Cochrane · systematic review · CD009182

Nitazoxanide for chronic hepatitis C

Nikolova, K, Gluud, C, Grevstad, B, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
35
current version
GRADE rated
21
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 14 · 40%Very low 13 · 37.1%Low 8 · 22.9%Moderate 0 · 0%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

Nitazoxanide for chronic hepatitis C

Population: people with chronic hepatitis C
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias
Chronic hepatitis C‐related mortality
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias
Morbidity
no estimate extracted0 participantsUngraded
Adverse events
RR 1.1 [0.71, 1.71]4 studies · 383 participantsVery low
Downgraded: risk of bias
Failure of sustained virological response
RR 0.85 [0.75, 0.97]7 studies · 498 participantsLow
Downgraded: risk of bias
Failure of virological end‐of‐treatment response
RR 0.81 [0.69, 0.96]7 studies · 498 participantsLow
Downgraded: risk of bias
Participants without improvement in ALT and/or AST serum levels
RR 1.09 [0.84, 1.42]3 studies · 271 participantsVery low
Downgraded: risk of bias

Nitazoxanide for chronic hepatitis C

Population: people with chronic hepatitis C
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
no estimate extracted0 participantsUngraded
Chronic hepatitis C‐related mortality
no estimate extracted0 participantsUngraded
Morbidity
no estimate extracted0 participantsUngraded
Adverse events
RR 1.83 [0.8, 4.19]1 study · 50 participantsVery low
Downgraded: risk of bias
Failure of sustained virological response
RR 0.84 [0.7, 1.01]1 study · 50 participantsLow
Downgraded: risk of bias
Failure of virological end‐of‐treatment response
RR 0.73 [0.56, 0.93]1 study · 50 participantsLow
Downgraded: risk of bias
Participants without improvement in ALT and/or AST serum levels
RR 0.9 [0.66, 1.23]1 study · 50 participantsLow
Downgraded: risk of bias

Nitazoxanide for chronic hepatitis C

Population: people with chronic hepatitis C
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
no estimate extracted0 participantsUngraded
Chronic hepatitis C‐related mortality
no estimate extracted0 participantsUngraded
Morbidity
no estimate extracted0 participantsUngraded
Adverse events
RR 0.78 [0.33, 1.84]1 study · 112 participantsVery low
Downgraded: risk of bias
Failure of sustained virological response
RR 0.85 [0.72, 1]3 studies · 217 participantsLow
Downgraded: risk of bias
Failure of virological end‐of‐treatment response
RR 0.73 [0.6, 0.89]3 studies · 217 participantsLow
Downgraded: risk of bias
Participants without improvement in ALT and/or AST serum levels
no estimate extracted0 participantsUngraded

Nitazoxanide for chronic hepatitis C

Population: people with chronic hepatitis C
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias
Chronic hepatitis C‐related mortality
no estimate extracted1 study · 100 participantsVery low
Downgraded: risk of bias
Morbidity
no estimate extracted0 participantsUngraded
Adverse events
RR 1 [0.51, 1.96]2 studies · 181 participantsVery low
Downgraded: risk of bias
Failure of sustained virological response
RR 0.88 [0.65, 1.19]2 studies · 181 participantsLow
Downgraded: risk of bias
Failure of virological end‐of‐treatment response
RR 1.16 [0.78, 1.73]2 studies · 181 participantsVery low
Downgraded: risk of bias
Participants without improvement in ALT and/or AST serum levels
RR 1.24 [0.85, 1.8]2 studies · 181 participantsVery low
Downgraded: risk of bias

Nitazoxanide for chronic hepatitis C

Population: people with chronic hepatitis C
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
no estimate extracted0 participantsUngraded
Chronic hepatitis C‐related mortality
no estimate extracted0 participantsUngraded
Morbidity
no estimate extracted0 participantsUngraded
Adverse events
no estimate extracted0 participantsUngraded
Failure of sustained virological response
RR 0.79 [0.38, 1.62]1 study · 50 participantsVery low
Downgraded: risk of bias
Failure of virological end‐of‐treatment response
RR 0.54 [0.22, 1.36]1 study · 50 participantsVery low
Downgraded: risk of bias
Participants without improvement in ALT and/or AST serum levels
no estimate extracted0 participantsUngraded