Evidence map›Paper›PMID 31650719›Full record

ArticleJournal of Korean medical science2019

Durability of Sustained Virologic Response and Improvement of Fibrosis Markers after Daclatasvir and Asunaprevir Treatment in Genotype 1b Hepatitis C Virus-Infected Patients: a Real Life and Multicenter Study.

Seung Kak Shin, Jin Woo Lee, Hannah Ra, Oh Sang Kwon, Jong Beom Shin, Young Joo Jin, Sangheun Lee, Ki Jun Han, Young Nam Kim, Tae Hun Kim and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of Korean medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Seung Kak Shin *Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-5120-5300
Jin Woo Lee *Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-7227-4938
Hannah RaDepartment of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-3058-3636
Oh Sang KwonDepartment of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. kos@gilhospital.com.ORCID https://orcid.org/0000-0001-9981-3914
Jong Beom ShinDepartment of Internal Medicine, Inha University School of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0001-6079-615X
Young Joo JinDepartment of Internal Medicine, Inha University School of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-7449-2461
Sangheun LeeDepartment of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0002-7884-1622
Ki Jun HanDepartment of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0003-3398-6948
Young Nam KimDepartment of Internal Medicine, Cheju Halla General Hospital, Jeju, Korea.ORCID https://orcid.org/0000-0002-2610-2879
Tae Hun KimDepartment of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-3277-3668
Yun Soo KimDepartment of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0003-2380-1217
Ju Hyun KimDepartment of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.ORCID https://orcid.org/0000-0001-8981-135X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe long-term data with direct acting antiviral agents were rare. This study investigated the durability of a sustained virologic response (SVR) and the improvement of fibrosis after daclatasvir and asunaprevir (DCV/ASV) treatment in genotype 1b (GT1b) hepatitis C virus (HCV)-infected patients.

methodsA total of 288 HCV GT1b patients without baseline non-structural 5A (NS5A) resistance-associated substitution (RAS) treated with DCV/ASV were enrolled. Virologic response was measured at 12 weeks and 1 year after treatment completion. In cirrhotic patients, liver function, aspartate transaminase to platelet ratio index (APRI), FIB-4 index, fibrosis index (FI), and liver stiffness measurement (LSM) at baseline and 1 year after treatment completion were evaluated.

resultsSVR12 was obtained in 278 patients (96.5%). Six patients who checked NS5A RAS after treatment failure were RAS positive. Only one patient showed no durability of SVR. In cirrhotic patients who achieved SVR12 (n = 59), the changes of albumin (3.8 [2.2-4.7] to 4.3 [2.4-4.9] g/dL;

conclusionDCV/ASV treatment for HCV GT1b infected patients without RAS achieved high SVR rates and showed durable SVR. Cirrhotic patients who achieved SVR12 showed the improvement of liver function and fibrosis markers.

Indexed as

Sustained Virologic ResponseAdultAntiviral AgentsAspartate AminotransferasesCarbamatesDrug Resistance, ViralDrug Therapy, CombinationFemaleGenotypeHepacivirusHepatitis CHumansImidazolesIsoquinolinesLiverLiver CirrhosisAntiviral AgentsAspartate AminotransferasesasunaprevirCarbamatesdaclatasvirImidazolesIsoquinolinesPyrrolidinesRNA, ViralSulfonamidesValineAsunaprevirDaclatasvirFibrosisHepatitis C VirusSustained Virologic Response

Identifiers

PMID31650719
PMCPMC6813423

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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.