Evidence map›Paper›PMID 27443347›Full record

Observational studyHepatology international2016

Twelve-week ribavirin-free direct-acting antivirals for treatment-experienced Chinese with HCV genotype 1b infection including cirrhotic patients.

Dong Ji, Guo-Feng Chen, Cheng Wang, Yu-Dong Wang, Qing Shao, Bing Li, Jun Zhao, Shao-Li You, Jin-Hua Hu, Jia-Liang Liu and 5 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Hepatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. [Research progress of direct-acting antiviral drugs in the treatment of chronic hepatitis C-related cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
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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

15 authors at 3 institutions in 1 country.

Dong JiSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Guo-Feng ChenSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Cheng WangDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong S.A.R., China.
Yu-Dong WangDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong S.A.R., China.
Qing ShaoSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Bing LiSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Jun ZhaoLiver Failure Treatment and Research Center, Beijing 302 Hospital, Beijing, China.
Shao-Li YouLiver Failure Treatment and Research Center, Beijing 302 Hospital, Beijing, China.
Jin-Hua HuLiver Failure Treatment and Research Center, Beijing 302 Hospital, Beijing, China.
Jia-Liang LiuSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Xiao-Xia NiuSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China.
Jing ChenDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong S.A.R., China.
Lei LuDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong S.A.R., China.
Vanessa WuDivision of Gastroenterology and Hepatology, Humanity and Health Medical Centre, Hong Kong S.A.R., China.
George LauSecond Liver Cirrhosis Diagnosis and Treatment Center, Beijing 302 Hospital, Beijing, China. gkklau@netvigator.com.
302 Military Hospital of China · CNHumanity & Health · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment-experienced chronic hepatitis C (CHC) genotype (GT) 1b represents a major medical burden in China. We evaluate the efficacy, safety and cost-effectiveness of ribavirin (RBV)-free pan-oral direct-acting antivirals (DAAs) in treatment-experienced Chinese with GT1b CHC, including patients with cirrhosis.

methodsOne hundred forty treatment-experienced GT1b CHC Chinese with and without cirrhosis were included in this study. Ninety-four patients were treated with either daclatasvir (DCV, 60 mg)-sofosbuvir (SOF, 400 mg) (group 1, n = 46) or ledipasvir (LDV, 90 mg)-SOF (400 mg) (group 2, n = 48) for 12 weeks. Forty-six patients treated with pegylated interferon and RBV therapy for 72 weeks were enrolled as the control group (group 3). Patients were followed at 4-weekly intervals till 24 weeks after the end of treatment.

resultsAll patients in group 1 (46/46, 100 %) and 2 (48/48, 100 %) had achieved sustained virologic response at 24 weeks after the end of treatment (SVR 24), which was significantly higher than that of group 3 (13/46, 28.3 %) (p < 0.001). The SVR 24 rates of cirrhotic patients in group 1 (27/27, 100 %) and 2 (27/27, 100 %) were also significantly higher than that of group 3 (3/25, 12 %) (p < 0.001). Twelve weeks of RBV-free LDV-SOF and DCV-SOF was either cost-saving or cost-effective. Adverse events were significantly lower in group 1 and 2 compared with group 3 (p < 0.001).

conclusionCompared with standard therapies, 12 weeks of RBV-free DAA therapies is highly effective, well tolerated and cost-effective in treatment-experienced Chinese with GT1b CHC including patients with cirrhosis.

Indexed as

AdolescentAdultAgedAntiviral AgentsChinaCost-Benefit AnalysisDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis C, ChronicHumansLiver CirrhosisMaleMiddle AgedProspective StudiesAntiviral AgentsRibavirinChronic hepatitis CDirect-acting antiviralsGenotype 1bRibavirin-free

Identifiers

PMID27443347
OpenAlexW2483880262

What OpenQuestion holds

Textmetadata
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.