Evidence map›Paper›PMID 27186579›Full record

ArticleOpen forum infectious diseases2016

Pre-existence and Persistence of Resistant Minority Hepatitis C Virus Variants in Genotype 1-Infected Patients Treated With Simeprevir/Peginterferon/Ribavirin.

Bart Fevery, Kim Thys, Veerle Van Eygen, Thierry Verbinnen, Elizabeth Van Rossem, Annemie Buelens, Jeroen Aerssens, James Witek, Gaston Picchio, Sandra De Meyer and 1 more

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

NCT00882908 phase2completednot on this map

A Phase IIb, Randomized, Double-Blind, Placebo-Controlled Trial to Investigate the Efficacy, Tolerability, Safety and Pharmacokinetics of TMC435 as Part of a Treatment Regimen Including Peginterferon Alfa-2a and Ribavirin In Treatment-Naive Genotype 1 Hepatitis C-Infected Subjects

TypeinterventionalSponsorTibotec Pharmaceuticals, IrelandRan2009 to 2011Enrolled386ConditionsHepatitis CArmsTMC435, Ribavirin (R), PegIFNα-2a (P), Placebo
NCT00980330 phase2completednot on this map

A Phase IIb, Randomized, Double-Blind, Placebo-Controlled Trial to Investigate the Efficacy, Tolerability, Safety and Pharmacokinetics of TMC435 as Part of a Treatment Regimen Including PegIFNa-2a and Ribavirin in HCV Genotype 1 Infected Subjects Who Failed Previous Standard Therapy

TypeinterventionalSponsorTibotec Pharmaceuticals, IrelandRan2009 to 2011Enrolled463ConditionsHepatitis CArmsTMC435, Placebo, Peg-IFN-alfa-2a (P), Ribavirin (R)
NCT01281839 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Tolerability of TMC435 vs Placebo as Part of a Treatment Regimen Including Peginterferon α-2a and Ribavirin in Hepatitis C, Genotype 1 Infected Subjects Who Relapsed After Previous Interferon-based Therapy

TypeinterventionalSponsorJanssen R&D IrelandRan2011 to 2013Enrolled394ConditionsHepatitis CArmsTMC435, Placebo, Peginterferon alpha-2a (PegIFN alpha-2a), Ribavirin (RBV)
NCT01289782 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Tolerability of TMC435 vs Placebo as Part of a Treatment Regimen Including Peginterferon α-2a and Ribavirin in Treatment-naïve, Genotype 1 Hepatitis Cinfected Subjects

TypeinterventionalSponsorJanssen R&D IrelandRan2011 to 2013Enrolled395ConditionsHepatitis CArmsPlacebo, TMC435, Peginterferon alpha-2a (PegIFN alpha-2a), Ribavirin (RBV)
NCT01290679 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Tolerability of TMC435 Versus Placebo as Part of a Treatment Regimen Including Peginterferon α-2a (Pegasys®) and Ribavirin (Copegus®) or Peginterferon α-2b (PegIntron®) and Ribavirin (Rebetol®) in Treatment-naïve, Genotype 1, Hepatitis C-infected Subjects

TypeinterventionalSponsorJanssen R&D IrelandRan2011 to 2013Enrolled393ConditionsHepatitis CArmsPlacebo, TMC435, Peginterferon alpha-2a or Peginterferon alpha-2b (PegIFNα-2a/b), Ribavirin (RBV)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

11 authors at 3 institutions in 3 countries.

Bart FeveryJanssen Infectious Diseases.
Kim ThysJanssen Discovery Sciences, Beerse , Belgium.
Veerle Van EygenJanssen Infectious Diseases.
Thierry VerbinnenJanssen Infectious Diseases.
Elizabeth Van RossemJanssen Discovery Sciences, Beerse , Belgium.
Annemie BuelensJanssen Infectious Diseases.
Jeroen AerssensJanssen Discovery Sciences, Beerse , Belgium.
James WitekJanssen Research & Development , LLC , Titusville, New Jersey.
Gaston PicchioJanssen Research & Development , LLC , Titusville, New Jersey.
Sandra De MeyerJanssen Infectious Diseases.
Oliver LenzJanssen Infectious Diseases.
Janssen (Switzerland) · CHJanssen (Belgium) · BEJanssen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background.  The pre-existence of minority hepatitis C virus (HCV) variants and their impact on treatment outcome, as well as the persistence of emerging resistant variants posttreatment in patients failing treatment with simeprevir/peginterferon/ribavirin (SMV/PR), were assessed by deep sequencing (DS). Methods.  Population sequencing (PS) and Illumina DS were performed on HCV genotype 1 isolates from patients treated with SMV/PR in Phase 2b (PILLAR [NCT00882908] and ASPIRE [NCT00980330]) and Phase 3 (QUEST-1 [NCT01289782], QUEST-2 [NCT01290679], and PROMISE [NCT01281839]) trials. Results.  Minority polymorphisms (ie, detected pretreatment by DS only) reducing SMV activity in vitro were uncommon (3.6%, 19 of 534 patients). These SMV-resistant minority polymorphisms were detected in similar proportions of patients achieving (3.7%) and not achieving (3.3%) sustained virologic response with SMV/PR and generally did not emerge as major variants at time of failure. SMV-resistant variants emerging at time of failure were no longer detected at end of study in 69.3% and 52.0% of the patients by PS and DS, respectively. Conclusions.  Minority polymorphisms did not impact outcome of SMV/PR treatment. The majority of emerging variants that became undetectable at end of study by PS were also undetectable by DS. These results suggest no added value of DS for clinical usage of SMV.

Indexed as

deep sequencingHCVminority (viral) variantsresistancesimeprevir

Identifiers

PMID27186579
PMCPMC4866569
OpenAlexW2309167563

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.