Evidence map›Paper›PMID 32053682›Full record

Observational studyPloS one2020

Real-world efficacy of direct acting antiviral therapies in patients with HIV/HCV.

Sonia Vibhakar Patel, Dushyantha T Jayaweera, Keri N Althoff, Joseph J Eron, Janna Radtchenko, Anthony Mills, Graeme Moyle, Steven Santiago, Paul E Sax, Jason Gillman and 3 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Mortality in congenital hemophilia A - a systematic literature review.Journal of thrombosis and haemostasis : JTH · 2021
    Pooled it
  4. Trial
  5. Article
  6. T cell adaptation in chronic infections and tumors.Cellular & molecular immunology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Barriers and Facilitators of Hepatitis C Care in Persons Coinfected with Human Immunodeficiency Virus.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Review
  19. Review
  20. Observational
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

13 authors.

Sonia Vibhakar PatelThe Ruth M. Rothstein Core Center, Cook County Health, Chicago, Illinois, United States of America.
Dushyantha T JayaweeraDivision of Infectious Disease, Miller School of Medicine, University of Miami, Miami, Florida, United States of America.
Keri N AlthoffJohns Hopkins University, Baltimore, Maryland, United States of America.
Joseph J EronDivision of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Janna RadtchenkoTrio Health Analytics, La Jolla, California, United States of America.ORCID 0000-0002-0462-5505
Anthony MillsSouthern California Men's Medical Group, Los Angeles, California, United States of America.
Graeme MoyleChelsea and Westminster Hospital, London, United Kingdom.
Steven SantiagoCare Resource, Miami, Florida, United States of America.
Paul E SaxBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States of America.
Jason GillmanPrism Health North Texas, Dallas, Texas, United States of America.
Karam MounzerPerelman School of Medicine at The University of Pennsylvania and Philadelphia Fight Community Health Centers, Philadelphia, Pennsylvania, United States of America.
Richard A ElionGeorge Washington University School of Medicine, Washington, District of Columbia, United States of America.
Gregory D HuhnThe Ruth M. Rothstein Core Center and Rush University Medical Center, Chicago, Illinois, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of direct-acting antiviral (DAA) therapies has dramatically transformed HCV treatment, with most recent trials demonstrating high efficacy rates (>90%) across all genotypes and special populations, including patients with HIV/HCV coinfection. The efficacy rates of HCV treatment are nearly identical between patients with HCV monofection and patients with HIV/HCV coinfection; however, there are limited studies to compare real-world efficacy with efficacy observed in clinical trials. Using a database from HIV clinics across the United States (US), we identified 432 patients with HIV/HCV coinfection who completed DAA therapy from January 1, 2014 to March 31, 2017 and were assessed for efficacy. Efficacy was evaluated as sustained virologic response (SVR) 12 weeks after DAA completion; furthermore, factors associated with achieving SVR12 were identified. In this analysis, we found DAA therapies to be effective, with 94% of the patients achieving SVR12 and 6% experiencing virologic failure. Baseline variables, including older age, HCV viral load <800K IU/ML, FIB-4 score <1.45, absence of depression, diabetes, substance abuse, and use of DAA regimens without ribavirin were significant predictors of achieving SVR12. Patients with fewer comorbidities, better liver health, and lower HCV viral loads at baseline were more likely to achieve treatment success. Our results were consistent with other real-world studies, supporting the use of HCV therapy in HIV/HCV coinfected patients.

Indexed as

AdultAgedAntiviral AgentsBenzimidazolesBenzopyransCarbamatesCoinfectionDrug Therapy, CombinationFemaleFluorenesHepacivirusHepatitis CHepatitis C, ChronicHeterocyclic Compounds, 4 or More RingsHIV InfectionsHumansAntiviral AgentsBenzimidazolesBenzopyransCarbamatesFluorenesHeterocyclic Compounds, 4 or More Ringsledipasvir, sofosbuvir drug combinationRibavirinSimeprevirSofosbuvirUridine Monophosphatevelpatasvir

Identifiers

PMID32053682
PMCPMC7018045

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.