Evidence map›Paper›PMID 32854457›Full record

ArticleClinical and molecular hepatology2020

Use of glecaprevir/pibrentasvir in patients with chronic hepatitis C virus infection and severe renal impairment.

Desmond Y H Yap, Kevin S H Liu, Yu-Chun Hsu, Grace L H Wong, Ming-Chang Tsai, Chien-Hung Chen, Ching-Sheng Hsu, Yee Tak Hui, Michael K K Li, Chen-Hua Liu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 3 countries.

Desmond Y H YapDivision of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Kevin S H LiuDivision of Gastroenterology and Hepatology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Yu-Chun HsuDivision of Gastroenterology, Department of Internal Medicine, Changhua Christian Hospital, Taiwan.
Grace L H WongDepartment of Medicine and Therapeutics, State Key Laboratory of Digestive Disease, Institute of Digestive Disease, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Ming-Chang TsaiDivision of Gastroenterology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chien-Hung ChenDepartment of Internal Medicine, National Taiwan University Hospital Yunlin Branch, Douliu, Taiwan.
Ching-Sheng HsuLiver Diseases Research Centre, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan.
Yee Tak HuiDepartment of Medicine, Queen Elizabeth Hospital, Hong Kong, China.
Michael K K LiDepartment of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong, China.
Chen-Hua LiuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Yee-Man KanDepartment of Medicine and Geriatrics, Kwong Wah Hospital, Hong Kong, China.
Ming-Lung YuDivision of Hepatobiliary, Department of Internal Medicine and Hepatitis Centre, Kaohsiung Medical University Hospital, Kaohshiung Medical University, Kaohsiung, Taiwan.
Man-Fung YuenDivision of Gastroenterology and Hepatology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
National Taiwan University Hospital · TWUniversity of Hong Kong · HKChanghua Christian Hospital · TWChung Shan Medical University Hospital · TWKaohsiung Medical University · TWKwong Wah Hospital · CNPrince of Wales Hospital · CNQueen Elizabeth Hospital · CNQueen Mary Hospital · CNTaipei Tzu Chi Hospital · TWTuen Mun Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsData on treatment efficacy and safety of glecaprevir/pibrentasvir (GLE/PIB) for chronic hepatitis C virus (HCV) infection in Asian patients with severe renal impairment are limited. This study aimed to study the treatment and side effects of GLE/PIB in these patients infected with non-1 genotype (GT) HCV.

methodsWe prospectively recruited patients with Child's A cirrhosis and eGFR <30 mL/min/1.73 m2 in Hong Kong and Taiwan during 2017-2018 to receive GLE/PIB treatment.

resultsTwenty-one patients (GT2, n=7; GT3, n=6; and GT6, n=8) received GLE/PIB for 11.2±1.8 weeks. All except one were treatment-naïve. GLE/PIB was initiated in 16 patients while on dialysis (seven on peritoneal dialysis [PD] and nine on hemodialysis) and in five patients before dialysis. One patient died of PD-related peritonitis during treatment and two were lost to follow up. The SVR12 rate in the remaining 18 patients was 100%. All patients achieved undetectable levels at 4-, 12-, 24- and 48-week after treatment. Patients with deranged alanine aminotransferase showed normalization after 4 weeks and the response was sustained for 48 weeks. No significant adverse event was observed.

conclusionGLE/PIB treatment was associated with high efficacy and tolerability in HCV-infected patients with severe renal impairment.

Indexed as

Aminoisobutyric AcidsAntiviral AgentsBenzimidazolesChildCyclopropanesFemaleHepacivirusHepatitis C, ChronicHumansLactams, MacrocyclicLeucineMaleProlinePyrrolidinesQuinoxalinesRenal InsufficiencyAminoisobutyric AcidsAntiviral AgentsBenzimidazolesCyclopropanesglecaprevirLactams, MacrocyclicLeucinepibrentasvirProlinePyrrolidinesQuinoxalinesSulfonamidesGlecaprevir and pibrentasvirHepatitis CRenal insufficiency

Identifiers

PMID32854457
PMCPMC7641551
OpenAlexW3081688931

What OpenQuestion holds

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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.