Evidence map›Paper›PMID 31531807›Full record

ArticleInternational urology and nephrology2019

Efficacy and safety of the new antiviral agents for the treatment of hepatitis C virus infection in Egyptian renal transplant recipients.

Hanzada Mohamed El Maghrabi, Ahmed Yahia Elmowafy, Ayman Fathi Refaie, Mohammed Adel Elbasiony, Gamal Elsayed Shiha, Lionel Rostaing, Mohamed Adel Bakr

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Article in International urology and nephrology, 2019. 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

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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.

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4 · The record

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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

7 authors.

Hanzada Mohamed El MaghrabiUrology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Ahmed Yahia ElmowafyUrology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Ayman Fathi RefaieUrology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Mohammed Adel ElbasionyEgyptian Liver research Institute and Hospital, Mansoura, Egypt.
Gamal Elsayed ShihaInternal Medicine Department, Mansoura University, Mansoura, Egypt.
Lionel RostaingService de Néphrologie, Hémodialyse, Aphérèses et Transplantation Rénale, CHU Grenoble-Alpes, CS 10217, 38043, Grenoble Cedex 09, France. lrostaing@chu-grenoble.fr.ORCID http://orcid.org/0000-0002-5130-7286
Mohamed Adel BakrUrology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHepatitis C virus (HCV) infection in kidney transplant recipients (KTRs) is common and can impact on patient and graft survival rates. The efficacy and safety of direct-acting antivirals (DAAs) to treat genotype-4 HCV-infected KTRs have not been fully established.

methodsA prospective, single-arm, single-center study was conducted at Mansoura Urology/Nephrology Center (Mansoura University, Egypt). 114 HCV RNA(+) genotype 4 KTRs were enrolled in this study after a hepatology consultation and consented to start treatment with interferon-free DAAs. A sofosbuvir-based regimen was given to 109 recipients that had creatinine clearance (Crcl) of > 30 mL/min/1.73 m

resultsThe mean age of the cohort was 45.2 ± 11.2 years; most were male. The mean duration with a transplant was 14.2 ± 3.5 years, with different immunosuppressive regimens, mostly based on calcineurin inhibitors. A rapid virological response (RVR), i.e., clearance of viral load, was achieved in 100% at 4 weeks after starting treatment. All patients had a sustained virological response (SVR) at 12 and 24 weeks posttreatment, with one exception. During DAA therapy serum creatinine increased in 12 patients. In three, this was concomitant with elevated calcineurin inhibitor and sirolimus trough levels. Graft biopsies were performed in 8 of these 12 patients: these revealed an acute rejection in 4 cases (acute cellular rejection grade-1A: n = 2, and grade-1B: n = 2). The rejection episodes occurred at 4-6 weeks after starting treatment.

conclusionDAAs were highly efficacious and safely treated genotype-4 HCV-infected KTRs and had no significant adverse effects on graft function/survival.

Indexed as

Kidney TransplantationAdultAntiviral AgentsEgyptFemaleGenotypeHepacivirusHepatitis C, ChronicHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesTreatment OutcomeAntiviral AgentsDirect antiviral agents (DAA)Drug interactionsHCV infectionKidney transplantationSofosbuvir

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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.