Kinetics of the hepatitis B core‐related antigen and treatment responses in chronic hepatitis B patients treated with tenofovir alafenamide Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1111/hepr.14052
Aim An association between hepatitis B core‐related antigen (HBcrAg) kinetics and hepatocarcinogenesis during nucleoside (t)id analog (NA) treatment has recently been reported. HBcrAg kinetics and factors associated with HBcrAg response during tenofovir alafenamide (TAF) administration remain unclear. In this multicenter retrospective study, we aimed to clarify the efficacy and safety of TAF in treatment‐naïve patients with chronic hepatitis B, focusing on the reduction in HBcrAg levels. Methods Patients were treated with TAF monotherapy for 96 weeks, and the kinetics of HBcrAg during treatment and the factors associated with HBcrAg response (defined as a change in HBcrAg of −1 log IU/mL from baseline) were evaluated. Results The study population comprised 241 patients, 36.9% of whom were HBeAg‐positive. The median baseline HBcrAg level was 4.7 log IU/mL. The median change in HBcrAg from baseline was −1.1 log IU/mL at 96 weeks after treatment. The HBcrAg response rate at 96 weeks was 56.6% (43/76). Multivariate analysis revealed high alanine transaminase level as an independent baseline factor associated with HBcrAg response at 96 weeks of treatment ( p = 4.53 × 10 −6 ). No correlation was found between the HBcrAg and hepatitis B surface antigen kinetics in patients treated with TAF monotherapy. Conclusions In TAF monotherapy for patients with chronic hepatitis B, HBcrAg levels were significantly decreased and baseline alanine transaminase level is an important factor associated with HBcrAg reduction. As no correlation was found between HBcrAg and reduced hepatitis B surface antigen levels in this study, HBcrAg kinetics in addition to hepatitis B surface antigen may need to be monitored during TAF treatment.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/hepr.14052
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14052
- OA Status
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- References
- 37
- Related Works
- 10
- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396496932Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/hepr.14052Digital Object Identifier
- Title
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Kinetics of the hepatitis B core‐related antigen and treatment responses in chronic hepatitis B patients treated with tenofovir alafenamideWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-04-29Full publication date if available
- Authors
-
Norio Itokawa, Masanori Atsukawa, Akihito Tsubota, Toru Ishikawa, Hidenori Toyoda, Koichi Takaguchi, Tsunamasa Watanabe, Chikara Ogawa, Atsushi Hiraoka, Hironao Okubo, Haruki Uojima, Makoto Chuma, Akito Nozaki, Keizo Kato, Shigeru Mikami, Joji Tani, Asahiro Morishita, Toshifumi Tada, Toru Asano, Tomonori Senoh, Tsunekazu Oikawa, Tomomi Okubo, Takashi Kumada, Katsuhiko IwakiriList of authors in order
- Landing page
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https://doi.org/10.1111/hepr.14052Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14052Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14052Direct OA link when available
- Concepts
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Medicine, Chronic hepatitis, Hepatitis B, Internal medicine, Gastroenterology, Immunology, VirusTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.the | 47, 62, 78, 85, 186 |
| abstract_inverted_index.was | 122, 133, 149, 183, 231 |
| abstract_inverted_index.(NA) | 17 |
| abstract_inverted_index.4.53 | 176 |
| abstract_inverted_index.been | 21 |
| abstract_inverted_index.from | 101, 131 |
| abstract_inverted_index.high | 155 |
| abstract_inverted_index.need | 255 |
| abstract_inverted_index.rate | 145 |
| abstract_inverted_index.this | 39, 243 |
| abstract_inverted_index.were | 69, 103, 115, 212 |
| abstract_inverted_index.whom | 114 |
| abstract_inverted_index.with | 28, 56, 71, 88, 165, 197, 206, 225 |
| abstract_inverted_index.−1 | 98 |
| abstract_inverted_index.−6 | 179 |
| abstract_inverted_index.(TAF) | 34 |
| abstract_inverted_index.(t)id | 15 |
| abstract_inverted_index.36.9% | 112 |
| abstract_inverted_index.56.6% | 150 |
| abstract_inverted_index.IU/mL | 100, 136 |
| abstract_inverted_index.after | 140 |
| abstract_inverted_index.aimed | 44 |
| abstract_inverted_index.found | 184, 232 |
| abstract_inverted_index.level | 121, 158, 219 |
| abstract_inverted_index.study | 107 |
| abstract_inverted_index.weeks | 139, 148, 170 |
| abstract_inverted_index.HBcrAg | 23, 29, 65, 81, 89, 96, 120, 130, 143, 166, 187, 210, 226, 234, 245 |
| abstract_inverted_index.IU/mL. | 125 |
| abstract_inverted_index.analog | 16 |
| abstract_inverted_index.change | 94, 128 |
| abstract_inverted_index.during | 13, 31, 82, 259 |
| abstract_inverted_index.factor | 163, 223 |
| abstract_inverted_index.levels | 211, 241 |
| abstract_inverted_index.median | 118, 127 |
| abstract_inverted_index.remain | 36 |
| abstract_inverted_index.safety | 50 |
| abstract_inverted_index.study, | 42, 244 |
| abstract_inverted_index.weeks, | 76 |
| abstract_inverted_index.−1.1 | 134 |
| abstract_inverted_index.Methods | 67 |
| abstract_inverted_index.Results | 105 |
| abstract_inverted_index.alanine | 156, 217 |
| abstract_inverted_index.antigen | 8, 192, 240, 253 |
| abstract_inverted_index.between | 4, 185, 233 |
| abstract_inverted_index.chronic | 57, 207 |
| abstract_inverted_index.clarify | 46 |
| abstract_inverted_index.factors | 26, 86 |
| abstract_inverted_index.levels. | 66 |
| abstract_inverted_index.reduced | 236 |
| abstract_inverted_index.surface | 191, 239, 252 |
| abstract_inverted_index.treated | 70, 196 |
| abstract_inverted_index.(43/76). | 151 |
| abstract_inverted_index.(HBcrAg) | 9 |
| abstract_inverted_index.(defined | 91 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Patients | 68 |
| abstract_inverted_index.addition | 248 |
| abstract_inverted_index.analysis | 153 |
| abstract_inverted_index.baseline | 119, 132, 162, 216 |
| abstract_inverted_index.efficacy | 48 |
| abstract_inverted_index.focusing | 60 |
| abstract_inverted_index.kinetics | 10, 24, 79, 193, 246 |
| abstract_inverted_index.patients | 55, 195, 205 |
| abstract_inverted_index.recently | 20 |
| abstract_inverted_index.response | 30, 90, 144, 167 |
| abstract_inverted_index.revealed | 154 |
| abstract_inverted_index.unclear. | 37 |
| abstract_inverted_index.baseline) | 102 |
| abstract_inverted_index.comprised | 109 |
| abstract_inverted_index.decreased | 214 |
| abstract_inverted_index.hepatitis | 5, 58, 189, 208, 237, 250 |
| abstract_inverted_index.important | 222 |
| abstract_inverted_index.monitored | 258 |
| abstract_inverted_index.patients, | 111 |
| abstract_inverted_index.reduction | 63 |
| abstract_inverted_index.reported. | 22 |
| abstract_inverted_index.tenofovir | 32 |
| abstract_inverted_index.treatment | 18, 83, 172 |
| abstract_inverted_index.associated | 27, 87, 164, 224 |
| abstract_inverted_index.evaluated. | 104 |
| abstract_inverted_index.nucleoside | 14 |
| abstract_inverted_index.population | 108 |
| abstract_inverted_index.reduction. | 227 |
| abstract_inverted_index.treatment. | 141, 261 |
| abstract_inverted_index.Conclusions | 200 |
| abstract_inverted_index.alafenamide | 33 |
| abstract_inverted_index.association | 3 |
| abstract_inverted_index.correlation | 182, 230 |
| abstract_inverted_index.independent | 161 |
| abstract_inverted_index.monotherapy | 73, 203 |
| abstract_inverted_index.multicenter | 40 |
| abstract_inverted_index.Multivariate | 152 |
| abstract_inverted_index.monotherapy. | 199 |
| abstract_inverted_index.transaminase | 157, 218 |
| abstract_inverted_index.retrospective | 41 |
| abstract_inverted_index.significantly | 213 |
| abstract_inverted_index.administration | 35 |
| abstract_inverted_index.core‐related | 7 |
| abstract_inverted_index.HBeAg‐positive. | 116 |
| abstract_inverted_index.treatment‐naïve | 54 |
| abstract_inverted_index.hepatocarcinogenesis | 12 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5080709934 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 24 |
| corresponding_institution_ids | https://openalex.org/I80188885 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8500000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.10139125 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |