Evidence map›Paper›PMID 24295986›Full record

Trial reportAntimicrobial agents and chemotherapy2014

Efficacy and safety of danoprevir-ritonavir plus peginterferon alfa-2a-ribavirin in hepatitis C virus genotype 1 prior null responders.

Edward J Gane, Régine Rouzier, Alicja Wiercinska-Drapalo, Dominique G Larrey, Peter N Morcos, Barbara J Brennan, Sophie Le Pogam, Isabel Nájera, Rosemary Petric, Jonathan Q Tran and 5 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01185860 (A Multiple-Dose Study To Evaluate Safety, Tolerability, Pharmacokinetics and Antiviral Activity of Ritonavir-Boosted RO5190591 in Combination With Peginterferon Alfa-2a Plus Ribavirin in Patients With Chronic Hepatitis C Genotype 1), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT01185860 phase1completednot on this map

A Multiple-Dose Study To Evaluate Safety, Tolerability, Pharmacokinetics and Antiviral Activity of Ritonavir-Boosted RO5190591 in Combination With Peginterferon Alfa-2a Plus Ribavirin in Patients With Chronic Hepatitis C Genotype 1

TypeinterventionalSponsorHoffmann-La RocheRan2009 to 2012Enrolled59ConditionsHepatitis C, ChronicArmsdanoprevir, peginterferon alfa-2a [Pegasys], placebo, ribavirin, ritonavir
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
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  4. Pharmacological treatments of COVID-19.Pharmacological reports : PR · 2020
    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

15 authors at 5 institutions in 4 countries.

Edward J GaneAuckland Clinical Studies, Auckland, New Zealand.
Régine Rouzier
Alicja Wiercinska-Drapalo
Dominique G Larrey
Peter N Morcos
Barbara J Brennan
Sophie Le Pogam
Isabel Nájera
Rosemary Petric
Jonathan Q Tran
Rohit Kulkarni
Ying Zhang
Patrick Smith
Ellen S Yetzer
Nancy S Shulman
La Roche College · USAuckland Institute of Studies · NZCentre Occitanie-Montpellier · FRHôpital Saint Eloi · FRMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Danoprevir (DNV) is a hepatitis C virus (HCV) protease inhibitor that achieves high sustained virologic response (SVR) rates in combination with peginterferon alfa-2a-ribavirin in treatment-naive HCV genotype 1 (G1)-infected patients. This study explored the efficacy and safety of ritonavir-boosted DNV (DNVr) plus peginterferon alfa-2a-ribavirin in G1-infected prior peginterferon-ribavirin null responders. Null responders (<2-log10 reduction in HCV RNA level at week 12) were given an open-label combination of 100 mg of ritonavir and 100 mg of DNV (100/100 mg DNVr) every 12 h (q12h) plus peginterferon alfa-2a-ribavirin for 12 weeks. All patients achieving an early virologic response (EVR; ≥2-log10 decrease in HCV RNA by week 12) continued treatment with peginterferon alfa-2a-ribavirin; those without an EVR discontinued all study drugs. Twenty-four prior null responders were enrolled; 16 patients (67%) were infected with HCV G1b, and 8 (33%) were infected with G1a. Ninety-six percent of patients had an IL28B non-CC genotype. A sustained virologic response at 24 weeks posttreatment (SVR24) was achieved in 67% of patients, with a higher rate in G1b-infected (88%) than G1a-infected (25%) patients. Resistance-related breakthrough occurred in 4/8 G1a and 1/16 G1b patients through the DNV resistance-associated variant (RAV) NS3 R155K. NS3 R155K was also detected in 2/2 G1a patients who relapsed. Treatment was well tolerated. Two patients withdrew prematurely from study medications due to adverse events. Two serious adverse events were reported; both occurred after completion of DNVr therapy and were considered unrelated to treatment. No grade 3 or 4 alanine aminotransferase (ALT) elevations were observed. DNVr plus peginterferon alfa-2a-ribavirin demonstrated high SVR24 rates in HCV G1b-infected prior null responders and was well tolerated. (This study has been registered at ClinicalTrials.gov under registration no. NCT01185860.).

Indexed as

AdultAlanine TransaminaseAntiviral AgentsCyclopropanesDEAD-box RNA HelicasesDrug Administration ScheduleDrug Resistance, ViralDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis C, ChronicHumansInterferon-alphaIsoindolesLactamsAlanine TransaminaseAntiviral AgentsCyclopropanesdanoprevirDEAD-box RNA HelicasesInterferon-alphaIsoindolesLactamsLactams, MacrocyclicNS3 protein, hepatitis C virusNucleoside-Triphosphatasepeginterferon alfa-2aPolyethylene GlycolsProlineRecombinant ProteinsRibavirinRitonavirRNA, ViralSerine EndopeptidasesSulfonamidesViral Nonstructural ProteinsViral Proteases

Identifiers

PMID24295986
PMCPMC3910820
OpenAlexW2139670693

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.