Evidence map›Paper›PMID 26835876›Full record

Trial reportLiver international : official journal of the International Association for the Study of the Liver2016

A phase 3b study of sofosbuvir plus ribavirin in Taiwanese patients with chronic genotype 2 hepatitis C virus infection.

Jia-Horng Kao, Rong-Nan Chien, Ting-Tsung Chang, Cheng-Yuan Peng, Tsung-Hui Hu, Gin-Ho Lo, Horng-Yuan Wang, Jyh-Jou Chen, Jenny C Yang, Steven J Knox and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Liver international : official journal of the International Association for the Study of the Liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02021643 (A Phase 3b, Multicenter, Open-Label, Randomized Study to Investigate the Efficacy and Safety of Sofosbuvir Plus Ribavirin), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT02021643 phase3completednot on this map

A Phase 3b, Multicenter, Open-Label, Randomized Study to Investigate the Efficacy and Safety of Sofosbuvir Plus Ribavirin (± Pegylated Interferon) in Subjects With Chronic Genotype 1, 2, 3 and 6 HCV Infection

TypeinterventionalSponsorGilead SciencesRan2013 to 2016Enrolled687ConditionsChronic HCV InfectionArmsSofosbuvir, RBV, PEG
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. A phase 3b study of sofosbuvir plus ribavirin in Taiwanese patients with chronic genotype 2 hepatitis C virus infection.Liver international : official journal of the International Association for the Study of the Liver · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Jia-Horng KaoNational Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Rong-Nan ChienLiver Research Unit, Chang Gung Memorial Hospital-Keelung, Keelung, Taiwan.
Ting-Tsung ChangDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Cheng-Yuan PengDepartment of Internal Medicine, School of Medicine, China Medical University, Taichung, Taiwan.
Tsung-Hui HuChang Gung Medical Foundation, Kaohsiung, Taiwan.
Gin-Ho LoDepartment of Medicine, E-Da Hospital, Kaohsiung, Taiwan.
Horng-Yuan WangDepartment of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Jyh-Jou ChenDepartment of Internal Medicine, Chi Mei Hospital, Liouying, Tainan, Taiwan.
Jenny C YangGilead Sciences, Inc., Foster City, CA, USA.
Steven J KnoxGilead Sciences, Inc., Foster City, CA, USA.
Lingling HanGilead Sciences, Inc., Foster City, CA, USA.
Hongmei MoGilead Sciences, Inc., Foster City, CA, USA.
Anita MathiasGilead Sciences, Inc., Foster City, CA, USA.
Diana M BrainardGilead Sciences, Inc., Foster City, CA, USA.
I-Shyan SheenChang Gung Memorial Hospital and Medical College, Chang Gung University, Taoyuan, Taiwan.
Yu-Chun HsuDepartment of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan.
Chi-Jen ChuDepartment of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Wan-Long ChuangKaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsIn Taiwan, patients with chronic hepatitis C virus (HCV) infection are currently treated with pegylated interferon-alpha plus ribavirin, but interferon-based regimens can be poorly tolerated, especially by those with advanced liver disease and the elderly. Sofosbuvir, an oral nucleotide analogue inhibitor of HCV NS5B polymerase, is approved in Europe, the USA and Japan for treating chronic HCV infection. This phase 3b study examined the efficacy and safety of sofosbuvir plus ribavirin in Taiwanese patients with chronic genotype 2 HCV infection ± compensated cirrhosis.

methodsIn this multicentre, open-label, phase 3b (NCT02021643) study, 87 patients (n = 43, treatment-naive; n = 44, treatment-experienced) received 12 weeks of treatment with sofosbuvir plus weight-based ribavirin. The primary efficacy endpoint was the proportion of patients with sustained virological response 12 weeks after treatment discontinuation (SVR12). Safety and pharmacokinetic data were also collected.

resultsAll 87 patients (100%; 95% confidence interval, 92-100%) achieved SVR12, including the 13 patients with compensated cirrhosis. The most common treatment-emergent adverse events (AEs) were insomnia (16%, 14/87) and upper respiratory tract infection (16%, 14/87). No grade 3 or grade 4 AE was reported. There was one serious AE (biliary colic), which was deemed unrelated to study treatment. Laboratory abnormalities other than ribavirin-related reductions in haemoglobin were uncommon.

conclusionsThe results from this phase 3b study demonstrate that 12 weeks of treatment with the interferon-free regimen sofosbuvir plus ribavirin is effective and well tolerated in both treatment-naive and treatment-experienced Taiwanese patients with chronic genotype 2 HCV infection.

Indexed as

AdultAgedAntiviral AgentsDrug Therapy, CombinationFemaleHepacivirusHepatitis C, ChronicHumansLiver CirrhosisMaleMiddle AgedRibavirinSofosbuvirTaiwanTreatment OutcomeViral LoadAntiviral AgentsRibavirinSofosbuvirgenotype 2hepatitis C virus (HCV)ribavirinsofosbuvirTaiwan

Identifiers

PMID26835876
PMCPMC5071670

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Registered trials

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.