Evidence map›Paper›PMID 31919749›Full record

Trial reportChinese journal of integrative medicine2020

Adefovir Dipivoxil plus Chinese Medicine in HBeAg-Positive Chronic Hepatitis B Patients: A Randomized Controlled 48-Week Trial.

Xiao-Ke Li, Ming-Xiang Zhang, Feng-Zhen Shao, Da-Qiao Zhou, Jing-Dong Xue, Tie-Jun Liu, Xiao-Ling Chi, Bing-Jiu Lu, Xian-Bo Wang, Qin Li and 18 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

28 authors at 19 institutions in 1 country.

Xiao-Ke LiDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Ming-Xiang ZhangDepartment of Hepatology, the Sixth People's Hospital of Shenyang, Shenyang, 110006, China.
Feng-Zhen ShaoDepartment of Hepatology, the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, China.
Da-Qiao ZhouDepartment of Hepatology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518033, China.
Jing-Dong XueDepartment of Hepatology, Shaanxi Hospital of Traditional Chinese Medicine, Xi'an, 710003, China.
Tie-Jun LiuAffiliated Hospital of Changchun University of Chinese Medicine, Changchun, 130021, China.
Xiao-Ling ChiDepartment of Hepatology, Guangdong Hospital of Traditional Chinese Medicine, Guangzhou, 510006, China.
Bing-Jiu LuDepartment of Hepatology, Liaoning Hospital of Traditional Chinese Medicine, Shenyang, 110032, China.
Xian-Bo WangDepartment of Hepatology, Beijing Ditan Hospital, Beijing, 100015, China.
Qin LiDepartment of Hepatology, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, 350025, China.
Jun LiDepartment of Hepatology, the 302 Military Hospital of PLA, Beijing, 100039, China.
De-Wen MaoDepartment of Hepatology, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, 530023, China.
Hua-Sheng YangDepartment of Integrated Traditional Chinese Medicine and Western Medicine, Beijing YouAn Hospital, Capital Medical University, Beijing, 100069, China.
Hong-Zhi YangDepartment of Traditional Chinese Medicine, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Wen-Xia ZhaoDepartment of Gastroenterology, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, China.
Yong LiDepartment of Hepatology, Shandong Hospital of Traditional Chinese Medicine, Jinan, 250011, China.
Guo-Liang ZhangDepartment of Gastroenterology, Anhui Hospital of Traditional Chinese Medicine, Hefei, 230031, China.
Yi-Ming ZhaoResearch Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, 100191, China.
Jian-Dong ZouClinical Research Center, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, 210029, China.
Meng-Yang LiuDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Ke-Ke ZhangDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Xian-Zhao YangDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Da-Nan GanDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Ying LiDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Peng ZhangDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Zhi-Guo LiDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Shuo LiDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China.
Yong-An YeDepartment of Gastroenterology, Institute of Liver Disease, Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine, Beijing, 100700, China. yeyongan@vip.163.com.
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CN302 Military Hospital of China · CNAnhui University of Traditional Chinese Medicine · CNBeijing Ditan Hospital · CNBeijing YouAn Hospital · CNChangchun University of Chinese Medicine · CNFirst Affiliated Hospital of Henan University · CNFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CNGuangxi University · CNLiaoning University of Traditional Chinese Medicine · CNMengchao Hepatobiliary Hospital · CNNanjing University · CNPeking University Third Hospital · CNShaanxi Provincial Hospital of Traditional Chinese Medicine · CNShandong University of Traditional Chinese Medicine · CNShenzhen Pingle Orthopedic Hospital · CNSun Yat-sen University · CNThe Sixth People's Hospital of Shenyang · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effects of a 48-week course of adefovir dipivoxil (ADV) plus Chinese medicine (CM) therapy, namely Tiaogan Jianpi Hexue () and Tiaogan Jiedu Huashi () fomulae, in hepatitis B e antigen (HBeAg)-positive Chinese patients.

methodsA total of 605 HBeAg-positive Chinese CHB patients were screened and 590 eligible participants were randomly assigned to 2 groups in 1:1 ratio including experimental group (EG, received ADV plus CM) and control group (CG, received ADV plus CM-placebo) for 48 weeks. The major study outcomes were the rates of HBeAg and HBV-DNA loss on week 12, 24, 36, 48, respectively. Secondary endpoints including liver functions (enzymes and bilirubin readings) were evaluated every 4 weeks at the beginning of week 24, 36, and 48. Routine blood, urine, and stool analyses in addition to electrocardiogram and abdominal B scan were monitored as safety evaluations. Adverse events (AEs) were documented.

resultsThe combination therapy demonstrated superior HBeAg loss at 48 weeks, without additional AEs. The full analysis population was 560 and 280 in each group. In the EG, population achieved HBeAg loss on week 12, 24, 36, and 48 were 25 (8.90%), 34 (12.14%), 52 (18.57%), and 83 (29.64%), respectively; the equivalent numbers in the CG were 20 (7.14%), 41 (14.64%), 54 (19.29%), and 50 (17.86%), respectively. There was a statistically significant difference between these group values on week 48 (P<0.01). No additional AEs were found in EG. Subgroup analysis suggested different outcomes among treatment patterns.

conclusionCombination of CM and ADV therapy demonstrated superior HBeAg clearance compared with ADV monotherapy. The finding indicates that this combination therapy may provide an improved therapeutic effect and safety profile (ChiCTR-TRC-11001263).

Indexed as

AdenineAdultAntiviral AgentsDouble-Blind MethodDrugs, Chinese HerbalDrug Therapy, CombinationFemaleHepatitis B, ChronicHepatitis B e AntigensHumansMaleMedicine, Chinese TraditionalOrganophosphonatesYoung Adultadefovir dipivoxilAdenineAntiviral AgentsDrugs, Chinese HerbalHepatitis B e AntigensOrganophosphonatesAdefovir dipivoxilChinese medicinecombination therapyHBeAgTiaogan Jianpi HexueTiaogan Jiedu Huashi

Identifiers

PMID31919749
OpenAlexW2999975000

What OpenQuestion holds

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Registered trials

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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.