Evidence map›Paper›PMID 27473533›Full record

ReviewLiver international : official journal of the International Association for the Study of the Liver2017

Ribavirin revisited in the era of direct-acting antiviral therapy for hepatitis C virus infection.

Jordan J Feld, Ira M Jacobson, Mark S Sulkowski, Fred Poordad, Fernando Tatsch, Jean-Michel Pawlotsky

Abstract readReview
In one paragraph

Review in Liver international : official journal of the International Association for the Study of the Liver, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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.

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

31 citing papers in PubMed.

  1. Trial
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  10. Renal Manifestations of Chronic Hepatitis C: A Review.Journal of clinical medicine · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Potential treatment methods targeting 2019-nCoV infection.European journal of medicinal chemistry · 2020
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jordan J FeldToronto Centre for Liver Disease, Toronto General Hospital, Toronto, ON, Canada.
Ira M JacobsonMount Sinai Beth Israel, New York, NY, USA.
Mark S SulkowskiJohns Hopkins University, Baltimore, MD, USA.
Fred PoordadTexas Liver Institute, University of Texas Health Science Center, San Antonio, TX, USA.
Fernando TatschAbbVie Inc., North Chicago, IL, USA.
Jean-Michel PawlotskyDepartment of Virology, National Reference Center for Viral Hepatitis B, C and Delta, Hôpital Henri Mondor, Université Paris-Est, Créteil, France.

Funding

Patient Oriented Research in Hepatitis C-infected Injection Drug UsersK24DA034621 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SULKOWSKI, MARK SEBASTIAN · 2012 to 2022
$1.2M
NIDA NIH HHS K24 DA034621
6 · The paper itself

Abstract

Over the past two decades, ribavirin has been an integral component of treatment for hepatitis C virus (HCV) infection, where it has been shown to improve the efficacy of (pegylated) interferon. However, because of treatment-limiting side effects and its additive toxicity with interferon, the search for interferon- and ribavirin-free regimens has been underway. The recent approvals of all-oral direct acting antivirals (DAAs) have revolutionized the HCV therapeutic landscape, and initially it was expected that the role of ribavirin with DAA regimens would be eliminated. On the contrary, what we have witnessed is that ribavirin retains an important role in the optimal treatment of some subgroups of patients, particularly those that historically have been considered the most difficult to cure. Fortunately, it has also been recognized that the safety profile of ribavirin is improved when co-administered with all-oral DAA combinations in the absence of interferon. Despite the antiviral mechanism of action of ribavirin being poorly understood, we now have a range of novel insights into the potential role of ribavirin in all-oral DAA HCV treatment and greater insight into the antiviral mechanism by which it continues to provide clinical benefit for defined patient groups.

Indexed as

Antiviral AgentsDelayed-Action PreparationsDrug Therapy, CombinationGenotypeHepacivirusHepatitis CHumansInterferon-alphaRandomized Controlled Trials as TopicRibavirinAntiviral AgentsDelayed-Action PreparationsInterferon-alphaRibavirindirect-acting antiviralhepatitis C virusinterferon-freeribavirin

Identifiers

PMID27473533
PMCPMC5216450

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.