Evidence map›Paper›PMID 30790229›Full record

Trial reportHepatology international2019

Sofosbuvir-velpatasvir single-tablet regimen administered for 12 weeks in a phase 3 study with minimal monitoring in India.

Ajit Sood, Ajay Duseja, Mayank Kabrawala, Pradeep Amrose, Bhadadev Goswami, Abhijit Chowdhury, Shiv Kumar Sarin, Abraham Koshy, Robert H Hyland, Sophia Lu and 10 more

Abstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Hepatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Reinfection and Resistance Associated Substitutions Following a Minimal Monitoring Approach for Hepatitis C Virus Treatment in MINMON Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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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

20 authors.

Ajit SoodHead of Department of Gastroenterology, Dayanand Medical College and Hospital, 6-E, Tagore Nagar, Ludhiana, 141001, India. ajitsood10@gmail.com.
Ajay DusejaPost-graduate Institute of Medical Education and Research, Chandigarh, India.
Mayank KabrawalaSurat Institute of Digestive Sciences, Surat, India.
Pradeep AmroseYRG CARE, Taramani, Chennai, India.
Bhadadev GoswamiInstitute of Digestive and Liver Disease, Ganeshguri, India.
Abhijit ChowdhuryInstitute of Post Graduate Medical Education and Research, Kolkata, India.
Shiv Kumar SarinInstitute of Liver and Biliary Sciences, New Delhi, India.
Abraham KoshyLakeshore Hospital, Kochi, India.
Robert H HylandGilead Sciences, Inc, Foster City, CA, USA.
Sophia LuGilead 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.
G Mani SubramanianGilead Sciences, Inc, Foster City, CA, USA.
Madhura PrasadVGM Hospital, Coimbatore, India.
Shobna BhatiaKing Edward Memorial Hospital, Mumbai, India.
Samir R ShahGlobal Hospital, Mumbai, India.
Dharmesh KapoorGlobal Hospital, Hyderabad, India.
ShalimarAll India Institute of Medical Science, Delhi, India.
Vivek SaraswatSanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIn clinical studies, sofosbuvir-velpatasvir has demonstrated high cure rates and favorable tolerability in patients chronically infected with chronic hepatitis C virus (HCV) of any genotype. We evaluated the effectiveness and safety of sofosbuvir-velpatasvir administered with minimal medical monitoring to patients in India.

methodsAt 16 sites in India, 129 adult patients with chronic HCV infection of any genotype initiated 12 weeks of once-daily sofosbuvir-velpatasvir (400-100 mg). Patients with compensated cirrhosis or prior treatment experience could be included in the study. Study drug was dispensed monthly, but there were no on-treatment study assessments. The primary efficacy endpoint was rate of sustained virologic response (HCV RNA < 15 IU/mL) 12 weeks after treatment (SVR12), which was compared to a pre-specified performance goal of 85%.

resultsThe majority of patients had HCV genotype 3 infection (70%), followed by HCV genotype 1 (22%). The SVR12 rate was 93% (120/129; 95% CI, 87% to 97%) (p = 0.009 compared with the 85% performance goal). Of the nine patients who did not achieve SVR12, 1 experienced virologic failure, 2 relapsed after treatment, 1 withdrew consent after treatment, and 5 were lost to follow-up (1 during and 4 after treatment). Sofosbuvir-velpatasvir was well-tolerated, and no patients discontinued treatment because of an adverse event. The most frequently reported adverse events were headache (3% of patients), upper abdominal pain (2%), and pyrexia (2%).

conclusionsIn this study conducted at multiple sites in India, sofosbuvir-velpatasvir administered without genotype restriction or on-treatment safety assessments was well-tolerated and highly effective.

Indexed as

Sustained Virologic ResponseAdultAgedCarbamatesDrug CombinationsDrug MonitoringFemaleGenotypeHepacivirusHepatitis C, ChronicHeterocyclic Compounds, 4 or More RingsHumansIndiaMaleMiddle AgedRecurrenceCarbamatesDrug CombinationsHeterocyclic Compounds, 4 or More RingsRNA, ViralSofosbuvirsofosbuvir-velpatasvir drug combinationNS5A inhibitorNS5B polymerase inhibitorPangenotypicPublic health

Identifiers

PMID30790229
PMCPMC6418070

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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.