Evidence map›Paper›PMID 40980017›Full record

Trial reportFrontiers in cellular and infection microbiology2025

Short-term pegylated interferon alpha in chronic HBV patients with ultra-low HBsAg: a retrospective study.

Huimin Liu, Hongmei Gong, Zhaoxia Tan, Yanyan Wu, Lijian Ran, Qing Mao, Guohong Deng, Li Jiang, Jie Xia

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in cellular and infection microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Huimin Liu *Department of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Hongmei Gong *Department of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Zhaoxia TanDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Yanyan WuDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Lijian RanDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Qing MaoDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Guohong DengDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Li JiangDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.
Jie XiaDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Key Laboratory of Infectious Disease Research of Chongqing, Infectious Disease Clinical Research Center of Chongqing, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Hepatitis B surface antigen (HBsAg) clearance-defined as an HBsAg level below the lower limit of detection-is critical for the functional cure of chronic hepatitis B (CHB). This study evaluated the efficacy of short-term pegylated interferon alpha (Peg-IFNα) therapy in achieving HBsAg clearance in CHB patients with ultra-low HBsAg levels (<50 IU/ml). Methods: A total of 378 CHB patients with HBsAg levels <50 IU/ml were enrolled, including 206 nucleos(t)ide analogue (NUC)-treated patients and 172 inactive HBsAg carriers (IHCs). The NUC-treated cohort was divided into 83 patients receiving additional Peg-IFNα treatment (NUC add-on Peg-IFNα group) and 123 patients continuing NUC monotherapy (NUC group). The IHC cohort was divided into 86 patients receiving Peg-IFNα treatment (Peg-IFNα group) and 86 untreated patients (untreated group). The primary endpoint was the HBsAg clearance rate at week 24. Results: At week 24, the HBsAg clearance rates in the NUC add-on Peg-IFNα group and Peg-IFNα group were 69.88% and 55.81%, respectively (p = 0.059), both significantly higher than the zero clearance rates in the NUC and untreated groups (p < 0.001). Patients with baseline HBsAg <10 IU/ml achieved higher clearance rates [81.82% vs. 73.81% (p = 0.144)]. A decline of ≥95.8% in HBsAg levels from baseline to week 12 predicted HBsAg clearance at week 24 (AUC ≥0.9, sensitivity 0.765, specificity 0.961). Conclusions: Short-term Peg-IFNα therapy achieved high and comparable HBsAg clearance rates within 24 weeks in NUC-treated patients and IHCs with ultra-low HBsAg levels. Clinical trial registration: https://www.medicalresearch.org.cn/login, identifier MR-50-24-011565.

Indexed as

Antiviral AgentsHepatitis B, ChronicHepatitis B Surface AntigensInterferon-alphaPolyethylene GlycolsAdultFemaleHepatitis B virusHumansMaleMiddle AgedRecombinant ProteinsRetrospective StudiesTreatment OutcomeYoung AdultAntiviral AgentsHepatitis B Surface AntigensInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant Proteinschronic hepatitis BHBsAg clearancepegylated interferonshort-term therapyultra-low surface antigen levels

Identifiers

PMID40980017
PMCPMC12446322

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.