Evidence map›Paper›PMID 28970702›Full record

ArticleJournal of clinical and experimental hepatology2017

Generic Direct Acting Antivirals in Treatment of Chronic Hepatitis C Infection in Patients of Thalassemia Major.

Aabha Nagral, Smita Sawant, Nishtha Nagral, Pathik Parikh, Priya Malde, Rashid Merchant

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Direct-Acting Antiviral Agents for HCV Infection.Journal of clinical and experimental hepatology · 2018
    Article
  6. 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

6 authors at 2 institutions in 1 country.

Aabha NagralChildren's Liver Foundation, Mumbai, India.
Smita SawantChildren's Liver Foundation, Mumbai, India.
Nishtha NagralChildren's Liver Foundation, Mumbai, India.
Pathik ParikhDepartment of Gastroenterology, Apollo Hospitals, Navi Mumbai, India.
Priya MaldeChildren's Liver Foundation, Mumbai, India.
Rashid MerchantDepartment of Pediatrics, Nanavati Hospital, Mumbai, India.
Apollo Hospitals · INDr. Balabhai Nanavati Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no published data of treating hepatitis C in thalassemia major patients with any sofosbuvir based direct acting antivirals (DAAs). This study was performed to determine the efficacy and safety of these regimes using generic drugs in the thalassemia major population.

methodsIn this observational study, 902 patients of thalassemia major from five transfusion centres in Mumbai were screened for HCV antibody. Of the 120 positive patients, HCV RNA was detected in 50%. The first 29 patients were enrolled for evaluating the efficacy and safety of generic sofosbuvir based DAAs.

resultsThe 29 patients' had a mean age of 24 years with genotype 1 in 17, genotype 3 in 11patients, while 1 patient's genotype could not be classified. Six patients had compensated cirrhosis and 8 patients were treatment experienced. SVR 12 was achieved in 100% of patients. There was significant increase in PRC (packed red cell) requirements (

conclusionGeneric DAAs are safe in thalassemia major patients with hepatitis C with efficacy of 100%. Serum ferritin falls significantly after treatment despite an increase in transfusion requirements during treatment.

Indexed as

ALP, alkaline phosphataseALT, alanine aminotransferasesAST, aspartate amonotransferaseDAAs, direct acting antiviralsdaclatasvirEBR, elbasvirETR, end of treatment responseGZR, grazoprevirhaemoglobinopathyHb, haemoglobinHIV, human immunodeficiency virusIndialedipasvirPRC, packed red blood cellsRNA, ribonucleic acidRVR, rapid virological responseSD, standard deviationsofosbuvirSVR, sustained virological responseVAS, visual analogue scaleWCC, white cell count

Identifiers

PMID28970702
PMCPMC5620354
OpenAlexW2749698552

What OpenQuestion holds

Textmetadata
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.