Evidence map›Paper›PMID 28361300›Full record

ArticleHepatology international2017

Treatment of chronic hepatitis C genotype 3 with Sofosbuvir-based therpy: a real-life study.

Sandeep Singh Sidhu, Nirmaljeet Singh Malhi, Omesh Goyal, Rupinder Singh, Usha Dutta, Rajiv Grover, J S Sidhu, Vijay Nanda, Harmeet Saluja, Ajesh Bansal and 4 more

Abstract read
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In one paragraph

Article in Hepatology international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Chronic Hepatitis C: Do Generics Work as Well as Branded Drugs?Journal of clinical and experimental hepatology · 2017
    Review
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

14 authors.

Sandeep Singh SidhuDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India. sandeepsidhu1963@gmail.com.
Nirmaljeet Singh MalhiDepartment of Gastroenterology, SatguruPartap Singh Hospital, Ludhiana, Punjab, India.
Omesh GoyalDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Rupinder SinghDepartment of Gastroenterology, Malwa Hospital, Bathinda, Punjab, India.
Usha DuttaDepartment of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh Union Territory, India.
Rajiv GroverDepartment of Gastroenterology, AIMC Bassi Hospital, Ludhiana, Punjab, India.
J S SidhuDepartment of Gastroenterology, Parvati Hospital, Amritsar, Punjab, India.
Vijay NandaDepartment of Gastroenterology, Premier Gastroenterology Institute, Jalandhar, Punjab, India.
Harmeet SalujaDepartment of Gastroenterology, Deep Hospital, Ludhiana, Punjab, India.
Ajesh BansalDepartment of Gastroenterology, Max SuperspecialityHospital, Bathinda, Punjab, India.
Gursewak SinghDepartment of Gastroenterology, Care Hospital, Bathinda, Punjab, India.
Alok SehgalHimalayan Institute of Medical Sciences, Dehradun, UttarKhand, India.
Harsh KishoreDepartment of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Simran SidhuHimalayan Institute of Medical Sciences, Dehradun, UttarKhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsRecently, Sofosbuvir was launched in India at affordable cost. We conducted a real-life study to determine the efficacy and safety of Sofosbuvir plus Ribavirin, with and without peginterferon-alfa 2a, in patients with chronic hepatitis C (CHC) genotype 3, the commonest genotype in South Asia.

methodsThis study included data of CHC patients from 11 sites in northern India between March 2015 and December 2015 (n = 1203). Patients with CHC genotype 3 (n = 931), who were treated with either Sofosbuvir 400 mg plus weight-based Ribavirin, daily ×24 weeks (n = 432) (dual therapy), or Peginterferon-α2a 180 mcg weekly, Sofosbuvir 400 mg plus weight-based Ribavirin, daily ×12 weeks (n = 499) (triple therapy) were included for analysis. Primary outcome was the proportion of patients achieving sustained viral response at 12 weeks post-therapy.

resultsThe overall SVR rates were 91 and 92% in the dual and triple therapy arms, respectively. The SVR rates in treatment experienced were 67 and 74% versus 93 and 96% in naïve patients, on the dual and triple therapy arms, respectively. The SVR rates of cirrhotics were 73 and 75% on the dual and triple treatment arms, respectively. The SVR rates were low in the experienced cirrhotic patients: 44% (dual therapy) and 58% (triple therapy). Common adverse events were fatigue, headache, and myalgia.

conclusionBoth dual and triple therapy regimes resulted in SVR rates of >95% in CHC genotype 3 who were naive non-cirrhotics. However, the SVR rates were low in treatment-experienced cirrhotics.

Indexed as

AdultAntiviral AgentsAsiaDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis C, ChronicHumansIndiaInterferon-alphaLiver CirrhosisMaleMiddle AgedPolyethylene GlycolsRecombinant ProteinsAntiviral AgentsInterferon-alphapeginterferon alfa-2aPolyethylene GlycolsRecombinant ProteinsRibavirinSofosbuvirChronic hepatitis CPegylated interferonSofosbuvir and Ribavirin

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Registered trials

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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.