Evidence map›Paper›PMID 34884330›Full record

ArticleJournal of clinical medicine2021

Efficacy and Safety of Tenofovir Disoproxil Orotate in Chronic Hepatitis B Patients Previously Treated with Tenofovir Disoproxil Fumarate: Multicenter, Open-Label, Prospective Study.

Young Chang, Sang-Gyune Kim, Soung-Won Jeong, Jae-Young Jang, Jeong-Ju Yoo, Sae-Hwan Lee, Young-Seok Kim, Hong-Soo Kim, Hyun-Woong Lee, Suyeon Park

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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.

Young ChangDigestive Disease Center, Department of Internal Medicine, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul 04401, Korea.
Sang-Gyune KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.ORCID 0000-0001-8694-777X
Soung-Won JeongDigestive Disease Center, Department of Internal Medicine, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul 04401, Korea.
Jae-Young JangDigestive Disease Center, Department of Internal Medicine, Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul 04401, Korea.
Jeong-Ju YooDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.ORCID 0000-0002-7802-0381
Sae-Hwan LeeDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan 31151, Korea.
Young-Seok KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.
Hong-Soo KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan 31151, Korea.
Hyun-Woong LeeDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.ORCID 0000-0002-6958-3035
Suyeon ParkDepartment of Biostatistics, Soonchunhyang University Hospital, Seoul 04401, Korea.ORCID 0000-0002-6391-557X
Soonchunhyang University · KRSoonchunhyang University Hospital Seoul · KRYonsei University · KR

Funding

Soonchunhyang University Hospital N/A
6 · The paper itself

Abstract

BACKGROUND/

aimWe aimed to demonstrate the efficacy and safety of tenofovir disoproxilorotate (TDO) compared with that of tenofovir disoproxil fumarate (TDF) in patients with chronic hepatitis B.

methodsThis multicenter, open-label, prospective clinical trial (KCT0004185) was conducted to evaluate the efficacy and safety of TDO on switching from TDF for 24 weeks in virologically suppressed chronic hepatitis B patients. The primary efficacy endpoint was the maintenance of virologic response. Safety was assessed by evaluating major adverse events, changes in renal function, and occurrence of hepatocellular carcinoma (HCC).

resultsTDO treatment was not inferior in terms of virological response when compared with that on TDF treatment, with a noninferiority margin of -10% (risk difference, -3.17%; 95% confidence interval, -7.5%-1.15%). The biological response of TDO was also comparable to that of TDF, with no significant difference in the proportion of patients with normalized alanine transaminase levels. After 24 weeks of treatment, hepatitis B core-related antigen (HBcrAg) significantly decreased to a mean titer of 3.91 log U/mL from 4.15 log U/mL at baseline (

conclusionIn patients with chronic hepatitis B, the efficacy of TDO was noninferior to that of TDF, with a significant decrease in the HBcrAg titer and improved renal function.

Indexed as

chronic hepatitis BHBcrAgnoninferiorityrenal functiontenofovir disoproxil orotate

Identifiers

PMID34884330
PMCPMC8658686
OpenAlexW3217068148

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.