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Journal of Chinese Pharmaceutical Sciences ›› 2021, Vol. 30 ›› Issue (12): 986-993.DOI: 10.5246/jcps.2021.12.085

• Drug administration and clinical pharmacy column • Previous Articles     Next Articles

Comparison of the efficacy and adherence of generic and brand-name entecavirs in chronic hepatitis B patients: a multicenter cohort study

Ying Xie1, Hanqiu Zhan2, Xiaohong Zhu3, Yuan Li4, Ruyi Tian4, Jing Zhang1, Shanshan Chen1, Yanling Zhao1,*()   

  1. 1 Department of Pharmacy, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
    2 Department of Pharmacy, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
    3 Department of Pharmacy, Beijing YouAn Hospital, Capital Medical University, Beijing 100069, China
    4 Department of Medical Information, the Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, China
  • Received:2021-07-23 Revised:2021-08-14 Accepted:2021-09-06 Online:2021-12-24 Published:2021-12-20
  • Contact: Yanling Zhao

Abstract:

In the present study, we aimed to compare the efficacy and adherence of Runzhong? (generic drug, Chiatai Tianqing, Nanjing) and Baraclude? (branded drug, Bristol-Myers Squibb) in patients with chronic hepatitis B. We collected patient data from three hospitals within 48 weeks and compared the two groups by using the propensity-score matching method. A total of 4889 patients were enrolled in this study; 503 initiated a brand-name drug, and 4386 received a generic drug. There was no significant difference in the rates of CVR (complete virologic response) and VB (virologic breakthrough) between the Runzhong? group and Baraclude? group at 24 and 48 weeks. Similar results for HBeAg loss, medication possession ratio (MPR), and biological response were obtained. Age, gender (HR 0.909 (0.842–0.981)), normal baseline ALT rate (HR 0.789 (0.731–0.851)), HBeAg-positive rate, and baseline undetectable HBV DNA rate (HR 0.306 (0.234–0.399)) were independent factors for achieving CVR.

Key words: Entecavir, Adherence, Generic drug, Branded drug

Supporting: