Evidence map›Paper›PMID 40390028›Full record

Observational studyVirology journal2025

Recurrence risk factors for chronic hepatitis B virus-infected patients who achieve functional cure with pegylated interferon-α-2b-based therapy: a multicenter pilot study.

Li-Jun Chang, Chun-Qiu Hao, Gui-Rong Rao, Lin-Li Xu, Jing Li, Yan Cheng, Li-Jun Zheng, Cun-Wen Wu, Han-Xian Chen, Ze-Ren Chen and 5 more

2 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Virology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

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

NCT04035837 phase4active not recruitingnot on this map

A Study of Peg-interferon Treatment for Nucleos(t)Ide Analogues Suppressed Chronic Hepatitis B Patients With Low Level Hepatitis Surface Antigen

TypeinterventionalSponsorThird Affiliated Hospital, Sun Yat-Sen UniversityRan2018 to 2026Enrolled30,000ConditionsHepatitis B, ChronicArmspegylated interferon-alfa
NCT05182463 phase4recruitingnot on this map

Real World Study of Peginterferon Alpha-2b Treatment for Inactive Chronic Hepatitis B Patients: E-Cure Study

TypeinterventionalSponsorThird Affiliated Hospital, Sun Yat-Sen UniversityRan2022 to 2029Enrolled5,000ConditionsHepatitis B, ChronicArmsPeginterferon Alfa-2B, Nucleoside Analogs
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Preventive and Therapeutic Vaccination for COVID-19 Using NASVAC.Euroasian journal of hepato-gastroenterology
    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

15 authors.

Li-Jun ChangDepartment of Infectious Diseases, Yuncheng Central Hospital Affiliated to Shanxi Medical University, 3690 Hedong East Rd, Yuncheng, Shanxi Province, 044000, China.
Chun-Qiu HaoDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Rd, Baqiao District, Xi'an, Shaanxi Province, 710038, China.
Gui-Rong RaoDepartment of Central Laboratory, Air Force Hospital of Southern Theatre Command, Guangzhou, Guangdong Province, 510602, China.
Lin-Li XuDepartment of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Fourth Military Medical University, 17 Changle West Rd, Xi'an, Shaanxi Province, 710032, China.
Jing LiDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Rd, Baqiao District, Xi'an, Shaanxi Province, 710038, China.
Yan ChengDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Rd, Baqiao District, Xi'an, Shaanxi Province, 710038, China.
Li-Jun ZhengDepartment of Infectious Diseases, Yuncheng Central Hospital Affiliated to Shanxi Medical University, 3690 Hedong East Rd, Yuncheng, Shanxi Province, 044000, China.
Cun-Wen WuDepartment of Infectious Diseases, Air Force Hospital of Southern Theatre Command, 801 Dongfeng East Rd, Guangzhou, Guangdong Province, 510602, China.
Han-Xian ChenDepartment of Infectious Diseases, Air Force Hospital of Southern Theatre Command, 801 Dongfeng East Rd, Guangzhou, Guangdong Province, 510602, China.
Ze-Ren ChenDepartment of Infectious Diseases, Air Force Hospital of Southern Theatre Command, 801 Dongfeng East Rd, Guangzhou, Guangdong Province, 510602, China.
Jian-Qi LianDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Rd, Baqiao District, Xi'an, Shaanxi Province, 710038, China.
Shi-Hong WuDepartment of Infectious Diseases, Yuncheng Central Hospital Affiliated to Shanxi Medical University, 3690 Hedong East Rd, Yuncheng, Shanxi Province, 044000, China. lynmam@163.com.
Li-Min LuoDepartment of Infectious Diseases, Air Force Hospital of Southern Theatre Command, 801 Dongfeng East Rd, Guangzhou, Guangdong Province, 510602, China. 1804066518@qq.com.
Wei-Lu ZhangDepartment of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Fourth Military Medical University, 17 Changle West Rd, Xi'an, Shaanxi Province, 710032, China. zhangweilu@126.com.
Ye ZhangDepartment of Infectious Diseases, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Rd, Baqiao District, Xi'an, Shaanxi Province, 710038, China. zhangyefmmu@hotmail.com.ORCID 0000-0002-2573-5471

Funding

Health and Biology Area of Science and Technology Program of Yuncheng City YCKJYD-202413
6 · The paper itself

Abstract

backgroundHepatitis B surface antigen (HBsAg) clearance is an achievable treatment endpoint for chronic hepatitis B virus (HBV)-infected patients. Pegylated interferon-α (PEG-IFN-α) induces higher rate of HBsAg clearance than nucleos(t)ide analogues. However, the influencing factors associated with HBsAg recurrence have not been fully elucidated. The aim of this study was to evaluate the risk factors for recurrence in chronic HBV-infected patients who achieved functional cure with PEG-IFN-α-2b-based treatment.

methodsA multicenter retrospective study was conducted. All patients received PEG-IFN-α-2b-based therapy, achieved HBV DNA negativity and HBsAg clearance, and were followed-up for at least 48 weeks after discontinuation of medications. The demographic data, as well as virological, serological, and biochemical indicators, were collected at baseline, therapy cessation, and during followed-up. Logistic regression analysis was subsequently performed.

resultsA total of 101 chronic HBV-infected patients who achieved HBsAg loss with PEG-IFN-α-2b-based therapy were enrolled. The median treatment time was 24.00 (14.50, 37.50) weeks, and the median consolidation time was 11.00 (0.00, 24.00) weeks. HBsAg recurrence was found in 16 patients after a median 70.00 (48.00, 96.00) week follow-up, with a cumulative recurrence rate of 15.84%. A higher platelet count was associated with a slightly increased HBsAg recurrence risk at therapy cessation, whereas a shorter consolidation time was associated with an elevated HBsAg recurrence risk during followed-up. The appearance of anti-HBs presented a robustly reduced HBsAg recurrence risk at both therapy cessation and followed-up. No HBV DNA positivity or occurrence of end-stage liver disease was observed during treatment or followed-up.

conclusionThe cumulative HBsAg recurrence rate was 15.84% after discontinuation of medications in chronic HBV-infected patients who achieved functional cure with PEG-IFN-α-2b-based therapy. The presence of anti-HBs reduced the HBsAg recurrence risk. CLINICAL

trial registrationThis trial is a part of ZhuFeng Project (ClinicalTrials.gov, identifier NCT04035837) and a part of E-Cure Study (ClinicalTrials.gov, identifier NCT05182463).

Indexed as

Antiviral AgentsHepatitis B, ChronicInterferon-alphaInterferon alpha-2Polyethylene GlycolsAdultDNA, ViralFemaleHepatitis B Surface AntigensHepatitis B virusHumansMaleMiddle AgedPilot ProjectsRecombinant ProteinsRecurrenceAntiviral AgentsDNA, ViralHepatitis B Surface AntigensInterferon-alphaInterferon alpha-2peginterferon alfa-2bPolyethylene GlycolsRecombinant ProteinsChronic hepatitis BFunctional curePegylated interferon-αRecurrence

Identifiers

PMID40390028
PMCPMC12087174

What OpenQuestion holds

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Registered trials

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.