Evidence map›Paper›PMID 29904724›Full record

ArticleClinical and experimental hepatology2018

Ombitasvir/paritaprevir/ritonavir + dasabuvir + ribavirin in HCV genotype 1 infected patients who failed previous protease inhibitor therapy.

Béla Hunyady, Margit Abonyi, Zsuzsanna Gerlei, Judit Gervain, Gábor Horváth, Viktor Jancsik, Gabriella Lengyel, Erzsébet Makkai, Alajos Pár, Zoltán Péter and 12 more

Abstract read
In one paragraph

Article in Clinical and experimental hepatology, 2018. 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. Trial
  2. Article
  3. Essential updates 2018/2019: Liver transplantation.Annals of gastroenterological surgery · 2020
    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

22 authors.

Béla HunyadyDepartment of Gastroenterology, Somogy County Kaposi Mor Teaching Hospital, Kaposvar, Hungary.
Margit AbonyiFirst Department of Medicine, Semmelweis University, Budapest, Hungary.
Zsuzsanna GerleiDepartment of Transplantation and Surgery, Faculty of Medicine, Budapest, Hungary.
Judit GervainFirst Department of Internal Medicine and Molecular Diagnostics Laboratory, Fejer County Saint George University Teaching Hospital, Szekesfehervar, Hungary.
Gábor HorváthDepartment of Gastroenterology, Saint John and Joint North-Buda Hospitals, Budapest, Hungary.
Viktor JancsikKenezy Gyula Hospital and Outpatient Clinic, Debrecen, Hungary.
Gabriella LengyelSecond Department of Medicine, Semmelweis University, Budapest, Hungary.
Erzsébet MakkaiMagyar Imre Hospital, Department of Infectology, Ajka, Hungary.
Alajos PárFirst Department of Medicine, University of Pecs, Medical School, Pecs, Hungary.
Zoltán PéterSecond Department of Medicine, Semmelweis University, Budapest, Hungary.
Margit PusztayDepartment of Gastroenterology, Saint John and Joint North-Buda Hospitals, Budapest, Hungary.
Pál RibiczeyDepartment of Infectology, Zala County Hospital, Zalaegerszeg, Hungary.
László RókuszMedical Centre, Military Hospital of Hungarian Defense Forces, Budapest, Hungary.
Christoph SarrazinDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt, Germany.
Ferenc SchneiderDepartment of Infectology, Markusovszky University Teaching Hospital, Szombathely, Hungary.
Simone SusserDepartment of Internal Medicine, University Hospital Frankfurt, Frankfurt, Germany.
Ferenc SzalayFirst Department of Medicine, Semmelweis University, Budapest, Hungary.
István TornaiDepartment of Internal Medicine, Medical Centre, University of Debrecen, Debrecen, Hungary.
Anna TusnádiJasz-Nagykun-Szolnok County Hetenyi Geza Hospital-Clinic, Szolnok, Hungary.
Eszter ÚjhelyiMolecular Diagnostics Laboratory, Joint Saint Istvan and Saint Laszlo Hospitals, Budapest, Hungary.
Klára WerlingSecond Department of Medicine, Semmelweis University, Budapest, Hungary.
Mihály MakaraOutpatient Clinic, Joint Saint Istvan and Saint Laszlo Hospitals, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyCombination of ombitasvir/paritaprevir/ritonavir + dasabuvir ± ribavirin (3DDA±RBV) therapy is shown to be effective in HCV genotype 1 (GT1) infected patients. However, sparse data exist in patients who failed previous boceprevir or telaprevir based therapies. Real life efficacy and safety of this combination were evaluated in HCV GT1b infected patients (mostly cirrhotics) with compensated liver disease who failed previous boceprevir or telaprevir based therapies more than a year before. MATERIAL AND

methodsData of previous protease inhibitor failure patients, treated with 3DAA+RBV for 12 weeks (GT1b and/or non-cirrhotics) or 24 weeks (non-GT1b cirrhotics), were retrospectively collected.

resultsPopulation characteristics: boceprevir/telaprevir-failure: 82/45, GT1b: 117, cirrhotic: 111 (87.4%). SVR12/24 was observed in 103/105 patients (98.1%) of those who reached either time point. Four SAEs reported: one death due to myocardial infarction, another due to recurrent hepatocellular carcinoma after achieving SVR12, two hospitalizations (elevation of transaminases, pneumonia). Grade ≥ 3 AEs or laboratory abnormalities were reported in < 10% of patients; they were transient in all patients. No early discontinuation of drugs due to SAE has been reported.

conclusionsOne year after previous failure of boceprevir or telaprevir based therapy, 12 weeks of 3DAA+RBV combination in HCV GT1b infected patients is similarly effective and safe as in those with no previous HCV therapy, even in the presence of cirrhosis. These findings might be of particular interest in settings where alternative therapies for such patients are not available or not affordable.

Indexed as

cirrhosisdirect acting antiviral drugshepatitis C virusprotease inhibitor

Identifiers

PMID29904724
PMCPMC6000745

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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.