Evidence map›Paper›PMID 34422709›Full record

ArticleCanadian journal of gastroenterology & hepatology2021

Clinical Features and Resistance to Entecavir Monotherapy of Patients with Hepatitis B.

Hideo Takayama, Takuya Komura, Takashi Kagaya, Saiho Sugimoto, Noriaki Orita, Yoshiro Asahina, Masashi Nishikawa, Hajime Ohta, Shuichi Kaneko, Masashi Unoura

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

10 authors at 3 institutions in 1 country.

Hideo TakayamaDivision of Gastroenterology NHO, Kanazawa Medical Center, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.ORCID 0000-0001-8247-483X
Takuya KomuraDivision of Gastroenterology NHO, Kanazawa Medical Center, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.ORCID 0000-0001-7537-1816
Takashi KagayaDivision of Gastroenterology NHO, Kanazawa Medical Center, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.
Saiho SugimotoSystem Biology, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan.
Noriaki OritaSystem Biology, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan.
Yoshiro AsahinaSystem Biology, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan.
Masashi NishikawaDivision of Gastroenterology NHO, Kanazawa Medical Center, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.
Hajime OhtaMunicipal Tsuruga Hospital, Tsuruga, Japan.
Shuichi KanekoSystem Biology, Kanazawa University, Graduate School of Medical Science, Kanazawa, Japan.
Masashi UnouraDivision of Gastroenterology NHO, Kanazawa Medical Center, 1-1 Shimoishibikimachi, Kanazawa, Ishikawa 920-8650, Japan.
Kanazawa Medical Center · JPKanazawa University · JPMunicipal Tsuruga Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Hepatitis B virus (HBV) infection is a major public health concern worldwide. Entecavir (ETV), a first-line nucleos(t)ide analogue (NA) for HBV, has a low risk of resistance. We evaluated the efficacy of ETV monotherapy, ratio of ETV-resistant, and the clinical features of patients with ETV resistance. Methods: A total of 130 patients (72 males, 58 females; mean age, 61 ± 15 years) were divided into a NA-naïve group ( Results: Among the 130 patients, 94.1% achieved ALT normalization and 63.6% achieved serum HBV DNA negativity after ETV monotherapy for 96 weeks. Of the patients in the NA-naïve group, 93.1% and 60.4% achieved ALT normalization and HBV DNA negativity, respectively. Of the patients in the NA-experienced group, 100% and 74.9% achieved ALT normalization and HBV DNA negativity, respectively. Compared to patients on ETV continuously, 15 ETV-resistant patients had a higher baseline HBV viral load. There was a significant difference in the time to HBV DNA negativity, but not ALT normalization after ETV monotherapy in these groups. Rescue treatment with other NAs led to ALT normalization in all of these patients, but not HBV DNA negativity. Conclusions: ETV monotherapy has a long-term clinical efficacy. While some patients especially with HBV DNA high viral load developed ETV resistance, rescue treatment led to ALT normalization in these patients.

Indexed as

Hepatitis B, ChronicAgedAntiviral AgentsDNA, ViralDrug Resistance, ViralFemaleGuanineHepatitis B e AntigensHepatitis B virusHumansMaleMiddle AgedTreatment OutcomeAntiviral AgentsDNA, ViralentecavirGuanineHepatitis B e Antigens

Identifiers

PMID34422709
PMCPMC8376438
OpenAlexW3192420389

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.