Evidence map›Paper›PMID 30976739›Full record

ArticleHepatology communications2019

Effectiveness of Ledipasvir/Sofosbuvir and Sofosbuvir/Velpatasvir in People Who Inject Drugs and/or Those in Opioid Agonist Therapy.

Naveed Z Janjua, Maryam Darvishian, Stanley Wong, Amanda Yu, Carmine Rossi, Alnoor Ramji, Eric M Yoshida, Zahid A Butt, Hasina Samji, Mei Chong and 6 more

Open access · goldAbstract read
In one paragraph

Article in Hepatology communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  7. Review
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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

16 authors at 3 institutions in 1 country.

Naveed Z JanjuaBritish Columbia Centre for Disease Control Vancouver Canada.ORCID https://orcid.org/0000-0001-5681-719X
Maryam DarvishianBritish Columbia Centre for Disease Control Vancouver Canada.
Stanley WongBritish Columbia Centre for Disease Control Vancouver Canada.
Amanda YuBritish Columbia Centre for Disease Control Vancouver Canada.
Carmine RossiBritish Columbia Centre for Disease Control Vancouver Canada.ORCID https://orcid.org/0000-0001-5801-6927
Alnoor RamjiDivision of Gastroenterology of the Department of Medicine University of British Columbia Vancouver Canada.
Eric M YoshidaDivision of Gastroenterology of the Department of Medicine University of British Columbia Vancouver Canada.
Zahid A ButtBritish Columbia Centre for Disease Control Vancouver Canada.
Hasina SamjiBritish Columbia Centre for Disease Control Vancouver Canada.
Mei ChongBritish Columbia Centre for Disease Control Vancouver Canada.
Nuria ChapinalBritish Columbia Centre for Disease Control Vancouver Canada.
Darrel CookBritish Columbia Centre for Disease Control Vancouver Canada.
Maria AlvarezBritish Columbia Centre for Disease Control Vancouver Canada.
Mark TyndallBritish Columbia Centre for Disease Control Vancouver Canada.
Mel KrajdenBritish Columbia Centre for Disease Control Vancouver Canada.
British Columbia Hepatitis Testers Cohort Team
University of British Columbia · CABC Centre for Disease Control · CASimon Fraser University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the effectiveness of ledipasvir/sofosbuvir (LDV/SOF) in treating hepatitis C virus (HCV) genotype 1 and SOF/velpatasvir (SOF/VEL) for all genotypes among people who inject drugs (PWID) and those not injecting drugs and who were on or off opioid agonist therapy (OAT). Study participants comprised a population-based cohort in British Columbia, Canada. The British Columbia Hepatitis Testers Cohort includes data on individuals tested for HCV from 1990 to 2016 that are integrated with medical visits, hospitalization, and prescription drug data. We classified study participants as off OAT/recent injection drug use (off-OAT/RIDU), off OAT/past IDU (off-OAT/PIDU), off OAT/no IDU (off-OAT/NIDU), on OAT/IDU (on-OAT/IDU), and on OAT/no IDU (on-OAT/NIDU). We assessed sustained virologic response (SVR) 10 weeks after HCV treatment among study groups treated with LDV/SOF or SOF/VEL until January 13, 2018. Analysis included 5,283 eligible participants: 390 off-OAT/RIDU, 598 off-OAT/PIDU, 3,515 off-OAT/NIDU, 609 on-OAT/IDU, and 171 on-OAT/NIDU. The majority were male patients (64%-74%) and aged ≥50 years (58%-85%). The SVRs for off-OAT/RIDU, off-OAT/PIDU, off-OAT/NIDU, on-OAT/IDU, and on-OAT/NIDU were 91% (355/390), 95% (570/598), 96% (3,360/3,515), 93% (567/609), and 95% (163/171), respectively. Among those with no SVR, 14 individuals died while on treatment or before SVR assessment, including 4 from illicit drug overdose. In the overall multivariable model, off-OAT/RIDU, on-OAT/IDU, male sex, cirrhosis, treatment duration <8 weeks, treatment duration 8 weeks, and treatment with SOF/VEL were associated with not achieving SVR.

Identifiers

PMID30976739
PMCPMC6442698
OpenAlexW2910490479

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.