Evidence map›Paper›PMID 29808463›Full record

ArticleInfection2018

Safety and efficacy of ombitasvir/paritaprevir/ritonavir/dasabuvir plus ribavirin in patients over 65 years with HCV genotype 1 cirrhosis.

Antonio Ascione, Massimo De Luca, Mario Melazzini, Simona Montilla, Maria Paola Trotta, Salvatore Petta, Massimo Puoti, Vincenzo Sangiovanni, Vincenzo Messina, Savino Bruno and 11 more

Abstract read
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Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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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

21 authors.

Antonio AscioneDepartment of Medicine, Centre for Liver Disease, Buon Consiglio-Fatebenefratelli Hospital, Via Manzoni 220, 80123, Naples, Italy. antonio.ascione@paginemediche.it.ORCID http://orcid.org/0000-0003-2040-8380
Massimo De LucaLiver Unit, AORN Cardarelli, Naples, Italy.
Mario MelazziniItalian Medicines Agency (AIFA), Rome, Italy.
Simona MontillaItalian Medicines Agency (AIFA), Rome, Italy.
Maria Paola TrottaItalian Medicines Agency (AIFA), Rome, Italy.
Salvatore PettaDepartment of Gastroenterology, DiBiMIS, University of Palermo, Palermo, Italy.
Massimo PuotiDivision of Infectious Diseases, AO Niguarda Ca' Granda Hospital, Milan, Italy.
Vincenzo SangiovanniIII U.O.C. P.O. Cotugno, AORN Ospedali dei Colli, Naples, Italy.
Vincenzo MessinaInfectious Diseases Unit, AORN Caserta, Caserta, Italy.
Savino BrunoHumanitas University and IRCCS Clinical Institute Humanitas, Rozzano, Milan, Italy.
Antonio IzziInfectious Disease, Cotugno Hospital, AORN Ospedali dei Colli, Naples, Italy.
Erica VillaGastroenterology Unit, Department of Internal Medicine, AOU Policlinico of Modena, Modena, Italy.
Alessio AghemoUO Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Hospital Maggiore Policlinico of Milan, Milan, Italy.
Anna Linda ZignegoInterdepartmental Centre for Systemic Manifestations of Hepatitis Viruses (MaSVE), Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Alessandra OrlandiniUnit of Infectious Diseases and Hepatology, AOU of Parma, Parma, Italy.
Luca FontanellaDepartment of Medicine, Centre for Liver Disease, Buon Consiglio-Fatebenefratelli Hospital, Via Manzoni 220, 80123, Naples, Italy.
Antonio GasbarriniInternal Medicine, Gastroenterology and Hepatology, Agostino Gemelli Hospital, Rome, Italy.
Marco MarzioniClinic of Gastroenterology and Hepatology, Università Politecnica delle Marche, Ancona, Italy.
Edoardo G GianniniGastroenterology Unit, Department of Internal Medicine, University of Genoa, Genoa, Italy.
Antonio CraxìDepartment of Gastroenterology, DiBiMIS, University of Palermo, Palermo, Italy.
ABACUS Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyse safety and efficacy of treatment based on ombitasvir/paritaprevir/ritonavir/dasabuvir plus ribavirin in the sub-group of GT1 patients older than 65 years.

methodsWe collected data extracted from the ABACUS compassionate-use nationwide Italian programme, in patients with cirrhosis due to hepatitis C virus (HCV) Genotype-1 (GT1) or 4 and at high risk of decompensation. GT1-HCV-infected patients received once-daily ombitasvir/paritaprevir, with the pharmacokinetic enhancer ritonavir (25/150/100 mg) and twice-daily dasabuvir (250 mg) plus Ribavirin (RBV) (OBV/PTV/r + DSV + RBV) for 12 (GT1b) or 24 (GT1a) weeks. Endpoints were to evaluate safety and efficacy, the latter defined as HCV RNA negative 12 weeks after the end of treatment (SVR12).

resultsPatients who suffered any adverse event (AE) were 74/240 (30.8%); 13/240 (5.4%) discontinued the treatment. A multivariate analysis found albumin < 3.5 g/dL (OR 2.04: 95% CI 1.0-4.2, p < 0.05) and hypertension (OR 4.6: 95% CI 2.3-9.2, p < 0.001) as variables independently associated with AE occurrence. The SVR12 was 95% (228/240). Multivariate analysis identified baseline bilirubin < 2 mg/dL (OR 4.9: 95% CI 1.17-20.71, p = 0.029) as the only variable independently associated with SVR12.

conclusionOur findings suggest that OBV/PTV/r + DSV + RBV is safe and effective in real-life use in patients with compensated cirrhosis, HCV-GT1 infection, and age over 65.

Indexed as

Drug Therapy, CombinationGenotype2-NaphthylamineAgedAged, 80 and overAnilidesAntiviral AgentsBiomarkersCarbamatesCyclopropanesFemaleHepacivirusHepatitis C, ChronicHumansLactams, MacrocyclicLiver Cirrhosis2-NaphthylamineAnilidesAntiviral AgentsBiomarkersCarbamatesCyclopropanesdasabuvirLactams, MacrocyclicMacrocyclic CompoundsombitasvirparitaprevirProlineRibavirinRitonavirSulfonamidesUracilValineCirrhosisDasabuvirElderlyOmbitasvirParitaprevir

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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.