Evidence map›Paper›PMID 31324230›Full record

Trial reportBMC infectious diseases2019

Long-term follow-up of HCV infected kidney transplant recipients receiving direct-acting antiviral agents: a single-center experience in China.

Jian Zhang, Wen Sun, Jun Lin, Ye Tian, Linlin Ma, Lei Zhang, Yichen Zhu, Wei Qiu

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
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

8 authors at 2 institutions in 1 country.

Jian ZhangBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Wen SunBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Jun LinBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China. bfhlinjun@hotmail.com.
Ye TianBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Linlin MaBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Lei ZhangBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Yichen ZhuBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Wei QiuBeijing Friendship Hospital, Capital Medical University, 95 Yongan Road, Xicheng District, Beijing, China.
Beijing Friendship Hospital · CNCapital Medical University · CN

Funding

Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support ZYLX201604Beijing Municipal Science & Technology Commission Z161100000516147National Natural Science Foundation of China 81372737
6 · The paper itself

Abstract

backgroundLong-term outcome of DAAs therapy in kidney transplant recipients was unknown. Thus, we aimed to evaluate it in a Chinese cohort of HCV-infected kidney transplant recipients.

methodsSingle-center and retrospective study of HCV-infected kidney transplant recipients initiating an DAAs regimen between January 2015 and December 2017 was conducted. Totally 26 KTX recipients were divided into three groups, including KTX-HD Group, DAA-KTX Group and KTX-DAA Group. On-treatment response was defined as target not detected within 12 weeks. SVR 48, 96 were defined as HCV-RNA negativity 48, 96 weeks after treatment cessation, respectively.

resultsHCV genotype was predominantly 1b (80.8%), followed by 2a. All (100%) patients achieved on-treatment response. Time to first TnD was 1.9 ± 0.6 weeks, with no significant difference among the three groups. All patients achieved SVR, with an SVR rate of 100.0% (26/26) among the patients who were followed up over 48 weeks after treatment cessation, and the same SVR rate (24/24) among the patients who were followed up over 96 weeks. Trough levels of Tac remained stable under DAAs therapy, without any dose adjustment. Two patients with abnormal GFR before treatment experienced serum creatinine elevation. Other adverse events included nausea, diarrhea, acid regurgitation, bilirubin elevation and edema of lower limbs. All patients recovered after treatment cessation without reductions in dose, or withdrawal of DAAs or immunosuppressive agents.

conclusionsHCV genotype 1b and 2a are the only genotypes and 1b is predominant in our center. Antiviral treatment with DAAs in HCV-infected kidney transplant recipients is persistently effective and well tolerated during long-term follow-up. A regular monitoring of renal function in patients who receive DAAs regimens with preexisting impaired renal function is strongly recommended. Furthermore, the trough CNIs levels were recommended to be frequently monitored.

Indexed as

AdultAntiviral AgentsChinaFemaleFollow-Up StudiesGenotypeHepacivirusHepatitis CHumansImmunosuppressive AgentsKidney TransplantationMaleMiddle AgedRetrospective StudiesTransplant RecipientsTreatment OutcomeAntiviral AgentsImmunosuppressive AgentsAntiviral therapyDAAsHCVTransplant

Identifiers

PMID31324230
PMCPMC6642594
OpenAlexW2963286863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.