Evidence map›Paper›PMID 11801193›Full record

ArticleBMC gastroenterology2001

Changes in anti-viral effectiveness of interferon after dose reduction in chronic hepatitis C patients: a case control study.

F C Bekkering, A U Neumann, J T Brouwer, R S Levi-Drummer, S W Schalm

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

10 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  6. Modeling HCV kinetics under therapy using PK and PD information.Expert opinion on drug metabolism & toxicology · 2009
    Review
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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

5 authors at 2 institutions in 2 countries.

F C BekkeringDept of Hepatology & Gastroenterology, University Hospital Rotterdam, The Netherlands. fcbekkering@hotmail.com
A U Neumann
J T Brouwer
R S Levi-Drummer
S W Schalm
Rotterdam University of Applied Sciences · NLBar-Ilan University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh dose interferon induction treatment of hepatitis C viral infection blocks viral production over 95%. Since dose reduction is often performed due to clinical considerations, the effect of dose reduction on hepatitis C virus kinetics was studied.

methodsA new model that allowed longitudinal changes in the parameters of viral dynamics was used in a group of genotype-1 patients (N = 15) with dose reduction from 10 to 3 million units of interferon daily in combination with ribavirin, in comparison to a control group (N = 9) with no dose reduction.

resultsDose reduction gave rise to a complex viral kinetic pattern, which could be only explained by a decrease in interferon effectiveness in blocking virion production. The benefit of the rapid initial viral decline following the high induction dose is lost after dose reduction. In addition, in some patients also the second phase viral decline slope, which is highly predictive of success of treatment, was impaired by the dose reduction resulting in smaller percentage of viral clearance in the dose reduction group.

conclusionsThese findings, while explaining the failure of many induction schedules, suggest that for genotype-1 patients induction therapy should be continued till HCVRNA negativity in serum in order to increase the sustained response rate for chronic hepatitis C.

Indexed as

Antiviral AgentsCase-Control StudiesHepacivirusHepatitis C, ChronicHumansInterferon-alphaInterferon alpha-2Models, BiologicalRecombinant ProteinsRNA, ViralAntiviral AgentsInterferon-alphaInterferon alpha-2Recombinant ProteinsRNA, Viral

Identifiers

PMID11801193
PMCPMC64636
OpenAlexW2140439995

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.