Cochrane · systematic review · CD008516

Extended peginterferon plus ribavirin treatment for 72 weeks versus standard peginterferon plus ribavirin treatment for 48 weeks in chronic hepatitis C genotype 1 infected slow‐responder adult patients

Katz, LH, Goldvaser, H, Gafter‐Gvili, A, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library

Hepato-BiliaryAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Extended peginterferon plus ribavirin treatment for 72 weeks versus standard peginterferon plus ribavirin treatment for 48 weeks in chronic hepatitis C genotype 1 infected slow responders

Population: participants with detectable HCV RNA after 12 weeks of treatment with pegylated interferon and ribavirin, but with >= 2 log viral reduction, and undetectable HCV RNA after 24 weeks of treatment.
3 questions
OutcomeEffectEvidenceStatus / GRADE
Sustained virological response (SVR)
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 1.435 studies · 411 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Relapse
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 0.593 studies · 175 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
End of treatment response (ETR)
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 0.963 studies · 334 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Extended peginterferon plus ribavirin treatment for 72 weeks versus standard peginterferon plus ribavirin treatment for 48 weeks in chronic hepatitis C genotype 1 infected slow responders

Population: participants with detectable HCV RNA after four weeks of treatment with pegylated interferon and ribavirin
3 questions
OutcomeEffectEvidenceStatus / GRADE
Sustained virological response (SVR)
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 1.273 studies · 995 participantsLow
Downgraded: risk of bias, indirectness
Relapse rate
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 0.593 studies · 703 participantsLow
Downgraded: risk of bias, indirectness
End of treatment response (ETR)
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 0.993 studies · 995 participantsLow
Downgraded: risk of bias, indirectness

Extended peginterferon plus ribavirin treatment for 72 weeks versus standard peginterferon plus ribavirin treatment for 48 weeks in chronic hepatitis C genotype 1 infected slow responders

Population: participants with detectable HCV RNA after four weeks of treatment with pegylated interferon and ribavirin or participants with detectable HCV RNA after 12 weeks of treatment, but with >= 2 log viral reduction, and undetectable HCV RNA after 24 weeks of treatment.
1 question
OutcomeEffectEvidenceStatus / GRADE
Adherance to treatment
Extended peginterferon plus ribavirin treatment for 72 weeks vs standard peginterferon plus ribavirin treatment
RR 0.952 studies · 260 participantsModerate
Downgraded: risk of bias