Evidence map›Paper›PMID 30998789›Full record

Trial reportPloS one2019

Higher rates of HBsAg clearance with tenofovir-containing therapy in HBV/HIV co-infection.

Pierre Gantner, Laurent Cotte, Clotilde Allavena, Firouzé Bani-Sadr, Thomas Huleux, Claudine Duvivier, Marc-Antoine Valantin, Christine Jacomet, Véronique Joly, Antoine Chéret and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02898987 (Dataids Prospective Observational Cohort on Quality of Care of French HIV Infected Patients), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT02898987 recruitingnot on this map

Dataids Prospective Observational Cohort on Quality of Care of French HIV Infected Patients

TypeobservationalSponsorDatAidsRan2016 to 2030Enrolled30,000ConditionsHIV
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Possible association ofGlobal health & medicine · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. A long-acting 3TC ProTide nanoformulation suppresses HBV replication in humanized mice.Nanomedicine : nanotechnology, biology, and medicine · 2020
    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

15 authors at 10 institutions in 3 countries.

Pierre GantnerVirology Laboratory, Hôpitaux Universitaires de Strasbourg, Strasbourg University, INSERM, UMR-S U1109, Strasbourg, France.ORCID 0000-0002-3984-883X
Laurent CotteInfectious Diseases Department, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Clotilde AllavenaInfectious Diseases Department, CHU de Nantes, Nantes, France.
Firouzé Bani-SadrInfectious Diseases Department, CHU de Reims, Reims, France.
Thomas HuleuxUniversity Department of Infectious Diseases, Tourcoing Hospital, Tourcoing, France.
Claudine DuvivierAP-HP-Necker Hospital, Infectious Diseases Department, Necker-Pasteur Infectiology Center.
Marc-Antoine ValantinInfectious Diseases Department, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière Hospital; Sorbonne Universités, UPMC Université Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France.
Christine JacometInfectious Diseases Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Véronique JolyInfectious Diseases Department, APHP Hôpital Bichat, Paris, France.
Antoine ChéretInternal Medicine Department, CHU Bicètre, France; Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Pascal PuglieseInfectious Diseases Department, Centre Hospitalier Universitaire de Nice, Hôpital l'Archet, Nice, France.
Pierre DelobelInfectious Diseases Department, CHU Toulouse-Purpan, Toulouse, France.
André CabiéInfectious Diseases Department, CHU de Martinique, Fort-de-France, France.
David ReyLe Trait d'Union, HIV-Infection Care Center, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Dat’AIDS Study Group
Inserm · FRDélégation Paris 5 · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de Tourcoing · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Nice · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Toulouse · FRHôpitaux Universitaires de Strasbourg · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAchieving functional cure of chronic HBV infection (Hepatitis B surface antigen [HBsAg] clearance, eventually followed by acquisition of anti-hepatitis B surface antigen [Anti-HBs]) in individuals with HIV and HBV infections is a rare event. In this setting, factors related to HBV cure have not yet been fully characterized.

methodsHIV-infected individuals with chronic HBV infection enrolled in the French Dat'AIDS cohort (NCT02898987), who started combined antiretroviral (cART)-anti-HBV treatment were retrospectively analyzed for HBsAg loss and Anti-HBs seroconversion.

resultsOverall, 1419 naïve-subjects received three different cART-anti-HBV treatment schedule: (1) 3TC or FTC only (n = 150), (2) TDF with or without 3TC or FTC (n = 489) and (3) 3TC or FTC as first line followed by adding/switching to TDF as second line (n = 780). Individuals were followed-up for a median of 89 months (IQR, 56-118). HBV-DNA was < 15 IU/mL in 91% of individuals at the end of the follow-up. Overall, 97 individuals cleared HBsAg (0.7/100 patient-years), of whom, 67 seroconverted for Anti-HBs (0.5/100 patient-years). A high CD4 nadir, a short delay between HBV diagnosis and treatment, a longer time on HBV therapy, an African origin and TDF-based therapy were independent predictors of HBsAg clearance (Probability of odds ratio [OR]>1, >95%) suggested by Bayesian analysis. Also, TDF-based regimen as first line (OR, 3.03) or second line (OR, 2.95) increased rates of HBsAg clearance compared to 3TC or FTC alone, with a 99% probability.

conclusionsHBsAg clearance rate was low in HIV-HBV co-infected cART-anti-HBV treated individuals, but was slightly improved on TDF-based regimen.

Indexed as

CoinfectionHepatitis B, ChronicHepatitis B virusHIV-1HIV InfectionsAdultAnti-HIV AgentsFemaleHepatitis B Surface AntigensHumansMaleMiddle AgedRetrospective StudiesTenofovirAnti-HIV AgentsHepatitis B Surface AntigensTenofovir

Identifiers

PMID30998789
PMCPMC6472771
OpenAlexW2935979427

What OpenQuestion holds

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LicenceCC BY
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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.