Evidence map›Paper›PMID 40558579›Full record

ArticleDiseases (Basel, Switzerland)2025

HBV, HCV, and HDV Triple-Infection-A Therapeutic Challenge.

Alexia Anastasia Stefania Balta, Mariana Daniela Ignat, Raisa Eloise Barbu, Liliana Baroiu, Lavinia Alexandra Moroianu, Valerii Lutenco, Valentin Bulza, Mihaela Patriciu, Caterina Dumitru, Mihaela Debita

Abstract read
In one paragraph

Article in Diseases (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. From Diagnosis to Durability: A Review of the European Bulevirtide Experience and Practical Learnings for CHD Management.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  2. Review
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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

10 authors.

Alexia Anastasia Stefania BaltaDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.
Mariana Daniela IgnatDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.
Raisa Eloise BarbuDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.ORCID 0009-0008-3466-4717
Liliana BaroiuClinical Medical Department, Faculty of Medicineand Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania.ORCID 0000-0002-7602-8435
Lavinia Alexandra MoroianuDepartment of Pharmaceutical Sciences, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania.ORCID 0000-0001-9688-0580
Valerii LutencoDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.ORCID 0009-0001-6620-7851
Valentin BulzaDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.
Mihaela PatriciuDoctoral School of Biomedical Sciences, 'Dunarea de Jos' University, 800008 Galati, Romania.ORCID 0009-0000-7881-2525
Caterina Dumitru'Sf. Cuv. Parascheva' Clinical Hospital of Infectious Diseases, 800179 Galati, Romania.
Mihaela DebitaMedical Department, Faculty of Medicineand Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis article aims to harmonize the current data from the literature, describe baseline severity, and discuss potential treatment considerations for cases of triple infection. PATIENTS AND

methodsWe undertook a retrospective, observational study on 1244 patients with viral hepatitis study subgroups: chronic replicative hepatitis with HCV-679 patients, HBV-98 patients, HBV/HCV-25 patients, HBV/HDV-14 patients, and 2 patients with triple-infection (HBV, HCV, and HDV), hospitalized in the Second Department of "Sf. Cuv. Parascheva" Infectious Diseases Clinical Hospital of Galați, Romania, between 1 April 2017 and 1 March 2025.

resultsComparative analysis of biochemical parameters and liver fibrosis-at the initial testing-i.e., at the beginning of the specific antiviral therapy-with direct-acting antivirals on HCV (DAAs) or nucleos(t)ide analogues (NUCs): Entecavir (ETV) or Tenofovir Disoproxyl fumarate (TDF), for HBV, Bulevirtide (BLV) for HDV-revealed clinical forms with higher severity in the case of triple and double infections, in comparison to individuals who have had only one hepatotropic virus infection.

conclusionsCompared to patients with a single hepatotropic viral infection, those with a double or triple infection had more severe hepatic damage. Concomitant therapy with Bulevirtide, DAAs, and NUCs is possible and the therapeutic results from clinical studies, with single-infection patients showing great potential for improving the prognosis of these patients.

Indexed as

HBVHCVHDVtreatment considerationstriple hepatitis infection

Identifiers

PMID40558579
PMCPMC12192225

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Registered trials

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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.