Evidence map›Paper›PMID 32908335›Full record

ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2020

Retreatment of Hepatitis C Infection With Direct-Acting Antivirals.

Marisel Segarra-Newnham, Nathalie See, Gail Fox-Seaman

Open access · bronzeAbstract read
In one paragraph

Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Direct-acting antiviral retreatment patterns for hepatitis C.Journal of managed care & specialty pharmacy · 2022
    Article
  2. F1000Research · 2022
    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

3 authors at 1 institution in 1 country.

Marisel Segarra-Newnhamis an Infectious Diseases Clinical Pharmacy Specialist; at the time of the project, was a Pharmacy Resident; and is a Nurse Practitioner; all at the West Palm Beach Veterans Affairs Medical Center in Florida. Nathalie See is a Post Graduate Year 2 Pharmacy Practice Resident at University of Florida Health Jacksonville.
Nathalie Seeis an Infectious Diseases Clinical Pharmacy Specialist; at the time of the project, was a Pharmacy Resident; and is a Nurse Practitioner; all at the West Palm Beach Veterans Affairs Medical Center in Florida. Nathalie See is a Post Graduate Year 2 Pharmacy Practice Resident at University of Florida Health Jacksonville.
Gail Fox-Seamanis an Infectious Diseases Clinical Pharmacy Specialist; at the time of the project, was a Pharmacy Resident; and is a Nurse Practitioner; all at the West Palm Beach Veterans Affairs Medical Center in Florida. Nathalie See is a Post Graduate Year 2 Pharmacy Practice Resident at University of Florida Health Jacksonville.
American Association of Colleges of Pharmacy · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of hepatitis C virus (HCV) infection with direct-acting antivirals (DAAs) results in sustained virologic response (SVR) in > 90% of patients. However, some patients required retreatment with newer DAA options. Treatment was selected after consultation with a clinical pharmacy specialist.

methodsA retrospective chart review of patients at the West Palm Beach Veterans Affairs Medical Center (WPBVAMC) in Florida retreated from January 2015 to December 2019 was conducted. Data collected included HCV genotype, previous therapy, newly prescribed medications, and treatment outcomes.

resultsSince 2015, > 900 patients have been treated at WPBVAMC, including 22 patients who had previously failed interferon combined with DAA regimens and 46 patients who needed retreatment after failure with an all-oral therapy. This review documents the outcomes of retreatment with DAA after initial failure to achieve SVR Of 28 patients treated with a boceprevir-based regimen, 10 ended in failure. All 10 were retreated, and all achieved SVR with ledipasvir/sofosbuvir. Of 53 patients treated with a sofosbuvir-based interferon regimen, 12 failed treatment. All 12 were retreated and all achieved SVR. Thirty patients were retreated after failure with an all-oral DAA. Of 27 tested, 21 achieved SVR. All patients who failed therapy again had cirrhosis.

conclusionsVeterans retreated with DAAs for HCV infection had a high success rate. Repeat failures of DAAs were rare, but cirrhosis seems to be common among these patients.

Identifiers

PMID32908335
PMCPMC7473721
OpenAlexW3048407793

What OpenQuestion holds

Textmetadata
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.