Author/Authors :
Hao, Zhang Department of Infectious Diseases - Te First Afliated Hospital of Guangzhou Medical University - Guangzhou Medical University, Guangzhou, China , Biqing, Zhu Guangzhou Kingmed Center for Clinical Laboratory Co Ltd - Guangzhou International Biological Island, Guangzhou, China , Ling, Yang Department of Infectious Diseases - Te First Afliated Hospital of Guangzhou Medical University - Guangzhou Medical University, Guangzhou, China , Wenting, Zeng Department of Infectious Diseases - Te First Afliated Hospital of Guangzhou Medical University - Guangzhou Medical University, Guangzhou, China
Abstract :
This network analysis is to determine the most effective treatment in HBeAg-positive patients. PubMed databases were searched for randomized controlled trials. Bayesian network meta-analysis was used to calculate the pairwise hazard ratios, 95% credible intervals, and ranking of surrogate outcomes. 9 studies were identified. The results show that NA add-on PEG IFN might be a better antiviral approach for HBeAg-positive patients in end point of treatment, with a comparable results of nucleoside/nucleotide analogs (NA), PEG IFN, PEG IFN add-on NA, PEG IFN combined NA, and PEG IFN combined placebo in alanine aminotransferase (ALT) normalization and HBV DNA undetectable. Cumulative probabilities of being the most efficacious treatment were NA add-on PEG IFN (30%) for HBeAg loss. The second efficacious (23%) is HBeAg seroconversion. This network analysis shows that NA add-on PEG IFN might be a better antiviral approach for HBeAg-positive patients in end point of treatment. But the long-term efficiency should be further determined.
