Review Article

Kushenin Combined with Nucleos(t)ide Analogues for Chronic Hepatitis B: A Systematic Review and Meta-Analysis

Table 1

The characteristics of included studies.

AuthorYearCases 
T/C
Age (years) range, meanSex:
male/female
InterventionsDuration (wk)/
follow-up (wk)
Adverse eventsOutcome measures
Trials groupControl group

Zhao
et al. [12]
201040/43T: 16–62, 35 
C: 16–62, 37
T: 25/15 
C: 27/16
KS + LAMLAM48/NRT: 4 cases and C: 5 cases with light digestive tract side-effectHBeAg loss; HBeAg sero; HBV-DNA; ALT; AST; TER

Chen and Yang [13]201070/70T: 19–60, 34 
C: 20–61, 33
T: 40/30 
C: 42/28
KS + LAMLAM48/NRNRHBeAg loss; HBeAg sero; HBV-DNA; ALT norm; AST norm; ALT; AST

Shi
et al. [14]
201048/44T: 16–60, 32 
C: 17–59, 32
T: 28/20 
C: 25/19
KS + LAMLAM48/NRTrials group had light digestive tract side-effect at first and then symptoms disappearedHBeAg loss; HBeAg sero; HBV-DNA; ALT norm

Ma [15]201126/20T: 18–60 
C: 18–60
30/16KS + LAMLAM48/NR0HBeAg loss; HBV-DNA; ALT norm; AST norm; ALT; AST; TBIL

Zhang [16]201250/50T: 18–62, 36 
C: 19–63, 36
T: 28/22 
C: 29/21
KS + LAMLAM48/NR0HBeAg loss; HBV-DNA; ALT norm; AST norm

Zhou [17]201362/68T: 20–69, 42 
C: 18–69, 40
T: 42/20 
C: 46/22
KS + LAMLAM48/NRNRHBeAg loss; HBV-DNA; ALT; AST

Shao and Zhang [18]201048/48T: 19–64, 34 
C: 19–64, 34
63/29KS + ETVETV48/NRNRHBeAg loss; HBeAg sero; HBV-DNA; ALT norm

Yi
et al. [19]
201292/95T: 18–65 
C: 18–65
NRKS + ETVETV48/NRT: 1 with light digestive tract side-effectHBeAg loss; HBeAg sero; ALT norm

J. G. Yu and
B. H. Yu [20]
201240/43T: 18–50, 35 
C: 18–50, 35
65/18KS + ETVETV48/NR0HBeAg loss; HBsAg loss; HBV-DNA; ALT norm

Ren
et al. [21]
201452/48T: 41–56, 47 
C: 41–56, 47
53/47KS + ETVETV48/NRT: 1 case and C: 2 cases with dizziness HBeAg loss; HBV-DNA; ALT norm

Liu
et al. [22]
200734/30T: 16–65 
C: 16–65
32/24KS + ADVADV48/240HBeAg loss; HBsAg loss; HBV-DNA; TER

Yang
et al. [23]
201140/40T: 22–48, 37 
C: 22–48, 37
48/32KS + ADVADV48/NRLight digestive tract side-effect at firstHBeAg sero; HBV-DNA

Hu and Sun [24]201254/52T: 16–65, 29 
C: 16–65
T: 38/16 
C: 34/18
KS + ADVADV48/NRT: 4 cases and C: 2 cases with light digestive tract side-effectHBeAg loss; HBeAg sero; HBV-DNA

Jiang [25]201345/45T: 19–49, 31 
C: 18–52, 32
T: 30/15 
C: 28/17
KS + ADVADV48/NRNRHBeAg loss; HBV-DNA

Xu and
Liang [26]
201340/40NRNRKS + ADVADV48/NRT: 6 cases and C: 4 cases with dizziness and fatigueHBeAg loss; HBV-DNA; ALT norm

Chen
et al. [27]
200935/27T: 29 
C: 30
T: 24/11 
C: 19/8
KS + TLVTLV48/NR0HBeAg loss; HBeAg sero; HBV-DNA; ALT; AST; TBIL

Yu [28]201230/30T: 18–50, 35 
C: 18–50, 35
T: 23/7 
C: 22/8
KS + TLVTLV48/NR0HBeAg loss; HBV-DNA; ALT norm; ALT; TER

Yang and Zeng [29]201343/42T: 18–60, 30 
C: 18–62, 31
T: 25/18 
C: 25/17
KS + TLVTLV48/NR0HBeAg sero; HBV-DNA

The different authors with the same name in English.
KS: Kushenin, 0.6 g/d; LAM: lamivudine, 0.1 g/d; ETV: entecavir, 0.5 mg/d; ADV: adefovir dipivoxil, 10 mg/d; TLV: telbivudine, 600 mg/d.
HBeAg loss: hepatitis B e antigen loss; HBsAg loss: hepatitis B s antigen loss; HBeAg sero: hepatitis B e antigen seroconversion; HBV-DNA: undetectable HBV-DNA levels; ALT norm: normalization of serum alanine aminotransferase levels; AST norm: normalization of serum aspartate transaminase levels; ALT: serum ALT level; AST: serum AST level; TBIL: serum TBIL level; TER: total efficacy rate (serum level of ALT decreases at least 25% and serum level of AST decreases at least 50%).