Evidence map›Paper›PMID 28210927›Full record

Trial reportHepatology international2017

Efficacy and safety of daclatasvir plus pegylated-interferon alfa 2a and ribavirin in previously untreated HCV subjects coinfected with HIV and HCV genotype-1: a Phase III, open-label study.

Mark S Sulkowski, Walford J Fessel, Adriano Lazzarin, Juan Berenguer, Natalia Zakharova, Hugo Cheinquer, Pierre Côté, Douglas Dieterich, Adrian Gadano, Gail Matthews and 14 more

Registry-linked trialAbstract readClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in Hepatology international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01471574 (A Phase 3, Open Label Study of Safety and Efficacy With BMS-790052 Plus Peg-Interferon Alfa 2a and Ribavirin in Previously Untreated HCV Patients Coinfected With Human Immunodeficiency Virus), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 44% 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.

NCT01471574 phase3completednot on this map

A Phase 3, Open Label Study of Safety and Efficacy With BMS-790052 Plus Peg-Interferon Alfa 2a and Ribavirin in Previously Untreated HCV Patients Coinfected With Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)

TypeinterventionalSponsorBristol-Myers SquibbRan2011 to 2014Enrolled549ConditionsHepatitis C, Genotype 1ArmsDaclatasvir, Ribavirin, PEG-Interferon alfa 2a
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Trial
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

24 authors at 14 institutions in 8 countries.

Mark S SulkowskiDivisions of Infectious Diseases and Gastroenterology/Hepatology, Johns Hopkins Hospital, The Johns Hopkins University School of Medicine , Baltimore, MD, USA. msulkowski@jhmi.edu.
Walford J FesselKaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Adriano LazzarinUnit of Infectious Diseases, Clinica Malattie Infettive, Institute of Hospitalisation and Scientific Care, Milan, Italy.
Juan BerenguerUnidad de Enfermedades Infecciosas/VIH (4100), Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Natalia ZakharovaSt Petersburg AIDS Center, SPT AIDS C 179A OBVODNIY CANAL, Saint Petersburg, Russian Federation.
Hugo CheinquerServico De Gastroentereologia, Hospital De Clinicas De Porto Alegre, Porto Alegre, Rio Grande Do Sul, Brazil.
Pierre CôtéClinique Medicale Du Quartier Latin, Montreal, QC, Canada.
Douglas DieterichInstitute for Liver Disease, Mount Sinai School of Medicine, New York, NY, USA.
Adrian GadanoHospital Italiano De Buenos Aires, Buenos Aires, Argentina.
Gail MatthewsSt Vincent's Hospital (NSW), Darlinghurst, NSW, Australia.
Jean-Michel MolinaHopital Saint Louis, Paris, France.
Christophe MorenoHospital Erasme, Brussels, Belgium.
Juan Antonio PinedaInfectious Diseases and Microbiology Unit, Hospital Universitario de Valme, Seville, Spain.
Federico PulidoHospital Universitario 12 De Octubre, Madrid, Spain.
Antonio RiveroHospital Universitario Reina Sofia, Cordoba, Spain.
Jurgen RockstrohUniversitaetsklinikum Bonn, Medizinische Klinik, Bonn, Germany.
Dennis HernandezDepartment of Virology Discovery Biology, Bristol-Myers Squibb Research and Development, Wallingford, CT, USA.
Fiona McPheeDepartment of Virology Discovery Biology, Bristol-Myers Squibb Research and Development, Wallingford, CT, USA.
Timothy EleyBristol-Myers Squibb, Princeton, NJ, USA.
Zhaohui LiuBristol-Myers Squibb, Hopewell, Pennington, NJ, USA.
Patricia MendezBristol-Myers Squibb, Princeton, NJ, USA.
Eric HughesBristol-Myers Squibb, Lawrenceville, NJ, USA.
Stephanie NovielloBristol-Myers Squibb, Lawrenceville, NJ, USA.
Peter AckermanBristol-Myers Squibb, Wallingford, CT, USA.
Bristol-Myers Squibb (United States) · USErasmus Hospital · BEHôpital Saint-Louis · FRHospital de Clínicas de Porto Alegre · BRHospital General Universitario Gregorio Marañón · ESHospital Italiano de Buenos Aires · ARHospital Universitario 12 De Octubre · ESHospital Universitario de Valme · ESHospital Universitario Reina Sofía · ESIcahn School of Medicine at Mount Sinai · USJohns Hopkins Medicine · USKaiser Permanente San Francisco Medical Center · USSt Vincent's Hospital Sydney · AUUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaclatasvir (DCV) is a potent, pangenotypic, hepatitis C virus (HCV) non-structural protein 5A inhibitor with low potential for drug interactions with antiretroviral therapy (ART). We evaluated the safety and efficacy of DCV plus peginterferon alfa-2a/ribavirin (PegIFN/RBV) in HIV-1/HCV genotype-1-coinfected patients.

methodsAI444043 (NCT01471574), an open-label, Phase III, single-arm, response-guided treatment (RGT) study included 301 patients. They received DCV doses of 30, 60 or 90 mg once daily (depending on concomitant ART), plus weight-based RBV (<75 kg, 1000 mg/day; or ≥75 kg, 1200 mg/day), and once-weekly PegIFN 180 μg, for 24 weeks. If required by RGT, PegIFN/RBV without DCV was extended for an additional 24 weeks of therapy. The primary endpoint was the proportion of patients with sustained virologic response at post-treatment Week 12 (SVR12).

resultsOverall, 224 (74%) patients achieved SVR12 and the lower bound of the 95% confidence interval was higher than the historic SVR rate with PegIFN/RBV alone (70 vs. 29%). Most common adverse events (AEs) were fatigue, neutropenia, anemia, asthenia and headache. On-treatment serious AEs occurred in 24/301 (8%) patients; 18/301 (6%) discontinued treatment due to AE.

conclusionsDCV + PegIFN/RBV led to sustained HCV virologic response in the majority of HIV-1-HCV-coinfected patients, regardless of concomitant ART. HIV control was not compromised and no new safety signals were identified. This study supports DCV use in HIV-1-HCV-coinfected patients, while allowing the vast majority of patients to remain on their existing ART regimen.

Indexed as

AdultAgedAntiviral AgentsCarbamatesCoinfectionDrug Therapy, CombinationFemaleHepacivirusHepatitis C, ChronicHIV InfectionsHumansImidazolesInterferon-alphaMaleMiddle AgedPolyethylene GlycolsAntiviral AgentsCarbamatesdaclatasvirImidazolesInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsPyrrolidinesRecombinant ProteinsRibavirinValineDaclatasvirHCV GT-1HIV/HCV coinfectionPeginterferon alfa-2a/ribavirin

Identifiers

PMID28210927
OpenAlexW2588103707

What OpenQuestion holds

Textmetadata
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.