Evidence map›Paper›PMID 38774196›Full record

ArticleClinical and experimental hepatology2023

Real-world effectiveness of genotype-specific and pangenotypic direct-acting antivirals in HCV-infected patients with renal failure.

Olga Tronina, Michał Brzdęk, Dorota Zarębska-Michaluk, Beata Lorenc, Justyna Janocha-Litwin, Hanna Berak, Marek Sitko, Dorota Dybowska, Włodzimierz Mazur, Magdalena Tudrujek-Zdunek and 7 more

Abstract read
In one paragraph

Article in Clinical and experimental hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Olga TroninaDepartment of Transplantation Medicine, Nephrology, and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
Michał BrzdękCollegium Medicum, Jan Kochanowski University, Kielce, Poland.
Dorota Zarębska-MichalukDepartment of Infectious Diseases and Allergology, Jan Kochanowski University, Kielce, Poland.
Beata LorencPomeranian Center of Infectious Diseases, Medical University Gdańsk, Gdańsk, Poland.
Justyna Janocha-LitwinDepartment of Infectious Diseases and Hepatology, Wrocław Medical University, Wrocław, Poland.
Hanna BerakOutpatient Clinic, Hospital for Infectious Diseases in Warsaw, Warsaw, Poland.
Marek SitkoDepartment of Infectious and Tropical Diseases, Jagiellonian University, Kraków, Poland.
Dorota DybowskaDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland.
Włodzimierz MazurClinical Department of Infectious Diseases, Medical University of Silesia, Chorzów, Poland.
Magdalena Tudrujek-ZdunekDepartment of Infectious Diseases, Medical University of Lublin, Lublin, Poland.
Ewa JanczewskaDepartment of Basic Medical Sciences, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.
Jakub KlapaczyńskiDepartment of Internal Medicine and Hepatology, The National Institute of Medicine of the Ministry of Interior and Administration, Warsaw, Poland.
Witold DobrackiMED-FIX Medical Center, Wrocław, Poland.
Anna Parfieniuk-KowerdaDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, Białystok, Poland.
Rafał KrygierOutpatients Hepatology Department, NZOZ GEMINI, Żychlin, Poland.
Łukasz SochaDepartment of Infectious Diseases, Hepatology, and Liver Transplantation, Pomeranian Medical University, Szczecin, Poland.
Robert FlisiakDepartment of Infectious Diseases and Hepatology, Medical University of Białystok, Białystok, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the study: The aim is to summarize the effectiveness and safety of genotype-specific and pangenotypic hepatitis C virus (HCV) treatments in patients with renal failure. Material and methods: In the EpiTer-2 database, which includes data from 22 hepatology centers in Poland, 593 patients with HCV infection and kidney failure were identified. According to KDIGO 2022, they fulfilled the criteria of chronic kidney disease. Patients were divided into two groups: treated with genotype-specific regimens ( Results: In a total of 593 patients, 78.7% were treatment-naïve and 23.9% had liver cirrhosis, in 27.5% of cases decompensated. In both groups, the dominant genotype was GT1b. Among patients treated with genotype-specific regimens, LDV/SOF ± RBV, OBV/PTV/r + DSV ± RBV, and GZR/EBR ± RBV treatments were given to 31.5%, 31.5%, and 34.8% of patients respectively. In pangenotypic regimens, GLE/PIB was chosen in 50.3%. Ninety-six percent and 98.8% of patients in the genotype-specific regimen and 88.5% and 94.8% in the pangenotypic regimen achieved a sustained virologic response at 12 weeks (SVR12) in the intention-to-treat and per protocol population respectively. Liver cirrhosis was identified as a risk factor for virological failure. During the study, 14 patients died, 7 in each of the two groups, none related to the antiviral treatment. Conclusions: Both types of treatment regimens are equally effective and safe in patients with renal failure. The stage of renal failure or transplant does not influence the antiviral response.

Indexed as

chronic hepatitis Cdirect-acting antiviralspangenotypicrenal failuresustained virologic response

Identifiers

PMID38774196
PMCPMC11103803

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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 Socratic graph.