Evidence map›Paper›PMID 19434718›Full record

ArticleHepatology (Baltimore, Md.)2009

Variants in interferon-alpha pathway genes and response to pegylated interferon-Alpha2a plus ribavirin for treatment of chronic hepatitis C virus infection in the hepatitis C antiviral long-term treatment against cirrhosis trial.

Tania Mara Welzel, Timothy R Morgan, Herbert L Bonkovsky, Deepa Naishadham, Ruth M Pfeiffer, Elizabeth C Wright, Amy A Hutchinson, Andrew T Crenshaw, Arman Bashirova, Mary Carrington and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Participation of Single-Nucleotide Variants inPathogens (Basel, Switzerland) · 2023
    Review
  8. Article
  9. Review
  10. Review
  11. Genetic Variants inFrontiers in genetics · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. An RNA editor, adenosine deaminase acting on double-stranded RNA (ADAR1).Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2014
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 17 institutions in 1 country.

Tania Mara WelzelDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA.
Timothy R Morgan
Herbert L Bonkovsky
Deepa Naishadham
Ruth M Pfeiffer
Elizabeth C Wright
Amy A Hutchinson
Andrew T Crenshaw
Arman Bashirova
Mary Carrington
Myhanh Dotrang
Richard K Sterling
Karen L Lindsay
Robert J Fontana
William M Lee
Adrian M Di Bisceglie
Marc G Ghany
David R Gretch
Stephen J Chanock
Raymond T Chung
Thomas R O'Brien
HALT-C Trial Group
National Institutes of Health · USScience Applications International Corporation (United States) · USUniversity of Washington · USCarolinas Medical Center · USDivision of Cancer Epidemiology and GeneticsJohns Hopkins University · USMassachusetts General Hospital · USNational Cancer Institute · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNew England Research Institutes · USOffice of the Director · USSaint Louis University · USThe University of Texas Southwestern Medical Center · USUniversity of Michigan–Ann Arbor · USUniversity of Southern California · USVA Long Beach Healthcare System · USVirginia Commonwealth University Medical Center · 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
ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHANG, R JEFFREY · 1985 to 2010
$74.3M
ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KOSMISKI, LISA A. · 1985 to 2008
$52.6M
ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENFIRE, MELVYN · 1985 to 2007
$40.8M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
X-LINKED HYPOPHOSPHATEMIAM01RR000065 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI SANYAL, ARUN J · 1985 to 2010
$24.8M
ZONISAMIDE VERSUS PLACEBOM01RR006192 · NCRR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI DRAZINIC, CAROLYN M · 1994 to 2008
$22.1M
XU 40468 IN HYPERCHOLESTEROLEMIAM01RR000633 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 1985 to 2007
$21.0M
Effects of genetic polymorphism in MHC, KIR, and related loci on human diseaseZIABC010791 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CARRINGTON, MARY N. · 2009 to 2025
$18.2M
Natural History, Therapy and Pathogenesis of Chronic Viral Hepatitis CZIADK075009 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI GHANY, MARC · 2009 to 2025
$7.2M
Epidemiology of Oncogenic VirusesZIACP005782 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI O'BRIEN, THOMAS R · 2009 to 2025
$6.7M
HEPATITIS C CLINICAL TRIAL-DATA COORDINATING CENTER-267092328N01DK092328 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · 1999 to 2004
$1.5M
Intramural NIH HHS Z01 CP005782Intramural NIH HHS Z99 CA999999NCRR NIH HHS M01 RR000042NCRR NIH HHS M01 RR000043NCRR NIH HHS M01 RR000051NCRR NIH HHS M01 RR000065NCRR NIH HHS M01RR-00042NCRR NIH HHS M01RR-00043NCRR NIH HHS M01RR-00051NCRR NIH HHS M01 RR000633NCRR NIH HHS M01RR-00065NCRR NIH HHS M01 RR000827NCRR NIH HHS M01 RR001066NCRR NIH HHS M01 RR006192NCRR NIH HHS M01RR-00633NCRR NIH HHS M01RR-00827NCRR NIH HHS M01RR-01066NCRR NIH HHS M01RR-06192NIDDK NIH HHS N01-DK-9-2318NIDDK NIH HHS N01-DK-9-2319NIDDK NIH HHS N01-DK-9-2320NIDDK NIH HHS N01-DK-9-2321NIDDK NIH HHS N01-DK-9-2322NIDDK NIH HHS N01-DK-9-2323NIDDK NIH HHS N01-DK-9-2324NIDDK NIH HHS N01-DK-9-2325NIDDK NIH HHS N01-DK-9-2326NIDDK NIH HHS N01-DK-9-2327NIDDK NIH HHS N01-DK-9-2328
6 · The paper itself

Abstract

unlabelledCombination treatment with pegylated-interferon-alpha (PEG IFN-alpha) and ribavirin, the current recommended therapy for chronic hepatitis C virus (HCV) infection, results in a sustained virological response (SVR) in only about half of patients. Because genes involved in the interferon-alpha pathway may affect antiviral responses, we analyzed the relationship between variants in these genes and SVR among participants in the Hepatitis C Antiviral Long-Term treatment Against Cirrhosis (HALT-C) trial. Patients had advanced chronic hepatitis C that had previously failed to respond to interferon-based treatment. Participants were treated with peginterferon-alpha2a and ribavirin during the trial. Subjects with undetectable HCV RNA at week 72 were considered to have had an SVR. Subjects with detectable HCV RNA at week 20 were considered nonresponders. We used TaqMan assays to genotype 56 polymorphisms found in 13 genes in the interferon-alpha pathway. This analysis compares genotypes for participants with an SVR to nonresponders. The primary analysis was restricted to European American participants because a priori statistical power was low among the small number (n = 131) of African American patients. We used logistic regression to control the effect of other variables that are associated with treatment response. Among 581 European American patients, SVR was associated with IFNAR1 IVS1-22G (adjusted odds ratio, 0.57; P = 0.02); IFNAR2 Ex2-33C (adjusted odds ratio, 2.09; P = 0.02); JAK1 IVS22+112T (adjusted odds ratio, 1.66; P = 0.04); and ADAR Ex9+14A (adjusted odds ratio, 1.67; P = 0.03). For the TYK2-2256A promoter region variant, a borderline association was present among European American participants (OR, 1.51; P = 0.05) and a strong relationship among African American patients; all 10 with SVR who were genotyped for TYK2 -2256 carried the A variant compared with 68 of 120 (57%) nonresponders (P = 0.006).

conclusionGenetic polymorphisms in the interferon-alpha pathway may affect responses to antiviral therapy of chronic hepatitis C.

Indexed as

Antiviral AgentsDrug Therapy, CombinationFemaleHepatitis C, ChronicHumansInterferon-alphaInterferon alpha-2Liver CirrhosisMaleMiddle AgedPolyethylene GlycolsPolymorphism, GeneticRecombinant ProteinsRibavirinTime FactorsAntiviral AgentsInterferon-alphaInterferon alpha-2peginterferon alfa-2aPolyethylene GlycolsRecombinant ProteinsRibavirin

Identifiers

PMID19434718
PMCPMC2692559
OpenAlexW2014731361

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Registered trials

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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.