Evidence map›Paper›PMID 26449425›Full record

ArticleHepatology international2015

Interferon-α plus ribavirin yields 98 % sustained virologic response in children aged 1-5 years with iatrogenic chronic hepatitis C.

Shi-Shu Zhu, Qing-Lei Zeng, Yi Dong, Zhi-Qiang Xu, Li-Min Wang, Da-Wei Chen, Yu Gan, Fu-Chuan Wang, Jian-Guo Yan, Li-Li Cao and 6 more

Abstract read
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Article in Hepatology international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. [New progress on the clinical study of antiviral therapy for chronic hepatitis B in children].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Review
  4. Article
  5. Article
  6. Observational
  7. 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

16 authors at 1 institution in 1 country.

Shi-Shu ZhuTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Qing-Lei ZengDepartment of Infectious Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Yi DongTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Zhi-Qiang XuTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Li-Min WangTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Da-Wei ChenTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Yu GanTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Fu-Chuan WangTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Jian-Guo YanTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Li-Li CaoTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Pu WangTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China.
Jin HanGenetic Testing Center, Beijing 302 Hospital, Beijing, 100039, China.
Xue-Xiu ZhangThe Institute of Translational Hepatology, Beijing 302 Hospital, Beijing, 100039, China.
Zheng ZhangThe Institute of Translational Hepatology, Beijing 302 Hospital, Beijing, 100039, China.
Hong-Fei ZhangTreatment and Research Center for Children's Liver Disease, Beijing 302 Hospital, Beijing, 100039, China. bjzhhf@aliyun.com.
Fu-Sheng WangThe Institute of Translational Hepatology, Beijing 302 Hospital, Beijing, 100039, China. fswang302@163.com.
302 Military Hospital of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe clinical features and efficacies of antivirals for children with hepatitis C virus (HCV) infections that are acquired through different transmission routines are poorly understood worldwide. This study investigated the clinical characteristics of children who were infected via iatrogenic means and analyzed the efficacy of antiviral therapy in children with chronic hepatitis C (CHC).

methodsIn total, 256 children with HCV infections aged 1 to 5 years were enrolled and surveyed. Interferon-α plus ribavirin was administered to 162 children with CHC for 24 or 48 weeks. The sustained virologic response (SVR) at 24 weeks post-treatment was determined.

resultsThe median duration of infection was 11.5 (range 6-24) months. The median age was 2.7 years, and 64.5 % of the subjects were male. Ninety-three children (36.3 %, 93/256) exhibited spontaneous resolution of the HCV infection. The remaining 163 (63.7 %) were HCV RNA-positive and had HCV genotypes 1b and 2a, which were identified in 42 and 58 %, respectively, of the 133 tested children. Liver biopsies were performed in all HCV RNA-detectable children. A total of 23.9 % cases exhibited grade 2 activity, and 30.1 % exhibited stage 2/3 liver fibrosis. The serum HCV RNA levels were positively correlated with the aminotransferases. Of the 162 treated CHC children, 158 (97.5 %) achieved SVR. The side effects were mild, and 158 (97.5 %) of the treated patients tolerated the treatment well.

conclusionsThis study revealed that histological liver disease can be present within 6-24 months of acquiring an HCV infection in children aged 1-5 years. Interferon-α plus ribavirin therapy is a highly effective and cost-effective means of managing children with early-stage chronic HCV infection.

Indexed as

AdolescentAntiviral AgentsBiopsyChildChild, PreschoolChinaDose-Response Relationship, DrugDrug Therapy, CombinationFemaleFollow-Up StudiesGenotypeHepacivirusHepatitis C, ChronicHumansIatrogenic DiseaseIncidenceAntiviral AgentsInterferon-alphaRibavirinRNA, ViralAntiviral therapyChildrenEpidemiologyHepatitis C virusIatrogenic infection

Identifiers

PMID26449425
OpenAlexW1919657788

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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.