Evidence map›Paper›PMID 34133774›Full record

Trial reportHepatology (Baltimore, Md.)2021

Comparison of HBV RNA and Hepatitis B Core Related Antigen With Conventional HBV Markers Among Untreated Adults With Chronic Hepatitis B in North America.

Marc G Ghany, Wendy C King, Mauricio Lisker-Melman, Anna S F Lok, Norah Terrault, Harry L A Janssen, Mandana Khalili, Raymond T Chung, William M Lee, Daryl T Y Lau and 2 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Hepatology (Baltimore, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Value and Kinetics of Virological Markers in the Natural Course of Chronic Hepatitis D Virus Infection.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 12 institutions in 2 countries.

Marc G GhanyLiver Diseases Branch, NIDDK, NIH, Bethesda, MD.ORCID 0000-0003-2837-0188
Wendy C KingGraduate School of Public Health University of Pittsburgh, Pittsburgh, PA.
Mauricio Lisker-MelmanWashington University School of Medicine and John Cochran VA Medical Center, St. Louis, MO.
Anna S F LokDivision of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, MI.
Norah TerraultDivision of Gastrointestinal and Liver Diseases, Keck Medicine of University of Southern California, Los Angeles, CA.ORCID 0000-0003-4143-1950
Harry L A JanssenToronto Centre for Liver Disease, University of Toronto, Toronto, ON, Canada.
Mandana KhaliliDivision of Gastroenterology and Hepatology, Department of Medicine, University of California San Francisco, San Francisco, CA.ORCID 0000-0001-9178-9139
Raymond T ChungHepatology and Liver Center, Massachusetts General Hospital, Boston, MA.
William M LeeMeredith Mosle Chair in Liver Disease, UT Southwestern Medical Center, Dallas, TX.
Daryl T Y LauDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.ORCID 0000-0003-4139-1987
Gavin A ClohertyAbbott Diagnostics, Abbott Park, IL.
Richard K SterlingDivision of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University, Richmond, VA.ORCID 0000-0002-8637-2475
Abbott (United States) · USBeth Israel Deaconess Medical Center · USJohn Cochran VA Medical Center · USMassachusetts General Hospital · USNational Institutes of Health · USSouthwestern Medical Center · USUniversity of California, San Francisco · USUniversity of Michigan · USUniversity of Pittsburgh · USUniversity of Southern California · USUniversity of Toronto · CAVirginia Commonwealth University · US

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI KOTLYAR, MICHAEL · 1985 to 2009
$33.7M
TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 1997 to 2026
$32.5M
Hepatitis B Research Network - Data Coordination CenterU01DK082864 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BELLE, STEVEN H. · 2008 to 2019
$25.3M
ZDV VS ZDV + DDL VS ZDV + DDL + NVP IN ASYMPTOMATIC HIV PATIENTSM01RR000040 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 1985 to 2006
$21.1M
Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
WALDEMAR POPIK, PHD, LAB STARTUP PACKAGE: HIVU54RR019192 · NCRR · MEHARRY MEDICAL COLLEGE · PI HAMPTON, JACQUELINE L · 2003 to 2009
$10.3M
Hepatitis B Research Network (HBRN): Natural History and Treatment StudiesU01DK082944 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COOPER, STEWART, KHALILI, MANDANA · 2008 to 2019
$10.0M
Natural History, Therapy and Pathogenesis of Chronic Viral Hepatitis BZIADK054517 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI GHANY, MARC · 2009 to 2025
$9.6M
Observation Study of Persons with Chronic Hepatitis B Virus infection in North AmericaU01DK082874 · NIDDK · UNIVERSITY HEALTH NETWORK · PI JANSSEN, HARRY · 2008 to 2019
$6.9M
NCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR000058NCATS NIH HHS UL1 TR001111NCRR NIH HHS M01 RR000040NCRR NIH HHS M01 RR000400NCRR NIH HHS U54 RR019192NCRR NIH HHS UL1 RR024986NIAAA NIH HHS K24 AA022523NIDDK NIH HHS P30 DK050306NIDDK NIH HHS U01 DK082843NIDDK NIH HHS U01 DK082863NIDDK NIH HHS U01 DK082864NIDDK NIH HHS U01 DK082866NIDDK NIH HHS U01 DK082867NIDDK NIH HHS U01 DK082871NIDDK NIH HHS U01 DK082872NIDDK NIH HHS U01 DK082874NIDDK NIH HHS U01 DK082919NIDDK NIH HHS U01 DK082923NIDDK NIH HHS U01 DK082927NIDDK NIH HHS U01 DK082943NIDDK NIH HHS U01 DK082944
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe clinical utility of two biomarkers, hepatitis B virus (HBV) RNA and hepatitis B core-related antigen (HBcrAg), as compared to conventional markers of HBV replication and disease activity, is unclear. APPROACH AND

resultsUntreated participants in the North American Hepatitis B Research Network Adult Cohort Study were categorized by chronic hepatitis B (CHB) phases based on HBsAg and HBeAg status and HBV DNA and alanine aminotransferase (ALT) levels. HBV RNA and HBcrAg were measured (Abbott HBV pgRNA Research Assay and Fujirebio Lumipulse Immunoassay, respectively), and cross-sectional associations with conventional CHB markers were tested. Among 1,409 participants across all CHB phases, median HBV DNA was 3.8 log

conclusionsDespite clear relationships between HBV RNA and HBcrAg levels and CHB phases, these markers have limited additional value in differentiating CHB phases because of their strong association with HBV DNA and, to a lesser extent, with clinical disease indicators.

Indexed as

AdultAlanine TransaminaseBiomarkersCross-Sectional StudiesDNA, ViralFemaleFollow-Up StudiesGenotypeHepatitis B, ChronicHepatitis B Core AntigensHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B virusHumansMaleMiddle AgedAlanine TransaminaseBiomarkersDNA, ViralHepatitis B Core AntigensHepatitis B e AntigensHepatitis B Surface AntigensRNA, Viral

Identifiers

PMID34133774
PMCPMC8895675
OpenAlexW3167667908

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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.