Evidence map›Paper›PMID 36643032›Full record

ArticleJournal of clinical and translational hepatology2023

An-Luo-Hua-Xian Pill Improves the Regression of Liver Fibrosis in Chronic Hepatitis B Patients Treated with Entecavir.

Yi-Qi Liu, Chi Zhang, Jia-Wen Li, Li-Hua Cao, Zhan-Qing Zhang, Wei-Feng Zhao, Qing-Hua Shang, Da-Zhi Zhang, An-Lin Ma, Qing Xie and 32 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical and translational hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. [Chinese guidelines for clinical diagnosis, treatment, and management of cirrhosis (2025)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Guideline
  2. [Concise guidelines for the clinical management of thrombocytopenia in cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Guideline
  3. Article
  4. Review
  5. [A review of research progress in integrated traditional Chinese and Western Medicine for liver diseases].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  6. [Exploring the advantages of traditional Chinese medicine and dual-anti therapy for liver cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  7. Chinese Expert Consensus for the Management of Thrombocytopenia in Cirrhosis.Journal of clinical and translational hepatology · 2025
    Article
  8. Article
  9. Chinese Guidelines on the Management of Hepatic Encephalopathy in Cirrhosis (2024).Journal of clinical and translational hepatology · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. [Chinese guidelines on the management of hepatic encephalopathy in cirrhosis (2024)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
  14. [Progress on the research of liver diseases in 2023].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
  15. Review
  16. Article
  17. Guidelines for the Prevention and Treatment of Chronic Hepatitis B (version 2022).Journal of clinical and translational hepatology · 2023
    Article
  18. [Guidelines for the prevention and treatment of chronic hepatitis B (version 2022)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  19. [Guidelines on the management of esophagogastric variceal bleeding in cirrhotic portal hypertension].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    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

42 authors at 13 institutions in 2 countries.

Yi-Qi LiuDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.
Chi ZhangDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.
Jia-Wen LiDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.
Li-Hua CaoDepartment of Hepatology, The Third Hospital of Qinhuangdao, Qinhuangdao, Hebei, China.
Zhan-Qing ZhangDepartment of Infectious Disease, Shanghai Public Health Clinical Center, Fudan University, Shanghai, China.
Wei-Feng ZhaoDepartment of Infectious Disease, Xinxiang Medical University Affiliated Third Hospital, Xinxiang, Henan, China.
Qing-Hua ShangNo. 88 Hospital of Chinese People's Liberation Army (PLA), Jinan, Shandong, China.
Da-Zhi ZhangDepartment of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
An-Lin MaDepartment of Infectious Disease, China-Japan Friendship Hospital, Beijing, China.
Qing XieDepartment of Infectious Diseases, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Hong-Lian GuiDepartment of Infectious Diseases, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Guo ZhangDepartment of Gastroenterology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Ying-Xia LiuDepartment of Infectious Diseases, The Third People's Hospital of Shenzhen, Shenzhen, Guangdong, China.
Jia ShangDepartment of Infectious Diseases, The People's Hospital of Henan Province, Zhengzhou, Henan, China.
Shi-Bin XieDepartment of Infectious Disease, The Third Affiliated Hospital of Sun-Yat Sen University, Guangzhou, Guangdong, China.
Jun LiDepartment of Infectious Diseases, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Xu-Qing ZhangDepartment of Infectious Diseases, The Southwest Hospital of Army Medical University, Chongqing, China.
Zhi-Qiang ZouYantai Infectious Diseases Hospital, Yantai, Shandong, China.
Yu-Ping ChenDepartment of Hepatology, Baoding Infectious Diseases Hospital, Baoding, Hebei, China.
Zong ZhangDepartment of Integrated Traditional Chinese Medicine (TCM) and Western Medicine, Jinan Infectious Diseases Hospital, Shandong University, Jinan, Shandong, China.
Ming-Xiang ZhangDepartment of Integrated TCM and Western Medicine in Hepatology, The Sixth People's Hospital of Shenyang, Shenyang, Liaoning, China.
Jun ChengBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Fu-Chun ZhangDepartment of Infectious Diseases, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Li-Hua HuangDepartment of Hepatology, Wuxi No. 5 People's Hospital, Wuxi, Jiangsu, China.
Jia-Bin LiThe First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Qing-Hua MengDepartment of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Hai-Bin YuDepartment of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Yu-Qiang MiTianjin Second People's Hospital, Tianjin, China.
Yan-Zhong PengDepartment of Infectious Diseases, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Zhi-Jin WangNo. 305 Hospital of PLA, Beijing, China.
Li-Ming ChenDepartment of Hepatology, The Fifth Medical Center of the PLA General Hospital, Beijing, China.
Fan-Ping MengDepartment of Hepatology, The Fifth Medical Center of the PLA General Hospital, Beijing, China.
Wan-Hua RenDepartment of Infectious Diseases, Shandong Provincial Hospital, Jinan, Shandong, China.
Lang BaiDepartment of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yi-Lan ZengDepartment of Hepatology, The Public Hospital Center of Chengdu, Chengdu, Sichuan, China.
Rong FanDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xian-Zhi LouDepartment of Infectious Diseases, The Affiliated Central Hospital of Shenyang Medical College, Shenyang, Liaoning, China.
Wei-Feng LiangDepartment of Infectious Diseases, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
Hui LiuDepartment of Pathology, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Hui ZhuangDepartment of Microbiology and Infectious Disease Center, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China.
Hong ZhaoDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-8069-9901
Gui-Qiang WangDepartment of Infectious Disease, Center for Liver Disease, Peking University First Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-0317-7536
NIHR Birmingham Liver Biomedical Research Unit · GBPeking University · CNCapital Medical University · CNAnhui Medical University · CNChinese PLA General Hospital · CNRuijin Hospital · CNShandong University of Traditional Chinese Medicine · CNArmy Medical University · CNChina-Japan Friendship Hospital · CNDalian Medical University · CNShenyang Medical College · CNSichuan University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Chronic hepatitis B (CHB) can cause liver fibrosis and lead to cirrhosis and cancer. As the effectiveness of antiviral therapy to reverse liver fibrosis is limited, We aimed to evaluate the effect of An-Luo-Hua-Xian pill (ALHX) on fibrosis regression in CHB patients treated with entecavir (ETV). Methods: Treatment-naïve patients with CHB were randomly treated with ETV alone or combined with ALHX (ETV+ALHX) between October 1, 2013 and December 31, 2020. Demographic, laboratory, and liver histology data before and after 78 weeks of treatment were collected. The Ishak fibrosis score (F) was used and fibrosis regression required a decrease in F of ≥1 after treatment. Results: A total of 780 patients were enrolled, and 394 with a second liver biopsy after treatment were included in the per-protocol population, 132 in ETV group and 262 in ETV+ALHX group. After 78 weeks of treatment, the fibrosis regression rate in the ETV+ALHX group was significantly higher than that of the ETV group at baseline F≥3 patients: 124/211 (58.8%) vs. 45/98 (45.9%), Conclusions: ETV combined with ALHX increased liver fibrosis regression in CHB patients.

Indexed as

Chronic hepatitis BLiver fibrosisRandomized controlled trialRegression

Identifiers

PMID36643032
PMCPMC9817059
OpenAlexW4282014568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.