Evidence map›Paper›PMID 21556829›Full record

Trial reportJournal of gastroenterology2011

Antiviral effects of peginterferon alpha-2b and ribavirin following 24-week monotherapy of telaprevir in Japanese hepatitis C patients.

Itaru Ozeki, Jun Akaike, Yoshiyasu Karino, Tomohiro Arakawa, Yasuaki Kuwata, Takumi Ohmura, Takahiro Sato, Naohiro Kamiya, Ichimaro Yamada, Kazuaki Chayama and 2 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
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

12 authors at 5 institutions in 1 country.

Itaru OzekiDepartment of Gastroenterology, Sapporo Kosei General Hospital, North-3 East-8, Chuou-Ku, Sapporo, Hokkaido, 060-0033, Japan.
Jun Akaike
Yoshiyasu Karino
Tomohiro Arakawa
Yasuaki Kuwata
Takumi Ohmura
Takahiro Sato
Naohiro Kamiya
Ichimaro Yamada
Kazuaki Chayama
Hiromitsu Kumada
Joji Toyota
Sapporo Kosei General Hospital · JPHiroshima University · JPMitsubishi Group (Japan) · JPMitsubishi Tanabe Pharma CorporationToranomon Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsAnemia is commonly observed as a side effect in a treatment with protease inhibitors combined with peginterferon alpha and ribavirin for hepatitis C virus infection. This study assessed the safety, tolerability, viral kinetics, and selection of variants in telaprevir monotherapy for 24 weeks, and outcomes of the off-study treatment with peginterferon alpha-2b and ribavirin among Japanese female patients at a median age of 54 years who were difficult to treat with the standard therapy (peginterferon alpha-2b and ribavirin) alone in Japan.

methodsFour treatment-naïve patients with chronic hepatitis C virus subtype 1b infection received telaprevir (750 mg every 8 h) alone for 24 weeks. All patients then started the off-study treatment with peginterferon alpha-2b and ribavirin. Safety, tolerability, hepatitis C virus RNA levels, and emergence of telaprevir-resistant variants were monitored.

resultsDuring the 24 weeks of telaprevir monotherapy, there was no discontinuation due to adverse events, but 2 patients stopped the intake at weeks 6 and 15 because of viral breakthrough. Emergence of telaprevir-resistant variants was observed in 3 patients who showed viral breakthrough. These variants were eliminated by the off-study treatment, and sustained virological response was achieved in all patients.

conclusionsAnemia was manageable by carefully adjusting the ribavirin dosage in the standard therapy that followed telaprevir monotherapy. This sequential regimen seems to be safer and more tolerable than the triple combination of telaprevir, peginterferon alpha, and ribavirin, especially among elderly females with low baseline hemoglobin.

Indexed as

AnemiaAntiviral AgentsDrug Resistance, ViralDrug Therapy, CombinationFemaleGenomic Structural VariationHepacivirusHepatitis C, ChronicHumansInterferon-alphaInterferon alpha-2JapanMiddle AgedOligopeptidesPolyethylene GlycolsRecombinant ProteinsAntiviral AgentsInterferon-alphaInterferon alpha-2Oligopeptidespeginterferon alfa-2bPolyethylene GlycolsRecombinant ProteinsRibavirinRNA, Viraltelaprevir

Identifiers

PMID21556829
OpenAlexW2026732368

What OpenQuestion holds

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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.