Evidence map›Paper›PMID 25837807›Full record

ArticlePloS one2015

Patterns of hepatitis C virus RNA levels during acute infection: the InC3 study.

Behzad Hajarizadeh, Bart Grady, Kimberly Page, Arthur Y Kim, Barbara H McGovern, Andrea L Cox, Thomas M Rice, Rachel Sacks-Davis, Julie Bruneau, Meghan Morris and 10 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Short Course Therapy With Glecaprevir/Pibrentasvir for Early Hepatitis C Virus Infection: PURGE-C.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  7. Article
  8. Review
  9. Controlled Human Infection Model for Hepatitis C Virus Vaccine Development: Trial Design Considerations.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Genomic characterization of hepatitis C virus transmitted founder variants with deep sequencing.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. 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

20 authors at 10 institutions in 4 countries.

Behzad HajarizadehThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
Bart GradyCluster Infectious Diseases, GGD Public Health Service of Amsterdam, Amsterdam, The Netherlands.
Kimberly PageDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.
Arthur Y KimHarvard Medical School, Boston, Massachusetts, United States of America.
Barbara H McGovernTufts Medical School, Boston, Massachusetts, United States of America; Abbvie, Chicago, Illinois, United States of America.
Andrea L CoxDepartment of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States of America.
Thomas M RiceDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.
Rachel Sacks-DavisBurnet Institute, Melbourne, VIC, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Julie BruneauCRCHUM, Université de Montréal, Montreal, QC, Canada.
Meghan MorrisDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, United States of America.
Janaki AminThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
Janke SchinkelAcademic Medical Center, Amsterdam, The Netherlands.
Tanya ApplegateThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
Lisa MaherThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
Margaret HellardBurnet Institute, Melbourne, VIC, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Andrew R LloydInflammation and Infection Research Centre, School of Medical Sciences, UNSW Australia, Sydney, NSW, Australia.
Maria PrinsCluster Infectious Diseases, GGD Public Health Service of Amsterdam, Amsterdam, The Netherlands; Academic Medical Center, Amsterdam, The Netherlands.
Gregory J DoreThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
Jason GrebelyThe Kirby Institute, UNSW Australia (University of New South Wales), Sydney, NSW, Australia.
InC3 Study Group
UNSW Sydney · AUUniversity of California, San Francisco · USAcademic Medical Center · NLBurnet Institute · AUGGD Amsterdam · NLHarvard University · USJohns Hopkins University · USMonash University · AUTufts Medical Center · USUniversité de Montréal · CA

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Acute Hepatitis C Infection in Young InjectorsR01DA016017 · NIDA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI PAGE, KIMBERLY · 2002 to 2018
$14.0M
The role of NK cells during acute HCV infection and antiviral therapyU19AI066345 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LAUER, GEORG MICHAEL · 2005 to 2014
$8.5M
Scientific CoreU19AI088791 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SHAW, GEORGE M · 2010 to 2020
$8.2M
Treatment of recently acquired hepatitis C virus infectionR01DA015999 · NIDA · UNIVERSITY OF NEW SOUTH WALES · PI DORE, GREGORY JOHN · 2003 to 2014
$3.7M
Discovery and Assessment of Genetic Determinants of HCV and HIV ControlR01DA033541 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T, KIM, ARTHUR Y · 2011 to 2015
$3.4M
International Collaborative of prospective studies of HIV and Hepatitis in IDUR01DA031056 · NIDA · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI PAGE, KIMBERLY · 2011 to 2015
$2.2M
CIHR MOP-103138CIHR MOP-210232NIAID NIH HHS U19 AI066345NIAID NIH HHS U19 AI088791NIDA NIH HHS DA033541NIDA NIH HHS R01 DA015999NIDA NIH HHS R01 DA016017NIDA NIH HHS R01 DA031056NIDA NIH HHS R01DA031056NIDA NIH HHS R01 DA033541NIDA NIH HHS R01 DA 15999-01NIDDK NIH HHS P30 DK026743
6 · The paper itself

Abstract

backgroundUnderstanding the patterns of HCV RNA levels during acute hepatitis C virus (HCV) infection provides insights into immunopathogenesis and is important for vaccine design. This study evaluated patterns of HCV RNA levels and associated factors among individuals with acute infection.

methodsData were from an international collaboration of nine prospective cohorts of acute HCV (InC3 Study). Participants with well-characterized acute HCV infection (detected within three months post-infection and interval between the peak and subsequent HCV RNA levels ≤ 120 days) were categorised by a priori-defined patterns of HCV RNA levels: i) spontaneous clearance, ii) partial viral control with persistence (≥ 1 log IU/mL decline in HCV RNA levels following peak) and iii) viral plateau with persistence (increase or <1 log IU/mL decline in HCV RNA levels following peak). Factors associated with HCV RNA patterns were assessed using multinomial logistic regression.

resultsAmong 643 individuals with acute HCV, 162 with well-characterized acute HCV were identified: spontaneous clearance (32%), partial viral control with persistence (27%), and viral plateau with persistence (41%). HCV RNA levels reached a high viraemic phase within two months following infection, with higher levels in the spontaneous clearance and partial viral control groups, compared to the viral plateau group (median: 6.0, 6.2, 5.3 log IU/mL, respectively; P = 0.018). In the two groups with persistence, Interferon lambda 3 (IFNL3) CC genotype was independently associated with partial viral control compared to viral plateau (adjusted odds ratio [AOR]: 2.75; 95%CI: 1.08, 7.02). In the two groups with viral control, female sex was independently associated with spontaneous clearance compared to partial viral control (AOR: 2.86; 95%CI: 1.04, 7.83).

conclusionsAmong individuals with acute HCV, a spectrum of HCV RNA patterns is evident. IFNL3 CC genotype is associated with initial viral control, while female sex is associated with ultimate spontaneous clearance.

Indexed as

Acute DiseaseAdultAlanine TransaminaseCohort StudiesFemaleGenotypeHepacivirusHepatitis CHumansInterferon LambdaInterferonsInterleukinsMaleProspective StudiesRNA, ViralSeroconversionAlanine TransaminaseInterferon Lambdainterferon-lambda, humanInterferonsInterleukinsRNA, Viral

Identifiers

PMID25837807
PMCPMC4383375
OpenAlexW2147095172

What OpenQuestion holds

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LicenceCC BY
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.