Evidence map›Paper›PMID 18721241›Full record

ArticleThe American journal of gastroenterology2008

Changes in mood states and biomarkers during peginterferon and ribavirin treatment of chronic hepatitis C.

Robert J Fontana, Ziad Kronfol, Karen L Lindsay, Linas A Bieliauskas, Latha Padmanabhan, Carla Back-Madruga, Anna S F Lok, Anne M Stoddard, HALT-C Trial Group

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 42 citations in OpenAlex.

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  15. HCV-related nervous system disorders.Clinical & developmental immunology · 2012
    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

9 authors at 4 institutions in 1 country.

Robert J FontanaDivision of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA.
Ziad Kronfol
Karen L Lindsay
Linas A Bieliauskas
Latha Padmanabhan
Carla Back-Madruga
Anna S F Lok
Anne M Stoddard
HALT-C Trial Group
University of Michigan–Ann Arbor · USNew England Research Institutes · USUniversity of Southern California · USVA Ann Arbor Healthcare System · US

Funding

ZOPOLRESTAT IN NORMOTENSIVE, TYPE 1 DIA WITH INCIPIENT NEPHROPATHYM01RR000043 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZAIA, JOHN A · 1985 to 2010
$76.4M
ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ORAL, ELIF ARIOGLU · 1985 to 2007
$40.8M
HEPATITIS C CLINICAL TRIAL-DATA COORDINATING CENTER-267092328N01DK092328 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · 1999 to 2004
$1.5M
HEPATITIS C CLINICAL TRIAL-CLINICAL CENTERSN01DK092325 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LINDSAY, KAREN L · 1999 to 2000
$697k
HEPATITIS C CLINICAL TRIAL-CLINICAL CENTERSN01DK092323 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LOK, ANNA SF · 1999 to 2000
$233k
NCRR NIH HHS M01 RR000042NCRR NIH HHS M01 RR000043NCRR NIH HHS M01RR-00042NCRR NIH HHS M01RR-00043NIDDK NIH HHS N01 DK092323NIDDK NIH HHS N01 DK092325NIDDK NIH HHS N01 DK092328NIDDK NIH HHS N01-DK-9-2323NIDDK NIH HHS N01-DK-9-2325NIDDK NIH HHS N01-DK-9-2328
6 · The paper itself

Abstract

objectiveDepression is a frequent side effect of interferon therapy in patients with chronic hepatitis C (CHC). The aim of this study was to identify baseline and on-treatment predictors of depression in CHC patients receiving peginterferon and ribavirin.

methodsIn total, 201 prior nonresponders with advanced fibrosis were treated with peginterferon alfa-2a and ribavirin for 24 wk in the Hepatitis C Antiviral Long-term Treatment against Cirrhosis trial. Of these, 74 continued on antiviral therapy through week 48. Mood states were assessed with the Beck Depression Inventory II and the Composite International Diagnostic Interview. Plasma cortisol and whole blood serotonin levels were measured in 101 subjects at weeks 0, 4, 24, 48, and 72.

resultsThe incidence of interferon-induced depression was 23% and 42% at weeks 24 and 48, respectively. Although 22% of patients had baseline depression, the absence of a week 20 virological response was the only independent predictor of interferon-induced depression at week 24 (P = 0.0009). Plasma cortisol levels did not change during treatment nor correlate with depression. In contrast, whole blood serotonin/platelet levels significantly decreased during treatment, but did not correlate with interferon-induced depression through week 24 (P = 0.35), nor through week 48 (P = 0.51).

conclusionDepression during peginterferon and ribavirin therapy was associated with a lower antiviral response. The significant reduction in whole blood serotonin levels over time suggest that further studies of the serotonergic pathway are warranted to identify the mediators of interferon-induced depression.

Indexed as

AffectAntiviral AgentsBiomarkersDepressionFemaleHepatitis C, ChronicHumansInterferon-alphaInterferon alpha-2MaleMiddle AgedPolyethylene GlycolsRecombinant ProteinsRibavirinAntiviral AgentsBiomarkersInterferon-alphaInterferon alpha-2peginterferon alfa-2aPolyethylene GlycolsRecombinant ProteinsRibavirin

Identifiers

PMID18721241
PMCPMC3712502
OpenAlexW2154066696

What OpenQuestion holds

Textmetadata
LicenceTDM
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.