Chen XF, Fan YN, Si CW, Yu YY, Shang J, Yu ZJ, Mao Q, Xie Q, Zhao W, Li J, Gao ZL, Wu SM, Tang H, Cheng J, Chen XY, Zhang WH, Wang H, Xu ZN, Wang L, Dai J, Xu JH. Tenofovir disoproxil fumarate in Chinese chronic hepatitis B patients: Results of a multicenter, double-blind, double-dummy, clinical trial at 96 weeks. World J Clin Cases 2021; 9(18): 4690-4699 [PMID: 34222435 DOI: 10.12998/wjcc.v9.i18.4690]
Corresponding Author of This Article
Jing-Hang Xu, MD, PhD, Professor, Department of Infectious Diseases, Center for Liver Diseases, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing 100034, China. ddcatjh@sina.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 26, 2021; 9(18): 4690-4699 Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4690
Table 1 Baseline demographic and clinical characteristics of the nucleoside-naive chronic hepatitis B Chinese patients
Demographic and clinical characteristics
Group A (n = 161)
Group B (n = 169)
P value
Age, yr
mean ± SD
35.16 ± 9.34
34.91 ± 9.79
0.8082
Range
19.00-62.00
19.00-64.00
Male, n (%)
116 (72.05)
134 (79.29)
0.1248
HBV DNA, log10 IU/mL
6.86 ± 1.13
6.91 ± 1.05
0. 6761
HBeAg positive
mean ± SD
7.27 ± 0.81
7.29 ± 0.71
0.8126
Range
5.00-8.66
5.02-8.47
HBeAg negative
mean ± SD
5.87 ± 1.20
6.03 ± 1.17
0.5144
Range
3.42-8.01
3.33-8.16
HBeAg status, n (%)
HBeAg negative
114 (70.81)
118 (69.82)
0.8448
HBeAg positive
47 (29.19)
51 (30.18)
Baseline HBsAg, log10 IU/mL
161 (100)
169 (100)
0.4979
HBeAb status, n (%)
HBeAg positive
HBeAb negative
12 (10.53)
16 (13.56)
0.4776
HBeAb positive
102 (89.47)
102 (86.44)
HBeAg negative
HBeAb negative
46 (97.87)
51 (100.00)
0.2236
HBeAb positive
1 (2.13)
0 (0.00)
Duration of positivity for HBV, yr
mean ± SD
10.39 ± 8.03
9.76 ± 7.22
0.4575
Range
0.00-40.00
0.50-34.00
Baseline ALT, U/L, mean ± SD
175.47 ± 92.17
180.05 ± 96.05
0.6592
Table 2 Hepatitis B virus DNA levels in trial participants in the two groups (log10 IU/mL)
HBeAg-positive CHB
HBeAg-negative CHB
Group
n
72 wk (mean ± SD)
96 wk (mean ± SD)
n
72 wk (mean ± SD)
96 wk (mean ± SD)
A
114
1.55 ± 0.73
1.50 ± 0.70
47
1.38 ± 0.30
1.41 ± 0.36
B
118
1.54 ± 0.61
1.56 ± 0.84
51
1.36 ± 0.25
1.32 ± 0.10
P value
0.8570
0.5579
0.7215
0.1177
Table 3 Reductions in hepatitis B virus DNA level in trial participants in the two groups (log10 IU/mL)
HBeAg-positive CHB
HBeAg-negative CHB
Group
n
72 wk (mean ± SD)
96 wk (mean ± SD)
n
72 wk (mean ± SD)
96 wk (mean ± SD)
A
114
5.72 ± 1.01
5.77 ± 0.99
47
4.49 ± 1.19
4.46 ± 1.19
B
118
5.75 ± 0.84
5.73 ± 1.01
51
4.67 ± 1.22
4.70 ± 1.18
P value
0.8514
0.6843
0.5528
0.3644
Table 4 Proportions of participants with undetectable levels of hepatitis B virus DNA (< 20 IU/mL) in the two groups
HBeAg-positive CHB
HBeAg-negative CHB
Group
n
72 wk
96 wk
n
72 wk
96 wk
A
114
74 (64.91)
81 (71.05)
47
40 (85.11)
41 (87.23)
B
118
81 (68.64)
92 (77.97)
51
48 (94.12)
48 (94.12)
P value
0.5788
0.2326
0.1877
0.3046
Table 5 Rates of hepatitis B e antigen loss and hepatitis B e antigen seroconversion in participants with hepatitis B e antigen-positive chronic hepatitis B at week 96
Group
Number of observations
Number of cases
Incidence
P value
HBeAg loss
A
100
31
31.00
0.6482
B
110
30
27.27
HBeAg seroconversion
A
89
18
20.22
0.4491
B
95
15
15.79
Table 6 Number of participants who exhibited alanine aminotransferase normalization in the two groups
Group
Number of observations
Number of cases
P value
72 wk
A
145
120
1.0000
B
162
133
96 wk
A
141
113
0.3637
B
162
137
Table 7 Estimated glomerular filtration rate values in participants in the two groups
Table 8 Urine neutrophil gelatinase-associated lipocalin levels in trial participants at baseline and at week 96
Urine NGAL
Z
P value
Baseline
1.69 ± 2.38
3.79
< 0.01
96 wk
3.73 ± 11.48
Citation: Chen XF, Fan YN, Si CW, Yu YY, Shang J, Yu ZJ, Mao Q, Xie Q, Zhao W, Li J, Gao ZL, Wu SM, Tang H, Cheng J, Chen XY, Zhang WH, Wang H, Xu ZN, Wang L, Dai J, Xu JH. Tenofovir disoproxil fumarate in Chinese chronic hepatitis B patients: Results of a multicenter, double-blind, double-dummy, clinical trial at 96 weeks. World J Clin Cases 2021; 9(18): 4690-4699