Evidence map›Paper›PMID 22706796›Full record

ArticleLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society2012

Case report of successful peginterferon, ribavirin, and daclatasvir therapy for recurrent cholestatic hepatitis C after liver retransplantation.

Robert J Fontana, Eric A Hughes, Henry Appelman, Robert Hindes, Dessislava Dimitrova, Marc Bifano

Abstract readCase Reports
In one paragraph

Article in Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.8field-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

20 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
  2. Article
  3. Severe Cholestatic Hepatitis C in Transplant Recipients: No Longer a Threat to Graft Survival.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Article
  4. Article
  5. Hepatitis C: New challenges in liver transplantation.World journal of gastroenterology · 2015
    Review
  6. Article
  7. Review
  8. Review
  9. Recurrent HCV after liver transplantation-mechanisms, assessment and therapy.Nature reviews. Gastroenterology & hepatology · 2014
    Review
  10. Review
  11. Recurrent hepatitis C after liver transplant.World journal of gastroenterology · 2014
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Treatment decisions and contemporary versus pending treatments for hepatitis C.Nature reviews. Gastroenterology & hepatology · 2013
    Review
  17. Current and future therapies for hepatitis C virus infection.The New England journal of medicine · 2013
    Review
  18. Daclatasvir: potential role in hepatitis C.Drug design, development and therapy · 2013
    Review
  19. Review
  20. Review
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

6 authors at 3 institutions in 1 country.

Robert J FontanaDepartment of Internal Medicine, University of Michigan Medical Center, Ann Arbor, MI 48109-0362, USA. rfontana@med.umich.edu
Eric A Hughes
Henry Appelman
Robert Hindes
Dessislava Dimitrova
Marc Bifano
Bristol-Myers Squibb (United States) · USUniversity of Michigan–Ann Arbor · USGilead Sciences (United States) · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986
6 · The paper itself

Abstract

A recurrent hepatitis C virus (HCV) infection after liver transplantation (LT) can lead to accelerated allograft injury and fibrosis. The aim of this article is to report the first ever use of daclatasvir (DCV; also known as BMS-790052), a potent orally administered nonstructural 5A replication complex inhibitor, in combination with peginterferon α (PEG-IFNα) and ribavirin in an LT recipient. A 49-year-old female developed a severe recurrent HCV genotype 1b infection 4 months after transplantation with severe cholestasis on biopsy, an HCV RNA level of 10,000,000 IU/mL, an alkaline phosphatase level of 1525 IU/mL, and a total bilirubin level of 8.4 mg/dL. Despite partial virological suppression with PEG-IFNα and ribavirin, progressive allograft failure ensued and culminated in retransplantation at 9 months. Three months after the second transplant, DCV (20 mg/day), PEG-IFNα2a (180 μg/week), and ribavirin (800 mg/day) were prescribed for early recurrent cholestatic HCV. Serum HCV RNA became undetectable at week 3 of treatment and remained undetectable during 24 weeks of triple therapy and during the posttreatment follow-up. DCV was well tolerated, and the trough drug levels were within the targeted range throughout the treatment. The cyclosporine trough levels were also stable during and after therapy. In conclusion, the lack of anticipated drug-drug interactions between DCV and calcineurin inhibitors and the potent antiviral efficacy of DCV make this agent (in combination with PEG-IFN and ribavirin) an attractive antiviral regimen worthy of further study in LT recipients with recurrent HCV.

Indexed as

Alkaline PhosphataseAntiviral AgentsBilirubinBiomarkersCarbamatesCholestasisDrug Therapy, CombinationFemaleHepacivirusHepatitis CHumansImidazolesImmunosuppressive AgentsInterferon-alphaLiver FailureLiver TransplantationAlkaline PhosphataseAntiviral AgentsBilirubinBiomarkersCarbamatesdaclatasvirImidazolesImmunosuppressive AgentsInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsPyrrolidinesRecombinant ProteinsRibavirinRNA, ViralValine

Identifiers

PMID22706796
PMCPMC3644503
OpenAlexW2092745838

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.