Evidence map›Paper›PMID 26754432›Full record

Trial reportHepatology (Baltimore, Md.)2016

Daclatasvir with sofosbuvir and ribavirin for hepatitis C virus infection with advanced cirrhosis or post-liver transplantation recurrence.

Fred Poordad, Eugene R Schiff, John M Vierling, Charles Landis, Robert J Fontana, Rong Yang, Fiona McPhee, Eric A Hughes, Stephanie Noviello, Eugene S Swenson

Open access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Hepatology (Baltimore, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 166 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed, 4 pooled it
60.2field-weighted citation impact, top 1% 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

166 citing papers in PubMed, 4 syntheses or guidelines pooled it, 457 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. SASLT guidelines: Update in treatment of Hepatitis C virus infection.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2016
    Guideline
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Review
  14. Article
  15. SASLT guidelines: Update in treatment of hepatitis C virus infection, 2024.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Observational
  20. Article

106 more citing papers are in PubMed but not listed here.

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

10 authors at 6 institutions in 1 country.

Fred PoordadThe Texas Liver Institute, University of Texas Health Science Center, San Antonio, TX.
Eugene R SchiffSchiff Center for Liver Diseases, University of Miami Miller School of Medicine, Miami, FL.
John M VierlingDivision of Abdominal Transplantation, Baylor College of Medicine, Houston, TX.
Charles LandisDivision of Gastroenterology and Hepatology, Department of Medicine, University of Washington, Seattle, WA.
Robert J FontanaUniversity Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, MI.
Rong YangBristol-Myers Squibb, Lawrence Township, NJ.
Fiona McPheeDiscovery Virology, Bristol-Myers Squibb Research and Development, Wallingford, CT.
Eric A HughesBristol-Myers Squibb, Lawrence Township, NJ.
Stephanie NovielloBristol-Myers Squibb, Lawrence Township, NJ.
Eugene S SwensonDiscovery Virology, Bristol-Myers Squibb Research and Development, Wallingford, CT.
Bristol-Myers Squibb (United States) · USBaylor College of Medicine · USThe University of Texas Health Science Center at San Antonio · USUniversity of Miami · USUniversity of Michigan–Ann Arbor · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledChronic hepatitis C virus (HCV) infection with advanced cirrhosis or post-liver transplantation recurrence represents a high unmet medical need with no approved therapies effective across all HCV genotypes. The open-label ALLY-1 study assessed the safety and efficacy of a 60-mg once-daily dosage of daclatasvir (pan-genotypic NS5A inhibitor) in combination with sofosbuvir at 400 mg once daily (NS5B inhibitor) and ribavirin at 600 mg/day for 12 weeks with a 24-week follow-up in two cohorts of patients with chronic HCV infection of any genotype and either compensated/decompensated cirrhosis or posttransplantation recurrence. Patients with on-treatment transplantation were eligible to receive 12 additional weeks of treatment immediately after transplantation. The primary efficacy measure was sustained virologic response at posttreatment week 12 (SVR12) in patients with a genotype 1 infection in each cohort. Sixty patients with advanced cirrhosis and 53 with posttransplantation recurrence were enrolled; HCV genotypes 1 (76%), 2, 3, 4, and 6 were represented. Child-Pugh classifications in the advanced cirrhosis cohort were 20% A, 53% B, and 27% C. In patients with cirrhosis, 82% (95% confidence interval [CI], 67.9%-92.0%) with genotype 1 infection achieved SVR12, whereas the corresponding rates in those with genotypes 2, 3, and 4 were 80%, 83%, and 100%, respectively; SVR12 rates were higher in patients with Child-Pugh class A or B, 93%, versus class C, 56%. In transplant recipients, SVR12 was achieved by 95% (95% CI, 83.5%-99.4%) and 91% of patients with genotype 1 and 3 infection, respectively. Three patients received peritransplantation treatment with minimal dose interruption and achieved SVR12. There were no treatment-related serious adverse events.

conclusionThe pan-genotypic combination of daclatasvir, sofosbuvir, and ribavirin was safe and well tolerated. High SVR rates across multiple HCV genotypes were achieved by patients with post-liver transplantation recurrence or advanced cirrhosis.

Indexed as

AdultAgedAged, 80 and overAntiviral AgentsCarbamatesDrug Therapy, CombinationFemaleHepatitis C, ChronicHumansImidazolesLiver CirrhosisLiver TransplantationMaleMiddle AgedProspective StudiesPyrrolidinesAntiviral AgentsCarbamatesdaclatasvirImidazolesPyrrolidinesRibavirinRNA, ViralSofosbuvirValine

Identifiers

PMID26754432
PMCPMC5069651
OpenAlexW2306227468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.