Evidence map›Paper›PMID 41807303›Full record

ArticleAnnals of medicine2026

Group-based trajectory modeling for declines in hepatitis B surface antigen over time accurately identifies chronic hepatitis B patients achieving functional cure: a single-center cohort study in China.

Yuchen Peng, Liping Liu, Xiaoping Wu

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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yuchen PengDepartment of Infectious Diseases, The First Affiliated Hospital of Nanchang University, Nanchang, China.ORCID 0009-0001-4573-1363
Liping LiuDepartment of Oncology, The First Affiliated Hospital of Nanchang University, Nanchang, China.
Xiaoping WuDepartment of Infectious Diseases, The First Affiliated Hospital of Nanchang University, Nanchang, China.ORCID 0000-0003-2747-3185

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying chronic hepatitis B (CHB) patients likely to achieve hepatitis B surface antigen (HBsAg) sero-clearance upon receiving pegylated interferon α (PEG-IFNα) could aid in optimizing treatment strategies for "functional cure".

aimsTo develop a group-based trajectory model (GBTM) for identifying PEG-IFNα-treated CHB patients likely to achieve HBsAg sero-clearance.

methodsBaseline characteristics were obtained from 342 PEG-IFNα-treated CHB patients, divided into training (205), validation (88), and testing (49) datasets

results131 patients (38.30%) were functionally cured, and GBTM identified 3 trajectory groups, associated with rapid (traj_1), moderate (traj_2), and slow (traj_3) HBsAg declines. Traj_3 had the highest viral burden, plus lowered liver functions. The GBTM-based 3-group trajectory model was highly accurate under ROC, with areas under the curve >0.920, while calibration curves had high predicted-actual outcome correspondence, for all 3 datasets. Clinical utility was also high under DCA, and the website correctly found the trajectory group of a CHB patient, based on HBsAg from ≥2 different time points.

conclusionsThe GBTM-based 3-group trajectory model correctly identified PEG-IFNα-treated CHB patients likely to be "functionally cured", thereby providing a tool for devising personalized therapeutic strategies.

Indexed as

Antiviral AgentsHepatitis B, ChronicHepatitis B Surface AntigensInterferon-alphaPolyethylene GlycolsAdultChinaCohort StudiesFemaleHepatitis B virusHumansMaleMiddle AgedRecombinant ProteinsROC CurveTreatment OutcomeAntiviral AgentsHepatitis B Surface AntigensInterferon-alphaPolyethylene GlycolsRecombinant ProteinsChronic hepatitis Bfunctional curegroup-based trajectory modelinghepatitis B surface antigenhepatitis B surface antigen sero-clearancepegylated interferon α

Identifiers

PMID41807303
PMCPMC12978175

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