Evidence map›Paper›PMID 30977033›Full record

Trial reportHepatology international2019

Long-term efficacy and safety of tenofovir disoproxil fumarate in Chinese patients with chronic hepatitis B: 5-year results.

Xieer Liang, Zhiliang Gao, Qing Xie, Jiming Zhang, Jifang Sheng, Jun Cheng, Chengwei Chen, Qing Mao, Wei Zhao, Hong Ren and 16 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hepatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01300234 (A Multi-centre, Double Blind, Double Dummy, Randomised, Controlled Study to Evaluate the Efficacy and Safety of TDF 300mg Once Daily), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT01300234 phase3completednot on this map

A Multi-centre, Double Blind, Double Dummy, Randomised, Controlled Study to Evaluate the Efficacy and Safety of TDF 300mg Once Daily (QD) Versus Adefovir Dipivoxil (ADV) 10mg QD in Chinese Subjects With CHB

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2016Enrolled512ConditionsHepatitis BArmsTenofovir disoproxil fumarate (TDF) tablets, Adefovir dipivoxil (ADV) tablets
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 39 citations in OpenAlex.

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  15. [Low-level viremia-induced liver fibrosis and hepatocellular carcinoma in chronic hepatitis B].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Article
  16. Article
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  18. Guidelines for Prevention and Treatment of Chronic Hepatitis B.Journal of clinical and translational hepatology · 2021
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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

26 authors at 20 institutions in 1 country.

Xieer LiangState Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Hepatology Unit and Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Zhiliang Gao3rd Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Qing XieRuijin Hospital Affiliated to Jiaotong University, School of Medicine, Shanghai, China.
Jiming ZhangHuashan Hospital Affiliated to Fudan University, Shanghai, China.
Jifang Sheng1st Affiliated Hospital of ZheJiang University, Hangzhou, China.
Jun ChengBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Chengwei ChenShanghai the 85th Hospital Affiliated to Nanjing Military, Shanghai, China.
Qing MaoSouthwest Hospital, Army Medical University, Chongqing, China.
Wei Zhao2nd Hospital of Nanjing, Nanjing, China.
Hong Ren2nd Affiliated Hospital Chongqing Medical University, Chongqing, China.
Deming TanXiangya Hospital Central-South University, Changsha, China.
Junqi Niu1st Affiliated Hospital of Jilin University, Changchun, China.
Shijun ChenJinan Hospital for Infectious Disease, Jinan, China.
Chen PanMengchao Hepatobiliary Hospital of Fujian Medical University, Fujian Sheng, China.
Hong TangWest China Hospital, Sichuan University, Chengdu, China.
Hao WangPeking University People's Hospital, Beijing, China.
Yimin MaoRenJi Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jidong JiaBeijing Friendship Hospital, Capital University, Beijing, China.
Qin NingTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Min XuGuangzhou Eighth Municipal People's Hospital, Guangzhou, China.
Shanming WuShanghai Public Health Clinical Center, Shanghai, China.
Jun LiThe First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Xinxin ZhangRuijin Hospital Affiliated to Jiaotong University, School of Medicine, Shanghai, China.
Wenyan ZhangGlaxoSmithKline R&D Company Limited, Shanghai, China.
Cui XiongGlaxoSmithKline R&D Company Limited, Shanghai, China.
Jinlin HouState Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Hepatology Unit and Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. jlhousmu@163.com.
GlaxoSmithKline (China) · CNRuijin Hospital · CNArmy Medical University · CNBeijing Ditan Hospital · CNBeijing Friendship Hospital · CNChongqing Medical University · CNFudan University · CNFujian Medical University · CNGuangzhou Eighth People's Hospital · CNJinan Infectious Disease Hospital · CNNanfang Hospital · CNNanjing Medical University · CNPeking University People's Hospital · CNPeople's Liberation Army 411 Hospital · CNRenji Hospital · CNShanghai Public Health Clinical Center · CNSichuan University · CNSouthern Medical University · CNThe Affiliated Hospital to Changchun University of Chinese Medicine · CNThird Affiliated Hospital of Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimLong-term treatment with tenofovir disoproxil fumarate (TDF) has demonstrated suppression of viral replication outside of China. This study aims to assess efficacy, resistance and safety of TDF for up to 240 weeks in Chinese patients with chronic hepatitis B virus (HBV) infection.

methodsPatients (HBeAg-positive or HBeAg-negative) who were randomised to receive TDF 300 mg or adefovir dipivoxil (ADV) 10 mg once daily in the 48-week double-blind phase (N = 498) were eligible to enter the open-label TDF phase (TDF-TDF and ADV-TDF groups) for additional 192 weeks.

resultsOverall, 457/512 (89.3%) randomised patients completed 240 weeks of treatment. Virological suppression was achieved in 84.5% and 87.9% in HBeAg-positive patients and 89.6% and 89.5% in HBeAg-negative patients in TDF-TDF and ADV-TDF groups, respectively, at week 240. The majority of patients from both groups had normalized alanine transaminase levels. More patients had HBeAg loss (41.7% vs. 36.4%) and HBeAg seroconversion (32.0% vs. 28.3%) in TDF-TDF than in ADV-TDF group, respectively. Only one HBeAg-positive patient in TDF-TDF group had HBsAg loss at week 240. No evidence of resistance to TDF was observed. The incidence of adverse events was similar in both groups (TDF-TDF, 56.4% vs. ADV-TDF, 51.6%). One patient had serum creatinine elevation ≥ 0.5 mg/dL above baseline, and three patients had confirmed grade 3/4 phosphorus abnormalities (< 2 mg/dL).

conclusionIn Chinese patients with chronic HBV, long-term treatment with TDF showed sustained viral suppression without development of resistance up to 240 weeks. No new safety concerns were found with TDF in this patient population. Clinical Trial Registration ClinicalTrial.gov Identifier NCT01300234; GSK Clinical Study Register 114648.

Indexed as

AdolescentAdultAgedAntiviral AgentsAsian PeopleChinaDouble-Blind MethodFemaleHepatitis B, ChronicHumansLongitudinal StudiesMaleMiddle AgedTenofovirViral LoadYoung AdultAntiviral AgentsTenofovirAntiviral therapyChronic hepatitis BLong-term tenofovir disoproxil fumarateVirological suppression

Identifiers

PMID30977033
PMCPMC6529393
OpenAlexW2937689376

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.