Evidence map›Paper›PMID 32592829›Full record

ArticleAntiviral research2020

Modeling based response guided therapy in subjects with recent hepatitis C infection.

Evan Gorstein, Marianne Martinello, Alexander Churkin, Swikriti Dasgupta, Kevin Walsh, Tanya L Applegate, David Yardeni, Ohad Etzion, Susan L Uprichard, Danny Barash and 3 more

Open access · greenAbstract read
In one paragraph

Article in Antiviral research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Bemnifosbuvir: An HCV NS5B Inhibitor With Multiple Modes of Action.Clinical pharmacology and therapeutics · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

13 authors at 5 institutions in 3 countries.

Evan GorsteinThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA.
Marianne MartinelloKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Alexander ChurkinDepartment of Software Engineering, Sami Shamoon College of Engineering, Beer-Sheva, Israel.
Swikriti DasguptaThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA.
Kevin WalshThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA.
Tanya L ApplegateKirby Institute, University of New South Wales, Sydney, NSW, Australia.
David YardeniSoroka University Medical Center, Beer Sheva, Israel.
Ohad EtzionSoroka University Medical Center, Beer Sheva, Israel.
Susan L UprichardThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA.
Danny BarashDepartment of Computer Science, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Scott J CotlerThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA.
Gail V MatthewsKirby Institute, University of New South Wales, Sydney, NSW, Australia.
Harel DahariThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, 60053, USA. Electronic address: hdahari@luc.edu.
Loyola University Medical Center · USUNSW Sydney · AUSoroka Medical Center · ILBen-Gurion University of the Negev · ILSami Shamoon College of Engineering · IL

Funding

Collaborative Integration of HCV Molecular Virology and Mathematical ModelingR01AI078881 · NIAID · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PERELSON, ALAN S, UPRICHARD, SUSAN L. · 2011 to 2025
$7.5M
Computational discovery of effective hepatitis C intervention strategiesR01GM121600 · NIGMS · LOYOLA UNIVERSITY CHICAGO · PI BOODRAM, BASMATTEE, DAHARI, HAREL · 2017 to 2021
$2.0M
NIAID NIH HHS R01 AI078881NIGMS NIH HHS R01 GM121600
6 · The paper itself

Abstract

BACKGROUND &

aimsMathematical modeling of viral kinetics has been shown to identify patients with chronic hepatitis C virus (HCV) infection who could be cured with a shorter duration of direct-acting antiviral (DAA) treatment. However, modeling therapy duration has yet to be evaluated in recently infected individuals. The aim of this study was to retrospectively examine whether modeling can predict outcomes of six-week sofosbuvir (SOF) and weight-based ribavirin (R) therapy in individuals with recent HCV infection.

methodsModeling was used to estimate viral host parameters and to predict time to cure for 12 adults with recent HCV infection (<12 months of infection) who received six weeks of treatment with SOF + R.

resultsModeling results yielded a 100% negative predictive value for SOF + R treatment response in nine participants and suggested that a median of 13 [interquartile range: 8-16] weeks of therapy would be required for these patients to achieve cure. Modeling predicted cure after 5 weeks of therapy in the only modeled participant who achieved a sustained virological response. However, cure was also predicted for two participants who relapsed following treatment.

conclusionsThe modeling results confirm that longer than 6 weeks of SOF + R is needed to reach cure in individuals with recent HCV infection. Prospective real-time modeling under current potent DAA regimens is needed to validate the potential of response-guided therapy in the management of recent HCV infection.

Indexed as

Duration of TherapyModels, TheoreticalAdultAgedAntiviral AgentsDrug Therapy, CombinationFemaleHepatitis CHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRibavirinRNA, ViralSofosbuvirAntiviral AgentsRibavirinRNA, ViralSofosbuvirDirect-acting antiviralsHepatitis c virusMathematical modelingRecent infection

Identifiers

PMID32592829
PMCPMC7387218
OpenAlexW3037098473

What OpenQuestion holds

Textmetadata
LicenceTDM
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.