Evidence map›Paper›PMID 30030720›Full record

Trial reportHepatology international2018

Sofosbuvir-velpatasvir plus ribavirin in Japanese patients with genotype 1 or 2 hepatitis C who failed direct-acting antivirals.

Namiki Izumi, Tetsuo Takehara, Kazuaki Chayama, Hiroshi Yatsuhashi, Koichi Takaguchi, Tatsuya Ide, Masayuki Kurosaki, Yoshiyuki Ueno, Hidenori Toyoda, Satoru Kakizaki and 13 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Hepatology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. [Guideline for the prevention and treatment of hepatitis C (2022 version)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Guideline
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  9. Retreatment of Chronic Hepatitis C Infection: Real-World Regimens and Outcomes From National Treatment Programs in Three Low- and Middle-Income Countries.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    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

23 authors.

Namiki IzumiMusashino Red Cross Hospital, Tokyo, Japan. izumi012@musashino.jrc.or.jp.ORCID http://orcid.org/0000-0002-0055-8229
Tetsuo TakeharaOsaka University Hospital, Osaka, Japan.
Kazuaki ChayamaHiroshima University Hospital, Hiroshima, Japan.
Hiroshi YatsuhashiNagasaki Medical Center, Nagasaki, Japan.
Koichi TakaguchiKagawa Prefectural Central Hospital, Kagawa, Japan.
Tatsuya IdeKurume University Hospital, Fukuoka, Japan.
Masayuki KurosakiMusashino Red Cross Hospital, Tokyo, Japan.
Yoshiyuki UenoYamagata University Hospital, Yamagata, Japan.
Hidenori ToyodaOgaki Municipal Hospital, Gifu, Japan.
Satoru KakizakiGunma University Hospital, Gunma, Japan.
Yasuhito TanakaNagoya City University Hospital, Aichi, Japan.
Yoshiiku KawakamiHiroshima University Hospital, Hiroshima, Japan.
Hirayuki EnomotoHyogo College of Medicine Hospital, Hyogo, Japan.
Fusao IkedaOkayama University Hospital, Okayama, Japan.
Deyuan JiangGilead Sciences, Inc., Foster City, CA, USA.
Shampa De-OertelGilead Sciences, Inc., Foster City, CA, USA.
Brian L McNabbGilead Sciences, Inc., Foster City, CA, USA.
Gregory CamusGilead Sciences, Inc., Foster City, CA, USA.
Luisa M StammGilead Sciences, Inc., Foster City, CA, USA.
Diana M BrainardGilead Sciences, Inc., Foster City, CA, USA.
John G McHutchisonGilead Sciences, Inc., Foster City, CA, USA.
Satoshi MochidaSaitama Medical University Hospital, Saitama, Japan.
Masashi MizokamiNational Center for Global Health and Medicine, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeIn Japan, there is a growing population of patients with chronic hepatitis C virus (HCV) infection who failed a direct-acting antiviral (DAA)-based regimen. In this Phase 3 study, we evaluated sofosbuvir-velpatasvir plus ribavirin in Japanese patients with genotype 1 or 2 HCV infection who previously received DAAs.

methodsPatients were randomized 1:1 to receive sofosbuvir-velpatasvir plus ribavirin for 12 or 24 weeks. Randomization was stratified by HCV genotype and presence of cirrhosis. The primary endpoint was sustained virologic response 12-week post-treatment (SVR12).

resultsOf 117 participants, 81% had HCV genotype 1 infection, 33% had cirrhosis, and 95% had NS5A resistance-associated substitutions (RAS) at baseline. Overall, SVR12 rates were 97% (58/60; 95% CI 88-100%) with 24 weeks of treatment and 82% (47/57; 95% CI 70-91%) with 12 weeks. For HCV genotype 1 and 2 infected patients, the SVR12 rates with 24 weeks of treatment were 98% and 92%, respectively. In both treatment groups, SVR12 rates in HCV genotype 1 patients were statistically superior to a historical control rate of 50% (p < 0.001). For patients with NS5A RASs at baseline, 85% (46/54) in the 12-week group and 96% (54/56) in the 24-week group achieved SVR12. The most common adverse events were upper respiratory tract viral infection, anemia, and headache. Three (2.6%) patients discontinued treatment because of adverse events.

conclusionSofosbuvir-velpatasvir plus ribavirin was highly effective and well tolerated in Japanese patients who previously failed a DAA-based regimen. Baseline NS5A RASs did not affect treatment outcomes.

Indexed as

Administration, OralAdultAgedAged, 80 and overAntiviral AgentsBenzimidazolesBenzopyransCarbamatesDrug Administration ScheduleDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis C, ChronicHeterocyclic Compounds, 4 or More RingsHumansAntiviral AgentsBenzimidazolesBenzopyransCarbamatesHeterocyclic Compounds, 4 or More RingsRibavirinSofosbuvirvelpatasvirAntiviral resistanceDAA-experiencedNS5A inhibitorNS5B polymerase inhibitorSalvage therapy

Identifiers

PMID30030720
PMCPMC6096959

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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.