Evidence map›Paper›PMID 36689413›Full record

ArticlePloS one2023

Utility of a buccal swab point-of-care test for the IFNL4 genotype in the era of direct acting antivirals for hepatitis C virus.

Aminata Sy, Leanne McCabe, Emma Hudson, Azim M Ansari, Vincent Pedergnana, Shang-Kuan Lin, S Santana, Marzia Fiorino, Aftab Ala, Ben Stone and 11 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

21 authors at 12 institutions in 1 country.

Aminata SyMRC Clinical Trials Unit, University College London, London, United Kingdom.ORCID 0000-0001-9630-6538
Leanne McCabeMRC Clinical Trials Unit, University College London, London, United Kingdom.
Emma HudsonPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
Azim M AnsariPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
Vincent PedergnanaPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
Shang-Kuan LinPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
S SantanaPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
Marzia FiorinoMortimer Market Centre, Central and NorthWest London NHS Foundation Trust, London, United Kingdom.
Aftab AlaClinical and Experimental Medicine, University of Surrey, Guilford, United Kingdom.
Ben StoneInfectious Diseases, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
M SmithHepatology, Brighton and Sussex Medical School, Brighton, United Kingdom.
Mark NelsonHIV Medicine, Chelsea & Westminster NHS Trust, London, United Kingdom.
Stephen T BarclayGastroenterology, Glasgow Royal Infirmary, Glasgow, United Kingdom.
Stuart McPhersonHepatology, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, United Kingdom.
Stephen D RyderHepatology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Jane CollierTranslational Gastroenterology Unit, John Radcliffe Hospital, Oxford, United Kingdom.
Eleanor BarnesPeter Medawar Building for Pathogen Research, Oxford, United Kingdom.
Ann Sarah WalkerMRC Clinical Trials Unit, University College London, London, United Kingdom.
Sarah L PettMRC Clinical Trials Unit, University College London, London, United Kingdom.
Graham CookeDepartment of Infectious Disease, Imperial College London, London, United Kingdom.
STOP-HCV-1 trial team
Medawar Building for Pathogen Research · GBMRC Clinical Trials Unit at UCL · GBCentral and North West London NHS Foundation Trust · GBJohn Radcliffe Hospital · GBBrighton and Sussex Medical School · GBChelsea and Westminster Hospital NHS Foundation Trust · GBGlasgow Royal Infirmary · GBNewcastle upon Tyne Hospital · GBNIHR Imperial Biomedical Research Centre · GBNottingham University Hospitals NHS Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Surrey · GB

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_UU_00004/03Medical Research Council MR/K01532X/1Wellcome Trust
6 · The paper itself

Abstract

backgroundThe CC genotype of the IFNL4 gene is known to be associated with increased Hepatitis C (HCV) cure rates with interferon-based therapy and may contribute to cure with direct acting antivirals. The Genedrive® IFNL4 is a CE marked Point of Care (PoC) molecular diagnostic test, designed for in vitro diagnostic use to provide rapid, real-time detection of IFNL4 genotype status for SNP rs12979860.

methods120 Participants were consented to a substudy comparing IFNL4 genotyping results from a buccal swab analysed on the Genedrive® platform with results generated using the Affymetix UK Biobank array considered to be the gold standard.

resultsBuccal swabs were taken from 120 participants for PoC IFNL4 testing and a whole blood sample for genetic sequencing. Whole blood genotyping vs. buccal swab PoC testing identified 40 (33%), 65 (54%), and 15 (13%) had CC, CT and TT IFNL4 genotype respectively. The Buccal swab PoC identified 38 (32%) CC, 64 (53%) CT and 18 (15%) TT IFNL4 genotype respectively. The sensitivity and specificity of the buccal swab test to detect CC vs non-CC was 90% (95% CI 76-97%) and 98% (95% CI 91-100%) respectively.

conclusionsThe buccal swab test was better at correctly identifying non-CC genotypes than CC genotypes. The high specificity of the Genedrive® assay prevents CT/TT genotypes being mistaken for CC, and could avoid patients being identified as potentially 'good responders' to interferon-based therapy.

Indexed as

Antiviral AgentsHepatitis C, ChronicGenotypeHepacivirusHumansInterferon LambdaInterferonsInterleukinsPoint-of-Care TestingPolymorphism, Single NucleotideAntiviral AgentsIFNL4 protein, humanInterferon LambdaInterferonsInterleukins

Identifiers

PMID36689413
PMCPMC9870125
OpenAlexW4317759499

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.