Evidence map›Paper›PMID 28941023›Full record

Observational studyLiver international : official journal of the International Association for the Study of the Liver2018

Long-term follow-up of clinical trial patients treated for chronic HCV infection with daclatasvir-based regimens.

K Rajender Reddy, Stanislas Pol, Paul J Thuluvath, Hiromitsu Kumada, Joji Toyota, Kazuaki Chayama, James Levin, Eric J Lawitz, Adrian Gadano, Wayne Ghesquiere and 11 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Liver international : official journal of the International Association for the Study of the Liver, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Long-term follow-up of clinical trial patients treated for chronic HCV infection with daclatasvir-based regimens.Liver international : official journal of the International Association for the Study of the Liver · 2018
    Observational
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

21 authors at 18 institutions in 12 countries.

K Rajender ReddySchool of Medicine, University of Pennsylvania, Philadelphia, PN, USA.
Stanislas PolHôpital Cochin, Paris, France.ORCID 0000-0001-9772-9591
Paul J ThuluvathMercy Medical Center, Baltimore, MD, USA.
Hiromitsu KumadaToranomon Hospital, Tokyo, Japan.
Joji ToyotaSapporo-Kosei General Hospital, Sapporo, Japan.
Kazuaki ChayamaHiroshima University, Hiroshima, Japan.
James LevinDean Foundation, Madison, WI, USA.
Eric J LawitzTexas Liver Institute, University of Texas Health Sciences Center, San Antonio, TX, USA.
Adrian GadanoHospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Wayne GhesquiereVancouver Island Health Authority, University of British Columbia, Victoria, BC, Canada.
Guido GerkenUniversity of Duisburg-Essen, Essen, Germany.
Maurizia R BrunettoDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Cheng-Yuan PengSchool of Medicine, China Medical University, Taichung, Taiwan.ORCID 0000-0001-9030-6086
Marcelo SilvaHospital Universitario Austral, Buenos Aires, Argentina.
Simone I StrasserRoyal Prince Alfred Hospital, Sydney, NSW, Australia.
Jeong HeoCollege of Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University, Busan, Korea.
Fiona McPheeBristol-Myers Squibb, Wallingford, CT, USA.
Zhaohui LiuBristol-Myers Squibb, Hopewell, NJ, USA.
Rong YangBristol-Myers Squibb, Wallingford, CT, USA.
Misti LinaberryBristol-Myers Squibb, Princeton, NJ, USA.
Stephanie NovielloBristol-Myers Squibb, Princeton, NJ, USA.
Bristol-Myers Squibb (United States) · USBristol-Myers Squibb (Germany) · DEChina Medical University · TWHiroshima University · JPHôpital Cochin · FRHospital Italiano de Buenos Aires · ARHospital Universitario Austral · ARIsland Health · CAMercy Medical Center · USPusan National University Hospital · KRRoyal Prince Alfred Hospital · AUSapporo Kosei General Hospital · JPThe University of Texas Health Science Center at San Antonio · USToranomon Hospital · JPUniversity of Duisburg-Essen · DEUniversity of Pennsylvania · USUniversity of Pisa · ITUniversity of Wisconsin Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsDaclatasvir has achieved high sustained virologic response (SVR) rates in diverse hepatitis C virus (HCV) populations. This study evaluated the long-term efficacy and safety of daclatasvir-based regimens administered during clinical studies.

methodsPatients enrolled within 6 months of parent study completion or protocol availability at the study sites. The primary objective was durability of SVR at follow-up Week 12 (SVR12). Secondary objectives included analysing HCV sequences in non-responders or responders who relapsed, and characterization of liver disease progression.

resultsBetween 24 February 2012 and 17 July 2015, this study enrolled and began following 1503 recipients of daclatasvir-based regimens (follow-up cut-off, 13 October 2015); 60% were male, 18% aged ≥65 years, 87% had genotype-1a (42%) or -1b (45%) infection, and 18% had cirrhosis. Median follow-up from parent study follow-up Week 12 was 111 (range, 11-246) weeks. 1329/1489 evaluable patients were SVR12 responders; 1316/1329 maintained SVR until their latest visit. Twelve responders relapsed by (n = 9) or after (n = 3) parent study follow-up Week 24; one was reinfected. Relapse occurred in 3/842 (0.4%) and 9/487 (2%) responders treated with interferon-free or interferon-containing regimens, respectively. Hepatic disease progression and new hepatocellular carcinoma were diagnosed in 15 and 23 patients, respectively. Among non-responders, emergent non-structural protein-5A (NS5A) and -3 (NS3) substitutions were replaced by wild-type sequences in 27/157 (17%) and 35/47 (74%) patients, respectively.

conclusionsSVR12 was durable in 99% of recipients of daclatasvir-based regimens. Hepatic disease progression and new hepatocellular carcinoma were infrequent. Emergent NS5A substitutions persisted longer than NS3 substitutions among non-responders.

Indexed as

AdultAgedAntiviral AgentsCarbamatesDisease ProgressionDrug Resistance, ViralDrug Therapy, CombinationFemaleFollow-Up StudiesHepacivirusHepatitis C, ChronicHumansImidazolesLiver CirrhosisMaleMiddle AgedAntiviral AgentsCarbamatesdaclatasvirImidazolesPyrrolidinesRNA, ViralValinechronic hepatitis C virusdaclatasvirhepatocellular carcinomalong-term follow-upsustained virologic response

Identifiers

PMID28941023
PMCPMC5947593
OpenAlexW2758343695

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.