Evidence map›Paper›PMID 32308935›Full record

ArticleGastroenterology and hepatology from bed to bench2020

Use of sofosbuvir based regimen in patients with end-stage renal disease and chronic hepatitis C; an open label, non-randomized, single arm, single center study from Pakistan.

Rajesh Mandhwani, Farina M Hanif, Ghulamullah Lail, Nasir Hassan Luck, Muhammad Ali Khalid, Muhammad Manzoor Ul Haque, Syed Mudassir Laeeq, Tahir Aziz

Open access · greenAbstract read
In one paragraph

Article in Gastroenterology and hepatology from bed to bench, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 27% 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, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  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 1 institution in 1 country.

Rajesh MandhwaniDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Farina M HanifDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Ghulamullah LailDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Nasir Hassan LuckDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Muhammad Ali KhalidDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Muhammad Manzoor Ul HaqueDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Syed Mudassir LaeeqDepartment of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Tahir AzizDepartment of Nephrology and Transplant Sciences, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Sindh Institute of Urology and Transplantation · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimwe aimed to determine the virological response and safety of Sofosbuvir-based direct-acting antiviral agents (DAAs) in chronic hepatitis C (CHC) patients on long-term hemodialysis (HD).

backgroundWith the advent of interferon-free DAAs, the treatment of CHC has been revolutionized. Pakistan is among the countries where novel sofosbuvir (SOF)-free antiviral agents are not available.

methodsThis non-randomized, single-arm, open-label study enrolled all HD patients with chronic HCV infection after informed consent. They were treated with SOF in combination with Ribavirin (RBV) with either interferon (IFN group) or daclatasvir (DAC group), with the virological response assessed according to standard guidelines. Data were analyzed using SPSS version 20.00.

resultsOut of 133 patients, the majority (72.9%) were males with the mean age of 31.92 ± 9.88 years. Most patients (50.3%) had HCV genotype (GN) 1, followed by GN 3 in 42.9%, 4 in 1.48% and 2 in 0.7%, while mix GN was documented in 6 (4.4%) patients. Among these, 60 (45.1 %) patients received standard SOF, IFN, and RBV (IFN group) and 73 (54.9 %) received SOF, DAC and RBV (DAC group). End of treatment and sustained virological response at 12 weeks post-treatment were achieved in 133 (100%) and 129 (97 %) patients, respectively. The adverse effects were anemia in 58 (43.6 %) patients and elevated alanine transaminases in 11 (8.1%) patients.

conclusionSOF in combination with either IFN or DAC is an equally efficacious and effective treatment regimen for patients on maintenance HD, especially in resource-poor countries.

Indexed as

End-stage renal diseasehemodialysisHepatitis C virusInterferonSofosbuvirSustained virological response

Identifiers

PMID32308935
PMCPMC7149816
OpenAlexW3017138460

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.