Evidence map›Paper›PMID 31172415›Full record

Trial reportHepatology international2019

Sequential combination therapy with interferon, interleukin-2 and therapeutic vaccine in entecavir-suppressed chronic hepatitis B patients: the Endeavor study.

Di Wu, Peng Wang, Meifang Han, Yongping Chen, Xinyue Chen, Qi Xia, Weiming Yan, Xiaoyang Wan, Chuanlong Zhu, Qing Xie and 8 more

Abstract readClinical Trial, Phase IVRandomized Controlled Trial
PubMed Publisher
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. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. [Advances in clinical diagnosis and treatment of autoimmune liver diseases combined with viral hepatitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  5. Review
  6. [Distribution characteristics of serum HBsAg levels in Chinese patients with chronic hepatitis B based on CR-HepB].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  7. Observational
  8. Article
  9. Article
  10. Hepatitis B cure: Current situation and prospects.World journal of hepatology · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Guidelines for the Prevention and Treatment of Chronic Hepatitis B (version 2022).Journal of clinical and translational hepatology · 2023
    Article
  15. Review
  16. Article
  17. [Guidelines for the prevention and treatment of chronic hepatitis B (version 2022)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  18. Article
  19. Review
  20. 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

18 authors at 11 institutions in 1 country.

Di WuDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China.
Peng WangDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China.
Meifang HanDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China.
Yongping ChenDepartment of Infectious Disease, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xinyue ChenInternational Medical Department, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Qi XiaState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Weiming YanDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China.
Xiaoyang WanDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China.
Chuanlong ZhuDepartment of Infectious Disease, Anhui Provincial Hospital, Anhui Medical University, Hefei, Anhui, China.
Qing XieDepartment of Infectious Diseases, Shanghai Ruijin Hospital, Jiaotong University School of Medicine, Shanghai, China.
Jiaji JiangLiver Research Center, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Lai WeiDepartment of Hepatology, Peking University People's Hospital, Beijing, China.
Deming TanDepartment of Infectious Diseases, Xiangya Hospital, Central South University, Changsha, China.
Xiaoguang DouDepartment of Infectious Disease, Shengjing Hospital of China Medical University, Shenyang, China.
Yanyan YuDepartment of Infectious Diseases, Peking University First Hospital, Beijing, China.
Jinlin HouDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xiaoping LuoDepartment of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qin NingDepartment and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430030, China. qning@vip.sina.com.ORCID http://orcid.org/0000-0002-2027-9593
Tongji Hospital · CNPeking University · CNAnhui Medical University · CNCapital Medical University · CNCentral South University · CNChina Medical University · CNFujian Medical University · CNNanfang Hospital · CNRuijin Hospital · CNWenzhou Medical University · CNZhejiang University · CN

Funding

Natural Science Foundation of Hubei Province 2018CFB206the Chinese National Thirteenth Five Years Project in Science and Technology 2017ZX10202201the Chinese National Twelfth Five Years Project in Science and Technology 2013ZX10002003
6 · The paper itself

Abstract

backgroundSwitching from nucleos(t)ide analogues to interferon (IFN) improves hepatitis B surface antigen (HBsAg) loss. We aimed to evaluate whether combining immunomodulators such as interleukin-2 (IL-2) and therapeutic vaccine with IFN enhances HBsAg loss in entecavir (ETV)-suppressed patients.

methodsNinety-four patients exhibiting virological suppression and hepatitis B e antigen (HBeAg) loss following ETV treatment were randomized 1:1:1 to receive ETV (group I) or IFN (group II) for 48 weeks, or IFN and vaccine for 48 weeks plus IL-2 for 12 weeks (group III). The primary endpoint was HBsAg loss at week 48. Peripheral natural killer (NK) cells and regulatory T cells (Treg) were measured as immune checkpoint indicators.

resultsMean HBsAg decline at week 48 was significantly greater in group III (0.85 log 10 IU/mL) and group II (0.74 log 10 IU/mL), than in group I (0.13 log 10 IU/mL). At week 48, 9.38%, 3.03%, and 3.70% of subjects in group III, II, and I, respectively, achieved HBsAg loss. Among patients with baseline HBsAg titers ranging from 100 to 1500 IU/mL, HBsAg loss rate was 27.3, 7.1, and 0% in group III, II, and I, respectively. Responders in group III showed a significantly higher increase in CD56

conclusionFor ETV-suppressed patients, particularly those with low baseline HBsAg levels, combination therapy with IFN and other immunomodulators may enhance HBsAg loss, while successful response correlates with partial restoration of NK cells and Tregs.

Indexed as

AdultAntiviral AgentsCombined Modality TherapyDrug Therapy, CombinationFemaleGuanineHepatitis B, ChronicHepatitis B Surface AntigensHepatitis B VaccinesHumansInterferonsInterleukin-2MaleAntiviral AgentsentecavirGuanineHepatitis B Surface AntigensHepatitis B VaccinesInterferonsInterleukin-2Combination therapyEntecavirHepatitis B surface antigen lossInterferon

Identifiers

PMID31172415
OpenAlexW2955435347

What OpenQuestion holds

Textmetadata
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.