Evidence map›Paper›PMID 28951778›Full record

ArticleWorld journal of hepatology2017

Real-world efficacy of daclatasvir and asunaprevir with respect to resistance-associated substitutions.

Hideki Fujii, Atsushi Umemura, Taichiro Nishikawa, Kanji Yamaguchi, Michihisa Moriguchi, Hideki Nakamura, Kohichiroh Yasui, Masahito Minami, Saiyu Tanaka, Hiroki Ishikawa and 5 more

Open access · diamondAbstract read
In one paragraph

Article in World journal of hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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 6 institutions in 1 country.

Hideki FujiiDepartment of Gastroenterology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto 6050981, Japan. fuhideki@koto.kpu-m.ac.jp.
Atsushi Umemura
Taichiro Nishikawa
Kanji Yamaguchi
Michihisa Moriguchi
Hideki NakamuraDepartment of Gastroenterology and Hepatology, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto 6292261, Japan.
Kohichiroh Yasui
Masahito MinamiDepartment of Internal Medicine, Aiseikai Yamashina Hospital, Kyoto 6078086, Japan.
Saiyu TanakaCenter for Digestive and Liver Diseases, Nara City Hospital, Nara 6308305, Japan.
Hiroki IshikawaDepartment of Gastroenterology and Hepatology, Omihachiman Community Medical Center, Shiga 5230082, Japan.
Hiroyuki KimuraDepartment of Gastroenterology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto 6050981, Japan.
Shiro TakamiDepartment of Gastroenterology, Otsu Municipal Hospital, Otsu 5200804, Japan.
Yasuyuki NagaoDepartment of Gastroenterology, Matsushita Memorial Hospital, Moriguchi 5708540, Japan.
Toshihide ShimaCenter of Gastroenterology and Hepatology, Saiseikai Suita Hospital, Suita 5640013, Japan.
Yoshito Itoh
Kyoto first Red Cross hospital · JPMatsushita Memorial Hospital · JPNara City Hospital · JPNorth Medical Center · JPOtsu Municipal Hospital · JPSaiseikai Suita Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate daclatasvir (DCV) and asunaprevir (ASV) efficacy in hepatitis C (HCV) patients, with respect to resistance-associated substitutions (RASs).

methodsA total of 392 HCV-infected patients from multiple centers were included in this study. We evaluated their clinical courses and sustained virologic responses (SVR) according to pretreatment factors (gender, age, history of interferon-based regimens, platelet counts, level of viremia, pretreatment NA5A:L31, and Y93 substitutions). We also analyzed the pretreatment and post-treatment major RASs of NS3:D168, NS5A:L31 and Y93 substitutions using a direct-sequencing method in 17 patients who were unable to achieve SVR at 12 wk after treatment completion (SVR12).

resultsThe overall SVR12 rate was 88.3%. Thirty-one patients discontinued treatment before 24 wk because of adverse events, 23 of whom achieved SVR12. There were no significant differences in SVR12 rates with respect to gender, age, history of interferon-based regimens, and platelet counts. The SVR12 rate in patients with viral loads of ≥ 6.0 log IU/mL was significantly lower than those with viral loads of < 6.0 log IU/mL (

conclusionCombination of DCV and ASV is associated with a high SVR rate. Baseline RASs should be thoroughly assessed to avoid additional RASs after treatment failure.

Indexed as

AsunaprevirCombination therapyDaclatasvirHepatitis CResistance-associated substitutions

Identifiers

PMID28951778
PMCPMC5596313
OpenAlexW2751766779

What OpenQuestion holds

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LicenceCC BY-NC
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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.