Evidence map›Paper›PMID 38353882›Full record

ArticleDrug safety2024

Consensus Guidelines: Best Practices for the Prevention, Detection and Management of Hepatitis B Virus Reactivation in Clinical Trials with Immunosuppressive/Immunomodulatory Therapy.

Eric B Cohen, Arie Regev, Anju Garg, Adrian M Di Bisceglie, James H Lewis, John M Vierling, Judith Hey-Hadavi, Klaudia Steplewski, Anna Fettiplace, Chunlin L Chen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Drug safety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Drug-Induced Liver Injury in Patients With Chronic Liver Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  10. Review
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

13 authors at 12 institutions in 3 countries.

Eric B CohenAbbVie Inc., Pharmacovigilance and Patient Safety, North Chicago, IL, USA. eric.cohen@abbvie.com.
Arie RegevEli Lilly and Company, Global Patient Safety, Indianapolis, IN, USA.
Anju GargSanofi, Patient Safety & Pharmacovigilance, Bridgewater, NJ, USA.
Adrian M Di BisceglieDepartment of Internal Medicine, Saint Louis University, St. Louis, MO, USA.
James H LewisDivision of Gastroenterology, Georgetown University, Washington, DC, USA.
John M VierlingSection of Gastroenterology and Hepatology and Division of Abdominal Transplantation, Baylor College of Medicine, Houston, TX, USA.
Judith Hey-HadaviPfizer Inc. Global Medical Affairs, New York, NY, USA.
Klaudia SteplewskiGlaxoSmithKline LLC, Clinical Safety and Pharmacovigilance, Collegeville, PA, USA.
Anna FettiplaceAstraZeneca plc, Pharmacovigilance, Cambridge, UK.
Chunlin L ChenBayer HealthCare Pharmaceuticals, LLC. Pharmacovigilance, Berlin, Germany.
Nonko PehlivanovMerck & Co., INC, Clinical Safety Risk Management, Rahway, NJ, USA.
Stuart KendrickGlaxoSmithKline LLC, Medical Affairs-Hepatology, Stevenage, UK.
Mark I AviganFood and Drug Administration, Center for Drug Evaluation and Research, Silver Spring, MD, USA.
National Patient Safety Foundation · USAbbVie (United States) · USAstraZeneca (United Kingdom) · GBBayer (Germany) · DEBaylor College of Medicine · USCenter for Drug Evaluation and Research · USGeorgetown University · USGlaxoSmithKline (United Kingdom) · GBGlaxoSmithKline (United States) · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USPfizer (United States) · USSaint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis B virus reactivation (HBVr) during and after immunosuppressive/immunomodulatory (IS/IM) therapy is associated with significant morbidity and mortality, including hepatic decompensation and acute liver failure. The risk of HBVr with IS/IM has been heterogeneous and often unpredictable. As a result, patients with active or previous HBV infection are often excluded from clinical drug trials of such agents. Thorough screening for HBV infection, antiviral prophylaxis, and careful monitoring for HBVr have proven to be effective in reducing the rate of HBVr and improving its outcome in the context of IS/IM. Therefore, safe enrollment and management of certain HBV-marker-positive patients in clinical trials is possible. There is a great, unmet need for consistent, evidence-based recommendations for best practices pertaining to enrollment, monitoring, and management of HBVr in clinical trial participants receiving IS/IM. The aim of these consensus guidelines is to provide a step-by-step blueprint to safely enroll, monitor and manage the patient with inactive chronic or resolved HBV in IS/IM clinical trials from the time of screening through to the end of post-treatment follow up.

Indexed as

Hepatitis BHepatitis B virusAntiviral AgentsClinical Trials as TopicHumansImmunosuppressive AgentsVirus ActivationAntiviral AgentsImmunosuppressive Agents

Identifiers

PMID38353882
PMCPMC10954982
OpenAlexW4391815777

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.