Evidence map›Paper›PMID 33082372›Full record

ArticleScientific reports2020

Response guided therapy for reducing duration of direct acting antivirals in chronic hepatitis C infected patients: a Pilot study.

Ohad Etzion, Harel Dahari, David Yardeni, Assaf Issachar, Anat Nevo-Shor, Michal Cohen-Naftaly, Yaffa Ashur, Susan L Uprichard, Orly Sneh Arbib, Daniela Munteanu and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03603327 (Efficacy and Safety of Response Guided Treatment With Direct Acting Anti-Viral Medications for Chronic HCV Infection - A Pilot Study), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT03603327 nacompletednot on this map

Efficacy and Safety of Response Guided Treatment With Direct Acting Anti-Viral Medications for Chronic HCV Infection - A Pilot Study

TypeinterventionalSponsorSoroka University Medical CenterRan2018 to 2020Enrolled30ConditionsHepatitis CArmsDirect acting anti-viral agents
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 25 citations in OpenAlex.

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  14. Utility of On-Treatment Viral Loads During Treatment With Direct-Acting Antivirals in Patients Infected With Chronic Viral Hepatitis C.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2022
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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

19 authors at 6 institutions in 2 countries.

Ohad EtzionDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, 151 Rager Yitzhak Blvd, 84171, Beer-Sheva, Israel. ohadet@clalit.org.il.
Harel DahariThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Chicago, 2160 S. First Ave, Maywood, IL, 60153, USA. hdahari@luc.edu.
David YardeniDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, 151 Rager Yitzhak Blvd, 84171, Beer-Sheva, Israel.
Assaf IssacharDepartment of Medicine D and The Liver Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Anat Nevo-ShorDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, 151 Rager Yitzhak Blvd, 84171, Beer-Sheva, Israel.
Michal Cohen-NaftalyDepartment of Medicine D and The Liver Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Yaffa AshurMedical Management Unit, Soroka 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 Chicago, 2160 S. First Ave, Maywood, IL, 60153, USA.
Orly Sneh ArbibDepartment of Medicine D and The Liver Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Daniela MunteanuDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, 151 Rager Yitzhak Blvd, 84171, Beer-Sheva, Israel.
Marius BraunDepartment of Medicine D and The Liver Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Scott J CotlerThe Program for Experimental and Theoretical Modeling, Division of Hepatology, Department of Medicine, Stritch School of Medicine, Loyola University Chicago, 2160 S. First Ave, Maywood, IL, 60153, USA.
Naim AbufrehaDepartment of Gastroenterology and Liver Diseases, Soroka University Medical Center, 151 Rager Yitzhak Blvd, 84171, Beer-Sheva, Israel.
Ayelet Keren-NausLaboratory of Clinical Virology, Soroka University Medical Center, Beer-Sheva, Israel.
Yonat Shemer-AvniLaboratory of Clinical Virology, Soroka University Medical Center, Beer-Sheva, Israel.
Orna MorCentral Virology Laboratory, Ministry of Health, Sheba Medical Center, Ramat Gan, Israel.
Jayanah MuradClinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel.
Victor NovackClinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel.
Amir ShlomaiDepartment of Medicine D and The Liver Institute, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Soroka Medical Center · ILTel Aviv University · ILBen-Gurion University of the Negev · ILLoyola University Chicago · USRabin Medical Center · ILSheba Medical Center · 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 GM121600NIH HHS R01-AI078881'
6 · The paper itself

Abstract

The advent of direct-acting antivirals (DAAs) has transformed the landscape of hepatitis C virus (HCV) management. We aimed to prospectively (real-time) evaluate the feasibility of using a response-guided therapy approach, based on mathematical modeling of early viral kinetics, to reduce the duration of DAAs therapy. Patients were treated with DAAs according to the physicians' preference. HCV was measured at baseline and at day 2 and weeks 1, 2 and 4 after treatment initiation. The primary endpoint was the proportion of patients with sustained-virological response (SVR) at 12 and/or 24 weeks post-treatment. Twenty-nine patients (mean age 54 ± 16, 44% females, 73% with HCV genotype 1), were enrolled and all completed therapy. Treatment duration was shortened in 11 of the 29 patients (38%). SVR was achieved in 28 of the 29 patients (97%). Relapse occurred post treatment in a single case of a non-cirrhotic male with genotype 3, who was treated with sofosbuvir/velpatasvir for 6 weeks. Virus sequencing did not identify baseline or treatment emergent resistance associated substitutions. Real-time mathematical modeling of early HCV kinetics can be utilized for shortening DAAs duration in approximately 40% of patients without compromising treatment efficacy.Clinical trial registration: ClinicalTrials.gov Identifier: NCT03603327.

Indexed as

AdultAgedAntiviral AgentsFeasibility StudiesFemaleHepatitis C, ChronicHumansMaleMiddle AgedPilot ProjectsProspective StudiesTreatment OutcomeViral LoadAntiviral Agents

Identifiers

PMID33082372
PMCPMC7575564
OpenAlexW3093774365

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.