Evidence map›Paper›PMID 33242929›Full record

ArticleClinical and molecular hepatology2021

Efficacy and safety of ledipasvir/sofosbuvir in 5,028 Mongolian patients infected with genotype 1 hepatitis C virus: A multicenter study.

Oidov Baatarkhuu, Jae Seung Lee, Jazag Amarsanaa, Do Young Kim, Sang Hoon Ahn, Nyamsuren Naranzul, Damba Enkhtuya, Nagir Choijamts, Purev Batbayar, Radnaa Otgonbayar and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical and molecular hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 2 countries.

Oidov BaatarkhuuDepartment of Infectious Diseases, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Jae Seung LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jazag AmarsanaaMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Do Young KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Sang Hoon AhnDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Nyamsuren NaranzulDepartment of Infectious Diseases, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Damba EnkhtuyaMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Nagir ChoijamtsMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Purev BatbayarMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Radnaa OtgonbayarDepartment of Internal Medicine, University General Hospital, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Bat-Ulzii SaruulMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Chuluunbaatar GantuulMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Baljinnyam GegeebadrakhMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Narangerel TuvshinbayarMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Dorjgotov BadamsurenMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Galsan UlzmaaMongolian Association for the Study of Liver Diseases, Ulaanbaatar, Mongolia.
Jamiyandorj OtgonboldSchool of Dentistry, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Kwang-Hyub HanDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
National Center for Communicable Diseases · MNMongolian National University of Medical Sciences · MNYonsei University · KRMongolian National University · MN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsLedipasvir/sofosbuvir (LDV/SOF) shows high efficacy and safety in patients with genotype 1-hepatitis C virus (HCV). We aimed to investigate the efficacy and safety of LDV/SOF in real-world Mongolian patients.

methodsBetween 2015 to 2019, 23 (0.5%) and 5,005 patients (99.5%) with genotype 1a and 1b HCV, respectively, were treated with a fixed-dose tablet containing 90 mg ledipasvir and 400 mg sofosbuvir for 12 weeks, and 81 patients (1.6%) with previous experience of interferon (IFN)-based treatment received additional 1,000 mg ribavirin. HCV RNA was measured at 4, 12, and 24 weeks after the first dose to determine rapid virologic response, end of treatment response (ETR), and sustained virologic response at 12 weeks after end of treatment (SVR12).

resultsMost patients (n=5,008; 99.6%) achieved ETR and SVR12 without virologic relapse. Patients with genotype 1a showed low rates of ETR and SVR12 in only 16 patients (69.6%). There was no significant difference in SVR12 rate between patients regardless of IFN experience (n=81; 1.6%), cirrhosis (n=1,151; 22.9%), HCV RNA >6×106 IU/mL (n=866; 17.2%), or liver stiffness >9.6 kPa (n=1,721; 34.2%) (100.0%, 99.3%, 99.4%, and 99.4%, respectively). No severe adverse events (AEs) were reported, and there was no dose reduction or interruption due to AE. The most common AEs were headache (n=472; 9.4%), fatigue (n=306; 6.2%), abdominal discomfort (n=295; 5.9%), and skin rash (n=141; 2.8%).

conclusionLDV/SOF showed high efficacy and safety for patients with genotype 1, especially 1b HCV, in Mongolia. The real-world data might be applicable to patients in other Asian-Pacific countries.

Indexed as

Hepatitis CAntiviral AgentsBenzimidazolesDrug Therapy, CombinationFemaleFluorenesGenotypeHepacivirusHumansMaleMiddle AgedMongoliaSofosbuvirTreatment OutcomeAntiviral AgentsBenzimidazolesFluorenesledipasvirSofosbuvirHepatitis C, ChronicLedipasvirMongoliaReal-worldSofosbuvir

Identifiers

PMID33242929
PMCPMC7820214
OpenAlexW3108732961

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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.