Evidence map›Paper›PMID 33460002›Full record

ArticleHepatology international2021

Prediction of liver-related events in patients with compensated HBV-induced cirrhosis receiving antiviral therapy.

Xiaoning Wu, Jialing Zhou, Yameng Sun, Huiguo Ding, Guofeng Chen, Wen Xie, Hongxin Piao, Xiaoyuan Xu, Wei Jiang, Hui Ma and 13 more

4 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Hepatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01720238 unknown statusnot on this map

Clinical Effects and Cost-effectiveness Analysis of Early Anti-viral Therapy on HBV-related Compensated Liver Cirrhosis

TypeobservationalSponsorBeijing Friendship HospitalRan2012 to 2018Enrolled621ConditionsLiver Cirrhosis, Hepatitis BArmsEntecavir, Lamivudine plus Adefovir Dipivoxil
NCT01943617 phase4completednot on this map

Optimized Treatment and Regression of HBV-induced Compensated Liver Cirrhosis

TypeinterventionalSponsorBeijing Friendship HospitalRan2013 to 2016Enrolled606ConditionsLiver CirrhosisArmsEntecavir, Thymosin-α
NCT02849132 phase4unknown statusnot on this map

Effect of Entecavir Treatment on Regression and Long-term Disease Outcome in Patients With HBV-induced Liver Fibrosis and Cirrhosis (Regress Extension Study)

TypeinterventionalSponsorBeijing Friendship HospitalRan2016 to 2025Enrolled800ConditionsHepatitis B, Liver CirrhosisArmsEntecavir
NCT03366571 unknown statusnot on this map

Improvement of Hard Endpoint in Chronic Hepatitis B Patients Treated With Antiviral Therapy

TypeobservationalSponsorBeijing Friendship HospitalRan2016 to 2024Enrolled600ConditionsChronic Hepatitis BArmsNucleos(t)ide Analogues
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. [A 2020 update on the progress of treatment and new drug clinical trials for hepatitis B].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    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

23 authors.

Xiaoning WuLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.ORCID http://orcid.org/0000-0001-5416-712X
Jialing ZhouLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Yameng SunLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Huiguo DingDepartment of Gastroenterology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Guofeng ChenDivision of Liver Fibrosis, The Fifth Medical Center, General Hospital of the People's Liberation Army, Beijing, China.
Wen XieLiver Research Center, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
Hongxin PiaoOffice of Clinical Trials, Affiliated Hospital of Yanbian University, Yanji, Jilin, China.
Xiaoyuan XuDivision of Infectious Diseases, Peking University First Hospital, Beijing, China.
Wei JiangDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai, China.
Hui MaLiver Research Center, Peking University People's Hospital, Beijing, China.
Anlin MaDivision of Infectious Diseases, China-Japan Friendship Hospital, Beijing, China.
Yongpeng ChenDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Mingyi XuDepartment of Gastroenterology and Hepatology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jilin ChengDepartment of Gastroenterology, Shanghai Public Health Clinical Center, Shanghai, China.
Youqing XuDepartment of Gastroenterology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tongtong MengLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Bingqiong WangLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Shuyan ChenLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Yiwen ShiLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China.
Yuanyuan KongNational Clinical Research Center of Digestive Disease, Beijing, China.
Xiaojuan OuLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China. ouxj16@126.com.
Hong YouLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China. youhong30@sina.com.
Jidong JiaLiver Research Center, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xi-Cheng District, Beijing, 100050, China. jia_jd@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-4673-8890

Funding

Beijing Municipal Commission of Science and Technology D161100002716003National Major Science and Technology Projects of China 2017ZX10203202-003National Major Science and Technology Projects of China 2018ZX09201016National Major Science and Technology Projects of China 2018ZX10302204-004the Digestive Medical Coordinated Devloment center of Beijing Hospitals Authority XXZ0405
6 · The paper itself

Abstract

BACKGROUND AND

aimsMany models have been developed to predict liver-related events (LRE) in chronic hepatitis B, few focused on compensated HBV-induced cirrhosis. We aimed to describe the incidence of LRE and to determine independent risk predictors of LRE in compensated HBV-induced cirrhosis patients receiving antiviral therapy using routinely available parameters.

methodsProspective cohorts of treatment-naïve adults with compensated HBV-induced cirrhosis were enrolled. Patients were treated with entecavir (ETV) or ETV + thymosin-alpha1 (Thy-α1) or lamivudine (LAM) + adefovir (ADV). Data were collected at baseline and every 6 months. LRE was defined as development of decompensation, HCC or death.

resultsTotally 937 patients were included, 608 patients treated with ETV, 252 with ETV + Thy-α1, and 77 with LAM + ADV. After a median follow-up of 4.5 years, 88 patients developed LRE including 48 with HCC. The cumulative incidence of LRE at year 1, 3, and 5 was 2.1%, 7.0%, and 12.7%, respectively, and was similar for three treatment groups. All models using variables at month 6 or 12 had better fit than models using baseline values. The best model for prediction of LRE used PLT, GGT, and AFP at month 6 [AUC: 0.762 (0.678-0.814)], for hepatic decompensation-PLT, LSM and GGT at month 12 (AUC: 0.834 (0.675-0.919)), and for HCC-AFP and GGT at month 6 [AUC 0.763 (0.691-0.828)]. All models had negative predictive values of 94.0-98.8%.

conclusionModels using on-treatment variables are more accurate than models using baseline variables in predicting LRE in patient with compensated HBV-induced cirrhosis receiving antiviral therapy. ClincialTrials.gov number NCT01943617, NCT01720238, NCT03366571, NCT02849132.

Indexed as

Carcinoma, HepatocellularHepatitis B, ChronicLiver CirrhosisAdultAntiviral AgentsDNA, ViralHepatitis B virusHumansLamivudineLiver NeoplasmsProspective StudiesTreatment OutcomeAntiviral AgentsDNA, ViralLamivudineAntiviral therapyHBV-induced cirrhosisLiver-related eventsPrediction

Identifiers

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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.