971
OpenAlexW2888354352

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.