Evidence map›Paper›PMID 24516573›Full record

ArticlePloS one2014

Vitamin D levels vary during antiviral treatment but are unable to predict treatment outcome in HCV genotype 1 infected patients.

Georgios Grammatikos, Christian Lange, Simone Susser, Susanne Schwendy, Nektarios Dikopoulos, Peter Buggisch, Jens Encke, Gerlinde Teuber, Tobias Goeser, Robert Thimme and 8 more

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Vitamin D deficiency in chronic liver disease.World journal of hepatology · 2014
    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

18 authors.

Georgios GrammatikosJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Christian LangeJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Simone SusserJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Susanne SchwendyUniklinik TU München, München, Germany.
Nektarios DikopoulosUniklinik Ulm, Ulm, Germany.
Peter BuggischUniklinik Hamburg, Hamburg, Germany.
Jens EnckeUniklinik Heidelberg, Heidelberg, Germany.
Gerlinde TeuberInterdisziplinäres Facharztzentrum, Frankfurt am Main, Germany.
Tobias GoeserUniklinik Köln, Köln, Germany.
Robert ThimmeUniklinik Freiburg, Freiburg, Germany.
Hartwig KlinkerUniklinik Würzburg, Würzburg, Germany.
Wulf O BoecherUniklinik Mainz, Mainz, Germany.
Ewert Schulte-FrohlindeUniklinik TU München, München, Germany.
Marissa Penna-MartinezJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Klaus BadenhoopJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Stefan ZeuzemJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.
Thomas BergUniklinik Leipzig, Leipzig, Germany.
Christoph SarrazinJ. W. Goethe University Hospital, Medizinische Klinik 1, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent parameters have been determined for prediction of treatment outcome in hepatitis c virus genotype 1 infected patients undergoing pegylated interferon, ribavirin combination therapy. Results on the importance of vitamin D levels are conflicting. In the present study, a comprehensive analysis of vitamin D levels before and during therapy together with single nucleotide polymorphisms involved in vitamin D metabolism in the context of other known treatment predictors has been performed.

methodsIn a well characterized prospective cohort of 398 genotype 1 infected patients treated with pegylated interferon-α and ribavirin for 24-72 weeks (INDIV-2 study) 25-OH-vitamin D levels and different single nucleotide polymorphisms were analyzed together with known biochemical parameters for a correlation with virologic treatment outcome.

resultsFluctuations of more than 5 (10) ng/ml in 25-OH-vitamin D-levels have been observed in 66 (39) % of patients during the course of antiviral therapy and neither pretreatment nor under treatment 25-OH-vitamin D-levels were associated with treatment outcome. The DHCR7-TT-polymorphism within the 7-dehydrocholesterol-reductase showed a significant association (P = 0.031) to sustained viral response in univariate analysis. Among numerous further parameters analyzed we found that age (OR = 1.028, CI = 1.002-1.056, P = 0.035), cholesterol (OR = 0.983, CI = 0.975-0.991, P<0.001), ferritin (OR = 1.002, CI = 1.000-1.004, P = 0.033), gGT (OR = 1.467, CI = 1.073-2.006, P = 0.016) and IL28B-genotype (OR = 2.442, CI = 1.271-4.695, P = 0.007) constituted the strongest predictors of treatment response.

conclusionsWhile 25-OH-vitamin D-levels levels show considerable variations during the long-lasting course of antiviral therapy they do not show any significant association to treatment outcome in genotype 1 infected patients.

Indexed as

AdolescentAdultAgedAntiviral AgentsFemaleHepacivirusHepatitis CHumansInterferon-alphaMaleMiddle AgedPolyethylene GlycolsProspective StudiesRecombinant ProteinsRibavirinTreatment Outcome25-hydroxyvitamin DAntiviral AgentsInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant ProteinsRibavirinVitamin D

Identifiers

PMID24516573
PMCPMC3917831

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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.