Evidence map›Paper›PMID 40108632›Full record

ArticleVirology journal2025

Nucleos(t)ide analogs continuation is not associated with a lower risk of HBsAg seroreversion following PEG-IFN-induced HBsAg loss.

Na Gao, Haishi Wu, Bin Li, Huiying Yu, Lili Wu, Jing Zhang, Nan Zhang, Bingliang Lin, Qiyi Zhao, Zhiliang Gao

Erratum issuedAbstract read
In one paragraph

Article in Virology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [Chinese expert consensus on clinical practice of chronic hepatitis B functional (clinical) cure].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Guideline
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Na Gao *Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.ORCID 0000-0002-8622-9273
Haishi Wu *Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.ORCID 0009-0000-1446-0313
Bin Li *Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.ORCID 0009-0001-1406-019X
Huiying YuDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.
Lili WuDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.
Jing ZhangDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.
Nan ZhangDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.
Bingliang LinDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China.
Qiyi ZhaoDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China. zhaoqyi@mail.sysu.edu.cn.ORCID 0000-0003-0649-0437
Zhiliang GaoDepartment of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Number 600 Tianhe Road, Guangzhou, Guangdong, 510630, China. gaozhl@mail.sysu.edu.cn.ORCID 0000-0001-7611-4416

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515110584Foundation for Innovative Research Groups of the National Natural Science Foundation of China 81672701Fundamental Research Funds for the Central Universities 22ykqb01Guangzhou Municipal Science and Technology Program key projects 2023B01J1007Guangzhou Municipal Science and Technology Project 202201020467Innovative Research Group Project of the National Natural Science Foundation of China 82170612Postdoctoral Fellowship Program of CPSF GZC20233249
6 · The paper itself

Abstract

BACKGROUND/

aimsIt is unclear whether nucleos(t)ide analogs (NUCs) continuation provides clinical benefits following HBsAg seroclearance with pegylated interferon (PEG-IFN)-based therapy. This study aims to investigate the role of NUCs continuation in HBsAg seroreversion.

methodsPatients who experienced serum HBsAg loss after PEG-IFN-based therapy were enrolled and followed up for 96 weeks. Propensity score matching (PSM) was performed using a 1:1 ratio to adjust for the associated factors. A multivariate logistic regression analysis was used to determine the factors associated with HBsAg seroreversion.

resultsIn total, 220 patients with HBsAg seroclearance were divided into NUCs (n = 54) and non-NUCs (n = 166) consolidation therapy groups. At week 96, the HBsAg seroreversion (12/54 vs. 31/166, P = 0.709) and virological relapse (2/54 vs. 10/166, P = 0.759) rates were similar in the NUCs and non-NUCs groups. After PSM, HBsAg seroreversion (12/53 vs. 13/53; P = 1.000) and virological relapse (2/53 vs. 4/53; P = 0.674) rates were not significantly different between the two groups. Serum hepatitis B surface antibody titer (odds ratio, 0.388; 95% confidence interval, 0.245-0.616; P < 0.001) was found to be associated with HBsAg seroreversion, while NUCs continuation was not related to HBsAg seroreversion.

conclusionsNUCs continuation is not associated with a lower risk of HBsAg seroreversion in patients with serum HBsAg loss following PEG-IFN-based therapy.

Indexed as

Antiviral AgentsHepatitis B, ChronicHepatitis B Surface AntigensInterferon-alphaNucleosidesPolyethylene GlycolsAdultAgedFemaleHepatitis B virusHumansMaleMiddle AgedTreatment OutcomeAntiviral AgentsHepatitis B Surface AntigensInterferon-alphaNucleosidesPolyethylene GlycolsChronic hepatitis BFunctional cureNucleos(t)ide analogsSeroreversion

Identifiers

PMID40108632
PMCPMC11924841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.