Evidence map›Paper›PMID 32666200›Full record

ReviewJournal of gastroenterology2020

An expert review on the use of tenofovir alafenamide for the treatment of chronic hepatitis B virus infection in Asia.

Michael R Charlton, Altaf Alam, Akash Shukla, Bekhbold Dashtseren, Cosmas Rinaldi Adithya Lesmana, Davadoorj Duger, Diana Alcantara Payawal, Do Duy Cuong, Ganbolor Jargalsaikhan, Ian Homer Yee Cua and 18 more

Open access · hybridAbstract readComparative StudyReview
In one paragraph

Review in Journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Advances in Immunotherapy for Hepatitis B.Pathogens (Basel, Switzerland) · 2022
    Review
  19. Article
  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

28 authors at 20 institutions in 11 countries.

Michael R CharltonTransplant Institute, Center for Liver Diseases, University of Chicago Biological Sciences, 5841 South Maryland Avenue, Chicago, Illinois, USA. mcharlton@medicine.bsd.uchicago.edu.
Altaf AlamGI Hepatology, Lahore, Pakistan.
Akash ShuklaDepartment of Gastroenterology, LTM Medical College and Sion Hospital, Maharashtra, Mumbai, India.
Bekhbold DashtserenLiver Center Hospital, Ulaanbaatar, Mongolia.
Cosmas Rinaldi Adithya LesmanaDepartment of Internal Medicine, Hepatobiliary Division, Dr. Cipto Mangunkusumo Hospital, Universitas Indonesia, Jakarta, Indonesia.
Davadoorj DugerMongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Diana Alcantara PayawalDepartment of Medicine, Cardinal Santos Medical Center, Mandaluyong, Metro, Manila, Philippines.
Do Duy CuongDepartment of Infectious Diseases and HIV Outpatient Clinic, Bach Mai Hospital, Hanoi, Vietnam.
Ganbolor JargalsaikhanDepartment Liver Center, Ulaanbaatar, Mongolia.
Ian Homer Yee CuaResearch Committee and Social Committee, Institute of Digestive and Liver Diseases, St. Luke's Medical Center, Taguig, Philippines.
Jose Decena SollanoDepartment of Medicine, University of Santo Tomas Hospital, Manila, Philippines.
Karam Romeo SinghLiver Clinic, Regional Institute of Sciences, Imphal, India.
Kaushal MadanGastroenterology & Hepatology, Max Smart Super Speciality Hospital, Saket, New Delhi, India.
Khin Maung WinUniversity of Medicine (1) YGN, Yangon, Myanmar.
Khin Pyone KyiMyanmar Liver Foundation, Liver Foundation, Yangon, Myanmar.
Kyaw Soe TunMyanmar GI and Liver Society, Yangon, Myanmar.
Mohd SalihDepartment of Hepatology, Quaid e Azam International Hospital, Islamabad, Pakistan.
Mukul RastogiDepartment of Hepatology and Gastroenterology, Fortis Hospital, Noida, India.
Neeraj SarafClinical/Transplant Hepatology Institute of Digestive and Hepatobiliary Sciences Medanta, The Medicity, Gurgaon, New Delhi, India.
Pham Thi Thu ThuyDepartment of Medic Medical Center, Ho Chi Minh City, Vietnam.
Pham Tran Dieu HienDepartment of Infectious Disease, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam.
Rino Alvani GaniLiver Transplantation team, Ciptomangunkusumo Hospital, Jakarta, Indonesia.
Rosmawati MohamedDepartment of Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Tawesak TanwandeeDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Teerha PiratvisuthDepartment of Medicine, NKC Institute of Gastroenterology and Hepatology, Songklanagarind Hospital, Prince of Songkla University, Hat Yai, Thailand.
Wattana SukeepaisarnjaroenGastroenterology Unit, Department of Medicine, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Win NaingDepartment of Hepatology, Yangon General Hospital, University of Medicine (1), Yangon, Myanmar.
Zahid Yasin HashmiPMC, Allied and DHQ Hospital, Faisalabad, Pakistan.
Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDUniversity Of Medicine 1 Yangon · MMAllied Hospital · PKBạch Mai Hospital · VNFortis Hospital · INKhon Kaen University · THLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · INMax Super Speciality Hospital · INMedanta The Medicity · INMongolian National University of Medical Sciences · MNPham Ngoc Thach University of Medicine · VNRegional Institute of Medical Sciences · INShifa International Hospital · PKSiriraj Hospital · THSongklanagarind Hospital · THSt. Luke's Medical Center · PHTaipei Medical University · TWUniversity Malaya Medical Centre · MYUniversity Medical Center HCMC · VNUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asia has intermediate-to-high prevalence and high morbidity of hepatitis B virus (HBV) infection. The use of guideline-recommended nucleos(t)ide analogs with high barrier to resistance, such as entecavir (ETV), tenofovir disoproxil fumarate (TDF), and tenofovir alafenamide (TAF), is one of the key interventions for curbing HBV infection and associated morbidity in Asia. However, there are some challenges to the use of ETV and TDF; while ETV is associated with high resistance in lamivudine (LAM)-exposed (especially LAM-refractory) patients; bone and renal safety issues are a major concern with TDF. Hence, a panel of twenty-eight expert hepatologists from Asia convened, reviewed the literature, and developed the current expert opinion-based review article for the use of TAF in the resource-constrained settings in Asia. This article provides a comprehensive review of two large, phase 3, double-blind, randomized controlled trials of TAF versus TDF in HBeAg-negative (study 0108) and HBeAg-positive (study 0110) chronic HBV patients (> 70% Asians). These studies revealed as follows: (1) non-inferiority for the proportion of patients who had HBV DNA < 29 IU/mL; (2) significantly high rate of normalization of alanine aminotransferase levels; (3) no incidence of resistance; and (4) significantly better bone and renal safety, with TAF vs. TDF up to 144 weeks. Considering the benefits of TAF, the expert panel proposed recommendations for optimizing the use of TAF in Asia, along with guidance on specific patient groups at risk of renal or bone disease suitable for TAF therapy. The guidance provided in this article may help clinicians optimize the use of TAF in Asia.

Indexed as

AlanineAntiviral AgentsAsiaDrug Resistance, ViralHepatitis B, ChronicHumansRandomized Controlled Trials as TopicTenofovirAlanineAntiviral AgentsTenofovirtenofovir alafenamideAsiaHepatitis B virusNucleoside analogsTenofovir alafenamide

Identifiers

PMID32666200
PMCPMC7452871
OpenAlexW3042239708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.