Evidence map›Paper›PMID 32583915›Full record

ArticleAlimentary pharmacology & therapeutics2020

Treatment with tenofovir disoproxil fumarate or entecavir in chronic hepatitis B virus-infected patients with renal impairment: results from a 7-year, multicentre retrospective cohort study.

Pietro Lampertico, Thomas Berg, Maria Buti, Anita Pathil, Joerg Petersen, Stephen D Ryder, Fabien Zoulim, Irina Botros, John F Flaherty, Belinda Jump and 4 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Pietro LamperticoMilan, Italy.ORCID 0000-0002-1026-7476
Thomas BergLeipzig, Germany.
Maria ButiBarcelona, Spain.ORCID 0000-0002-0732-3078
Anita PathilHeidelberg, Germany.
Joerg PetersenHamburg, Germany.
Stephen D RyderNottingham, UK.
Fabien ZoulimLyon, France.
Irina BotrosFoster City, CA, USA.
John F FlahertyFoster City, CA, USA.
Belinda JumpFoster City, CA, USA.
Marjoleine L Op den BrouwFoster City, CA, USA.
Anna van TroostenburgFoster City, CA, USA.
Heribert RamrothFoster City, CA, USA.
ReCoRd (Retrospective, Cohort, Renal, Viread) Investigators' Group
University of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data exist regarding tenofovir disoproxil fumarate (TDF) safety and effectiveness in chronic hepatitis B virus-infected (CHB) patients with renal impairment (RI).

aimsTo compare real-world data on renal safety and effectiveness of TDF vs entecavir (ETV) in CHB patients with moderate-to-severe RI.

methodsRetrospective, non-interventional, cohort study analysing medical records for TDF/ETV-treated CHB patients (54 European centres). Included patients experienced moderate-to-severe RI (creatinine clearance 20-60 mL/min [Cockcroft-Gault]) either before TDF/ETV initiation ('before' subgroup [baseline = treatment initiation]) or after TDF/ETV initiation ('after' subgroup [baseline = first RI occurrence]). The primary objective was TDF safety, particularly renal-related adverse events of special interest (AESI). TDF and ETV safety and effectiveness were compared and multivariate analyses were performed using inverse probability treatment weighting.

results'Before' subgroup included 107 TDF- and 91 ETV-treated patients; 'after' subgroup included 212 TDF- and 77 ETV-treated patients. Mean baseline creatinine clearance was higher for TDF- vs ETV-treated patients (both subgroups). Median follow-up was 3.1 years (both treatments). AESI were more frequent with TDF vs ETV ('before': 18.7% vs 8.8%; 'after': 9.9% vs 3.9%); however, differences were not significant by multivariate analysis. Only TDF-treated patients experienced renal tubular dysfunction (6.5% 'before'; 1.9% 'after') as well as renal adverse events leading to treatment discontinuation (8.4% 'before'; 7.1% 'after'). Effectiveness was similar between treatments.

conclusionsOverall safety was similar for TDF vs ETV (both subgroups). Given that renal tubular dysfunction occurred with TDF and not with ETV, renal safety concerns may be greater with TDF in CHB patients with RI.

Indexed as

AdultAgedAged, 80 and overAntiviral AgentsFemaleGuanineHepatitis B, ChronicHumansMaleMiddle AgedRenal InsufficiencyRetrospective StudiesTenofovirTreatment OutcomeYoung AdultAntiviral AgentsentecavirGuanineTenofovir

Identifiers

PMID32583915
PMCPMC7383725
OpenAlexW3037419920

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.