Evidence map›Paper›PMID 31995556›Full record

Trial reportPloS one2020

HIV/HCV therapy with ledipasvir/sofosbuvir after randomized switch to emtricitabine-tenofovir alafenamide-based single-tablet regimens.

Gregory D Huhn, Moti Ramgopal, Mamta K Jain, Federico Hinestrosa, David M Asmuth, Jihad Slim, Deborah Goldstein, Shauna Applin, Julie H Ryu, Shuping Jiang and 7 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02707601 (A Phase 3b Randomized, Open-label, Controlled Study of the Efficacy, Safety and Tolerability of 12 Weeks of Ledipasvir/Sofosbuvir), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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.

NCT02707601 phase3completednot on this map

A Phase 3b Randomized, Open-label, Controlled Study of the Efficacy, Safety and Tolerability of 12 Weeks of Ledipasvir/Sofosbuvir (LDV/SOF) Treatment for HIV/HCV Co-infected Subjects Who Switch to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) or Emtricitabine/Rilpivirine/Tenofovir Alafenamide (F/R/TAF) Prior to LDV/SOF HCV Treatment, the HIV/HCV Co-STARs Study (Co-infection Treatment With Single Tablet Antiviral Regimens)

TypeinterventionalSponsorGilead SciencesRan2016 to 2017Enrolled150ConditionsHIV-1 Infection, HCV InfectionArmsE/C/F/TAF, F/R/TAF, LDV/SOF
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

17 authors at 8 institutions in 1 country.

Gregory D HuhnRuth M Rothstein CORE Center, Chicago, IL, United States of America.
Moti RamgopalMidway Research Center, Fort Pierce, FL, United States of America.
Mamta K JainUT Southwestern Medical Center, Dallas, TX, United States of America.
Federico HinestrosaOrlando Immunology Center, Orlando, FL, United States of America.
David M AsmuthUniversity of California Davis, Sacramento, CA, United States of America.ORCID 0000-0003-0916-7950
Jihad SlimSaint Michael's Medical Center, Newark, NJ, United States of America.
Deborah GoldsteinWhitman-Walker Health, Washington DC, United States of America.
Shauna ApplinCommunity Health Care, Tacoma, WA, United States of America.
Julie H RyuGilead Sciences, Inc., Foster City, CA, United States of America.
Shuping JiangGilead Sciences, Inc., Foster City, CA, United States of America.
Stephanie CoxGilead Sciences, Inc., Foster City, CA, United States of America.
Moupali DasGilead Sciences, Inc., Foster City, CA, United States of America.
Thai Nguyen-ClearyGilead Sciences, Inc., Foster City, CA, United States of America.
David PiontkowskyGilead Sciences, Inc., Foster City, CA, United States of America.
Bill GuyerGilead Sciences, Inc., Foster City, CA, United States of America.
Lorenzo RossaroGilead Sciences, Inc., Foster City, CA, United States of America.
Richard H HaubrichGilead Sciences, Inc., Foster City, CA, United States of America.ORCID 0000-0002-9435-2386
Gilead Sciences (United States) · USMidway University · USOrlando Immunology Center · USRuth M. Rothstein CORE Center · USSaint Michael's Medical Center · USSouthwestern Medical Center · USUniversity of California, Davis · USWhitman-Walker Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGuidelines advocate the treatment of HCV in all HIV/HCV co-infected individuals. The aim of this randomized, open-label study (ClinicalTrials.gov identifier: NCT02707601; https://clinicaltrials.gov/ct2/show/NCT02707601) was to evaluate the safety/efficacy of ledipasvir/sofosbuvir (LDV/SOF) co-administered with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) or rilpivirine/F/TAF (R/F/TAF) in HIV-1/HCV co-infected participants.

methodsParticipants with HIV-1 RNA <50 copies/mL and chronic HCV-genotype (GT) 1 (HCV treatment-naïve ± compensated cirrhosis or HCV treatment-experienced non-cirrhotic) were randomized 1:1 to switch to E/C/F/TAF or R/F/TAF. If HIV suppression was maintained at Week 8, participants received 12 weeks of LDV/SOF. The primary endpoint was sustained HCV virologic response 12 weeks after LDV/SOF completion (SVR12).

resultsOf 150 participants, 148 received ≥1 dose of HIV study drug and 144 received LDV/SOF (72 in each F/TAF group; 83% GT1a, 94% HCV treatment-naïve, 12% cirrhotic). Overall, SVR12 was 97% (95% confidence interval: 93-99%). Black race did not affect SVR12. Of four participants not achieving SVR12, one had HCV relapse, one had HCV virologic non-response due to non-adherence, and two missed the post-HCV Week 12 visit. Of 148 participants, 96% receiving E/C/F/TAF and 95% receiving R/F/TAF maintained HIV suppression at Week 24; no HIV resistance was detected. No participant discontinued LDV/SOF or E/C/F/TAF due to adverse events; one participant discontinued R/F/TAF due to worsening of pre-existing hypercholesterolemia. Renal toxicity was not observed in either F/TAF regimen during LDV/SOF co-administration. In conclusion, high rates of HCV SVR12 and maintenance of HIV suppression were achieved with LDV/SOF and F/TAF-based regimens.

conclusionThis study supports LDV/SOF co-administered with an F/TAF-based regimen in HIV-1/HCV-GT1 co-infected patients.

Indexed as

Drug CombinationsAdenineAdultAgedAlanineBenzimidazolesCoinfectionDrug Resistance, ViralEmtricitabineFemaleFluorenesHepacivirusHepatitis CHIV-1HIV InfectionsHumansAdenineAlanineBenzimidazolesDrug CombinationsEmtricitabineemtricitabine tenofovir alafenamideFluorenesledipasvirRNA, ViralSofosbuvirTenofovirtenofovir alafenamide

Identifiers

PMID31995556
PMCPMC6988963
OpenAlexW3004164571

What OpenQuestion holds

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Registered trials

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.