Evidence map›Paper›PMID 32219622›Full record

Trial reportClinical and experimental nephrology2020

Telbivudine for renal transplant recipients with chronic hepatitis B infection: a randomized controlled trial with early termination.

Ya-Wen Yang, Meng-Kun Tsai, Ching-Yao Yang, Chih-Yuan Lee, Bor-Luen Chiang, Hong-Shiee Lai

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical and experimental nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Ya-Wen YangGraduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
Meng-Kun TsaiDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Ching-Yao YangDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Chih-Yuan LeeDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Bor-Luen ChiangGraduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan.
Hong-Shiee LaiDepartment of Surgery, National Taiwan University Hospital, Taipei, Taiwan. hslai@ntu.edu.tw.
National Taiwan University Hospital · TWNational Taiwan University · TWBuddhist Tzu Chi General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyze changes in renal function in HBsAg-positive renal transplant recipients receiving lamivudine who did or did not switch to telbivudine.

methodsIn this prospective randomized clinical trial (RCT), HBsAg-positive renal transplant recipients who had received lamivudine prophylaxis for at least 6 months were 1:2 randomized to receive either lamivudine or telbivudine for another 24 months. Renal function was evaluated by creatinine level and estimated glomerular filtration rate (eGFR) at the time of randomization (baseline), 6, 12, 18, and 24 months respectively.

resultsThis RCT was prematurely terminated after recruiting only 17 patients due to a high incidence (61.5%; 8/13) of clinical myalgia in the telbivudine group. Cox's proportional hazards model revealed that there was no independent predictor of myalgia. Based on intention-to-treat and per protocol analyses using generalized estimating equations, the patients in the randomized telbivudine group had a significantly increased eGFR and the patients in the lamivudine group had a significantly decreased eGFR at the end of follow-up compared to the values at study enrollment. However, there was no significant difference between the lamivudine and telbivudine groups.

conclusionsThe renal protective effect of telbivudine for HBsAg positive renal transplant recipients was uncertain for high incidence of myalgia and only patients who were on telbivudine for 24 months had renal function maintenance.

Indexed as

AdultAgedAntiviral AgentsCreatinineEarly Termination of Clinical TrialsFemaleGlomerular Filtration RateHepatitis B, ChronicHepatitis B Surface AntigensHumansKidneyKidney Failure, ChronicKidney TransplantationLamivudineMaleMiddle AgedAntiviral AgentsCreatinineHepatitis B Surface AntigensLamivudineTelbivudineHepatitis B virus (HBV)Renal transplantationTelbivudine

Identifiers

PMID32219622
OpenAlexW3013013066

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.