Evidence map›Paper›PMID 35735794›Full record

ArticleAlimentary pharmacology & therapeutics2022

Switching to tenofovir alafenamide for nucleos(t)ide analogue-experienced patients with chronic hepatitis B: week 144 results from a real-world, multi-centre cohort study.

Eiichi Ogawa, Makoto Nakamuta, Toshimasa Koyanagi, Aritsune Ooho, Norihiro Furusyo, Eiji Kajiwara, Kazufumi Dohmen, Akira Kawano, Takeaki Satoh, Kazuhiro Takahashi and 13 more

Abstract readMulticenter Study
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–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.

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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. [Study on the efficacy and safety profile of tenofovir alafenamide fumarate in the treatment of patients with decompensated hepatitis B cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Eiichi OgawaDepartment of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.ORCID 0000-0002-5082-3967
Makoto NakamutaDepartment of Gastroenterology, Kyushu Medical Center, National Hospital Organization, Fukuoka, Japan.
Toshimasa KoyanagiDepartment of Medicine, Fukuoka City Hospital, Fukuoka, Japan.
Aritsune OohoDepartment of Hepatology, Steel Memorial Yawata Hospital, Kitakyushu, Japan.
Norihiro FurusyoGeneral Internal Medicine, Taihaku Avenue Clinic, Fukuoka, Japan.
Eiji KajiwaraKajiwara Clinic, Kitakyushu, Japan.
Kazufumi DohmenDepartment of Internal Medicine, Chihaya Hospital, Fukuoka, Japan.
Akira KawanoDepartment of Medicine, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.
Takeaki SatohCenter for Liver Disease, Kokura Medical Center, National Hospital Organization, Kitakyushu, Japan.
Kazuhiro TakahashiDepartment of Medicine, Hamanomachi Hospital, Fukuoka, Japan.
Koichi AzumaDepartment of Medicine, Kyushu Central Hospital, Fukuoka, Japan.
Nobuyuki YamashitaThe Center for Liver Disease, Shin-Kokura Hospital, Kitakyushu, Japan.
Naoki YamashitaDepartment of Gastroenterology, Kyushu Medical Center, National Hospital Organization, Fukuoka, Japan.
Rie SugimotoDepartment of Gastroenterology, Kyushu Cancer Center, Fukuoka, Japan.
Hiromasa AmagaseAmagase Clinic, Kitakyushu, Japan.
Masami KuniyoshiDepartment of Gastroenterology, Kyushu Rosai Hospital, Kitakyushu, Japan.
Yasunori IchikiDepartment of Internal Medicine, JCHO Kyushu Hospital, Kitakyushu, Japan.
Chie MoritaDepartment of Internal Medicine, Kyushu Railway Memorial Hospital, Kitakyushu, Japan.
Masaki KatoDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Shinji ShimodaDepartment of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hideyuki NomuraDepartment of Internal Medicine, Haradoi Hospital, Fukuoka, Japan.
Jun HayashiKyushu University, Fukuoka, Japan.
Kyushu University Liver Disease Study (KULDS) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTenofovir alafenamide (TAF) may be preferable to other nucleos(t)ide analogues (NA) regarding outcomes against chronic hepatitis B virus (HBV) infection.

aimsTo evaluate the longer term virological/biochemical effectiveness of TAF and the renal safety of sequential therapy to TAF in real-world settings

methodsThis multi-centre, retrospective cohort study included consecutive adult patients who were switched from other NAs to TAF. We assessed the virological and biochemical responses up to 144 weeks. We performed sensitivity analyses for a subgroup with chronic kidney disease (CKD) at baseline.

resultsWe analysed the data of 391 patients with chronic hepatitis B previously treated with entecavir (ETV) (n = 174), tenofovir disoproxil fumarate (TDF) (n = 116) or an NA combination (n = 101) for ≥ 24 months. HBV DNA <10 IU/ml at week 144 was found for 99% of patients, regardless of prior NA regimen or HBV DNA level at baseline. For patients who switched from TDF to TAF, total, low-density lipoprotein, high-density lipoprotein cholesterol and triglycerides were significantly increased after the switch. Patients who switched from a nucleotide analogue to TAF had an improved estimated glomerular filtration rate, although the rate of hypophosphataemia (<2.5 mg/dl) remained 9.7% at week 144. The virological and biochemical responses of patients with CKD were similar to the overall results.

conclusionsSwitching to TAF remained effective and safe for up to 3 years. Given the increasing comorbidities related to ageing, it will be important to carefully follow the change in the lipid levels of patients with a prior TDF-based regimen.

Indexed as

Hepatitis B, ChronicRenal Insufficiency, ChronicAdenineAdultAlanineAntiviral AgentsDNA, ViralHumansRetrospective StudiesTenofovirTreatment OutcomeAdenineAlanineAntiviral AgentsDNA, ViralTenofovirtenofovir alafenamidechronic kidney diseaseentecavirhepatitis B virustenofovir alafenamidetenofovir disoproxil fumarate

Identifiers

PMID35735794
PMCPMC9543913

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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.