Evidence map›Paper›PMID 32825571›Full record

ArticleJournal of clinical medicine2020

Hepatitis C Clearance by Direct-Acting Antivirals Impacts Glucose and Lipid Homeostasis.

Christiana Graf, Tania Welzel, Dimitra Bogdanou, Johannes Vermehren, Anita Beckel, Jörg Bojunga, Mireen Friedrich-Rust, Julia Dietz, Alica Kubesch, Antonia Mondorf and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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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

18 authors at 2 institutions in 2 countries.

Christiana GrafDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Tania WelzelDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Dimitra BogdanouDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Johannes VermehrenDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Anita BeckelDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Jörg BojungaDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Mireen Friedrich-RustDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Julia DietzDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Alica KubeschDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.ORCID 0000-0002-8627-6088
Antonia MondorfDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Sarah FischerInfektiologikum, Center for Infectious Diseases, 60596 Frankfurt, Germany.
Thomas LutzInfektiologikum, Center for Infectious Diseases, 60596 Frankfurt, Germany.
Philipp StoffersDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Eva HerrmannInstitute of Biostatistics and Mathematical Modeling, Goethe University Frankfurt, 60596 Frankfurt, Germany.
Thierry PoynardBioPredictive, 75007 Paris, France.
Stefan ZeuzemDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Georg DultzDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Ulrike MihmDepartment of Internal Medicine, University Hospital Frankfurt, 60596 Frankfurt, Germany.
Goethe University Frankfurt · DEBiopredic (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis C virus (HCV) infections are causally linked with metabolic comorbidities such as insulin resistance, hepatic steatosis, and dyslipidemia. However, the clinical impact of HCV eradication achieved by direct-acting antivirals (DAAs) on glucose and lipid homeostasis is still controversial. The study aimed to prospectively investigate whether antiviral therapy of HCV with DAAs alters glucose and lipid parameters.

methods50 patients with chronic HCV who were treated with DAAs were screened, and 49 were enrolled in the study. Biochemical and virological data, as well as noninvasive liver fibrosis parameters, were prospectively collected at baseline, at the end of treatment (EOT) and 12 and 24 weeks post-treatment.

results45 of 46 patients achieved sustained virologic response (SVR). The prevalence of insulin resistance (HOMA-IR) after HCV clearance was significantly lower, compared to baseline (5.3 ± 6.1 to 2.5 ± 1.9,

conclusionViral eradication following DAA therapy may have beneficial effects on glucose homeostasis, whereas lipid profile seems to be worsened.

Indexed as

direct-acting antiviralshepatic fibrosishepatitis C virusinsulin resistance

Identifiers

PMID32825571
PMCPMC7564474
OpenAlexW3080983902

What OpenQuestion holds

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LicenceCC BY
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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.