Evidence map›Paper›PMID 31613956›Full record

ArticleThe Journal of infectious diseases2020

High Rates of Hepatitis B Virus (HBV) Functional Cure Among Human Immunodeficiency Virus-HBV Coinfected Patients on Antiretroviral Therapy in Zambia.

Belinda V Chihota, Gilles Wandeler, Roma Chilengi, Lloyd Mulenga, Raymond T Chung, Debika Bhattacharya, Mathias Egger, Michael J Vinikoor

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07589985 (Hep Mec Cohort in Zambia), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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.

NCT07589985 recruitingnot on this map

Hep Mec Cohort in Zambia

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2020 to 2030Enrolled390ConditionsHepatitis B, HIV
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Article
  2. Review
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  12. Article
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  15. CD4Frontiers in cellular and infection microbiology · 2023
    Article
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  17. Review
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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

8 authors.

Belinda V ChihotaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Gilles WandelerInstitute of Social and Preventative Medicine, University of Bern, Bern, Switzerland.
Roma ChilengiCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Lloyd MulengaSchool of Medicine, University of Zambia, Lusaka, Zambia.
Raymond T ChungLiver Center and Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Debika BhattacharyaDivision of Infectious Diseases, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA.
Mathias EggerInstitute of Social and Preventative Medicine, University of Bern, Bern, Switzerland.
Michael J VinikoorCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.

Funding

Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG, GEORG Michael LAUER · 2009 to 2026
$48.1M
Patient-Oriented Research on Hepatitis in Special PopulationsK24DK078772 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2007 to 2016
$1.6M
Impact of HIV PMTCT Interventions on HIV/HBV Co-infected Women and Their InfantsR01HD085862 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BHATTACHARYA, DEBIKA · 2016 to 2018
$1.3M
Impact of antiretroviral therapy on liver fibrosis in Zambian HIV/HBV patientsK01TW009998 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VINIKOOR, MICHAEL JEFFREY · 2014 to 2017
$526k
FIC NIH HHS K01 TW009998NIAID NIH HHS U01 AI069924NIAID NIH HHS U19 AI082630NICHD NIH HHS R01 HD085862NIDDK NIH HHS K24 DK078772
6 · The paper itself

Abstract

Among 284 human immunodeficiency virus (HIV)-hepatitis B virus (HBV) coinfected adults starting tenofovir-based antiretroviral therapy (ART) in Zambia, median baseline CD4+ count was 202 cells/mm3 and 41.6% were hepatitis B e-antigen positive. Within 2 years of therapy, 29 (10.2%) participants experienced HBV functional cure (confirmed loss of hepatitis B surface antigen). In multivariable analysis, baseline CD4 count <350 cells/mm3, female sex, and lower baseline HBV deoxyribonucleic acid were associated with increased odds of functional cure. Immune recovery during HIV-HBV treatment with ART may drive higher rates of functional cure than during HBV monoinfection treatment. Understanding the mechanisms underlying this phenomenon could inform immunomodulatory therapies for HBV cure.

Indexed as

AdultAnti-Retroviral AgentsCD4 Lymphocyte CountCoinfectionFemaleHepatitis BHIV InfectionsHumansMaleProspective StudiesTenofovirTreatment OutcomeViral LoadZambiaAnti-Retroviral AgentsTenofovirAfricaantiretroviral therapy outcomesHBV functional cureHIV-HBV coinfection

Identifiers

PMID31613956
PMCPMC7184905

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.