Evidence map›Paper›PMID 25821315›Full record

Trial reportIndian journal of pharmacology

Safety and efficacy of Qurse-e-istisqua in chronic hepatitis C infection: an exploratory study.

Harmeet Singh Rehan, Deepti Chopra, Madhur Yadav, Neeta Wardhan, Seema Manak, K M Siddiqui, Mohd Aslam

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Meta-Analysis of Combination Therapy of Chinese Herbs Plus Interferon and Ribavirin in Patients with Chronic Hepatitis C.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Pooled it
  2. 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

7 authors at 4 institutions in 1 country.

Harmeet Singh RehanDepartment of Pharmacology, Lady Hardinge Medical College, New Delhi, India.
Deepti ChopraDepartment of Pharmacology, HIMSR, Jamia Hamdard, New Delhi, India.
Madhur YadavDepartment of Medicine, Lady Hardinge Medical College, New Delhi, India.
Neeta WardhanDepartment of Pharmacology, University College of Medical Sciences, New Delhi, India.
Seema ManakDepartment of Pharmacology, Lady Hardinge Medical College, New Delhi, India.
K M SiddiquiCentral Council for Research in Unani Medicines, AYUSH, Ministry of Health and Family Welfare, Janak Puri, New Delhi, India.
Mohd AslamDepartment Pharmacology Ilmul Advia, faculty of Unani Medicine, Hamdard University, New Delhi, India.
Lady Hardinge Medical College · INJamia Hamdard · INCentral Council for Research in Unani Medicine · INUniversity College of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQurse-e-istisqua (Q-e-I), an Unani medicine commonly prescribed to treat liver disorders.

objectivesTo study efficacy and safety of Q-e-I in hepatitis C virus (HCV) infection.

methodsIn this randomized double-blind exploratory study, 60 naive patients of HCV infection were assigned to receive either interferonα2a (IFNα2a) (3 mIU, subcutaneous, thrice weekly), ribavirin (RBV) (1000 mg, orally, twice daily in divided doses) and placebo (n = 30) or IFNα2a, RBV and Q-e-I (5 g, orally, thrice daily in divided doses) (n = 30). HCV RNA levels, serum hyaluronic acid (SHA), ultrasound image scoring for fibrosis, liver and renal function test, prothrombin time, were done at the baseline and thereafter periodically.

resultsEarly virologic response (EVR), end of treatment response (ETR) and sustained virologic response (SVR) were 90%, 96.6% and 90% in the control group and 86.6%, 90.0% and 83.3% in the treatment group. SHA level was lower in the treatment group at the end of the treatment as compared to the control group. Mean end of follow-up ultrasound image scoring for fibrosis in the control and the treatment group was 1.37 ± 0.07 and 1.22 ± 0.06 respectively. Aspartate aminotransferase (AST) levels were significantly lower in the treatment group than the control group at 1-month. Commonly observed adverse drug reactions included fever, hair fall, fatigue, anemia, and diarrhea.

conclusionQ-e-I was well tolerated and showed anti-fibrotic activity. EVR, ETR and SVR suggested that Q-e-I do not have any anti-HCV activity. Early recovery in AST and inhibition of progress of fibrosis in Q-e-I group was probably due to the anti-inflammatory and antioxidant activity of its ingredients.

Indexed as

AdultAntiviral AgentsAspartate AminotransferasesBiomarkersBlood CoagulationBlood Coagulation TestsDouble-Blind MethodDrug Therapy, CombinationFemaleHepacivirusHepatitis C, ChronicHumansHyaluronic AcidIndiaInterferon-alphaInterferon alpha-2Antiviral AgentsAspartate AminotransferasesBiomarkersHyaluronic AcidInterferon-alphaInterferon alpha-2Plant ExtractsPlant Preparationsqurse-e-istisquaRecombinant ProteinsRibavirinRNA, ViralFibrosishepatitis CinterferonQurse-e-istisquaribavirin

Identifiers

PMID25821315
PMCPMC4375823
OpenAlexW2061652063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.