Evidence map›Paper›PMID 42340583›Full record

ArticleInfectious diseases and therapy2026

Glecaprevir/Pibrentasvir for Acute Hepatitis C Virus Infection in Individuals with a History of Prior Hepatitis C Infection.

Christoph Boesecke, Kimberly Workowski, Stuart C Gordon, Barbra Cave, John Marcinak, Michael G Miller, Dimitri Semizarov, Anne Welhaven, Axel Baumgarten

Registry-linked trialAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04903626 (A Multicenter, Single-Arm Prospective Study to Evaluate Safety and Efficacy of GLE/PIB 8-Week Treatment in Adults and Adolescents With Acute Hepatitis C Virus), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04903626 phase3completednot on this map

A Multicenter, Single-Arm Prospective Study to Evaluate Safety and Efficacy of GLE/PIB 8-Week Treatment in Adults and Adolescents With Acute Hepatitis C Virus (HCV) Infection

TypeinterventionalSponsorAbbVieRan2021 to 2024Enrolled286ConditionsHepatitis C Virus (HCV)ArmsGlecaprevir/Pibrentasvir (GLE/PIB)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Christoph BoeseckeDepartment of Medicine I, Bonn University Hospital, Venusberg-Campus 1, Gebäude 26, 53127, Bonn, Germany. christoph.boesecke@ukbonn.de.
Kimberly WorkowskiDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, USA.
Stuart C GordonDivision of Hepatology and Center for Health Services Research, Henry Ford Health System, Detroit, MI, USA.
Barbra CaveAbbVie Inc., North Chicago, IL, USA.
John MarcinakAbbVie Inc., North Chicago, IL, USA.
Michael G MillerAbbVie Inc., North Chicago, IL, USA.
Dimitri SemizarovAbbVie Inc., North Chicago, IL, USA.
Anne WelhavenAbbVie Inc., North Chicago, IL, USA.
Axel Baumgartenzfi-Zentrum für Infektiologie, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn a phase 3b study, glecaprevir/pibrentasvir (G/P) for 8 weeks was well tolerated and effective in treatment-naive adults with acute hepatitis C virus (HCV) infection. Here we analyze the efficacy and safety of G/P in adults with acute HCV infection with a history of prior HCV infection.

methodsParticipants with acute HCV were stratified by presence of prior HCV infection. Efficacy was assessed in the intention-to-treat population (ITT; all patients receiving ≥ 1 G/P dose) and modified ITT virologic failure population, which excluded non-virologic failures (mITT-VF). Safety (adverse events [AEs] and laboratory values) was assessed, as well as viral kinetics.

resultsAmong 286 participants, 52 (18.2%) had ≥ 1 prior HCV infection and 234 (81.8%) did not. High-risk characteristics in those with prior infection versus those without: human immunodeficiency virus (HIV) coinfection, 92.3% versus 40.2%; unprotected male-male sexual activity, 78.8% versus 63.7%; and current/recent injection drug use, 23.1% versus 12.4%, respectively. In the ITT, SVR12 was 98.1% (95% confidence interval [CI] 89.9-99.7) in those with a prior infection and 95.7% (95% CI 92.3-97.7) in those without. There were no virologic failures (SVR12 = 100% in the mITT-VF). Rates of serious AEs (5.8% versus 3.0%) and treatment-related AEs (17.3% versus 15.4%) were similar in those with or without prior HCV infection.

conclusionsIndividuals with acute HCV infection with a history of prior HCV infection can be successfully treated with G/P. Risk of reinfection in high-risk populations, such as high-risk sexual activity or injection drug use, highlights the need for ongoing testing for reinfection along with subsequent treatment.

trial registrationClinicalTrials.gov identifier: NCT04903626.

Indexed as

Acute HCV infectionGlecaprevir/pibrentasvirInjection drug useMen who have sex with menPrior infection

Identifiers

PMID42340583
PMCPMC13476209

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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.