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Cochrane Database of Systematic Reviews

Antivirales de acción directa para la hepatitis C crónica

Información

DOI:
https://doi.org/10.1002/14651858.CD012143.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 18 septiembre 2017see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Hepatobiliar

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Janus C Jakobsen

    Correspondencia a: The Cochrane Hepato‐Biliary Group, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

    [email protected]

    [email protected]

    Department of Cardiology, Holbaek Hospital, Holbaek, Denmark

  • Emil Eik Nielsen

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Joshua Feinberg

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Kiran Kumar Katakam

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Kristina Fobian

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Goran Hauser

    Department of Gastroenterology, Clinical Hospital Centre Rijeka, Rijeka, Croatia

  • Goran Poropat

    Department of Gastroenterology, Clinical Hospital Centre Rijeka, Rijeka, Croatia

  • Snezana Djurisic

    Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Karl Heinz Weiss

    Internal Medicine IV: Gastroenterology, Infectious Diseases, Toxicology, Heidelberg University Hospital, Heidelberg, Germany

  • Milica Bjelakovic

    Medical Faculty, University of Nis, Nis, Serbia

  • Goran Bjelakovic

    Department of Internal Medicine, Medical Faculty, University of Nis, Nis, Serbia

  • Sarah Louise Klingenberg

    The Cochrane Hepato‐Biliary Group, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Jian Ping Liu

    Centre for Evidence‐Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China

  • Dimitrinka Nikolova

    The Cochrane Hepato‐Biliary Group, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

  • Ronald L Koretz

    Granada Hills, USA

  • Christian Gluud

    The Cochrane Hepato‐Biliary Group, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Contributions of authors

JCJ wrote the first draft of the protocol. All remaining authors contributed with comments for revisions. All authors reviewed the final version of the protocol and approved its validity for publication.

Fifteen review authors (EN, JF, KF, KK, GH, GP, SD, KW, MB, GB, SK, JP, DN, RK, JCJ) independently and in pairs assessed all identified articles for inclusion and exclusion, ensuring that an article was assessed by at least two authors. If a trial was identified as relevant by one author, but not by another, the authors discussed the reasoning behind their decision. If they still disagreed JCJ or CG served as arbitrator. Twelve review authors (EN, JF, KF, KK, GH, GP, SD, KW, MB, GB, SK, DN) independently and in pairs extracted and validated data. We used data extraction forms that were designed for the purpose. The twelve authors discussed any disagreement concerning the extracted data. If the authors still disagreed, JCJ or CG served as arbitrator.

JCJ wrote the first draft of the review. All remaining authors contributed with comments for revisions. All authors reviewed the final version of the review and approved its validity for publication.

Sources of support

Internal sources

  • The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen, Denmark.

    Salary for the review authors, use of offices and equipment, access to literature.

  • The Cochrane Hepato‐Biliary Group, Rigshospitalet, Copenhagen, Denmark.

    Salary for the review authors, use of offices and equipment, access to literature.

  • Department of Cardiology, Holbaek Hospital, Holbaek, Denmark.

    Salary for the review author, use of offices and equipment, access to literature.

  • Department of Gastroenterology, Clinical Hospital Centre Rijeka, Rijeka, Croatia.

    Salary for the review authors, use of offices and equipment, access to literature.

  • Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany.

    Salary for the review authors, use of offices and equipment, access to literature.

  • Medical faculty, University of Nis, Nis, Serbia.

    No support.

  • Department of Internal Medicine, Medical Faculty, University of Nis, Nis, Serbia.

    Salary for the review author, use of offices and equipment, access to literature.

  • Centre for Evidence‐Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

    Salary for the review author, use of offices and equipment, access to literature.

External sources

  • Dr Koretz receives ongoing support from Giissues Inc., a 501 (c) (3) non‐profit organization that promotes the use and dissemination of evidence‐based medicine. While no particular funds were used for this particular project, Giissues Inc. will support Dr Koretz's academic travel, society memberships, and other academic activities that have some relationship to the mission of the promulgation of evidence‐based medicine. Giissues Inc. does not provide any salary support for Dr Koretz, USA.

Declarations of interest

JCJ: none declared.
EN: none declared.
JF: none declared.
KK: none declared.
KF: none declared.
GH: none declared.
GP: none declared.
SD: none declared.
KW: none declared.
MB: none declared.
GB: none declared.
SK: none declared.
JP: none declared.
DN: none declared.
RK: none declared.
CG: none declared.

Acknowledgements

Cochrane Review Group funding acknowledgement: the Danish State is the largest single funder of Cochrane Hepato‐Biliary through its investment in the Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Denmark. Disclaimer: the views and opinions expressed in this review are those of the authors and do not necessarily reflect those of the Danish State or The Copenhagen Trial Unit.

Peer reviewers for the protocol: Thomas Baumert, France; Domenico Sansonno, Italy.
Contact editor for the protocol: Norberto C Chavez‐Tapia, Mexico.

Peer reviewers for the review: Thomas Baumert, France; Lauren A. Beste, USA.
Contact editor for the review: Norberto C Chavez‐Tapia, Mexico.
Sign‐off editor for the review: Toby J Lasserson, UK.

Version history

Published

Title

Stage

Authors

Version

2017 Sep 18

Direct‐acting antivirals for chronic hepatitis C

Review

Janus C Jakobsen, Emil Eik Nielsen, Joshua Feinberg, Kiran Kumar Katakam, Kristina Fobian, Goran Hauser, Goran Poropat, Snezana Djurisic, Karl Heinz Weiss, Milica Bjelakovic, Goran Bjelakovic, Sarah Louise Klingenberg, Jian Ping Liu, Dimitrinka Nikolova, Ronald L Koretz, Christian Gluud

https://doi.org/10.1002/14651858.CD012143.pub3

2017 Jun 06

Direct‐acting antivirals for chronic hepatitis C

Review

Janus C Jakobsen, Emil Eik Nielsen, Joshua Feinberg, Kiran Kumar Katakam, Kristina Fobian, Goran Hauser, Goran Poropat, Snezana Djurisic, Karl Heinz Weiss, Milica Bjelakovic, Goran Bjelakovic, Sarah Louise Klingenberg, Jian Ping Liu, Dimitrinka Nikolova, Ronald L Koretz, Christian Gluud

https://doi.org/10.1002/14651858.CD012143.pub2

2016 Apr 05

Direct‐acting antivirals for chronic hepatitis C

Protocol

Janus C Jakobsen, Emil Eik Nielsen, Joshua Feinberg, Kristina Fobian, Kiran Kumar Katakam, Goran Hauser, Goran Poropat, Snezana Djurisic, Karl Heinz Weiss, Milica Bjelakovic, Goran Bjelakovic, Sarah Louise Klingenberg, Jian Ping Liu, Dimitrinka Nikolova, Ronald L Koretz, Christian Gluud

https://doi.org/10.1002/14651858.CD012143

Differences between protocol and review

Because of the unbalanced data, the large number of zero events, and the rare incidence of events in the control groups, we used reciprocal zero cell correction and fixed meta‐analysis when analysing all‐cause mortality and serious adverse events (STATA 14; www.stata.com) (Sweeting 2004; Deeks 2011). Otherwise, there are no differences between the planned methodology and the methodology used in this present review.

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

original image
Figuras y tablas -
Figure 1

Study flow diagram
Figuras y tablas -
Figure 2

Study flow diagram

Trial Sequential Analysis of the effects of direct‐acting antivirals on the market or under development versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 4.5%, a relative risk reduction (RRR) of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. The cumulative Z‐curve enters the futility area after the randomisation of about 6000 participants.
Figuras y tablas -
Figure 3

Trial Sequential Analysis of the effects of direct‐acting antivirals on the market or under development versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 4.5%, a relative risk reduction (RRR) of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. The cumulative Z‐curve enters the futility area after the randomisation of about 6000 participants.

Trial Sequential Analysis of the effects of simeprevir versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 8.4%, a relative risk reduction (RRR) of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. The cumulative Z‐curve crosses the naive type I error level of 5%, but it does not cross the trial monitoring boundary for benefit.
Figuras y tablas -
Figure 4

Trial Sequential Analysis of the effects of simeprevir versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 8.4%, a relative risk reduction (RRR) of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. The cumulative Z‐curve crosses the naive type I error level of 5%, but it does not cross the trial monitoring boundary for benefit.

Trial Sequential Analysis of the effects of direct‐acting antivirals on the market or under development versus placebo or no intervention on risk of no sustained virological response. The analysis was based on a proportion in the control group (Pc) of 60.2%, a RRR of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 83%. After randomisation of about 1000 participants, the cumulative Z‐curve crosses the trial sequential monitoring boundary for benefit.
Figuras y tablas -
Figure 5

Trial Sequential Analysis of the effects of direct‐acting antivirals on the market or under development versus placebo or no intervention on risk of no sustained virological response. The analysis was based on a proportion in the control group (Pc) of 60.2%, a RRR of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 83%. After randomisation of about 1000 participants, the cumulative Z‐curve crosses the trial sequential monitoring boundary for benefit.

Trial Sequential Analysis of the effects of withdrawn direct‐acting antivirals versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 7.5%, a RRR of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. After randomisation of about 5000 participants, the cumulative Z‐curve crosses the trial sequential monitoring boundary for harm.
Figuras y tablas -
Figure 6

Trial Sequential Analysis of the effects of withdrawn direct‐acting antivirals versus placebo or no intervention on risk of serious adverse events. The analysis was based on a proportion in the control group (Pc) of 7.5%, a RRR of 20%, and alfa of 2.5%, a beta of 20%, and a diversity of 0%. After randomisation of about 5000 participants, the cumulative Z‐curve crosses the trial sequential monitoring boundary for harm.

Funnel plot of comparison: 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), outcome: 3.1 Without sustained virological response.
Figuras y tablas -
Figure 7

Funnel plot of comparison: 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), outcome: 3.1 Without sustained virological response.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 1.1

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ bias risk.
Figuras y tablas -
Analysis 1.2

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ bias risk.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 3 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to type of DAA.
Figuras y tablas -
Analysis 1.3

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 3 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to type of DAA.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 4 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to group of DAA.
Figuras y tablas -
Analysis 1.4

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 4 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to group of DAA.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 5 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to HIV‐infection.
Figuras y tablas -
Analysis 1.5

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 5 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to HIV‐infection.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 6 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to comorbidity.
Figuras y tablas -
Analysis 1.6

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 6 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to comorbidity.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 7 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to viral genotype.
Figuras y tablas -
Analysis 1.7

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 7 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to viral genotype.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 8 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to human genotype (IL28b).
Figuras y tablas -
Analysis 1.8

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 8 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to human genotype (IL28b).

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 9 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to Asian‐region.
Figuras y tablas -
Analysis 1.9

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 9 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to Asian‐region.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 10 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to specific ethnicities.
Figuras y tablas -
Analysis 1.10

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 10 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to specific ethnicities.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 11 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to reaching planned sample size.
Figuras y tablas -
Analysis 1.11

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 11 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to reaching planned sample size.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 12 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to prior treatment.
Figuras y tablas -
Analysis 1.12

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 12 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to prior treatment.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 13 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to interferon.
Figuras y tablas -
Analysis 1.13

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 13 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to interferon.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 14 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to ribavirin.
Figuras y tablas -
Analysis 1.14

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 14 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to ribavirin.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 15 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to chronic kidney disease.
Figuras y tablas -
Analysis 1.15

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 15 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to chronic kidney disease.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 16 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to cryoglobulinaemia.
Figuras y tablas -
Analysis 1.16

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 16 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to cryoglobulinaemia.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 17 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to DAA group as co‐intervention.
Figuras y tablas -
Analysis 1.17

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 17 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to DAA group as co‐intervention.

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 18 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to median dose.
Figuras y tablas -
Analysis 1.18

Comparison 1 DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses), Outcome 18 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to median dose.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 1 Serious adverse events.
Figuras y tablas -
Analysis 2.1

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 1 Serious adverse events.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 2 Serious adverse events ‐ bias risk.
Figuras y tablas -
Analysis 2.2

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 2 Serious adverse events ‐ bias risk.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 3 Serious adverse events ‐ according to type of DAA.
Figuras y tablas -
Analysis 2.3

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 3 Serious adverse events ‐ according to type of DAA.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 4 Serious adverse events ‐ according to group of DAA.
Figuras y tablas -
Analysis 2.4

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 4 Serious adverse events ‐ according to group of DAA.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 5 Serious adverse events ‐ according to HIV‐infection.
Figuras y tablas -
Analysis 2.5

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 5 Serious adverse events ‐ according to HIV‐infection.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 6 Serious adverse events ‐ according to comorbidity.
Figuras y tablas -
Analysis 2.6

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 6 Serious adverse events ‐ according to comorbidity.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 7 Serious adverse events ‐ according to viral genotype.
Figuras y tablas -
Analysis 2.7

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 7 Serious adverse events ‐ according to viral genotype.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 8 Serious adverse events ‐ according to human genotype (IL28b).
Figuras y tablas -
Analysis 2.8

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 8 Serious adverse events ‐ according to human genotype (IL28b).

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 9 Serious adverse events ‐ according to Asian‐region.
Figuras y tablas -
Analysis 2.9

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 9 Serious adverse events ‐ according to Asian‐region.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 10 Serious adverse events ‐ according to specific ethnicities.
Figuras y tablas -
Analysis 2.10

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 10 Serious adverse events ‐ according to specific ethnicities.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 11 Serious adverse events ‐ according to reaching planned sample size.
Figuras y tablas -
Analysis 2.11

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 11 Serious adverse events ‐ according to reaching planned sample size.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 12 Serious adverse events ‐ according to prior treatment.
Figuras y tablas -
Analysis 2.12

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 12 Serious adverse events ‐ according to prior treatment.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 13 Serious adverse events ‐ according to interferon.
Figuras y tablas -
Analysis 2.13

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 13 Serious adverse events ‐ according to interferon.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 14 Serious adverse events ‐ according to ribavirin.
Figuras y tablas -
Analysis 2.14

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 14 Serious adverse events ‐ according to ribavirin.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 15 Serious adverse events ‐ according to chronic kidney disease.
Figuras y tablas -
Analysis 2.15

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 15 Serious adverse events ‐ according to chronic kidney disease.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 16 Serious adverse events ‐ according to cryoglobulinaemia.
Figuras y tablas -
Analysis 2.16

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 16 Serious adverse events ‐ according to cryoglobulinaemia.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 17 Serious adverse events ‐ according to DAA group as co‐intervention.
Figuras y tablas -
Analysis 2.17

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 17 Serious adverse events ‐ according to DAA group as co‐intervention.

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 18 Serious adverse events ‐ according to median dose.
Figuras y tablas -
Analysis 2.18

Comparison 2 DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses), Outcome 18 Serious adverse events ‐ according to median dose.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 1 Without sustained virological response.
Figuras y tablas -
Analysis 3.1

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 1 Without sustained virological response.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 2 Without sustained virological response ‐ bias risk.
Figuras y tablas -
Analysis 3.2

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 2 Without sustained virological response ‐ bias risk.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 3 Without sustained virological response ‐ according to type of DAA.
Figuras y tablas -
Analysis 3.3

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 3 Without sustained virological response ‐ according to type of DAA.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 4 Without sustained virological response ‐ according to group of DAA.
Figuras y tablas -
Analysis 3.4

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 4 Without sustained virological response ‐ according to group of DAA.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 5 Without sustained virological response ‐ according to HIV‐infection.
Figuras y tablas -
Analysis 3.5

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 5 Without sustained virological response ‐ according to HIV‐infection.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 6 Without sustained virological response ‐ according to comorbidity.
Figuras y tablas -
Analysis 3.6

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 6 Without sustained virological response ‐ according to comorbidity.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 7 Without sustained virological response ‐ according to viral genotype.
Figuras y tablas -
Analysis 3.7

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 7 Without sustained virological response ‐ according to viral genotype.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 8 Without sustained virological response ‐ according to human genotype (IL28b).
Figuras y tablas -
Analysis 3.8

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 8 Without sustained virological response ‐ according to human genotype (IL28b).

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 9 Without sustained virological response ‐ according to Asian‐region.
Figuras y tablas -
Analysis 3.9

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 9 Without sustained virological response ‐ according to Asian‐region.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 10 Without sustained virological response ‐ according to specific ethnicities.
Figuras y tablas -
Analysis 3.10

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 10 Without sustained virological response ‐ according to specific ethnicities.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 11 Without sustained virological response ‐ according to reaching planned sample size.
Figuras y tablas -
Analysis 3.11

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 11 Without sustained virological response ‐ according to reaching planned sample size.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 12 Without sustained virological response ‐ according to prior treatment.
Figuras y tablas -
Analysis 3.12

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 12 Without sustained virological response ‐ according to prior treatment.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 13 Without sustained virological response ‐ according to interferon.
Figuras y tablas -
Analysis 3.13

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 13 Without sustained virological response ‐ according to interferon.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 14 Without sustained virological response ‐ according to ribavirin.
Figuras y tablas -
Analysis 3.14

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 14 Without sustained virological response ‐ according to ribavirin.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 15 Without sustained virological response ‐ according to chronic kidney disease.
Figuras y tablas -
Analysis 3.15

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 15 Without sustained virological response ‐ according to chronic kidney disease.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 16 Without sustained virological response ‐ according to cryoglobulinaemia.
Figuras y tablas -
Analysis 3.16

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 16 Without sustained virological response ‐ according to cryoglobulinaemia.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 17 Without sustained virological response ‐ according to DAA group as co‐intervention.
Figuras y tablas -
Analysis 3.17

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 17 Without sustained virological response ‐ according to DAA group as co‐intervention.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 18 Without sustained virological response ‐ 'Best‐worst case' scenario.
Figuras y tablas -
Analysis 3.18

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 18 Without sustained virological response ‐ 'Best‐worst case' scenario.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 19 Without sustained virological response ‐ 'Worst‐best case' scenario.
Figuras y tablas -
Analysis 3.19

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 19 Without sustained virological response ‐ 'Worst‐best case' scenario.

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 20 Without sustained virological response ‐ according to median dose.
Figuras y tablas -
Analysis 3.20

Comparison 3 DAA on or on the way to the market versus placebo/no intervention (sustained virological response), Outcome 20 Without sustained virological response ‐ according to median dose.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 4.1

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.
Figuras y tablas -
Analysis 4.2

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 3 Serious adverse events.
Figuras y tablas -
Analysis 4.3

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 3 Serious adverse events.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.
Figuras y tablas -
Analysis 4.4

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.
Figuras y tablas -
Analysis 4.5

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.
Figuras y tablas -
Analysis 4.6

Comparison 4 Danoprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.

Comparison 5 All DAA versus placebo/no intervention/other medical intervention (morbidity or all‐cause mortality analyses), Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 5.1

Comparison 5 All DAA versus placebo/no intervention/other medical intervention (morbidity or all‐cause mortality analyses), Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 1 Serious adverse events.
Figuras y tablas -
Analysis 6.1

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 1 Serious adverse events.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 2 Serious adverse events ‐ bias risk.
Figuras y tablas -
Analysis 6.2

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 2 Serious adverse events ‐ bias risk.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 3 Serious adverse events ‐ according to type of DAA.
Figuras y tablas -
Analysis 6.3

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 3 Serious adverse events ‐ according to type of DAA.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 4 Serious adverse events ‐ according to group of DAA.
Figuras y tablas -
Analysis 6.4

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 4 Serious adverse events ‐ according to group of DAA.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 5 Serious adverse events ‐ according to HIV‐infection.
Figuras y tablas -
Analysis 6.5

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 5 Serious adverse events ‐ according to HIV‐infection.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 6 Serious adverse events ‐ according to comorbidity.
Figuras y tablas -
Analysis 6.6

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 6 Serious adverse events ‐ according to comorbidity.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 7 Serious adverse events ‐ according to viral genotype.
Figuras y tablas -
Analysis 6.7

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 7 Serious adverse events ‐ according to viral genotype.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 8 Serious adverse events ‐ according to human genotype (IL28b).
Figuras y tablas -
Analysis 6.8

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 8 Serious adverse events ‐ according to human genotype (IL28b).

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 9 Serious adverse events ‐ according to Asian‐region.
Figuras y tablas -
Analysis 6.9

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 9 Serious adverse events ‐ according to Asian‐region.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 10 Serious adverse events ‐ according to specific ethnicities.
Figuras y tablas -
Analysis 6.10

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 10 Serious adverse events ‐ according to specific ethnicities.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 12 Serious adverse events ‐ according to prior treatment.
Figuras y tablas -
Analysis 6.12

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 12 Serious adverse events ‐ according to prior treatment.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 13 Serious adverse events ‐ according to interferon.
Figuras y tablas -
Analysis 6.13

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 13 Serious adverse events ‐ according to interferon.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 14 Serious adverse events ‐ according to ribavirin.
Figuras y tablas -
Analysis 6.14

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 14 Serious adverse events ‐ according to ribavirin.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 15 Serious adverse events ‐ according to chronic kidney disease.
Figuras y tablas -
Analysis 6.15

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 15 Serious adverse events ‐ according to chronic kidney disease.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 16 Serious adverse events ‐ according to cryoglobulinaemia.
Figuras y tablas -
Analysis 6.16

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 16 Serious adverse events ‐ according to cryoglobulinaemia.

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 17 Serious adverse events ‐ according to DAA group as co‐intervention.
Figuras y tablas -
Analysis 6.17

Comparison 6 All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses), Outcome 17 Serious adverse events ‐ according to DAA group as co‐intervention.

Comparison 7 All DAA versus placebo/no intervention/other medical intervention (sustained virological response analyses), Outcome 1 Without sustained virological response.
Figuras y tablas -
Analysis 7.1

Comparison 7 All DAA versus placebo/no intervention/other medical intervention (sustained virological response analyses), Outcome 1 Without sustained virological response.

Comparison 8 All DAA versus placebo/no intervention/other medical intervention (quality of life scores), Outcome 1 SF‐36 physical score.
Figuras y tablas -
Analysis 8.1

Comparison 8 All DAA versus placebo/no intervention/other medical intervention (quality of life scores), Outcome 1 SF‐36 physical score.

Comparison 8 All DAA versus placebo/no intervention/other medical intervention (quality of life scores), Outcome 2 SF‐36 mental score.
Figuras y tablas -
Analysis 8.2

Comparison 8 All DAA versus placebo/no intervention/other medical intervention (quality of life scores), Outcome 2 SF‐36 mental score.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 9.1

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.
Figuras y tablas -
Analysis 9.2

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 3 Serious adverse events.
Figuras y tablas -
Analysis 9.3

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 3 Serious adverse events.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.
Figuras y tablas -
Analysis 9.4

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 5 Without sustained virological response.
Figuras y tablas -
Analysis 9.5

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 5 Without sustained virological response.

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.
Figuras y tablas -
Analysis 9.6

Comparison 9 Daclatasvir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 10.1

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.
Figuras y tablas -
Analysis 10.2

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 3 Serious adverse events.
Figuras y tablas -
Analysis 10.3

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 3 Serious adverse events.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.
Figuras y tablas -
Analysis 10.4

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.
Figuras y tablas -
Analysis 10.5

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.
Figuras y tablas -
Analysis 10.6

Comparison 10 Simeprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.
Figuras y tablas -
Analysis 11.1

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 1 Hepatitis C‐related morbidity or all‐cause mortality.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.
Figuras y tablas -
Analysis 11.2

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 3 Serious adverse events.
Figuras y tablas -
Analysis 11.3

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 3 Serious adverse events.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.
Figuras y tablas -
Analysis 11.4

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 4 Serious adverse events ‐ according to median dose.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.
Figuras y tablas -
Analysis 11.5

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 5 Without sustained virological response.

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.
Figuras y tablas -
Analysis 11.6

Comparison 11 Vaniprevir versus placebo/no intervention, Outcome 6 Without sustained virological response ‐ according to median dose.

Comparison 12 All DAA versus placebo/no intervention, Outcome 1 Without significant reductions in ALT/AST serum levels.
Figuras y tablas -
Analysis 12.1

Comparison 12 All DAA versus placebo/no intervention, Outcome 1 Without significant reductions in ALT/AST serum levels.

Comparison 12 All DAA versus placebo/no intervention, Outcome 2 Without significant reductions in ALT/AST serum levels ‐ according to DAA status.
Figuras y tablas -
Analysis 12.2

Comparison 12 All DAA versus placebo/no intervention, Outcome 2 Without significant reductions in ALT/AST serum levels ‐ according to DAA status.

Comparison 12 All DAA versus placebo/no intervention, Outcome 3 Without significant reductions in ALT/AST serum levels ‐ according to type of drug.
Figuras y tablas -
Analysis 12.3

Comparison 12 All DAA versus placebo/no intervention, Outcome 3 Without significant reductions in ALT/AST serum levels ‐ according to type of drug.

Summary of findings for the main comparison. Direct‐acting antivirals versus control

Direct‐acting antivirals versus control

Patient or population: adults with chronic hepatitis C
Setting: any setting
Intervention: direct‐acting antivirals on the market or under development
Comparison: placebo or no intervention

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect
(95% CI)

(TSA‐adjusted CI)

№ of participants
(trials)

Quality of the evidence
(GRADE)

Comments

Risk with placebo or no intervention

Risk with direct‐acting antivirals

All‐cause mortality at maximum follow‐up

2 per 1000

7 per 1000
(1 to 42)

OR 3.72
(0.53 to 26.18)

(‐)

2996
(11 RCTs)

⊕⊝⊝⊝
Very low1

It was not possible to perform Trial Sequential Analysis because of limited data and too few events

Proportion of participants with one or more serious adverse event at maximum follow‐up

56 per 1000

52 per 1000
(49 to 55)

OR 0.93
(0.75 to 1.15)

(TSA CI 0.71 to 1.33)

15,817
(43 RCTs)

⊕⊝⊝⊝
Very low2

Trial Sequential Analysis showed that the boundary for futility was crossed. This leads us to conclude that any possible intervention effect, if any, is less than 20%

Proportion of participants with no sustained virological response at maximum follow‐up

541 per 1000

238 per 1000
(200 to 281)

RR 0.44
(0.37 to 0.52)

(TSA CI 0.42 to 0.55)

6886
(32 RCTs)

⊕⊕⊝⊝

Low3

Trial Sequential Analysis showed that the boundary for benefit was crossed. This indicates that DAAs seem to decrease the risk of no sustained virological response by at least 20% if risk of bias and other threats to the validity can be disregarded

*The risk in the intervention group (and its 95% confidence interval) is based on the observed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval; DAA: direct‐acting antivirals; OR: odds ratio; RCTs: randomised clinical trials; RR: risk ratio; TSA: Trial Sequential Analysis

GRADE Working Group grades of evidence
High quality: we are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

1Downgraded two levels because of very serious risk of bias in the included trials (see Figure 1) and two levels due to very serious imprecision (none of the TSA boundaries are crossed, so the information size is too low).
2Downgraded two levels due to very serious risk of bias in the included trials (see Figure 1) and one level due to serious indirectness (the components of this composite outcome consisted of events with very different degrees of severity, which limits the interpretability of this outcome result).
3Downgraded two levels because of very serious risk of bias in the included trials (Figure 1).

Figuras y tablas -
Summary of findings for the main comparison. Direct‐acting antivirals versus control
Summary of findings 2. Direct‐acting antivirals withdrawn from the market versus control

Direct‐acting antivirals withdrawn from the market versus control

Patient or population: adults with chronic hepatitis C
Setting: any setting
Intervention: direct‐acting antivirals withdrawn from the market
Comparison: placebo or no intervention

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect
(95% CI)

(TSA‐adjusted CI)

№ of participants
(trials)

Quality of the evidence
(GRADE)

Comments

Risk with placebo or no intervention

Risk with direct‐acting antivirals

All‐cause mortality

at maximum follow‐up

7 per 1000

5 per 1000
(2 to 12)

OR 0.64
(0.23 to 1.79)

(‐)

3045
(5 RCTs)

⊕⊝⊝⊝
Very low1

It was not possible to perform Trial Sequential Analysis because of limited data and too few events

Proportion of participants with one or more serious adverse event at maximum follow‐up

75 per 1000

108 per 1000
(91 to 129)

OR 1.45
(1.22 to 1.73)

(TSA 1.16 to 1.82)

9229
(29 RCTs)

⊕⊝⊝⊝
Very low2

Trial Sequential Analysis showed that the boundary for harm was crossed. This shows that there is firm evidence that withdrawn DAAs increase the risk of a serious adverse event by at least 20%

Proportion of participants with no sustained virological response at maximum follow‐up

586 per 1000

356 per 1000
(322 to 404)

RR 0.61 (0.55, 0.69)

(TSA CI 0.42 to 0.55)

9075
(21 RCTs)

⊕⊕⊝⊝

Low3

Trial Sequential Analysis not performed

*The risk in the intervention group (and its 95% confidence interval) is based on the observed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval; DAA: direct‐acting antivirals; OR: odds ratio; RCTs: randomised clinical trials; RR: risk ratio; TSA: Trial Sequential Analysis

GRADE Working Group grades of evidence
High quality: we are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

1Downgraded two levels because of very serious risk of bias in the included trials (see Figure 1) and two levels due to very serious imprecision (none of the TSA boundaries are crossed so the information size is too low).
2Downgraded two levels because of very serious risk of bias in the included trials (see Figure 1) and one level due to serious indirectness (the components of this composite outcome consisted of events with very different degrees of severity which limits the interpretability of this outcome result).
3Downgraded two levels because of very serious risk of bias in the included trials (Figure 1).

Figuras y tablas -
Summary of findings 2. Direct‐acting antivirals withdrawn from the market versus control
Table 1. List of direct‐acting antivirals

Direct‐acting antiviral agents (DAAs)

NS3/NS4A inhibitors

NS5B inhibitors

NS5A inhibitors

NPI

NNPI

ACH‐2684

ALS2200/VX135

ABT‐072

ACH‐2928

Asunaprevir

BILB1941

Beclabuvir

Daclatasvir

Boceprevir

GS0938/PSI352938

BI201127

Elbasvir

Celuprevir

GS6620

Dasabuvir

GSK2336805

Danoprevir

GS9851(PSI7851)

Deleobuvir

Ledipasvir

Faldaprevir

IDX184

Filibuvir

MK‐8408

Grazoprevir

INX189/BMS986094

GSK2878175/GSK175

Odalasvir

GS9256

Mericitabine

IDX375

Ombitasvir

GS9857

MK‐3682

MK‐3281

PPI461

IDX320

Sofosbuvir

Nesbuvir

Ravidasvir

Narlaprevir

VX‐135

Radalbuvir

Samatasvir

Paritaprevir

Setrobuvir

Velpatasvir

PHX1766

Tegobuvir

Simperevir

TMC‐647055

Sovaprevir

VCH‐759

Telaprevir

VCH‐916

Vaniprevir

VX222

Vedroprevir

The table presents a list of 58 direct‐acting antiviral agents (DAAs). We have listed the DAAs according to the DAA class they belong to (see Background section). When a DAA has not been assigned a generic or brand name, we have presented it with its experimental compound number prefix.

Figuras y tablas -
Table 1. List of direct‐acting antivirals
Table 2. Serious adverse events

Trial

Experimental intervention

Type and number of serious adverse events (experimental group)

Proportion of participants with a serious adverse event (experimental group)

Type and number of serious adverse events (control group)

Proportion of participants with a serious adverse event (control group)

Bronowicki 2013a1

Asunaprevir

1 abdominal pain, 1 lung neoplasm malignant, 1 cytolytic hepatitis, and 2 unspecified events

5 out of 36

None reported

0 out of 11

Bronowicki 2014

Asunaprevir

2 deaths and 14 unspecified events

16 out of 177

3 unspecified events

3 out of 61

Nelson 2012a1

Balapiravir

Many events but only a few were specified: 3 deaths, 10 haematological, 10 infection, 8 eye disorders

49 out of 432

Many events but not all were specified: 2 infections, 1 death

9 out of 72

Tatum 2015a1

Beclabuvir

1 anaemia, 1 constipation, 1 febrile neutropenia, 1 leukopenia

1 out of 26

1 serotonin syndrome

1 out of 13

Bacon 2011a1

Boceprevir

5 anaemia, 1 angina pectoris, 1 atrial fibrillation, 1 coronary artery disease, 1 myocardial infarction, 1 myopericarditis, 2 abdominal pain, 1 constipation, 1 diarrhoea, 1 gastritis, 1 irritable bowel syndrome, 1 oesophageal varices haemorrhage, 1 pancreatitis acute, 1 pancreatitis necrotising, 1 peptic ulcer, 1 asthenia, 3 chest pain, 1 oedema peripheral, 1 pyrexia, 1 cholecystitis, 3 appendicitis, 1 bronchopneumonia, 1 catheter site infection, 1 gastroenteritis viral, 1 pneumonia, 1 lower limb fracture, 1 overdose, 1 decreased appetite, 1 dehydration, 1 hyperglycaemia, 1 back pain, 2 intervertebral disc protrusion, 1 pain in extremity, 1 hepatic neoplasm malignant, 1 hepatic encephalopathy, 1 sciatica, 1 syncope, 1 bipolar disorder, 1 completed suicide, 4 depression, 2 homicidal ideation, 5 suicidal ideation, 2 dyspnoea, 1 pleuritic pain, 1 pneumothorax, 1 abdominal hernia repair, 1 deep vein thrombosis, 1 phlebitis

39 out of 323

2 chest pain, 1 cholelithiasis, 1 gastroenteritis

4 out of 80

Flamm 2013

Boceprevir

1 coronary artery disease, 1 diarrhoea, 1 asthenia, 1 pyrexia, 2 pneumonia, 2 syncope, 1 suicidal ideation, 1 deep vein thrombosis, 1 neutropenia, 1 thrombocytopenia, 1 cardiac failure, 1 upper gastrointestinal haemorrhage , 1 multi‐organ failure, 1 bronchitis, 1 cellulitis, 1 chlamydia infection, 1 influenza, 1 pneumonia staphylococcal, 1 staphylococcal bacteraemia, 1 staphylococcal infection, 1 urosepsis, 1 gun shot wound, 2 hyponatraemia, 1 lethargy, 1 subarachnoid haemorrhage, 1 mental status changes

18 out of 134

1 chest pain, 1 intervertebral disc protrusion, 1 abnormal behaviour, 1 irritability, 1 osteotomy, 1 foreign body, 1 neuralgia, 1 anxiety, 1 renal colic

7 out of 67

Isakov 2016

Boceprevir

14 neutropenia, 1 intestinal obstruction, 1 osteomyelitis chronic, 1 pneumonia, 1 diabetic ketoacidosis, 1 intervertebral disc protrusion, 1 transient ischaemic attack

17 out of 159

4 neutropenia, 1 general disorders, 1 accidental overdose, 1 prostatitis, 2 hypertension

9 out of 78

Kwo 2010a1

Boceprevir

1 anaemia, 1 abdominal pain, 2 asthenia, 2 pyrexia, 2 pneumonia, 1 decreased appetite, 1 dehydration, 2 depression, 2 homicidal ideation, 3 suicidal ideation, 1 dyspnoea, 1 deep vein thrombosis, 3 nausea, 1 vomiting, 3 neutropenia, 1 multi‐organ failure, 2 cellulitis, 2 abdominal pain upper, 1 headache, 1 suicide attempt, 1 accidental overdose, 1 fall, 1 pulmonary embolism, 1 gastroenteritis, 1 erysipelas, 1 panic attack, 1 fatigue, 1 supraventricular tachycardia, 3 pancreatitis, 1 cerebrovascular accident, 1 hypoaesthesia, 1 anxiety, 1 retinal ischaemia, 1 neuropathy peripheral, 1 aggression, 1 scotoma, 1 hypovolaemia, 1 vulval abscess, 1 retinopathy, 1 inguinal hernia, 1 cervix carcinoma, 1 pericarditis, 1 paranoia, 1 neutrophil count decreased, 1 paraesthesia, 1 peritoneal haemorrhage, 1 deafness unilateral, 1 periodontal disease, 1 corneal infection, 1 pneumonia streptococcal, 1 drug toxicity, 1 blood amylase increased, 1 lipase increased, 1 basal cell carcinoma, 1 renal cell carcinoma

40 out of 527

1 suicidal ideation, 1 breast cancer, 1 parathyroid tumour benign, 1 muscle spasms, 1 rib fracture, 1 contusion, 1 inguinal hernia, 1 diplopia, 1 staphylococcal sepsis, 1 animal bite, 1 hand fracture, 1 third nerve paralysis, 1 alcoholism, 1 dependence

8 out of 104

Pearlman 2014

Boceprevir

1 anaemia

1 out of 49

1 anaemia

1 out of 52

Poordad 2011a1

Boceprevir

7 anaemia, 1 atrial fibrillation, 1 coronary artery disease, 2 abdominal pain, 1 gastritis, 1 pancreatitis acute, 5 chest pain, 4 pyrexia, 1 cholecystitis, 4 pneumonia, 1 overdose, 1 dehydration, 1 back pain, 1 intervertebral disc protrusion, 5 syncope, 1 completed suicide, 2 depression, 4 suicidal ideation, 1 dyspnoea, 1 nausea, 2 vomiting, 3 neutropenia, 3 thrombocytopenia, 2 bronchitis, 3 cellulitis, 1 staphylococcal infection, 1 hyponatraemia, 1 pancytopenia, 1 breast cancer, 1 malaise, 1 pneumonia pneumococcal, 1 haemoptysis, 1 road traffic accident, 1 suicide attempt, 1 pruritus, 1 rash erythematous, 1 dizziness, 2 pulmonary embolism, 1 haemorrhoids, 4 gastroenteritis, 1 general physical health deterioration, 1 hypertensive crisis, 1 colon cancer, 1 drug abuse, 2 hypokalaemia, 2 chest discomfort, 1 fatigue, 1 perirectal abscess, 1 acute myocardial infarction, 1 gastrointestinal haemorrhage, 1 aplasia pure red cell, 2 leukopenia, 1 atrial flutter, 1 cardiac arrest, 1 hypertrophic cardiomyopathy, 1 tachycardia, 1 deafness, 1 conjunctivitis, 1 optic neuropathy, 1 papilledema, 1 abdominal pain lower, 1 colonic polyp, 1 gastroesophageal reflux disease, 1 hematemesis, 1 haemorrhoidal haemorrhage, 1 Mallory‐weiss syndrome, 1 umbilical hernia, 1 sarcoidosis, 1 abscess, 1 abscess limb, 1 bacteraemia, 1 epiglottitis, 1 infected bites, 1 injection site infection, 1 scrotal abscess, 1 tracheobronchitis, 1 post procedural complication, 1 transfusion reaction, 1 vascular pseudoaneurysm, 1 wound dehiscence, 1 flank pain, 1 groin pain, 1 musculoskeletal chest pain, 1 bladder cancer, 1 pancreatic carcinoma, 1 prostate cancer, 1 carotid artery stenosis, 1 cerebral ischaemia, 1 motor neurone disease, 1 muscle spasticity, 1 affective disorder, 1 alcohol abuse, 1 anxiety, 1 psychiatric decompensation, 1 scrotal pain, 2 cough, 1 pleural fibrosis, 1 alcohol use, 1 laryngeal operation, 1 accelerated hypertension, 1 arterial thrombosis limb, 2 hypotension

87 out of 734

1 anaemia, 1 myocardial infarction, 1 abdominal pain, 2 pyrexia, 1 cholecystitis, 1 appendicitis, 1 pneumonia, 1 hepatic neoplasm malignant, 1 completed suicide, 1 depression, 1 suicidal ideation, 1 pneumothorax, 2 cholelithiasis, 1 nausea, 1 vomiting, 1 cellulitis, 1 breast cancer, 1 colitis, 1 upper respiratory tract infection, 1 suicide attempt, 2 death, 1 accidental overdose, 1 dizziness, 1 loss of consciousness, 1 cholecystitis acute, 1 sinusitis, 2 pancreatitis, 1 leukocytosis, 1 cardiac arrest, 1 cardio‐respiratory arrest, 1 hypothyroidism, 1 cholelithiasis obstructive, 1 atypical mycobacterial infection, 1 diverticulitis, 1 enterocolitis infectious, 1 alcohol poisoning, 1 spinal fracture, 1 white blood cell count decreased, 1 lung adenocarcinoma, 1 prostate cancer, 1 hypoaesthesia, 1 affective disorder, 1 bipolar disorder, 1 drug dependence, 1 intentional self‐injury, 1 personality disorder, 1 glomerulonephritis minimal lesion, 1 renal tubular necrosis, 1 physical assault, 1 cholecystectomy, 1 skin neoplasm excision

31 out of 363

Silva 2013a1

Boceprevir

None reported

0 out of 28

1 atrial fibrillation

1 out of 10

Sulkowski 2013a

Boceprevir

3 anaemia, 2 pneumonia, 1 syncope, 1 depression, 1 deep vein thrombosis, 1 lymphadenopathy, 1 renal failure acute, 2 pulmonary embolism, 1 arthralgia, 1 sinusitis, 1 urinary tract infection, 1 lung infection pseudomonal, 1 pelvic inflammatory disease, 1 pulmonary hypertension, 1 suicide attempt

11 out of 64

2 anaemia, 1 overdose, 1 cholelithiasis, 1 abdominal pain upper, 1 meniscus lesion, 1 pancreatitis, 1 post procedural infection, 1 renal failure, 1 cholecystectomy, 1 vulval abscess, 1 ventricular fibrillation, 1 ligament rupture, 1 lactic acidosis, 1 respiratory failure

7 out of 34

Dore 2015a1

Daclatasvir

1 hepatic neoplasm malignant, 1 rectal ulcer haemorrhage, 1 gastrointestinal inflammation, 1 adhesion, 1 biliary colic, 1 hyperbilirubinaemia, 1 appendiceal abscess, 1 tonsil cancer

6 out of 196

1 abdominal pain upper, 1 epicondylitis, 1 conversion disorder

3 out of 100

COMMAND‐1 2015a1

Daclatasvir

1 anaemia, 1 abdominal pain, 1 gastritis, 1 chest pain, 2 pneumonia, 1 overdose, 1 syncope, 2 depression, 2 suicidal ideation, 1 dyspnoea, 1 bronchitis, 1 peritonitis, 1 rash generalised, 1 febrile neutropenia, 1 aplastic anaemia, 1 auricular perichondritis, 2 gastric ulcer haemorrhage, 1 death, 1 bile duct stone, 1 clostridium difficile, 1 furuncle, 1 carbuncle, 1 oral herpes, 1 accidental overdose, 2 falls, 1 bursitis, 1 rhabdomyolysis, 1 muscle spasms, 1 costochondritis, 1 dizziness, 1 loss of consciousness, 1 adjustment disorder, 1 hypomania, 1 mental disorder, 1 substance‐induced psychotic disorder, 1 schizophrenia, paranoid type

25 out of 317

2 anaemia, 1 atrial fibrillation, 1 pneumonia, 1 pyelonephritis, 1 haemoglobin decreased, 1 epistaxis, 1 electrocardiogram change, 1 neutrophil count decreased, 1 myalgia, 1 aphasia, 1 paraesthesia

6 out of 78

Izumi 2014a1

Daclatasvir

1 pancreatitis acute, 1 back pain

2 out of 34

None reported

0 out of 8

Pol 2012

Daclatasvir

1 anaemia, 1 chest pain, 2 syncope, 1 bronchitis, 1 epistaxis

3 out of 36

None reported

0 out of 12

Dauphine 2015a1

Danoprevir

28 unspecified SAEs and 2 deaths

29 out of 373

1 unspecified SAE

1 out of 44

Forestier 2011a1

Danoprevir

1 benign paroxysmal vertigo

1 out of 40

None reported

0 out of 8

Forestier 2011b

Danoprevir

1 gastroenteritis viral

1 out of 47

None reported

0 out of 12

Gane 2011

Danoprevir

1 altered mood

1 out of 25

None reported

0 out of 5

ATLAS 2013

Danoprevir

14 SAEs but not specified, 1 death

15 out of 194

6 SAEs but not specified

6 out of 31

Larrey 2013

Deleobuvir

1 drug eruption

1 out of 46

None reported

0 out of 14

Larrey 2012

Deleobuvir

1 syncope, 1 rash maculo‐papular, 1 umbilical hernia

3 out of 49

None reported

0 out of 8

STARTverso‐2 2014a1

Faldaprevir

2 anaemia, 1 angina pectoris, 2 diarrhoea, 1 oesophageal varices haemorrhage, 1 cholecystitis, 2 pneumonia, 1 dehydration, 1 back pain, 1 intervertebral disc protrusion, 1 bipolar disorder, 1 depression, 1 suicidal ideation, 1 dyspnoea, 2 nausea, 3 vomiting, 2 neutropenia, 1 thrombocytopenia, 1 cellulitis, 1 mental status changes, 1 pancytopenia, 1 breast cancer, 1 malaise, 2 rash, 2 sepsis, 1 suicide attempt, 1 renal failure acute, 1 rash maculo‐papular, 1 accidental overdose, 1 muscle spasm, 1 tibia fracture, 1 contusion, 1 pulmonary embolism, 2 abortion spontaneous, 1 hypokalaemia, 1 subcutaneous abscess, 1 acute myocardial infarction, 1 pancreatitis, 1 umbilical hernia, 1 diverticulitis, 1 cerebral ischaemia, 1 drug dependence, 1 personality disorder, 1 epidermolysis, 1 ascites, 1 duodenal ulcer haemorrhage, 1 large intestine perforation, 1 hepatic cirrhosis, 2 hepatic failure, 1 hypersensitivity, 1 infective chondritis, 1 vulval abscess, 1 fibula fracture, 1 jaw fracture, 1 ligament sprain, 1 hypocalcaemia, 1 hyponatraemia, 1 hepatocellular carcinoma, 1 papillary thyroid cancer

47 out of 525

1 anaemia, 2 depression, 1 suicidal ideation, 1 bile duct stone, 1 subcutaneous abscess, 1 optic ischaemic neuropathy, 1 laceration, 1 mental status change

8 out of 132

STARTVerso‐1 2015a1

Faldaprevir

3 anaemia, 1 atrial fibrillation, 1 myocardial infarction, 1 asthenia, 1 chest pain, 1 pyrexia, 1 bronchopneumonia, 1 pneumonia, 1 sciatica, 2 vomiting, 1 thrombocytopenia, 1 pancytopenia, 1 headache, 2 rash, 1 drug eruption, 1 dizziness, 1 haemorrhoids, 1 psychotic disorder, 1 urinary tract infection, 1 diabetes mellitus, 1 parapsoriasis, 1 pancreatitis, 1 histiocytosis haematophagic, 1 cerebrovascular accident, 1 muscular weakness, 1 epistaxis, 1 leukopenia, 1 sarcoidosis, 1 hypotension, 1 idiopathic thrombocytopenic purpura, 1 optic ischaemic neuropathy, 1 hypersensitivity, 1 hypoparathyroidism, 1 retinopathy, 1 subdural hematoma, 1 cervix carcinoma, 1 cubital tunnel syndrome, 1 dyspnoea exertional

34 out of 520

1 anaemia, 1 cholecystitis, 1 gun shot wound, 1 rash maculo‐papular, 1 diverticulitis, 1 inguinal hernia, 1 hepatic lesion, 1 polymyositis, 1 blister

8 out of 132

STARTverso‐3 2013a1

Faldaprevir

5 anaemia, 1 atrial fibrillation, 1 abdominal pain, 5 diarrhoea, 1 pancreatitis acute, 1 asthenia, 1 chest pain, 8 pyrexia, 2 appendicitis, 1 gastroenteritis viral, 2 pneumonia, 1 decreased appetite, 1 dehydration, 1 back pain, 1 hepatic neoplasm malignant, 2 cholelithiasis, 1 biliary colic, 2 hyperbilirubinaemia, 3 nausea, 2 vomiting, 1 thrombocytopenia, 1 cellulitis, 1 bradycardia, 2 presyncope, 2 malaise, 2 headache, 2 sepsis, 1 rash erythematous, 1 rash generalised, 1 fall, 1 multiple injuries, 1 haematochezia, 1 peritonitis bacterial, 1 congestive cardiac failure, 1 gastroenteritis, 1 hypertensive crisis, 1 hypokalaemia, 1 fatigue, 1 pancreatitis, 1 coma, 1 renal colic, 1 leukopenia, 1 cardio‐respiratory arrest, 1 anxiety, 1 psychiatric decompensation, 2 hypotension, 1 viral infection, 2 ascites, 1 hepatic failure, 1 hypoglycaemia, 1 haemolytic anaemia, 1 keratosis follicular, 1 oral lichen planus, 1 peritoneal haemorrhage, 1 salivary gland calculus, 1 hepatorenal failure, 2 jaundice, 1 streptococcal infection, 1 blood lactate dehydrogenase increased, 1 international normalised ratio abnormal, 1 metabolic acidosis, 1 fasciitis, 1 joint instability, 1 musculoskeletal discomfort, 1 haemothorax, 1 venous thrombosis

54 out of 599

1 depression, 1 pleural effusion

1 out of 78

Nishiguchi 2014a1

Faldaprevir

1 abdominal pain upper

1 out of 35

1 abdominal pain

1 out of 8

Manns 2011

Faldaprevir

1 asthenia, 1 cataract , 1 hypoalbuminaemia, 1 metabolic disorder, 1 ascites

4 out of 88

None reported

0 out of 8

Sulkowski 2013a

Faldeprevir

4 anaemia, 1 angina pectoris, 1 myocardial infarction, 1 diarrhoea, 1 asthenia, 1 chest pain, 1 oedema peripheral, 4 pyrexia, 1 cholecystitis, 1 pneumonia, 2 dehydration, 1 intervertebral disc protrusion, 2 syncope, 1 depression, 1 nausea, 2 vomiting, 1 thrombocytopenia, 1 upper gastrointestinal haemorrhage, 1 influenza, 1 lower respiratory tract infection, 2 photosensitivity reaction, 1 upper respiratory tract infection, 2 headache, 1 rash, 1 road traffic accident, 2 suicide attempt, 3 drug eruption, 2 rash maculo‐papular, 1 rash erythematous, 2 febrile neutropenia, 1 oral herpes, 1 pulmonary embolism, 1 pyelonephritis, 1 cataract, 1 anaemia haemolytic autoimmune, 1 lymphopenia, 1 microvascular angina, 1 prinzmetal angina, 1 anal fistula, 1 haemorrhoids, 1 mouth ulceration, 1 rectal haemorrhage, 1 chest discomfort, 1 fatigue, 1 mucosal inflammation, 1 gallbladder polyp, 1 cryoglobulinaemia, 1 anal abscess, 1 ear infection, 2 H1N1 influenza, 1 infected skin ulcer, 1 lymphangitis, 1 perirectal abscess, 1 pharyngitis, 1 subcutaneous abscess, 1 superinfection bacterial, 1 urinary tract infection, 1 diabetes mellitus, 1 ischaemic stroke, 1 acute psychosis, 1 depressed mood, 1 calculus ureteric, 1 endometrial hyperplasia, 1 dermatitis atopic, 1 eczema, 1 erythema multiforme, 1 lichen planus, 1 palmar‐plantar erythrodysaesthesia syndrome, 1 parapsoriasis, 1 pruritus allergic, 1 rash pruritic, 1 appendicectomy

61 out of 641

1 headache, 1 photophobia, 1 cyst, 1 benign salivary gland neoplasm, 1 migraine

2 out of 71

Jacobson 2010

Filibuvir

1 blood creatinine increased, 1 chronic obstructive pulmonary disease, 1 pulmonary embolism

3 out of 27

1 thyroiditis, 1 gait disturbance

2 out of 8

Rodriguez‐Torres 2014b1

Filibuvir

1 anaemia, 1 appendicitis, 1 rectal ulcer haemorrhage, 1 craniocerebral injury, 1 vertigo, 1 vestibular disorder, 1 haematochezia, 1 peritonitis bacterial, 1 lymph node tuberculosis, 1 scapula fracture, 1 blood urea nitrogen/creatinine increased, 1 gastric cancer, 1 rectal cancer, 1 abortion spontaneous, 1 cardiac necrosis, 1 pyoderma gangrenosum, 1 depression, 1 breast cancer, 1 chronic obstructive pulmonary disease, 1 lung neoplasm malignant, 1 fall, 1 loss of consciousness, 1 bacterial abscess CNS, 1 actinomyces test positive, 1 pulmonary calcification

20 out of 192

1 neutropenia, 1 sepsis, 1 pulmonary embolism, 1 cerebral haemorrhage, 1 ecchymosis, 1 Appendicitis perforated

6 out of 96

Lawitz 2013b

GS‐9451

1 death, 1 heroin overdose

1 out of 33

None reported

0 out of 8

Gardner 2014a

GSK2336805

1 pneumonia, 1 upper lobe cavitary lesion

1 out of 11

None reported

0 out of 4

Lalezari 2013

IDX‐184

1 pancreatitis, 1 acute cholecystitis

2 out of 65

1 agitation

1 out of 16

Gane 2010

Mericitabine/danoprevir

1 multiple drug overdose, 1 ankle fracture

2 out of 73

None reported

0 out of 14

Feld 2015

Mericitabine

1 nephrolithiasis, 1 porphyria non‐acute

2 out of 102

1 arthritis infective

1 out of 49

JUMP‐C 2013

Mericitabine

6 SAEs but not specified

5 out of 81

4 SAEs but not specified

3 out of 85

De Bruijne 2010a1

Narlaprevir

1 pyrexia, 1 elevated CRP

1 out of 32

None reported

0 out of 8

Muir 2014

Odalasvir (ACH‐3102) and sovaprevir

1 non‐cardiac chest pain

1 out of 20

None reported

0 out of 10

Zeuzem 2014a

Paritaprevir (ABT‐450)/r–ombitasvir

1 pneumonia, 1 nausea, 1 vomiting, 1 bradycardia, 1 chronic obstructive pulmonary disease, 1 renal failure acute,
1 dizziness, 1 intestinal obstruction, 1 cerebrovascular accident, 1 bile duct stone, 1 calculus ureteric, 1 angioedema

9 out of 393

1 atrial fibrillation

1 out of 97

Anderson 2014a1

Paritaprevir/ABT‐072/dasabuvir

1 haemorrhoids, 1 malignant melanoma

2 out of 63

None reported

0 out of 11

Feld 2014

Paritaprevir/ombitasvir

1 anaemia, 1 abdominal pain, 1 diarrhoea, 1 cholecystitis, 1 appendicitis, 1 overdose, 1 sinus tachycardia, 1 ventricular extrasystoles, 1 nausea, 1 vomiting, 1 chills, 1 non‐cardiac chest pain, 1 lobar pneumonia, 1 postoperative wound infection, 1 lumbar vertebral fracture, 1 non‐small cell lung cancer, 1 encephalopathy, 1 acute respiratory failure, 1 hypoxia, 1 mediastinal mass, 1 aortic stenosis, 1 biliary colic, 1 subcutaneous abscess

12 out of 630

None reported

0 out of 158

Pockros 2008a1

R1626

6 SAEs but not specified

6 out of 84

1 SAE but not specified

1 out of 20

Forns 2014

Simeprevir

1 abdominal pain, 1 pyrexia, 1 appendicitis, 2 pneumonia, 1 depression, 1 dyspnoea, 1 cholelithiasis, 1 anaemia haemolytic autoimmune, 1 pancytopenia, 1 angina pectoris, 1 bradycardia, 1 myocardial ischaemia, 1 hepatitis, 1 endocarditis, 1 lower respiratory tract infection, 1 septic shock, 1 breast cancer, 1 Guillain‐Barre syndrome, 1 presyncope, 1 confusional state, 1 vaginal haemorrhage, 1 chronic obstructive pulmonary disease, 1 respiratory acidosis, 1 photosensitivity reaction

14 out of 260

1 atrial fibrillation, 1 depression, 1 bronchitis, 1 hypercalcaemia, 1 head injury, 1 bacterial prostatitis, 1 pericarditis, 1 infection, 1 inguinal hernia, 1 neuropathy peripheral, 1 arthritis infective, 1 headache

11 out of 133

Fried 2013

Simeprevir

1 cholecystitis, 1 intervertebral disc protrusion, 1 depression, 1 nausea, 1 breast cancer, 1 hyperthyroidism, 1 ocular vasculitis, 1 abdominal pain upper, 1 colitis, 1 small intestinal obstruction, 1 malaise, 1 incision site cellulitis, 1 necrotising fasciitis, 1 perihepatic abscess, 1 pneumonia pneumococcal, 1 upper respiratory tract infection, 1 post‐procedural bile leak, 1 malnutrition, 1 type 1 diabetes mellitus, 1 spinal disorder, 1 parathyroid tumour benign, 1 headache, 1 haemoptysis, 1 cutaneous vasculitis, 1 hypertension

20 out of 309

1 myocardial infarction, 1 myopericarditis, 1 asthenia, 1 appendicitis, 1 vomiting, 1 chronic obstructive pulmonary disease, 1 headache, 1 subcutaneous abscess, 1 vulval abscess, 1 myositis, 1 ovarian neoplasm

10 out of 77

DRAGON 2014a1

Simeprevir

1 subarachnoid haemorrhage, 1 malaise, 1 cerebral infarction, 1 vulvar erosion, 1 rash, 1 incorrect dose administered

5 out of 79

None reported

0 out of 13

Hoeben 2015a1

Simeprevir

1 depression, 1 non‐cardiac chest pain, 1 angina unstable, 1 nephrolithiasis, 1 ureteric stenosis, 1 colitis ischaemic, 1 incision site infection, 1 craniocerebral injury, 1 foot fracture, 1 meniscus lesion, 1 multiple injuries, 1 rib fracture, 1 tibia fracture, 1 traumatic lung injury, 1 wound, 1 cholesterosis, 1 type 2 diabetes mellitus, 1 shock haemorrhagic

10 out of 305

1 anaemia, 1 decreased appetite, 1 cholelithiasis, 1 contusion, 1 supraventricular tachycardia, 1 ligament sprain, 1 pain, 1 atypical pneumonia, 1 chronic hepatitis C, 1 pulmonary tuberculosis, 1 undifferentiated connective tissue disease, 1 brain neoplasm

9 out of 152

OPERA 2011a1

Simeprevir

1 sinus arrest, 1 erysipelas, 1 type 1 diabetes mellitus, 1 psychotic disorder, 1 drug abuse, 1 bronchitis, 1 exostosis, 1 toe deformity, 1 hyperthyroidism, 1 Bowen's disease, 1 neutropenia, 1 thrombocytopenia, 1 breast cancer, 1 sepsis, 1 cupulolithiasis, 1 pneumonia escherichia, 1 panic reaction

13 out of 88

1 pneumonia, 1 sinusitis, 1 panic attack, 1 social stay hospitalisation, 1 pneumonia escherichia

3 out of 28

Manns 2014a

Simeprevir

2 anaemia, 1 back pain, 1 syncope, 1 hyperthyroidism, 1 death, 1 muscle spasms, 1 colon cancer, 1 anal abscess, 1 urinary tract infection, 1 mixed deafness, 1 hyphaema, 1 visual impairment, 1 enterocutaneous fistula, 1 autoimmune hepatitis, 1 lymphadenitis bacteria, 1 fluid overload, 1 epilepsy, 1 memory impairment, 1 aggression

16 out of 257

1 anaemia, 1 pancreatitis acute, 1 dehydration, 1 vomiting, 1 pancytopenia, 1 loss of consciousness, 1 angina unstable, 1 meniscus lesion, 1 pulmonary embolism, 1 cholecystitis acute, 1 drug abuse, 1 retinal ischaemia, 1 respiratory tract infection viral, 1 viral infection, 1 neuropathy peripheral, 1 thoracic outlet syndrome

10 out of 134

Pearlman 2015

Simeprevir

None reported

0 out of 58

1 liver decompensation

1 out of 24

ASPIRE 2014

Simeprevir

1 anaemia, 1 abdominal pain, 1 diarrhoea, 1 oedema peripheral, 2 cholecystitis, 1 pneumonia, 1 overdose, 2
dehydration, 1 intervertebral disc protrusion, 1 hepatic neoplasm malignant, 2 vomiting, 1 non‐cardiac chest pain, 1 neutropenia, 2 cellulitis, 1 pancytopenia, 1 headache, 1 hypertension, 1 suicide attempt, 1 drug eruption, 2 clostridium difficile colitis, 1 nephrolithiasis, 1 pulmonary embolism, 1 rectal cancer, 1 sinusitis, 3 urinary tract infection, 1 diabetes mellitus, 1 migraine, 1 coma, 1 epistaxis, 1 alcohol abuse, 1 haemorrhagic anaemia, 1 cervix carcinoma, 1 periodontal disease, 1 enteritis, 1 gastro intestinal pain, 1 gingival infection, 1 lung infection, 1 meningitis bacterial, 1 pneumonia bordetella, 1 salpingitis, 1 thermal burn, 1 neurilemmoma benign, 1 brain injury, 1 cerebral haemorrhage, 1 vii nerve paralysis, 1 metrorrhagia, 1 pelvic adhesions

31 out of 396

1 sciatica, 1 nausea, 1 vomiting, 1 lower respiratory tract infection, 1 haemorrhoids, 1 weight decreased, 1 histiocytosis haematophagic, 1 tuberculosis

4 out of 66

POSITRON 2013

Sofosbuvir

1 drug withdrawal syndrome, 1 non‐cardiac chest pain, 1 oedema peripheral, 1 pyrexia, 1 hypersensitivity, 1 abdominal abscess, 1 cellulitis, 2 overdose, 1 injury, 1 road traffic accident, 1 spinal compression fracture, 1 hypoglycaemia, 1 hepatic neoplasm malignant, 1 abnormal behaviour, 1 eczema

11 out of 207

1 pancreatitis, 1 bile duct stone, 1 bronchitis

2 out of 71

Lawitz 2013a1

Sofosbuvir

1 retinal vein occlusion, 1 depression, 1 suicidal ideation, 1 lymphangitis, 1 acute myocardial infarction

4 out of 95

1 chest pain, 1 electrocardiogram ST segment elevation

1 out of 26

FISSION 2013

Sofosbuvir

1 anaemia, 1 chest pain, 1 cellulitis, 1 chronic obstructive pulmonary disease, 1 urinary tract infection, 1 allergy to anthropod sting, 1 osteomyelitis chronic , 1 toxicity to various agents

7 out of 256

1 pneumothorax, 1 breast cancer, 1 infection, 1 atrioventricular shock, 1 clavicle fracture, 1 rib fracture

3 out of 243

Rodriguez‐Torres 2013

Sofosbuvir

1 anaemia, 1 depression, 1 peripheral ischaemia, 1 pancreatitis acute

4 out of 49

1 abdominal pain

1 out of 14

Feld 2015

Sofosbuvir/velpatasvir

1 bronchitis, 1 cellulitis, 1 influenza, 1 chronic obstructive pulmonary disease, 1 death, 1 gastroenteritis, 1 acute myocardial infarct, 1 ligament sprain, 1 foot abscess, 1 foot necrosis, 1 recurring appendicitis, 1 epileptic seizure, 1 rotator cuff syndrome, 1 lung cancer, 1 mania, 1 palpitations, 1 small bowel obstruction, 1 upper limb fracture, 1 vestibular neuronitis

15 out of 624

None reported

0 out of 116

Benhamou 2013a1

Telaprevir

1 cholelithiasis

1 out of 16

None reported

0 out of 8

Hezode 2009

Telaprevir

5 anaemia, 2 abdominal pain, 1 asthenia, 1 pyrexia, 1 back pain, 3 syncope, 3 depression, 2 dyspnoea, 1 nausea, 1 chills, 1 pancytopenia, 5 rash, 1 lymphadenopathy, 1 hydrocele, 1 retinal haemorrhage, 1 catheter‐related complication, 1 bacterial sepsis, 1 pneumonia, 1 herpes viral, 1 sepsis, 1 road traffic accident, 1 tendon rupture, 1 lung neoplasm malignant, 1 speech disorder, 1 disorientation, 1 emotional distress, 1 suicide attempt, 1 renal failure, 1 acute testicular swelling, 3 pruritis, 2 drug eruption, 2 rash maculo‐papular, 1 rash erythematous, 1 rash generalised, 1 toxic skin eruption, 1 urticaria, 1 splenectomy

36 out of 241

2 anaemia, 1 angina pectoris, 1 syncope, 1 hyperthyroidism, 1 gastroenteritis, 1 haemorrhagic anaemia, 1 alcoholic pancreatitis, 1 paranoia, 1 uterine polyp

8 out of 82

ADVANCE 2011a1

Telaprevir

18 anaemia, 3 pneumonia, 3 syncope, 2 cellulitis, 5 rash, 3 psychiatric disorder, 2 musculoskeletal disorder, 2 cardiac disorder, 2 eye disorder, 3 hepatobiliary disorders, 2 vascular disorder

64 out of 727

4 anaemia, 1 cellulitis, 3 psychiatric disorder, 3 musculoskeletal disorder, 2 cardiac disorder, 4 renal and urinary disorder, 1 eye disorder, 1 vascular disorder

24 out of 361

McHutchison 2009

Telaprevir

2 anaemia, 1 gastroenteritis viral, 1 dehydration, 2 depression, 1 non‐cardiac chest pain, 1 chronic obstructive pulmonary disease, 1 rash, 1 rash generalised, 1 furuncle, 1 colitis ischaemic, 1 acute myocardial infarction, 1 adrenal disorder, 2 scotoma, 1 retinal exudates, 1 retinal infarction, 1 bronchitis bacterial, 1 incisional hernia, 1 lumbar radiculopathy, 1 exfoliative rash

18 out of 175

1 lobar pneumonia, 1 pancytopenia, 1 anxiety, 1 lymphadenitis bacteria, 1 deafness neurosensory

4 out of 75

McHutchison 2010

Telaprevir

6 anaemia, 1 pancreatitis acute, 1 gastroenteritis viral, 1 pneumonia, 1 dehydration, 1 back pain, 1 suicidal ideation, 2 cholelithiasis, 1 postoperative wound infection, 1 upper gastrointestinal haemorrhage, 1 confusional state, 2 small intestinal obstruction, 1 necrotising fasciitis, 1 pneumonia pneumococcal, 1 post‐procedural bile leak, 1 rash, 1 renal failure acute, 1 retinal detachment, 9 gastroenteritis, 1 cholecystitis acute, 1 sinusitis, 1 hypokalaemia, 1 eczema, 2 pancreatitis, 1 dermatitis, 1 diverticulitis, 1 alcohol abuse, 1 hypotension, 1 haemorrhagic anaemia, 1 idiopathic thrombocytopenic purpura, 1 cardiomyopathy, 1 diverticular perforation, 1 gastritis erosive, 1 abscess intestinal, 1 cholecystitis infective, 1 infected insect bite, 1 sepsis syndrome, 1 hypovolaemia, 1 B‐cell unclassifiable lymphoma low grade, 1 migraine with aura, 1 ruptured cerebral aneurysm, 1 neurogenic bladder, 1 lichenoid keratosis, 1 rash macular

28 out of 339

1 anaemia, 1 pneumonia, 2 dehydration, 1 syncope, 1 depression, 1 non‐small cell lung cancer, 1 headache, 2 rash, 1 renal failure acute, 2 gastroenteritis, 1 renal tubular acidosis, 1 decubitus ulcer, 1 hematoma

9 out of 114

Sulkowski 2013a

Telaprevir

1 myocardial infarction, 1 staphylococcal infection, 1 pyelonephritis acute, 1 haemolytic anaemia, 1 groin infection, 1 cellulitis staphylococcal, 1 staphylococcal abscess, 1 hypokalaemia, 1 hyponatraemia, 1 epididymitis, 1 non‐ cardiac chest pain

7 out of 38

1 anaemia, 1 appendicitis, 1 peritonitis

2 out of 22

Zeuzem 2011a

Telaprevir

13 anaemia, 1 febrile neutropenia, 2 pancytopenia, 1 thrombocytopenia , 3 acute myocardial infarction, 2 atrial fibrillation, 1 cardiac valve disease, 1 myocardial infarction, 1 supraventricular tachycardia, 1 sudden hearing loss, 1 Basedow's disease, 1 retinal detachment, 1 abdominal pain, 1 anal fissure, 1 caecitis, 1 gastrointestinal haemorrhage, 1 pancreatitis, 2 pancreatitis acute, 1 general physical health deterioration, 1 pyrexia, 1 appendicitis, 2 bronchitis, 1 erysipelas, 1 folliculitis, 1 Helicobacter gastritis, 1 pneumonia, 1 post‐procedural infection, 1 rectal abscess, 2 sepsis, 1 sinusitis, 1 tooth abscess, 2 urinary tract infection, 1 injection site reaction, 1 animal scratch, 1 ankle fracture, 1 femoral neck fracture, 1 multiple drug overdose, 1 blood corticotrophin decreased, 1 weight decreased, 1 anorexia, 1 diabetes mellitus, 1 bronchial carcinoma, 2 gastric cancer, 2 hepatic neoplasm malignant, 1 histiocytosis haematophagic, 1 lung neoplasm malignant, 1 lethargy, 1 subarachnoid haemorrhage, 2 syncope, 1 delirium, 1 depression, 1 insomnia, 1 substance abuse, 1 renal cyst, 1 renal failure, 1 urinary bladder polyp, 1 prostatitis, 1 pulmonary embolism, 1 dermatitis, 1 eczema , 1 erythema multiforme, 1 pruritus 1 pustular psoriasis, 1 rash, 2 toxic skin eruption, 1 orthostatic hypotension, 1 peripheral artery aneurysm

65 out of 530

1 anaemia, 1 atrial fibrillation, 1 abdominal pain, 1 pneumonia, 1 colitis, 1 pyelonephritis, 1 cerebral thrombosis, 1 coma

7 out of 132

Manns 2012a1

Vaniprevir

1 appendicitis, 1 lobar pneumonia, 1 septic shock, 1 confusional state, 1 gastroenteritis, 1 cholecystitis acute, 1 empyema, 1 haemoglobin decreased, 1 myopathy

8 out of 75

1 colon cancer

1 out of 19

Lawitz 2013c

Vaniprevir

1 anaemia, 1 pneumonia, 1 syncope, 1 upper gastrointestinal haemorrhage, 1 cellulitis, 1 confusional state, 1 dizziness, 1 nephrolithiasis, 1 malignant melanoma, 3 retinal detachment, 1 joint dislocation, 1 congestive cardiac failure, 2 gastroenteritis, 1 femur fracture, 1 hyperglycaemia, 1 dermatomyositis, 1 retinal vascular thrombosis, 1 general physical health deterioration, 1 anaphylactic reaction, 1 pyelonephritis, 1 pyelonephritis acute, 1 carbon monoxide poisoning, 1 arthralgia, 1 arthritis infective, 1 completed suicide

22 out of 229

1 hypertensive crisis

1 out of 56

SAE: serious adverse events.

Figuras y tablas -
Table 2. Serious adverse events
Table 3. Non‐serious adverse events

Trial

Experimental intervention

Type and number of participants with a non‐serious adverse events (experimental group)

Proportion of participants with a non‐serious adverse event (experimental group)

Type and number of participants with a non‐serious adverse events (control group)

Proportion of participants with a non‐serious adverse event (control group)

Bronowicki 2013a1

Asunaprevir

18 diarrhoea, 13 nausea, 10 asthenia, 21 fatigue, 14 influenza‐like illness, 7 irritability, 12 decreased appetite, 4 arthralgia, 9 myalgia, 13 headache, 9 depression, 10 insomnia, 7 cough, 10 dyspnoea, 7 alopecia, 11 dry skin, 10 pruritus, 6 rash

36 out of 36

1 diarrhoea, 2 nausea, 4 asthenia, 5 fatigue, 5 influenza‐like illness, 4 irritability, 3 decreased appetite, 4 arthralgia, 1 myalgia, 6 headache, 1 depression, 1 insomnia, 3 cough, 3 dyspnoea, 3 alopecia, 1 dry skin, 2 pruritus, 3 rash

11 out of 11

Bronowicki 2014

Asunaprevir

8 anaemia, 63 asthenia, 62 fatigue, 37 influenza‐like illness, 43 decreased appetite, 66 headache, 41 pruritus

173 out of 177

3 anaemia, 1 asthenia, 62 fatigue, 23 influenza‐like illness, 22 decreased appetite, 26 headache, 16 pruritus

57 out of 61

Pasquinelli 2012a1

Asunaprevir

1 nausea, 3 headache, 1 flatulence

Not specified out of 20

None reported

Not specified out of 4

Pasquinelli 2012a2

Asunaprevir

1 nausea, 3 headache

Not specified out of 12

1 nausea, 1 flatulence

Not specified out of 3

Nelson 2012a1

Balapiravir

120 anaemia, 41 neutropenia, 115 diarrhoea, 162 nausea, 138 chills, 231 fatigue, 117 pyrexia, 100 arthralgia, 156 myalgia, 82 dizziness, 241 headache, 90 depression, 174 insomnia, 86 cough, 88 alopecia, 60 dry skin, 108 pruritus, 90 rash

Not specified out of 432

6 anaemia, 3 neutropenia, 16 diarrhoea, 25 nausea, 30 chills, 43 fatigue, 19 pyrexia, 16 arthralgia, 33 myalgia, 15 dizziness, 42 headache, 17 depression, 24 insomnia, 11 cough, 11 alopecia, 16 dry skin, 15 pruritus, 13 rash

Not specified out of 72

Tatum 2015a1

Beclabuvir

5 anaemia, 5 neutropenia, 5 diarrhoea, 9 nausea, 3 chills, 12 fatigue, 6 influenza‐like illness, 7 irritability, 3 pyrexia, 7 decreased appetite, 4 arthralgia, 5 myalgia, 12 headache, 6 depression, 9 insomnia, 6 cough, 5 pruritus, 2 rash

Not specified out of 26

5 anaemia, 1 neutropenia, 1 diarrhoea, 2 nausea, 5 fatigue, 7 influenza‐like illness, 3 irritability, 1 pyrexia, 2 decreased appetite, 3 headache, 3 depression, 3 insomnia, 3 cough, 4 pruritus, 4 rash

Not specified out of 13

Erhardt 2009

BILB‐1941

25 diarrhoea, 7 nausea, 2 vomiting

30 out of 77

2 diarrhoea

3 out of 19

Sims 2014

BMS‐791325

1 diarrhoea, 1 nausea, 1 vomiting, 1 headache, 1 pruritus

9 out of 20

1 nausea, 1 vomiting, 1 headache

1 out of 4

Bacon 2011a1

Boceprevir

145 anaemia, 46 neutropenia, 78 diarrhoea, 140 nausea, 47 vomiting, 68 asthenia, 106 chills, 179 fatigue, 79 influenza‐like illness, 67 irritability, 93 pyrexia, 83 decreased appetite, 73 arthralgia, 81 myalgia, 52 dizziness, 142 dysgeusia, 133 headache, 46 depression, 97 insomnia, 70 cough, 69 dyspnoea, 71 alopecia, 72 dry skin, 62 pruritus, 51 rash

319 out of 323

16 anaemia, 8 neutropenia, 13 diarrhoea, 30 nausea, 6 vomiting, 13 asthenia, 24 chills, 40 fatigue, 20 influenza‐like illness, 10 irritability, 20 pyrexia, 13 decreased appetite, 13 arthralgia, 19 myalgia, 8 dizziness, 9 dysgeusia, 39 headache, 12 depression, 19 insomnia, 14 cough, 14 dyspnoea, 13 alopecia, 7 dry skin, 14 pruritus, 5 rash

77 out of 80

Flamm 2013

Boceprevir

67 anaemia, 41 neutropenia, 33 diarrhoea, 52 nausea, 16 vomiting, 29 asthenia, 14 chills, 67 fatigue, 35 influenza‐like illness, 29 irritability, 18 pyrexia, 27 decreased appetite, 16 arthralgia, 25 myalgia, 17 dizziness, 52 dysgeusia, 37 headache, 22 depression, 32 insomnia, 26 cough, 26 dyspnoea, 22 alopecia, 20 dry skin, 18 pruritus, 31 rash

133 out of 134

22 anaemia, 12 neutropenia, 5 diarrhoea, 18 nausea, 12 asthenia, 8 chills, 36 fatigue, 18 influenza‐like illness, 16 irritability, 8 pyrexia, 12 decreased appetite, 12 arthralgia, 5 myalgia, 10 dizziness, 10 dysgeusia, 21 headache, 6 depression, 20 insomnia, 14 cough, 17 dyspnoea, 5 alopecia, 11 dry skin, 8 pruritus, 5 rash

67 out of 67

Isakov 2016

Boceprevir

105 anaemia, 103 leukopenia, 141 neutropenia, 16 thrombocytopenia, 22 diarrhoea, 13 dry mouth, 59 nausea,

12 vomiting, 63 asthenia, 24 chills, 40 fatigue, 51 hyperthermia,

356 influenza‐like illness, 9 injection site erythema, 18 irritability, 217 pyrexia, 14 body temperature increased, 33 weight decreased, 10 decreased appetite, 16 arthralgia, 33 myalgia, 9 dizziness, 69 dysgeusia, 89 headache, 2 sleep disorder, 38 cough, 7 dyspnoea, 33 alopecia, 12 dry skin, 20 pruritus, 17 rash

153 out of 159

31 anaemia, 35 leukopenia, 45 neutropenia, 7 thrombocytopenia, 3 diarrhoea, 5 dry mouth, 15 nausea,

2 vomiting, 23 asthenia, 2 chills, 18 fatigue, 12 hyperthermia,

72 influenza‐like illness, 2 injection site erythema, 11 irritability,

124 pyrexia, 2 body temperature increased, 9 weight decreased, 7 decreased appetite, 4 arthralgia, 8 myalgia, 7 dizziness, 5 dysgeusia, 51 headache, 4 sleep disorder, 14 cough, 7 dyspnoea, 16 alopecia, 3 dry skin, 6 pruritus, 2 rash

71 out of 78

Kwo 2010a1

Boceprevir

226 anaemia, 96 neutropenia, 109 diarrhoea, 186 nausea, 81 vomiting, 53 asthenia, 130 chills, 259 fatigue, 79 influenza‐like illness, 91 irritability, 129 pyrexia, 49 decreased appetite, 76 arthralgia, 99 myalgia, 70 dizziness, 111 dysgeusia, 190 headache, 91 depression, 146 insomnia, 76 cough, 66 dyspnoea, 131 alopecia, 60 dry skin, 80 pruritus, 27 rash

413 out of 416

35 anaemia, 12 neutropenia, 23 diarrhoea, 45 nausea, 5 vomiting, 14 asthenia, 35 chills, 57 fatigue, 25 influenza‐like illness, 23 irritability, 35 pyrexia, 12 decreased appetite, 21 arthralgia, 17 myalgia, 16 dizziness, 9 dysgeusia, 45 headache, 22 depression, 40 insomnia, 20 cough, 15 dyspnoea, 27 alopecia, 17 dry skin, 16 pruritus, 6 rash

102 out of 104

Poordad 2011a1

Boceprevir

361 anaemia, 184 neutropenia, 180 diarrhoea, 334 nausea, 145 vomiting, 125 asthenia, 255 chills, 405 fatigue, 174 influenza‐like illness, 164 irritability, 240 pyrexia, 186 decreased appetite, 141 arthralgia, 170 myalgia, 146 dizziness, 293 dysgeusia, 335 headache, 151 depression, 239 insomnia, 130 cough, 152 dyspnoea, 179 alopecia, 153 dry skin, 181 pruritus, 181 rash

728 out of 734

107 anaemia, 77 neutropenia, 79 diarrhoea, 153 nausea, 57 vomiting, 70 asthenia, 102 chills, 217 fatigue, 93 influenza‐like illness, 86 irritability, 120 pyrexia, 90 decreased appetite, 66 arthralgia, 94 myalgia, 59 dizziness, 64 dysgeusia, 153 headache, 78 depression, 118 insomnia, 76 cough, 59 dyspnoea, 99 alopecia, 66 dry skin, 98 pruritus, 83 rash

353 out of 363

Sulkowski 2013a

Boceprevir

26 anaemia, 12 neutropenia, 21 diarrhoea, 26 nausea, 18 vomiting, 22 asthenia, 5 chills, 25 fatigue, 16 influenza‐like illness, 10 irritability, 24 pyrexia, 22 decreased appetite, 7 arthralgia, 9 myalgia, 8 dizziness, 18 dysgeusia, 18 headache, 11 depression, 15 insomnia, 9 cough, 5 dyspnoea, 12 alopecia, 8 dry skin, 13 pruritus, 5 rash

62 out of 64

8 anaemia, 2 neutropenia, 6 diarrhoea, 11 nausea, 5 vomiting, 9 asthenia, 5 chills, 12 fatigue, 13 influenza‐like illness, 5 irritability, 7 pyrexia, 6 decreased appetite, 2 arthralgia, 6 myalgia, 2 dizziness, 5 dysgeusia, 6 headache, 4 depression, 9 insomnia, 6 cough, 2 dyspnoea, 6 alopecia, 3 dry skin, 3 pruritus

33 out of 34

Dore 2015a1

Daclatasvir

7 anaemia, 9 neutropenia, 10 diarrhoea, 22 nausea, 4 vomiting, 13 asthenia, 4 chills, 35 fatigue, 19 influenza‐like illness, 17 irritability, 7 pyrexia, 12 decreased appetite, 11 arthralgia, 14 myalgia, 6 dizziness, 5 dysgeusia, 30 headache, 11 depression, 19 insomnia, 8 cough, 12 dyspnoea, 12 alopecia, 13 dry skin, 27 pruritus, 25 rash

98 out of 100

5 anaemia, 8 neutropenia, 3 diarrhoea, 8 nausea, 4 vomiting, 7 asthenia, 19 fatigue, 7 influenza‐like illness, 6 irritability, 2 pyrexia, 8 decreased appetite, 9 arthralgia, 11 myalgia, 6 dizziness, 3 dysgeusia, 9 headache, 9 depression, 17 insomnia, 8 cough, 6 dyspnoea, 5 alopecia, 6 dry skin, 14 pruritus, 12 rash

48 out of 51

COMMAND‐1 2015a1

Daclatasvir

53 anaemia, 43 neutropenia, 73 diarrhoea, 109 nausea, 34 vomiting, 32 asthenia, 49 chills, 174 fatigue, 94 influenza‐like illness, 72 irritability, 48 pyrexia, 67 decreased appetite, 55 arthralgia, 88 myalgia, 46 dizziness, 25 dysgeusia, 136 headache, 45 depression, 102 insomnia, 54 cough, 58 dyspnoea, 80 alopecia, 88 dry skin, 119 pruritus, 94 rash

311 out of 317

9 anaemia, 9 neutropenia, 14 diarrhoea, 20 nausea, 11 vomiting, 7 asthenia, 16 chills, 46 fatigue, 16 influenza‐like illness, 22 irritability, 15 pyrexia, 17 decreased appetite, 19 arthralgia, 24 myalgia, 9 dizziness, 4 dysgeusia, 36 headache, 10 depression, 30 insomnia, 18 cough, 11 dyspnoea, 13 alopecia, 15 dry skin, 26 pruritus, 25 rash

76 out of 78

Izumi 2014a1

Daclatasvir

11 anaemia, 7 neutropenia, 2 diarrhoea, 4 nausea, 6 fatigue, 1 irritability, 11 pyrexia, 7 decreased appetite, 4 arthralgia, 1 myalgia, 1 dizziness, 4 dysgeusia, 3 headache, 7 insomnia, 4 cough, 2 dyspnoea, 8 alopecia, 1 dry skin, 6 pruritus, 7 rash

34 out of 34

5 anaemia, 4 neutropenia, 3 diarrhoea, 2 nausea, 3 vomiting, 4 chills, 4 fatigue, 2 influenza‐like illness, 5 pyrexia, 5 decreased appetite, 2 arthralgia, 2 myalgia, 1 dizziness, 1 dysgeusia, 4 headache, 2 insomnia, 1 cough, 6 alopecia, 1 dry skin, 3 pruritus, 3 rash

8 out of 8

Pol 2012

Daclatasvir

14 anaemia, 9 neutropenia, 5 diarrhoea, 13 nausea, 7 vomiting, 9 asthenia, 4 chills, 19 fatigue, 11 influenza‐like illness, 12 irritability, 7 pyrexia, 9 decreased appetite, 2 arthralgia, 8 myalgia, 5 dizziness, 2 dysgeusia, 19 headache, 7 depression, 9 insomnia, 9 cough, 6 dyspnoea, 8 alopecia, 2 dry skin, 12 pruritus, 10 rash

36 out of 36

5 anaemia, 5 neutropenia, 3 diarrhoea, 6 nausea, 1 asthenia, 2 chills, 9 fatigue, 4 influenza‐like illness, 2 irritability, 3 pyrexia, 3 decreased appetite, 3 myalgia, 1 dizziness, 1 dysgeusia, 3 headache, 3 depression, 6 insomnia, 3 cough, 2 dyspnoea, 2 alopecia, 1 dry skin, 3 pruritus, 3 rash

12 out of 12

Nettles 2010

Daclatasvir

1 diarrhoea, 1 nausea, 4 headache

7 out of 16

None reported

0 out of 2

Nettles 2011a1

Daclatasvir

2 diarrhoea, 3 fatigue, 1 arthralgia, 1 dizziness, 5 headache, 2 insomnia, 1 dry skin

16 out of 24

1 nausea, 1 vomiting, 2 headache

4 out of 6

Dauphine 2015a1

Danoprevir

115 diarrhoea, 106 nausea, 77 asthenia, 89 chills, 158 fatigue, 125 pyrexia, 88 decreased appetite, 72 arthralgia, 93 myalgia,158 headache, 102 insomnia, 62 cough, 54 alopecia, 83 pruritus, 78 rash

364 out of 373

5 diarrhoea, 13 nausea, 9 asthenia, 8 chills, 17 fatigue, 15 pyrexia, 6 decreased appetite, 9 arthralgia, 13 myalgia, 24 headache, 16 insomnia, 12 cough, 4 alopecia, 14 pruritus, 6 rash

42 out of 44

Forestier 2011a1

Danoprevir

2 diarrhoea, 3 myalgia, 5 headache

21 out of 40

1 diarrhoea, 2 headache

3 out of 10

Forestier 2011b

Danoprevir

6 neutropenia, 5 diarrhoea, 4 nausea, 3 asthenia, 5 chills, 8 fatigue, 4 influenza‐like illness, 2 pyrexia, 2 arthralgia, 17 myalgia, 6 dizziness, 23 headache, 2 depression, 6 insomnia, 3 pruritus

42 out of 47

2 neutropenia, 2 diarrhoea, 1 nausea, 1 chills, 3 fatigue, 1 influenza‐like illness, 1 arthralgia, 5 myalgia, 1 dizziness, 4 headache, 1 depression, 2 insomnia

12 out of 12

Gane 2011

Danoprevir

4 diarrhoea, 5 nausea, 5 fatigue, 3 influenza‐like illness, 5 irritability, 5 arthralgia, 5 myalgia, 11 headache, 4 insomnia, 6 rash

24 out of 25

1 diarrhoea, 3 nausea, 1 fatigue, 2 myalgia, 4 headache, 2 insomnia

5 out of 5

Marcellin 2013a

Danoprevir

53 anaemia, 70 neutropenia, 56 diarrhoea, 85 nausea, 29 vomiting, 57 chills, 109 fatigue, 38 irritability, 51 pyrexia, 34 decreased appetite, 29 arthralgia, 60 myalgia, 92 headache, 42 depression, 69 insomnia, 31 alopecia, 46 pruritus, 42 rash

Not specified out of 194

13 anaemia, 11 neutropenia, 7 diarrhoea, 10 nausea, 4 vomiting, 13 chills, 14 fatigue, 7 irritability, 5 pyrexia, 4 decreased appetite, 9 arthralgia, 11 myalgia, 18 headache, 4 depression, 9 insomnia, 5 alopecia, 6 pruritus, 8 rash

Not specified out of 31

Larrey 2012

Deleobuvir

1 anaemia, 19 diarrhoea, 19 nausea, 11 vomiting, 16 asthenia, 3 chills, 12 fatigue, 14 influenza‐like illness, 7 irritability, 6 pyrexia, 14 decreased appetite, 4 arthralgia, 4 myalgia, 6 dizziness, 4 dysgeusia, 20 headache, 15 insomnia, 6 cough, 3 dyspnoea, 1 alopecia, 6 dry skin, 5 pruritus, 8 rash

49 out of 49

1 nausea, 1 asthenia, 1 chills, 2 fatigue, 1 influenza‐like illness, 2 irritability, 1 decreased appetite, 2 headache, 1 dry skin, 1 pruritus, 2 rash

7 out of 8

STARTverso‐2 2014a1

Faldaprevir

114 anaemia, 59 neutropenia, 160 diarrhoea, 249 nausea, 110 vomiting, 29 asthenia, 78 chills, 246 fatigue, 39 influenza‐like illness, 67 irritability, 79 pyrexia, 117 decreased appetite, 72 arthralgia, 100 myalgia, 80 dizziness, 31 dysgeusia, 165 headache, 68 depression, 137 insomnia, 89 cough, 53 dyspnoea, 96 alopecia, 67 dry skin, 164 pruritus, 298 rash

513 out of 525

27 anaemia, 14 neutropenia, 23 diarrhoea, 52 nausea, 11 vomiting, 6 asthenia, 25 chills, 70 fatigue, 15 influenza‐like illness, 27 irritability, 20 pyrexia, 26 decreased appetite, 22 arthralgia, 37 myalgia, 25 dizziness, 3 dysgeusia, 45 headache, 11 depression, 38 insomnia, 21 cough, 20 dyspnoea, 22 alopecia, 15 dry skin, 37 pruritus, 41 rash

130 out of 132

STARTVerso‐1 2015a1

Faldaprevir

89 anaemia, 57 neutropenia, 121 diarrhoea, 168 nausea, 79 vomiting, 96 asthenia, 143 fatigue, 92 influenza‐like illness, 37 irritability, 110 pyrexia, 87 decreased appetite, 39 arthralgia, 41 myalgia, 38 dizziness, 23 dysgeusia, 146 headache, 32 depression, 70 insomnia, 58 cough, 36 dyspnoea, 49 alopecia, 80 dry skin, 160 pruritus, 139 rash

496 out of 520

26 anaemia, 18 neutropenia, 17 diarrhoea, 19 nausea, 6 vomiting, 27 asthenia, 35 fatigue, 21 influenza‐like illness, 9 irritability, 32 pyrexia, 22 decreased appetite, 14 arthralgia, 20 myalgia, 13 dizziness, 5 dysgeusia, 40 headache, 8 depression, 22 insomnia, 20 cough, 16 dyspnoea, 15 alopecia, 17 dry skin, 41 pruritus, 25 rash

120 out of 132

STARTverso‐3 2013a1

Faldaprevir

98 anaemia, 65 neutropenia, 190 diarrhoea, 318 nausea, 171 vomiting, 108 asthenia, 32 chills, 204 fatigue, 107 influenza‐like illness, 49 irritability, 113 pyrexia, 128 decreased appetite, 60 arthralgia, 72 myalgia, 37 dizziness, 39 dysgeusia, 182 headache, 52 depression, 118 insomnia, 99 cough, 47 dyspnoea, 53 alopecia, 108 dry skin, 225 pruritus, 160 rash

585 out of 599

8 anaemia, 12 neutropenia, 10 diarrhoea, 18 nausea, 5 vomiting, 21 asthenia, 5 chills, 16 fatigue, 15 influenza‐like illness, 11 irritability, 14 pyrexia, 10 decreased appetite, 7 arthralgia, 8 myalgia, 6 dizziness, 4 dysgeusia, 22 headache, 10 depression, 13 insomnia, 16 cough, 7 dyspnoea, 4 alopecia, 12 dry skin, 23 pruritus, 16 rash

74 out of 78

Manns 2011

Faldaprevir

2 anaemia, 1 neutropenia, 4 diarrhoea, 7 nausea, 10 asthenia, 2 chills, 2 fatigue, 4 influenza‐like illness, 4 irritability, 2 pyrexia, 1 decreased appetite, 7 myalgia, 1 dizziness, 6 headache, 2 depression, 5 insomnia, 2 cough, 1 alopecia, 5 dry skin, 3 pruritis, 1 rash

32 out of 26

1 diarrhoea, 2 nausea, 2 asthenia, 2 headache, 1 depression, 1 insomnia, 1 cough

5 out of 8

Nishiguchi 2014a1

Faldaprevir

1 neutropenia, 3 diarrhoea, 3 nausea, 3 vomiting, 2 influenza‐like illness, 8 pyrexia, 2 decreased appetite, 2 arthralgia, 4 dizziness, 1 dysgeusia, 7 headache, 1 depression, 5 insomnia, 1 cough, 3 alopecia, 1 dry skin, 6 pruritus, 6 rash

33 out of 35

2 nausea, 2 vomiting, 1 influenza‐like illness, 1 pyrexia, 1 decreased appetite, 1 headache, 1 insomnia, 1 dyspnoea, 2 dry skin, 3 pruritus, 1 rash

6 out of 8

Sulkowski 2013a

Faldeprevir

85 anaemia, 49 neutropenia, 188 diarrhoea, 239 nausea, 105 vomiting, 122 asthenia, 54 chills, 194 fatigue, 217 influenza‐like illness, 82 irritability, 86 pyrexia, 133 decreased appetite, 72 arthralgia, 133 myalgia, 48 dizziness, 25 dysgeusia, 243 headache, 68 depression, 107 insomnia, 100 cough, 73 dyspnoea, 106 alopecia, 122 dry skin, 227 pruritus, 163 rash

620 out of 641

12 anaemia, 8 neutropenia, 13 diarrhoea, 14 nausea, 4 vomiting, 15 asthenia, 8 chills, 24 fatigue, 34 influenza‐like illness, 10 irritability, 11 pyrexia, 11 decreased appetite, 5 arthralgia, 12 myalgia, 5 dizziness, 27 headache, 7 depression, 17 insomnia, 9 cough, 11 dyspnoea, 8 alopecia, 10 dry skin, 12 pruritus, 12 rash

65 out of 71

Jacobson 2010

Filibuvir

13 anaemia,4 neutropenia ,6 diarrhoea, 13 nausea, 3 vomiting, 4 chills, 13 fatigue, 3 influenza‐like illness, 2 irritability, 2 pyrexia, 3 decreased appetite, 2 arthralgia, 4 myalgia, 4 dizziness, 14 headache, 5 depression, 11 insomnia, 5 cough, 2 dyspnoea, 2 alopecia, 3 dry skin, 2 pruritus, 3 rash

27 out of 27

3 anaemia, 3 diarrhoea, 4 nausea, 1 vomiting, 1 chills, 5 fatigue, 2 influenza‐like illness, 2 decreased appetite, 2 arthralgia, 2 headache, 3 depression, 2 insomnia, 2 cough, 2 dyspnoea, 1 alopecia, 2 dry skin, 3 pruritus, 1 rash

8 out of 8

Rodriguez‐Torres 2014a1

Filibuvir

26 anaemia, 26 neutropenia, 24 diarrhoea, 55 nausea, 20 vomiting, 35 asthenia, 25 chills, 73 fatigue, 29 influenza‐like illness, 33 irritability, 28 pyrexia, 36 decreased appetite, 30 arthralgia, 37 myalgia, 20 dizziness, 40 dysgeusia, 61 headache, 32 depression, 55 insomnia, 33 cough, 18 dyspnoea, 34 alopecia, 33 dry skin, 56 pruritus, 34 rash

174 out of 192

anaemia, neutropenia, diarrhoea, nausea, vomiting, asthenia, chills, fatigue, influenza‐like illness, irritability, pyrexia, decreased appetite, arthralgia, myalgia, dizziness, dysgeusia, headache, depression, insomnia, cough, dyspnoea, alopecia, dry skin, pruritus, rash.

The authors did not report number of adverse events in the control group

90 out of 96

Petry 2011

Grazoprevir

9 diarrhoea, 2 nausea, 1 vomiting, 7 fatigue, 1 dysgeusia, 16 headache, 1 insomnia, 2 pruritis

34 out of 76

1 headache

2 out of 15

Gardner 2014a

GSK2336805

3 anaemia, 3 neutropenia, 4 nausea, 2 vomiting, 2 chills, 5 fatigue, 2 cough

11 out of 11

1 fatigue

4 out of 4

Lalezari 2012

IDX‐184

1 diarrhoea, 2 fatigue, 1 dizziness, 4 headache

8 out of 33

1 diarrhoea, 1 fatigue, 1 dizziness, 1 headache

4 out of 8

Lalezari 2013

IDX‐184

6 neutropenia, 7 diarrhoea, 22 nausea, 5 vomiting, 15 chills, 36 fatigue, 10 irritability, 9 pyrexia, 5 decreased appetite, 19 myalgia, 27 headache, 4 depression, 10 insomnia, 6 pruritus

59 out of 65

4 neutropenia, 2 diarrhoea, 3 nausea, 5 chills, 9 fatigue, 4 irritability, 3 decreased appetite, 5 myalgia, 7 headache, 3 depression, 5 insomnia, 2 pruritus

12 out of 16

De Bruijne 2010a1

IDX320

1 diarrhoea, 1 myalgia, 4 headache

Not specified out of 30

None reported

0 out of 8

Lawitz 2012a

Ledispasvir

2 nausea, 6 headache, 2 rash

18 out of 59

1 nausea

4 out of 11

Gane 2010

Mericitabine/danoprevir

7 diarrhoea, 9 nausea, 36 headache, 9 rash

Not specified out of 73

1 diarrhoea, 2 nausea, 8 headache, 1 rash

Not specified out of 14

Feld 2015

Mericitabine

25 diarrhoea, 16 nausea, 6 chills, 47 fatigue, 14 irritability, 16 pyrexia, 12 arthralgia, 19 myalgia, 43 headache, 27 insomnia, 21 cough, 15 pruritus

Not specified out of 102

12 diarrhoea, 14 nausea, 12 chills, 25 fatigue, 10 irritability, 14 pyrexia, 11 arthralgia, 18 myalgia, 28 headache, 11 insomnia, 11 cough, 11 pruritus

Not specified out of 49

JUMP‐C 2013

Mericitabine

18 diarrhoea, 33 nausea, 31 chills, 58 fatigue, 21 irritability, 20 pyrexia, 25 decreased appetite, 18 arthralgia, 24 myalgia, 19 dizziness, 42 headache, 31 insomnia, 17 cough, 14 alopecia, 15 pruritus, 17 rash

Not specified out of 81

20 diarrhoea, 34 nausea, 33 chills, 58 fatigue, 25 irritability, 27 pyrexia, 22 decreased appetite, 21 arthralgia, 24 myalgia, 20 dizziness, 38 headache, 28 insomnia, 22 cough, 17 alopecia, 28 pruritus, 28 rash

Not specified out of 85

De Bruijne 2010a2

Narlaprevir

10 diarrhoea, 8 nausea, 30 influenza‐like illness, 6 dizziness, 11 headache

32 out of 32

1 nausea, 6 influenza‐like illness, 1 dizziness

7 out of 8

Vierling 2011

Narlaprevir

87 anaemia, 84 diarrhoea, 131 nausea, 54 vomiting, 44 chills, 123 fatigue, 106 influenza‐like illness, 58 irritability, 58 pyrexia, 61 decreased appetite, 60 arthralgia, 39 myalgia, 58 dizziness, 83 headache, 33 depression, 80 insomnia, 28 pruritus, 31 rash

Not specified out of 93

6 anaemia, 17 diarrhoea, 50 nausea, 28 vomiting, 17 chills, 56 fatigue, 44 influenza‐like illness, 28 irritability, 17 pyrexia, 44 decreased appetite, 28 arthralgia, 6 dizziness, 39 headache, 22 depression, 39 insomnia, 33 pruritus, 11 rash

Not specified out of 18

Muir 2014

Odalasvir/sovaprevir

5 anaemia, 2 diarrhoea, 5 fatigue, 2 influenza‐like illness, 2 irritability, 1 decreased appetite, 2 arthralgia, 3 myalgia, 1 dizziness, 1 dysgeusia, 6 headache, 2 insomnia, 4 cough, 1 dyspnoea, 1 pruritus, 1 rash

20 out of 20

2 diarrhoea, 4 fatigue, 1 myalgia, 1 dizziness, 1 headache, 1 cough, pruritus

10 out of 10

Sullivan 2012

Ombitasvir

6 anaemia, 5 neutropenia, 4 diarrhoea, 9 nausea, 7 vomiting, 6 chills, 18 fatigue, 1 influenza‐like illness, 1 irritability, 3 pyrexia, 5 decreased appetite, 2 arthralgia, 2 myalgia, 2 dizziness, 9 headache, 4 depression, 4 insomnia, 3 cough, 2 dyspnoea, 5 dry skin, 3 pruritus, 6 rash

26 out of 28

1 neutropenia, 1 diarrhoea, 3 nausea, 2 vomiting, 6 fatigue, 2 influenza‐like illness, 1 irritability, 1 decreased appetite, 1 myalgia, 2 headache, 1 depression, 2 insomnia, 1 cough, dyspnoea, 1 dry skin, 2 rash

9 out of 9

Anderson 2014a1

Paritaprevir/ABT‐072/dasabuvir

12 anaemia, 14 neutropenia, 16 diarrhoea, 15 nausea, 6 vomiting, 4 asthenia, 11 chills, 29 fatigue, 14 influenza‐like illness, 8 irritability, 12 pyrexia, 4 decreased appetite, 9 arthralgia, 14 myalgia, 9 dizziness, 6 dysgeusia, 38 headache, 15 depression, 14 insomnia, 6 cough, 6 dyspnoea, 5 alopecia, 2 dry skin, 8 pruritus, 12 rash

63 out of 63

1 anaemia, 2 neutropenia, 4 diarrhoea, 4 nausea, 1 vomiting, 1 asthenia, 6 fatigue, 1 influenza‐like illness, 1 irritability, 1 pyrexia, 2 decreased appetite, 1 arthralgia, 3 myalgia, 4 dizziness, 2 dysgeusia, 4 headache, 2 insomnia, 2 dyspnoea, 1 alopecia, 2 pruritus, 2 rash

10 out of 11

Feld 2014

Paritaprevir/ombitasvir

24 anaemia, 65 diarrhoea, 112 nausea, 23 vomiting, 59 asthenia, 164 fatigue, 26 irritability, 37 decreased appetite, 23 arthralgia, 21 myalgia, 38 dizziness, 156 headache, 67 insomnia, 34 cough, 38 dyspnoea, 27 dry skin, 80 pruritus, 51 rash

391 out of 473

11 diarrhoea, 22 nausea, 6 vomiting, 6 asthenia, 45 fatigue, 4 irritability, 5 decreased appetite, 9 arthralgia, 8 myalgia, 6 dizziness, 42 headache, 12 insomnia, 8 cough, 4 dyspnoea, 2 dry skin, 7 pruritus, 9 rash

108 out of 158

Zeuzem 2014a

Paritaprevir/ombitasvir

19 anaemia, 47 diarrhoea, 72 nausea, 22 vomiting, 60 asthenia, 115 fatigue, 22 irritability, 24 decreased appetite, 21 arthralgia, 28 myalgia, 30 dizziness, 13 dysgeusia, 126 headache, 52 insomnia, 43 cough, 50 dyspnoea, 27 dry skin, 53 pruritus, 34 rash

328 out of 394

12 diarrhoea, 17 nausea, 11 asthenia, 22 fatigue, 8 irritability, 2 decreased appetite, 7 arthralgia, 10 myalgia, 5 dizziness, 5 dysgeusia, 34 headache, 7 insomnia, 5 cough, 10 dyspnoea, 3 dry skin, 5 pruritus, 6 rash

74 out of 97

Hotho 2012

PHX1766

1 nausea, 2 fatigue, 1 dizziness

Not specified

None reported

Not specified

Pockros 2008a1

R1626

43 neutropenia, 42 diarrhoea, 49 nausea, 26 vomiting, 39 chills, 45 fatigue, 20 irritability, 29 pyrexia, 21 arthralgia, 23 myalgia, 15 dizziness, 47 headache, 27 insomnia, 15 cough, 11 pruritus, 20 rash

Not specified out of 84

5 diarrhoea, 10 nausea, 2 vomiting, 9 chills, 10 fatigue, 1 irritability, 8 pyrexia, 5 arthralgia, 11 myalgia, 3 dizziness, 11 headache, 6 insomnia, 4 cough, 6 pruritus, 2 rash

Not specified out of 20

Vince 2014

Samatasvir

4 nausea, 1 decreased appetite, 6 headache, 1 insomnia

20 out of 48

1 nausea, 1 decreased appetite, 1 headache, 1 insomnia

6 out of 12

Forns 2014

Simeprevir

40 anaemia, 37 neutropenia, 36 diarrhoea, 59 nausea, 18 vomiting, 57 asthenia, 17 chills, 87 fatigue, 78 influenza‐like illness, 63 pyrexia, 35 decreased appetite, 26 arthralgia, 39 myalgia, 14 dizziness, 12 dysgeusia, 87 headache, 22 depression, 49 insomnia, 34 cough, 26 dyspnoea, 26 alopecia, 24 dry skin, 16 pruritus, 33 rash

245 out of 260

24 anaemia, 26 neutropenia, 22 diarrhoea, 26 nausea, 9 vomiting, 25 asthenia, 11 chills, 58 fatigue, 27 influenza‐like illness, 30 pyrexia, 24 decreased appetite, 12 arthralgia, 17 myalgia, 6 dizziness, 7 dysgeusia, 48 headache, 10 depression, 33 insomnia, 21 cough, 5 dyspnoea, 17 alopecia, 18 dry skin, 37 pruritus, 19 rash

123 out of 133

Fried 2013

Simeprevir

63 anaemia, 75 neutropenia, 47 diarrhoea, 86 nausea, 22 vomiting, 63 asthenia, 25 chills, 107 fatigue, 98 influenza‐like illness, 11 irritability, 64 pyrexia, 17 decreased appetite, 53 arthralgia, 55 myalgia, 29 dizziness, 16 dysgeusia, 142 headache, 32 depression, 69 insomnia, 52 cough, 33 dyspnoea, 53 alopecia, 63 dry skin, 173 pruritus, 65 rash

302 out of 309

16 anaemia, 16 neutropenia, 12 diarrhoea, 21 nausea, 5 vomiting, 16 asthenia, 8 chills, 37 fatigue, 29 influenza‐like illness, 8 irritability, 13 pyrexia, 6 decreased appetite, 11 arthralgia, 17 myalgia, 6 dizziness, 5 dysgeusia, 40 headache, 14 depression, 23 insomnia, 15 cough, 6 dyspnoea, 16 alopecia, 14 dry skin, 35 pruritus, 18 rash

75 out of 77

DRAGON 2014a1

Simeprevir

24 anaemia, 13 diarrhoea,13 nausea, 6 vomiting, 4 chills, 2 fatigue, 42 pyrexia, 15 decreased appetite, 27 arthralgia, 15 myalgia, 3 dizziness, 6 dysgeusia, 41 headache, 2 depression, 23 insomnia, 8 cough, 25 alopecia, 5 dry skin, 15 pruritus, 47 rash

79 out of 79

5 anaemia, 5 diarrhoea, 2 vomiting, 7 pyrexia, 3 decreased appetite, 2 arthralgia, 2 myalgia, 8 headache, 2 insomnia, 2 cough, 6 alopecia, 6 rash

13 out of 13

CONCERTO‐1 2015

Simeprevir

70 anaemia, 8 neutropenia, 20 diarrhoea, 16 nausea, 6 vomiting, 13 fatigue, 75 pyrexia, 28 decreased appetite, 30 arthralgia, 9 myalgia, 4 dizziness, 20 dysgeusia, 54 headache, 27 insomnia, 11 cough, 44 alopecia, 8 dry skin, 35 pruritus, 57 rash

123 out of 123

36 anaemia, 1 neutropenia, 20 diarrhoea, 16 nausea, 6 vomiting, 7 fatigue, 31 pyrexia, 20 decreased appetite, 14 arthralgia, 11 myalgia, 4 dizziness, 8 dysgeusia, 26 headache, 3 depression, 25 insomnia, 8 cough, 28 alopecia, 9 dry skin, 18 pruritus, 37 rash

60 out of 60

Hoeben 2015a1

Simeprevir

82 anaemia, 59 neutropenia, 14 diarrhoea, 16 nausea, 15 asthenia, 63 fatigue, 39 influenza‐like illness, 67 pyrexia, 28 decreased appetite, 13 arthralgia, 36 myalgia, 39 headache, 17 insomnia, 16 cough, 47 alopecia, 40 pruritus, 57 rash

298 out of 305

53 anaemia, 32 neutropenia, 7 diarrhoea, 10 nausea, 7 asthenia, 36 fatigue, 19 influenza‐like illness, 46 pyrexia, 16 decreased appetite, 4 arthralgia, 22 myalgia, 28 headache, 18 insomnia, 17 cough, 26 alopecia, 17 pruritus, 27 rash

149 out of 152

Jacobson 2014

Simeprevir

44 anaemia, 54 neutropenia, 35 diarrhoea, 65 nausea, 23 vomiting, 25 asthenia, 33 chills, 111 fatigue, 62 influenza‐like illness, 51 pyrexia, 47 decreased appetite, 34 arthralgia, 39 myalgia, 23 dizziness, 16 dysgeusia, 88 headache, 23 depression, 56 insomnia, 25 cough, 23 dyspnoea, 30 alopecia, 33 dry skin, 68 pruritus, 60 rash

252 out of 264

24 anaemia, 15 neutropenia, 19 diarrhoea, 32 nausea, 9 vomiting, 21 asthenia, 18 chills, 53 fatigue, 26 influenza‐like illness, 28 pyrexia, 19 decreased appetite, 21 arthralgia, 18 myalgia, 9 dizziness, 4 dysgeusia, 51 headache, 16 depression, 31 insomnia, 20 cough, 9 dyspnoea, 16 alopecia, 11 dry skin, 20 pruritus, 30 rash

124 out of 130

OPERA 2011a1

Simeprevir

16 anaemia, 26 neutropenia, 20 diarrhoea, 31 nausea, 9 vomiting, 26 asthenia, 6 chills, 35 fatigue, 24 influenza‐like illness, 10 irritability, 21 pyrexia, 7 decreased appetite, 20 arthralgia, 14 myalgia, 4 dizziness, 5 dysgeusia, 42 headache, 14 depression, 12 insomnia, 19 cough, 18 dyspnoea, 16 alopecia, 19 dry skin, 18 pruritus, 9 rash

82 out of 83

4 anaemia, 4 neutropenia, 3 diarrhoea, 4 nausea, 3 vomiting, 7 asthenia, 5 chills, 13 fatigue, 5 influenza‐like illness, 4 irritability, 4 pyrexia, 2 decreased appetite, 3 arthralgia, 8 myalgia, 3 dizziness, 3 dysgeusia, 16 headache, 2 depression, 7 insomnia, 10 cough, 4 dyspnoea, 3 alopecia, 5 dry skin, 7 pruritus, 5 rash

28 out of 28

Manns 2014a

Simeprevir

46 anaemia, 49 neutropenia, 34 diarrhoea, 63 nausea, 17 vomiting, 59 asthenia, 21 chills, 95 fatigue, 66 influenza‐like illness, 80 pyrexia, 46 decreased appetite, 32 arthralgia, 58 myalgia, 21 dizziness, 101 headache, 29 depression, 51 insomnia, 32 cough, 23 dyspnoea, 43 alopecia, 28 dry skin, 65 pruritus, 46 rash

243 out of 257

33 anaemia, 29 neutropenia, 12 diarrhoea, 24 nausea, 7 vomiting, 38 asthenia, 12 chills, 56 fatigue, 35 influenza‐like illness, 53 pyrexia, 21 decreased appetite, 14 arthralgia, 28 myalgia, 9 dizziness, 49 headache, 19 depression, 21 insomnia, 22 cough, 11 dyspnoea, 27 alopecia, 18 dry skin, 34 pruritus, 15 rash

131 out of 134

Pearlman 2015

Simeprevir

1 anaemia, 1 diarrhoea, 6 nausea, 8 fatigue, 1 irritability, 2 myalgia, 7 headache, 3 insomnia, 6 pruritus, 10 rash

46 out of 58

9 anaemia, 5 neutropenia, 2 diarrhoea, 7 nausea, 4 asthenia, 17 fatigue, 6 influenza‐like illness, 3 irritability, 4 myalgia, 8 headache, 6 insomnia, 4 pruritus, 3 rash

22 out of 24

ASPIRE 2014

Simeprevir

76 anaemia, 101 neutropenia, 59 diarrhoea, 95 nausea, 21 vomiting, 84 asthenia, 34 chills, 174 fatigue, 116 influenza‐like illness, 53 irritability, 69 pyrexia, 69 decreased appetite, 50 arthralgia, 64 myalgia, 29 dizziness, 22 dysgeusia, 138 headache, 45 depression, 79 insomnia, 76 cough, 49 dyspnoea, 31 alopecia, 72 dry skin, 135 pruritus, 61 rash

380 out of 396

13 anaemia, 11 neutropenia, 13 diarrhoea, 14 nausea, 5 vomiting, 7 asthenia, 6 chills, 174 fatigue, 13 influenza‐like illness, 7 irritability, 9 pyrexia, 9 decreased appetite, 9 arthralgia, 12 myalgia, 6 dizziness, 3 dysgeusia, 24 headache, 6 depression, 9 insomnia, 8 cough, 4 dyspnoea, 5 alopecia, 10 dry skin, 11 pruritus, 9 rash

63 out of 66

Jacobson 2014

Sofosbuvir

19 diarrhoea, 46 nausea, 12 vomiting, 91 fatigue, 19 irritability, 7 decreased appetite, 16 arthralgia, 19 dizziness, 43 headache, 15 depression, 39 insomnia, 11 cough, 19 dyspnoea, 23 pruritus, 18 rash

184 out of 207

4 diarrhoea, 13 nausea, 5 vomiting, 17 fatigue, 1 irritability, 7 decreased appetite, 1 arthralgia, 5 dizziness, 14 headache, 1 depression, 3 insomnia, 2 cough, 1 dyspnoea, 6 pruritus, 6 rash

55 out of 71

Lawitz 2013a1

Sofosbuvir

19 anaemia, 23 neutropenia, 18 diarrhoea, 38 nausea, 12 vomiting, 2 asthenia, 37 chills, 64 fatigue, 15 irritability, 22 pyrexia, 11 decreased appetite, 10 arthralgia, 17 myalgia, 11 dizziness, 9 dysgeusia, 37 headache, 12 depression, 24 insomnia, 14 cough, 11 dyspnoea, 10 alopecia, 12 dry skin, 13 pruritus, 29 rash

117 out of 120

7 anaemia, 5 neutropenia, 2 diarrhoea, 9 nausea, 2 vomiting, 1 asthenia, 10 chills, 16 fatigue, 5 irritability, 2 pyrexia, 4 decreased appetite, 5 arthralgia, 6 myalgia, 3 dizziness, 15 headache, 3 depression, 9 insomnia, 3 cough, 4 dyspnoea, 2 alopecia, 3 dry skin, 3 pruritus, 4 rash

26 out of 26

)FISSION 2013

Sofosbuvir

20 anaemia, 23 diarrhoea, 46 nausea, 17 vomiting, 7 chills, 92 fatigue, 7 influenza‐like illness, 25 irritability, 6 pyrexia, 17 decreased appetite, 15 arthralgia, 21 myalgia, 27 dizziness, 64 headache, 14 depression, 31 insomnia, 19 cough, 18 dyspnoea, 12 alopecia, 11 dry skin, 19 pruritus, 23 rash

219 out of 256

28 anaemia, 30 neutropenia, 45 diarrhoea, 70 nausea, 23 vomiting, 44 chills, 134 fatigue, 44 influenza‐like illness, 40 irritability, 33 pyrexia, 44 decreased appetite, 35 arthralgia, 40 myalgia, 33 dizziness, 108 headache, 34 depression, 71 insomnia, 21 cough, 20 dyspnoea, 24 alopecia, 23 dry skin, 42 pruritus, 43 rash

233 out of 243

Rodriguez‐Torres 2013

Sofosbuvir

7 anaemia, 17 nausea, 3 vomiting, 22 fatigue, 4 pyrexia, 7 decreased appetite, 12 arthralgia, 7 myalgia, 6 dizziness, 15 headache, 4 depression, 7 insomnia, 9 pruritus

45 out of 49

1 anaemia, 5 nausea, 2 chills, 6 fatigue, 1 pyrexia, 1 decreased appetite, 1 myalgia, 2 dizziness, 2 headache, 2 insomnia,1 pruritus

13 out of 14

Feld 2015

Sofosbuvir/velpatasvir

48 diarrhoea, 75 nausea, 41 asthenia, 126 fatigue, 40 arthralgia, 25 myalgia, 182 headache, 50 insomnia, 39 cough

485 out of 624

8 diarrhoea, 13 nausea, 9 asthenia, 23 fatigue, 9 arthralgia, 6 myalgia, 33 headache, 11 insomnia, 4 cough

89 out of 116

3Benhamou 2013a1

Telaprevir

1 diarrhoea, 4 nausea, 1 vomiting, 6 asthenia, 4 fatigue, 10 influenza‐like illness, 3 headache, 2 insomnia, 1 dyspnoea, 1 dry skin, 3 pruritus

16 out of 16

1 anaemia, 1 neutropenia, 3 asthenia, 4 influenza‐like illness, 1 decreased appetite, 1 headache, 1 insomnia, 1 cough, 1 dry skin, 2 pruritus, 2 rash

8 out of 8

Forestier 2007

Telaprevir

2 diarrhoea, 3 nausea, 1 chills, 5 myalgia, 2 dizziness, 5 headache, 3 dry skin, 3 rash

14 out of 16

1 diarrhoea, 1 nausea, 1 asthenia, 2 chills, 2 myalgia, 1 dizziness, 2 headache, 1 dry skin

4 out of 4

1Foster 2011a1

Telaprevir

1 anaemia, 4 diarrhoea, 8 nausea, 5 vomiting, 9 asthenia, 1 chills, 5 fatigue, 11 influenza‐like illness, 1 irritability, 2 pyrexia, 1 arthralgia, 4 myalgia, 3 dizziness, 5 headache, 1 depression, 2 insomnia, 1 cough, 2 dyspnoea, 1 alopecia, 3 dry skin, 11 pruritus, 5 rash

26 out of 31

1 neutropenia, 1 diarrhoea, 1 nausea, 5 asthenia, 3 chills, 2 fatigue, 7 influenza‐like illness, 5 pyrexia, 3 myalgia, 1 dysgeusia, 6 headache, 1 depression, 2 insomnia, 2 cough, 2 dyspnoea, 1 dry skin, 2 pruritus

16 out of 18

Hezode 2009

Telaprevir

44 anaemia, 11 neutropenia, 66 diarrhoea, 102 nausea, 22 vomiting, 110 asthenia, 12 chills, 70 fatigue, 92 influenza‐like illness, 22 irritability, 44 pyrexia, 30 decreased appetite, 36 arthralgia, 35 myalgia, 12 dizziness, 20 dysgeusia, 105 headache, 51 depression, 62 insomnia, 37 cough, 50 dyspnoea, 29 alopecia, 64 dry skin, 139 pruritus, 71 rash

240 out of 241

14 anaemia, 14 neutropenia, 23 diarrhoea, 33 nausea, 12 vomiting, 26 asthenia, 10 chills, 30 fatigue, 43 influenza‐like illness, 11 irritability, 19 pyrexia, 16 decreased appetite, 14 arthralgia, 17 myalgia, 8 dizziness, 3 dysgeusia, 37 headache, 19 depression, 32 insomnia, 21 cough, 13 dyspnoea, 17 alopecia, 29 dry skin, 29 pruritus, 22 rash

81 out of 82

Jacobson 2010

Telaprevir

276 anaemia, 217 diarrhoea, 302 nausea, 418 fatigue, 203 pyrexia, 304 headache, 233 insomnia, 346 pruritus, 262 rash

723 out of 727

70 anaemia, 80 diarrhoea, 112 nausea, 206 fatigue, 87 pyrexia, 142 headache, 111 insomnia, 131 pruritus, 88 rash

354 out of 361

McHutchison 2009

Telaprevir

58 anaemia, 30 neutropenia, 64 diarrhoea, 93 nausea, 38 vomiting, 29 chills, 127 fatigue, 75 influenza‐like illness, 23 irritability, 33 pyrexia, 22 decreased appetite, 34 arthralgia, 27 myalgia, 41 dizziness, 16 dysgeusia, 80 headache, 34 depression, 68 insomnia, 36 cough, 25 dyspnoea, 21 alopecia, 28 dry skin, 74 pruritus, 62 rash

175 out of 175

20 anaemia, 18 neutropenia, 21 diarrhoea, 22 nausea, 9 vomiting, 14 chills, 57 fatigue, 32 influenza‐like illness, 22 irritability, 22 pyrexia, 9 decreased appetite, 16 arthralgia, 18 myalgia, 14 dizziness, 8 dysgeusia, 45 headache, 13 depression, 29 insomnia, 14 cough, 11 dyspnoea, 8 alopecia, 19 dry skin, 17 pruritus, 20 rash

75 out of 75

McHutchison 2010

Telaprevir

69 anaemia, 31 neutropenia, 115 diarrhoea, 122 nausea, 37 vomiting, 57 chills, 197 fatigue, 93 influenza‐like illness, 63 irritability, 59 pyrexia, 20 decreased appetite, 51 arthralgia, 60 myalgia, 47 dizziness, 130 headache, 43 depression, 83 insomnia, 46 cough, 27 dyspnoea, 54 alopecia, 32 dry skin, 129 pruritus, 126 rash

329 out of 339

9 anaemia, 7 neutropenia, 22 diarrhoea, 39 nausea, 13 vomiting, 15 chills, 64 fatigue, 36 influenza‐like illness, 25 irritability, 14 pyrexia, 12 decreased appetite, 21 arthralgia, 21 myalgia, 18 dizziness, 41 headache, 19 depression, 19 insomnia, 20 cough, 9 dyspnoea, 13 alopecia, 7 dry skin, 17 pruritus, 20 rash

111 out of 114

Sulkowski 2013a

Telaprevir

35 anaemia, 26 neutropenia, 34 diarrhoea, 44 nausea, 27 vomiting, 22 asthenia, 15 chills, 50 fatigue, 24 influenza‐like illness, 18 irritability, 34 pyrexia, 30 decreased appetite, 9 arthralgia, 20 myalgia, 19 dizziness, 18 dysgeusia, 38 headache, 11 depression, 25 insomnia, 15 cough, 5 dyspnoea, 18 alopecia, 11 dry skin, 30 pruritus, 12 rash

38 out of 38

8 anaemia, 2 neutropenia, 6 diarrhoea, 11 nausea, 5 vomiting, 9 asthenia, 5 chills, 12 fatigue, 13 influenza‐like illness, 5 irritability, 7 pyrexia, 6 decreased appetite, 2 arthralgia, 6 myalgia, 2 dizziness, 5 dysgeusia, 6 headache, 4 depression, 9 insomnia, 6 cough, 2 dyspnoea, 6 alopecia, 3 dry skin, 3 pruritus

22 out of 22

Zeuzem 2011a

Telaprevir

171 anaemia, 73 neutropenia, 135 diarrhoea, 181 nausea, 68 vomiting, 111 asthenia, 73 chills, 276 fatigue, 179 influenza‐like illness, 74 irritability, 130 pyrexia, 40 decreased appetite, 67 arthralgia, 87 myalgia, 47 dizziness, 65 dysgeusia, 221 headache, 59 depression, 152 insomnia, 128 cough, 82 dyspnoea, 78 alopecia, 97 dry skin, 270 pruritus, 194 rash

517 out of 530

19 anaemia, 14 neutropenia, 18 diarrhoea, 31 nausea, 11 vomiting, 38 asthenia, 73 chills, 53 fatigue, 33 influenza‐like illness, 21 irritability, 36 pyrexia, 9 decreased appetite, 20 arthralgia, 24 myalgia, 7 dizziness, 8 dysgeusia, 49 headache, 19 depression, 34 insomnia, 26 cough, 17 dyspnoea, 17 alopecia, 21 dry skin, 36 pruritus, 25 rash

126 out of 132

Lawitz 2013a1

Vaniprevir

6 anaemia, 7 neutropenia, 16 diarrhoea, 26 nausea, 16 vomiting, 13 asthenia, 5 chills, 17 fatigue, 17influenza‐like illness, 4 irritability, 8 pyrexia, 13 decreased appetite, 8 arthralgia, 3 myalgia, 5 dizziness, 2 dysgeusia, 26 headache, 8 depression, 15 insomnia, 8 cough, 7 dyspnoea, 6 alopecia, 6 dry skin, 9 pruritus, 10 rash

71 out of 75

3 anaemia, 2 neutropenia, 4 diarrhoea, 6 nausea, 4 asthenia, 2 chills, 7 fatigue, 4 influenza‐like illness, 3 irritability, 2 pyrexia, 2 decreased appetite, 2 arthralgia, 3 myalgia, 7 headache, 3 depression, 2 insomnia, 3 cough, 5 dyspnoea, 3 alopecia, 6 dry skin, 4 pruritus, 4 rash

19 out of 19

Manns 2012a1

Vaniprevir

6 anaemia, 7 neutropenia, 16 diarrhoea, 26 nausea, 16 vomiting, 13 asthenia, 5 chills, 17 fatigue, 17 influenza‐like illness, 4 irritability, 8 pyrexia, 13 decreased appetite, 8 arthralgia, 3 myalgia, 5 dizziness, 2 dysgeusia, 26 headache, 8 depression, 15 insomnia, 8 cough, 7 dyspnoea, 6 alopecia, 6 dry skin, 9 pruritus, 10 rash

71 out of 75

3 anaemia, 2 neutropenia, 4 diarrhoea, 6 nausea, 4 asthenia, 2 chills, 7 fatigue, 4 influenza‐like illness, 3 irritability, 2 pyrexia, 2 decreased appetite, 2 arthralgia, 3 myalgia, 7 headache, 3 depression, 2 insomnia, 3 cough, 5 dyspnoea, 3 alopecia, 6 dry skin, 4 pruritus, 4 rash

19 out of 19

Rodriguez‐Torres 2014a1

Vaniprevir

43 anaemia, 34 neutropenia, 97 diarrhoea, 110 nausea, 59 vomiting, 50 asthenia, 16 chills, 92 fatigue, 54 influenza‐like illness, 24 irritability, 37 pyrexia, 40 decreased appetite, 37 arthralgia, 38 myalgia, 23 dizziness, 16 dysgeusia, 92 headache, 32 depression, 40 insomnia, 54 cough, 30 dyspnoea, 35 alopecia, 37 dry skin, 75 pruritus, 43 rash

225 out of 229

8 anaemia, 3 neutropenia, 9 diarrhoea, 10 nausea, 3 vomiting, 11 asthenia, 1 chills, 18 fatigue, 12 influenza‐like illness, 8 irritability, 14 pyrexia, 5 decreased appetite, 11 arthralgia, 12 myalgia, 6 dizziness, 3 dysgeusia, 20 headache, 3 depression, 14 insomnia, 14 cough, 8 dyspnoea, 5 alopecia, 10 dry skin, 14 pruritus, 10 rash

55 out of 56

Lawitz 2013c

Vaniprevir

43 anaemia, 34 neutropenia, 97 diarrhoea, 110 nausea, 59 vomiting, 50 asthenia, 16 chills, 92 fatigue, 54 influenza‐like illness, 24 irritability, 37 pyrexia, 40 decreased appetite, 37 arthralgia, 38 myalgia, 23 dizziness, 16 dysgeusia, 92 headache, 32 depression, 40 insomnia, 54 cough, 30 dyspnoea, 35 alopecia, 37 dry skin, 75 pruritus, 43 rash

225 out of 229

8 anaemia, 3 neutropenia, 9 diarrhoea, 10 nausea, 3 vomiting, 11 asthenia, 1 chills, 18 fatigue, 12 influenza‐like illness, 8 irritability, 14 pyrexia, 5 decreased appetite, 11 arthralgia, 12 myalgia, 6 dizziness, 3 dysgeusia, 20 headache, 3 depression, 14 insomnia, 14 cough, 8 dyspnoea, 5 alopecia, 10 dry skin, 14 pruritus, 10 rash

55 out of 56

Cooper 2009

VCH‐759

18 diarrhoea, 3 nausea, 4 vomiting, 1 chills, 5 fatigue, 8 headache

20 out of 23

5 diarrhoea, 1 nausea, 2 headache

6 out of 9

Lawitz 2015

Velpatasvir

2 diarrhoea, 3 nausea, 4 vomiting, 6 headache, 2 cough

18 out of 70

None reported

3 out of 17

Figuras y tablas -
Table 3. Non‐serious adverse events
Comparison 1. DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ bias risk Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2.1 Trials at high risk of bias

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Trials at low risk of bias

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to type of DAA Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3.1 ABT‐072

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 ACH‐2684

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.3 Alisporivir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.4 ALS‐2200

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.5 Asunaprevir

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.6 Balapiravir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.7 Beclabuvir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.8 BILB‐1941

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.9 BIT‐225

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.10 Boceprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.11 Ciluprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.12 Daclatasvir

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.13 Danoprevir

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.14 Dasabuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.15 Deleobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.16 Faldaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.17 Filibuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.18 Grazoprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.19 GS‐6620

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.20 GS‐9256

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.21 GS‐9451

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.22 GS‐9669

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.23 GS‐9851

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.24 GS‐9857

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.25 GSK2336805

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.26 GSK2878175

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.27 IDX‐184

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.28 INX‐08189

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.29 Ledispasvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.30 Mericitabine

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.31 Narlaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.32 Nesbuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.33 Odalasavir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.34 Ombitasvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.35 Paritaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.36 PHX1766

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.37 PPI‐461

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.38 PSI‐352938

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.39 Samatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.40 Setrobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.41 Simeprevir

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.42 Sofosbuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.43 Sovaprevir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.44 Tegobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.45 Telaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.46 Valopicitabine

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.47 Vaniprevir

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.48 VCH‐759

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.49 VCH‐916

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.50 Velpatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.51 VX‐222

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.52 Mixed

4

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to group of DAA Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Cyclophilin

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 NS3/NS4A inhibitors

41

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 NS5B inhibitors (NPI)

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.4 NS5B inhibitors (NNPI)

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.5 NS5A inhibitors

18

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.6 VPU‐ion channel inhibitors

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.7 Mixed

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to HIV‐infection Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5.1 With HIV‐infection

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.2 Without HIV‐infection

69

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.3 Mixed (with and without HIV‐infection)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.4 Unclear

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to comorbidity Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

6.1 With comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Without comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.3 Unclear

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to viral genotype Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

7.1 Genotype 1

57

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Genotype 2

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.3 Genotype 3

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.4 Genotype 4

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.5 Mixed

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to human genotype (IL28b) Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

8.1 IL28b (CC)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.2 IL28B (CT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.3 IL28B (TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.4 IL28B (CT + TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.5 Mixed

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to Asian‐region Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

9.1 From Asian region

8

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 Not from Asian region

52

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.3 Mixed

11

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.4 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to specific ethnicities Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

10.1 White

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 Black

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 Hispanic

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 Mixed

70

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.5 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to reaching planned sample size Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

11.1 Trials reaching planned sample size

10

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.2 Trials not reaching planned sample size

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 Unclear

58

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to prior treatment Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

12.1 Treatment‐naive

47

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.2 Treatment‐experienced

16

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.3 Mixed

8

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.4 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to interferon Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

13.1 Trials where both groups received interferon

52

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.2 Trials where neither group received interferon

19

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to ribavirin Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

14.1 Trials where both groups received ribavirin

52

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.2 Trials where neither group received ribavirin

19

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to chronic kidney disease Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

15.1 With chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 Without chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 Unclear

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to cryoglobulinaemia Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

16.1 With cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.2 Without cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 Unclear

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to DAA group as co‐intervention Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

17.1 Trials where DAA were used as co‐intervention

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.2 Trials where DAA were not a co‐intervention

69

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to median dose Show forest plot

71

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

18.1 Over or equal to median dose

41

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.2 Under median dose

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.3 Not available

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. DAA on or on the way to the market versus placebo/no intervention (morbidity or all cause mortality analyses)
Comparison 2. DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Serious adverse events Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2 Serious adverse events ‐ bias risk Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2.1 Trials at high risk of bias

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Trials at low risk of bias

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Serious adverse events ‐ according to type of DAA Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3.1 ABT‐072

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 ACH‐2684

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.3 Alisporivir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.4 ALS‐2200

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.5 Asunaprevir

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.6 Balapiravir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.7 Beclabuvir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.8 BILB‐1941

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.9 BIT‐225

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.10 Boceprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.11 Ciluprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.12 Daclatasvir

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.13 Danoprevir

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.14 Dasabuvir

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.15 Deleobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.16 Faldaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.17 Filibuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.18 Grazoprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.19 GS‐6620

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.20 GS‐9256

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.21 GS‐9451

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.22 GS‐9669

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.23 GS‐9851

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.24 GS‐9857

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.25 GSK2336805

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.26 GSK2878175

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.27 IDX‐184

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.28 INX‐08189

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.29 Ledispasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.30 Mericitabine

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.31 Narlaprevir

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.32 Nesbuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.33 Odalasavir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.34 Ombitasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.35 Paritaprevir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.36 PHX1766

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.37 PPI‐461

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.38 PSI‐352938

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.39 Samatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.40 Setrobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.41 Simeprevir

18

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.42 Sofosbuvir

4

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.43 Sovaprevir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.44 Tegobuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.45 Telaprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.46 Valopicitabine

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.47 Vaniprevir

10

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.48 VCH‐759

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.49 VCH‐916

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.50 Velpatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.51 VX‐222

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.52 Mixed

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Serious adverse events ‐ according to group of DAA Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Cyclophilin

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 NS3/NS4A inhibitors

56

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 NS5B inhibitors (NPI)

8

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.4 NS5B inhibitors (NNPI)

5

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.5 NS5A inhibitors

25

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.6 VPU‐ion channel inhibitors

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.7 Mixed

4

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Serious adverse events ‐ according to HIV‐infection Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5.1 With HIV‐infection

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.2 Without HIV‐infection

94

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.3 Mixed (with and without HIV‐infection)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.4 Unclear

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Serious adverse events ‐ according to comorbidity Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

6.1 With comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Without comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.3 Unclear

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Serious adverse events ‐ according to viral genotype Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

7.1 Genotype 1

84

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Genotype 2

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.3 Genotype 3

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.4 Genotype 4

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.5 Mixed

17

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Serious adverse events ‐ according to human genotype (IL28b) Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

8.1 IL28b (CC)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.2 IL28B (CT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.3 IL28B (TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.4 IL28B (CT + TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.5 Mixed

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Serious adverse events ‐ according to Asian‐region Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

9.1 From Asian region

10

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 Not from Asian region

76

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.3 Mixed

11

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.4 Unclear

4

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Serious adverse events ‐ according to specific ethnicities Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

10.1 White

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 Black

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 Hispanic

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 Mixed

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.5 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Serious adverse events ‐ according to reaching planned sample size Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

11.1 Trials reaching planned sample size

15

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.2 Trials not reaching planned sample size

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 Unclear

83

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Serious adverse events ‐ according to prior treatment Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

12.1 Treatment‐naive

72

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.2 Treatment‐experienced

19

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.3 Mixed

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.4 Unclear

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13 Serious adverse events ‐ according to interferon Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

13.1 Trials where both groups received interferon

69

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.2 Trials where neither group received interferon

29

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.3 Unclear

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14 Serious adverse events ‐ according to ribavirin Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

14.1 Trials where both groups received ribavirin

73

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.2 Trials where neither group received ribavirin

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.3 Unclear

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15 Serious adverse events ‐ according to chronic kidney disease Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

15.1 With chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 Without chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 Unclear

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16 Serious adverse events ‐ according to cryoglobulinaemia Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

16.1 With cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.2 Without cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 Unclear

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17 Serious adverse events ‐ according to DAA group as co‐intervention Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

17.1 Trials where DAA were used as co‐intervention

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.2 Trials where DAA were not a co‐intervention

99

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18 Serious adverse events ‐ according to median dose Show forest plot

101

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

18.1 Over or equal to median dose

58

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.2 Under median dose

37

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.3 Not available

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 2. DAA on or on the way to the market versus placebo/no intervention (serious adverse events analyses)
Comparison 3. DAA on or on the way to the market versus placebo/no intervention (sustained virological response)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Without sustained virological response Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

2 Without sustained virological response ‐ bias risk Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

2.1 Trials at high risk of bias

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

2.2 Trials at low risk of bias

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Without sustained virological response ‐ according to type of DAA Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

3.1 ABT‐072

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.2 ACH‐2684

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.3 Alisporivir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.4 ALS‐2200

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.5 Asunaprevir

4

285

Risk Ratio (M‐H, Random, 95% CI)

0.49 [0.29, 0.85]

3.6 Balapiravir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.7 Beclabuvir

2

39

Risk Ratio (M‐H, Random, 95% CI)

0.78 [0.43, 1.40]

3.8 BILB‐1941

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.9 BIT‐225

1

23

Risk Ratio (M‐H, Random, 95% CI)

0.27 [0.03, 2.51]

3.10 Boceprevir

1

229

Risk Ratio (M‐H, Random, 95% CI)

0.42 [0.29, 0.61]

3.11 Ciluprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.12 Daclatasvir

7

619

Risk Ratio (M‐H, Random, 95% CI)

0.60 [0.50, 0.73]

3.13 Danoprevir

5

642

Risk Ratio (M‐H, Random, 95% CI)

0.38 [0.28, 0.51]

3.14 Dasabuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.15 Deleobuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.16 Faldaprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.17 Filibuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.18 Grazoprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.19 GS‐6620

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.20 GS‐9256

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.21 GS‐9451

1

329

Risk Ratio (M‐H, Random, 95% CI)

0.42 [0.26, 0.67]

3.22 GS‐9669

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.23 GS‐9851

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.24 GS‐9857

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.25 GSK2336805

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.26 GSK2878175

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.27 IDX‐184

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.28 INX‐08189

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.29 Ledispasvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.30 Mericitabine

4

725

Risk Ratio (M‐H, Random, 95% CI)

0.78 [0.49, 1.27]

3.31 Narlaprevir

2

40

Risk Ratio (M‐H, Random, 95% CI)

0.69 [0.43, 1.09]

3.32 Nesbuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.33 Odalasavir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.34 Ombitasvir

1

37

Risk Ratio (M‐H, Random, 95% CI)

0.64 [0.39, 1.07]

3.35 Paritaprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.36 PHX1766

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.37 PPI‐461

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.38 PSI‐352938

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.39 Samatasvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.40 Setrobuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.41 Simeprevir

19

2898

Risk Ratio (M‐H, Random, 95% CI)

0.39 [0.33, 0.46]

3.42 Sofosbuvir

3

181

Risk Ratio (M‐H, Random, 95% CI)

0.34 [0.20, 0.58]

3.43 Sovaprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.44 Tegobuvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.45 Telaprevir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.46 Valopicitabine

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.47 Vaniprevir

9

333

Risk Ratio (M‐H, Random, 95% CI)

0.33 [0.25, 0.43]

3.48 VCH‐759

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.49 VCH‐916

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.50 Velpatasvir

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.51 VX‐222

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.52 Mixed

2

735

Risk Ratio (M‐H, Random, 95% CI)

0.06 [0.00, 7.05]

4 Without sustained virological response ‐ according to group of DAA Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

4.1 Cyclophilin

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

4.2 NS3/NS4A inhibitors

41

4756

Risk Ratio (M‐H, Random, 95% CI)

0.41 [0.36, 0.46]

4.3 NS5B inhibitors (NPI)

7

906

Risk Ratio (M‐H, Random, 95% CI)

0.57 [0.36, 0.90]

4.4 NS5B inhibitors (NNPI)

2

39

Risk Ratio (M‐H, Random, 95% CI)

0.78 [0.43, 1.40]

4.5 NS5A inhibitors

9

686

Risk Ratio (M‐H, Random, 95% CI)

0.59 [0.49, 0.69]

4.6 VPU‐ion channel inhibitors

1

23

Risk Ratio (M‐H, Random, 95% CI)

0.27 [0.03, 2.51]

4.7 Mixed

1

705

Risk Ratio (M‐H, Random, 95% CI)

0.01 [0.00, 0.02]

5 Without sustained virological response ‐ according to HIV‐infection Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

5.1 With HIV‐infection

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

5.2 Without HIV‐infection

58

6726

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

5.3 Mixed (with and without HIV‐infection)

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

5.4 Unclear

3

389

Risk Ratio (M‐H, Random, 95% CI)

0.50 [0.35, 0.72]

6 Without sustained virological response ‐ according to comorbidity Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

6.1 With comorbidity

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Without comorbidity

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

6.3 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Without sustained virological response ‐ according to viral genotype Show forest plot

58

7098

Risk Ratio (M‐H, Random, 95% CI)

0.43 [0.36, 0.51]

7.1 Genotype 1

54

5984

Risk Ratio (M‐H, Random, 95% CI)

0.43 [0.37, 0.50]

7.2 Genotype 2

3

185

Risk Ratio (M‐H, Random, 95% CI)

0.14 [0.01, 3.21]

7.3 Genotype 3

2

80

Risk Ratio (M‐H, Random, 95% CI)

0.79 [0.43, 1.43]

7.4 Genotype 4

5

226

Risk Ratio (M‐H, Random, 95% CI)

0.10 [0.02, 0.68]

7.5 Genotype 6

1

49

Risk Ratio (M‐H, Random, 95% CI)

0.01 [0.00, 0.20]

7.6 Mixed

2

574

Risk Ratio (M‐H, Random, 95% CI)

0.92 [0.52, 1.62]

8 Without sustained virological response ‐ according to human genotype (IL28b) Show forest plot

58

6745

Risk Ratio (M‐H, Random, 95% CI)

0.46 [0.40, 0.54]

8.1 IL28b (CC)

25

1444

Risk Ratio (M‐H, Random, 95% CI)

0.42 [0.29, 0.61]

8.2 IL28B (CT)

10

1304

Risk Ratio (M‐H, Random, 95% CI)

0.52 [0.42, 0.66]

8.3 IL28B (TT)

10

359

Risk Ratio (M‐H, Random, 95% CI)

0.54 [0.44, 0.67]

8.4 IL28B (CT + TT)

14

1798

Risk Ratio (M‐H, Random, 95% CI)

0.37 [0.23, 0.57]

8.5 Unclear

7

147

Risk Ratio (M‐H, Random, 95% CI)

0.47 [0.33, 0.68]

8.6 Mixed

26

1693

Risk Ratio (M‐H, Random, 95% CI)

0.51 [0.40, 0.63]

9 Without sustained virological response ‐ according to Asian‐region Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

9.1 From Asian region

10

1128

Risk Ratio (M‐H, Random, 95% CI)

0.34 [0.28, 0.42]

9.2 Not from Asian region

42

4910

Risk Ratio (M‐H, Random, 95% CI)

0.51 [0.43, 0.60]

9.3 Mixed

7

1010

Risk Ratio (M‐H, Random, 95% CI)

0.19 [0.03, 1.17]

9.4 Unclear

2

67

Risk Ratio (M‐H, Random, 95% CI)

0.53 [0.35, 0.79]

10 Without sustained virological response ‐ according to specific ethnicities Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

10.1 White

2

412

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.15, 0.38]

10.2 Black

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 Hispanic

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 Mixed

48

5384

Odds Ratio (M‐H, Fixed, 95% CI)

0.23 [0.20, 0.27]

10.5 Unclear

9

862

Odds Ratio (M‐H, Fixed, 95% CI)

0.28 [0.20, 0.39]

10.6 Asian

2

457

Odds Ratio (M‐H, Fixed, 95% CI)

0.38 [0.23, 0.63]

11 Without sustained virological response ‐ according to reaching planned sample size Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

11.1 Trials reaching planned sample size

13

3071

Odds Ratio (M‐H, Fixed, 95% CI)

0.21 [0.18, 0.25]

11.2 Trials not reaching planned sample size

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 Unclear

48

4044

Odds Ratio (M‐H, Fixed, 95% CI)

0.28 [0.23, 0.33]

12 Without sustained virological response ‐ according to prior treatment Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

12.1 Treatment‐naive

44

4777

Risk Ratio (M‐H, Random, 95% CI)

0.48 [0.41, 0.56]

12.2 Treatment‐experienced

13

1274

Risk Ratio (M‐H, Random, 95% CI)

0.50 [0.36, 0.69]

12.3 Mixed

4

1064

Risk Ratio (M‐H, Random, 95% CI)

0.15 [0.02, 0.96]

12.4 Unclear

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

13 Without sustained virological response ‐ according to interferon Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

13.1 Trials where both groups received interferon

57

6229

Risk Ratio (M‐H, Random, 95% CI)

0.47 [0.41, 0.54]

13.2 Trials where neither group received interferon

2

735

Risk Ratio (M‐H, Random, 95% CI)

0.06 [0.00, 7.05]

13.3 Trials where only the experimental group received interferon

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

13.4 Trials where only the control group received interferon

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

13.5 Mixed

2

151

Risk Ratio (M‐H, Random, 95% CI)

0.58 [0.15, 2.30]

14 Without sustained virological response ‐ according to ribavirin Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

14.1 Trials where both groups received ribavirin

60

6410

Risk Ratio (M‐H, Random, 95% CI)

0.47 [0.41, 0.55]

14.2 Trials where neither group received ribavirin

1

705

Risk Ratio (M‐H, Random, 95% CI)

0.01 [0.00, 0.02]

14.3 Trials where only the experimental group received ribavirin

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

14.4 Trials where only the control group received ribavirin

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

15 Without sustained virological response ‐ according to chronic kidney disease Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

15.1 With chronic kidney disease

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 Without chronic kidney disease

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 Unclear

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

16 Without sustained virological response ‐ according to cryoglobulinaemia Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

16.1 With cryoglobulinaemia

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.2 Without cryoglobulinaemia

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 Unclear

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

17 Without sustained virological response ‐ according to DAA group as co‐intervention Show forest plot

61

7115

Odds Ratio (M‐H, Fixed, 95% CI)

0.24 [0.22, 0.27]

17.1 Trials where DAA were used as co‐intervention

3

480

Odds Ratio (M‐H, Fixed, 95% CI)

0.42 [0.27, 0.66]

17.2 Trials where DAA were not a co‐intervention

58

6635

Odds Ratio (M‐H, Fixed, 95% CI)

0.23 [0.21, 0.26]

18 Without sustained virological response ‐ 'Best‐worst case' scenario Show forest plot

61

7294

Risk Ratio (M‐H, Random, 95% CI)

0.41 [0.34, 0.49]

19 Without sustained virological response ‐ 'Worst‐best case' scenario Show forest plot

61

7294

Risk Ratio (M‐H, Random, 95% CI)

0.51 [0.43, 0.60]

20 Without sustained virological response ‐ according to median dose Show forest plot

61

7115

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

20.1 Over or equal to median dose

34

4154

Risk Ratio (M‐H, Random, 95% CI)

0.41 [0.32, 0.53]

20.2 Under median dose

23

2086

Risk Ratio (M‐H, Random, 95% CI)

0.46 [0.39, 0.55]

20.3 Not available

4

875

Risk Ratio (M‐H, Random, 95% CI)

0.62 [0.26, 1.47]

Figuras y tablas -
Comparison 3. DAA on or on the way to the market versus placebo/no intervention (sustained virological response)
Comparison 4. Danoprevir versus placebo/no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

9

781

Odds Ratio (M‐H, Fixed, 95% CI)

0.56 [0.06, 5.19]

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose Show forest plot

9

781

Odds Ratio (M‐H, Fixed, 95% CI)

0.56 [0.06, 5.19]

2.1 Over or equal to median dose

6

606

Odds Ratio (M‐H, Fixed, 95% CI)

0.56 [0.06, 5.19]

2.2 Under median dose

3

175

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Serious adverse events Show forest plot

9

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Serious adverse events ‐ according to median dose Show forest plot

9

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Over or equal to median dose

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 Under median dose

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Not available

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Without sustained virological response Show forest plot

5

642

Odds Ratio (M‐H, Fixed, 95% CI)

0.19 [0.12, 0.32]

6 Without sustained virological response ‐ according to median dose Show forest plot

5

642

Odds Ratio (M‐H, Fixed, 95% CI)

0.19 [0.12, 0.32]

6.1 Over or equal to median dose

4

537

Odds Ratio (M‐H, Fixed, 95% CI)

0.18 [0.11, 0.32]

6.2 Under median dose

1

105

Odds Ratio (M‐H, Fixed, 95% CI)

0.27 [0.07, 0.99]

6.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 4. Danoprevir versus placebo/no intervention
Comparison 5. All DAA versus placebo/no intervention/other medical intervention (morbidity or all‐cause mortality analyses)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

95

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Trials assessing DAAs on or on the way to the market

71

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Trials assessing DAAs withdrawn from market

22

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.3 Trials using other medical intervention as control group

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.4 Trials using other medical intervention as experimental group

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ drugs not discontinued

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.1 Trials assessing discontinued drugs

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Trials assessing drugs still used

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Hepatitis C‐related morbidity or all‐cause mortality ‐ bias risk

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.1 Trials with a high risk of bias

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 Trials with a low risk of bias

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to type of DAA

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.1 ABT‐072

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 ACH‐2684

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Alisporivir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.4 ALS‐2200

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.5 Asunaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.6 Balapiravir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.7 Beclabuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.8 BILB‐1941

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.9 BIT‐225

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.10 Boceprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.11 Ciluprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.12 Daclatasvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.13 Danoprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.14 Dasabuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.15 Deleobuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.16 Faldaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.17 Filibuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.18 Grazoprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.19 GS‐6620

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.20 GS‐9256

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.21 GS‐9451

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.22 GS‐9669

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.23 GS‐9851

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.24 GS‐9857

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.25 GSK2336805

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.26 GSK2878175

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.27 IDX‐184

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.28 INX‐08189

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.29 Ledispasvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.30 Mericitabine

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.31 Narlaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.32 Nesbuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.33 Odalasavir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.34 Ombitasvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.35 Paritaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.36 PHX1766

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.37 PPI‐461

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.38 PSI‐352938

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.39 Samatasvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.40 Setrobuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.41 Simeprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.42 Sofosbuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.43 Sovaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.44 Tegobuvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.45 Telaprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.46 Valopicitabine

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.47 Vaniprevir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.48 VCH‐759

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.49 VCH‐916

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.50 Velpatasvir

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.51 VX‐222

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.52 Mixed

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to group of DAA

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.1 Cyclophilin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.2 NS3/NS4A inhibitors

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.3 NS5B inhibitors (NPI)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.4 NS5B inhibitors (NNPI)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.5 NS5A inhibitors

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.6 VPU‐ion channel inhibitors

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.7 Mixed

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to HIV‐infection

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.1 With HIV‐infection

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Without HIV‐infection

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.3 Mixed (with and without HIV‐infection)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.4 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to comorbidity

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.1 With comorbidity

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Without comorbidity

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.3 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to viral genotype

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.1 Genotype 1

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.2 Genotype 2

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.3 Genotype 3

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.4 Genotype 4

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.5 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to human genotype (IL28b)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.1 IL28b (CC)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 IL28B (CT)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.3 IL28B (TT)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.4 IL28B (CT + TT)

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.5 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to Asian‐region

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.1 From Asian region

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 Not from Asian region

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 Mixed

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to specific ethnicities

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.1 White

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.2 Black

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 Hispanic

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.4 Mixed

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.5 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to reaching planned sample size

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.1 Trials reaching planned sample size

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.2 Trials not reaching planned sample size

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.3 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to prior treatment

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.1 Treatment‐naive

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.2 Treatment‐experienced

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.3 Mixed

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.4 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to interferon

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.1 Trials where both groups received interferon

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.2 Trials where neither group received interferon

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.3 Trials where only the experimental group received interferon

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.4 Trials where only the control group received interferon

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to ribavirin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.1 Trials where both groups received ribavirin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 Trials where neither group received ribavirin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 Trials where only the experimental group received ribavirin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.4 Trials where only the control group received ribavirin

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to chronic kidney disease

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.1 With chronic kidney disease

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.2 Without chronic kidney disease

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to cryoglobulinaemia

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.1 With cryoglobulinaemia

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.2 Without cryoglobulinaemia

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.3 Unclear

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to DAA group as co‐intervention

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.1 Trials where DAA were used as co‐intervention

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

18.2 Trials where DAA were not a co‐intervention

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 5. All DAA versus placebo/no intervention/other medical intervention (morbidity or all‐cause mortality analyses)
Comparison 6. All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Serious adverse events Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Trials assessing DAAs on or on the way to the market

101

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.2 Trials assessing DAAs withdrawn from market

62

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.3 Trials using other medical intervention as control group

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

1.4 Trials using other medical intervention as experimental group

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2 Serious adverse events ‐ bias risk Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

2.1 Trials with a high risk of bias

167

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Trials with a low risk of bias

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Serious adverse events ‐ according to type of DAA Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

3.1 ABT‐072

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.2 ACH‐2684

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.3 Alisporivir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.4 ALS‐2200

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.5 Asunaprevir

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.6 Balapiravir

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.7 Beclabuvir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.8 BILB‐1941

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.9 BIT‐225

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.10 Boceprevir

13

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.11 Ciluprevir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.12 Daclatasvir

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.13 Danoprevir

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.14 Dasabuvir

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.15 Deleobuvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.16 Faldaprevir

13

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.17 Filibuvir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.18 Grazoprevir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.19 GS‐6620

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.20 GS‐9256

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.21 GS‐9451

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.22 GS‐9669

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.23 GS‐9851

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.24 GS‐9857

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.25 GSK2336805

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.26 GSK2878175

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.27 IDX‐184

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.28 INX‐08189

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.29 Ledispasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.30 Mericitabine

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.31 Narlaprevir

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.32 Nesbuvir

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.33 Odalasavir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.34 Ombitasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.35 Paritaprevir

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.36 PHX1766

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.37 PPI‐461

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.38 PSI‐352938

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.39 Samatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.40 Setrobuvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.41 Simeprevir

19

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.42 Sofosbuvir

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.43 Sovaprevir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.44 Tegobuvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.45 Telaprevir

13

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.46 Valopicitabine

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.47 Vaniprevir

10

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.48 VCH‐759

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.49 VCH‐916

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.50 Velpatasvir

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.51 VX‐222

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3.52 Mixed

8

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Serious adverse events ‐ according to group of DAA Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Cyclophilin

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 NS3/NS4A inhibitors

92

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 NS5B inhibitors (NPI)

24

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.4 NS5B inhibitors (NNPI)

14

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.5 NS5A inhibitors

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.6 VPU‐ion channel inhibitors

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.7 Mixed

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Serious adverse events ‐ according to HIV‐infection Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

5.1 With HIV‐infection

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.2 Without HIV‐infection

154

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.3 Mixed (with and without HIV‐infection)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5.4 Unclear

11

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6 Serious adverse events ‐ according to comorbidity Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

6.1 With comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.2 Without comorbidity

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

6.3 Unclear

167

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7 Serious adverse events ‐ according to viral genotype Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

7.1 Genotype 1

138

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.2 Genotype 2

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.3 Genotype 3

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.4 Genotype 4

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

7.5 Mixed

26

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8 Serious adverse events ‐ according to human genotype (IL28b) Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

8.1 IL28b (CC)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.2 IL28B (CT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.3 IL28B (TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.4 IL28B (CT + TT)

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.5 Unclear

79

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

8.6 Mixed IL28b

88

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9 Serious adverse events ‐ according to Asian‐region Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

9.1 From Asian region

12

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.2 Not from Asian region

119

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.3 Mixed

31

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

9.4 Unclear

5

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10 Serious adverse events ‐ according to specific ethnicities Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

10.1 White

3

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.2 Black

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.3 Hispanic

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.4 Mixed

133

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

10.5 Unclear

31

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11 Serious adverse events ‐ according to reaching planned sample size

0

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

11.1 Trials reaching planned sample size

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.2 Trials not reaching planned sample size

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

11.3 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12 Serious adverse events ‐ according to prior treatment Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

12.1 Treatment‐naive

122

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.2 Treatment‐experienced

27

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.3 Mixed

18

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

12.4 Unclear

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13 Serious adverse events ‐ according to interferon Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

13.1 Trials where both groups received interferon

126

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.2 Trials where neither group received interferon

40

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.3 Trials where only the experimental group received interferon

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

13.4 Trials where only the control group received interferon

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14 Serious adverse events ‐ according to ribavirin Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

14.1 Trials where both groups received ribavirin

127

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.2 Trials where neither group received ribavirin

37

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.3 Trials where only the experimental group received ribavirin

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

14.4 Trials where only the control group received ribavirin

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15 Serious adverse events ‐ according to chronic kidney disease Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

15.1 With chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.2 Without chronic kidney disease

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

15.3 Unclear

167

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16 Serious adverse events ‐ according to cryoglobulinaemia Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

16.1 With cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.2 Without cryoglobulinaemia

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

16.3 Unclear

167

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17 Serious adverse events ‐ according to DAA group as co‐intervention Show forest plot

167

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

17.1 Trials where DAA were used as co‐intervention

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

17.2 Trials where DAA were not a co‐intervention

165

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 6. All DAA versus placebo/no intervention/other medical intervention (serious adverse events analyses)
Comparison 7. All DAA versus placebo/no intervention/other medical intervention (sustained virological response analyses)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Without sustained virological response Show forest plot

107

17101

Risk Ratio (M‐H, Random, 95% CI)

0.53 [0.48, 0.59]

1.1 Trials assessing DAAs on or on the way to the market

60

6886

Risk Ratio (M‐H, Random, 95% CI)

0.44 [0.37, 0.52]

1.2 Trials assessing DAAs withdrawn from market

43

9075

Risk Ratio (M‐H, Random, 95% CI)

0.61 [0.55, 0.69]

1.3 Trials using other medical intervention as control group

3

862

Risk Ratio (M‐H, Random, 95% CI)

0.81 [0.36, 1.82]

1.4 Trials using other medical intervention as experimental group

1

278

Risk Ratio (M‐H, Random, 95% CI)

0.23 [0.17, 0.29]

Figuras y tablas -
Comparison 7. All DAA versus placebo/no intervention/other medical intervention (sustained virological response analyses)
Comparison 8. All DAA versus placebo/no intervention/other medical intervention (quality of life scores)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 SF‐36 physical score Show forest plot

1

215

Mean Difference (IV, Fixed, 95% CI)

‐1.17 [‐3.65, 1.31]

2 SF‐36 mental score Show forest plot

1

215

Mean Difference (IV, Fixed, 95% CI)

1.36 [‐1.53, 4.25]

Figuras y tablas -
Comparison 8. All DAA versus placebo/no intervention/other medical intervention (quality of life scores)
Comparison 9. Daclatasvir versus placebo/no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

14

666

Odds Ratio (M‐H, Fixed, 95% CI)

1.25 [0.06, 26.65]

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose Show forest plot

14

666

Odds Ratio (M‐H, Fixed, 95% CI)

1.25 [0.06, 26.65]

2.1 Over or equal to median dose

7

374

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.2 Under median dose

7

292

Odds Ratio (M‐H, Fixed, 95% CI)

1.25 [0.06, 26.65]

2.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Serious adverse events Show forest plot

13

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Serious adverse events ‐ according to median dose Show forest plot

14

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Over or equal to median dose

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 Under median dose

8

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Not available

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Without sustained virological response Show forest plot

7

619

Odds Ratio (M‐H, Fixed, 95% CI)

0.40 [0.27, 0.59]

6 Without sustained virological response ‐ according to median dose Show forest plot

7

619

Odds Ratio (M‐H, Fixed, 95% CI)

0.40 [0.27, 0.59]

6.1 Over or equal to median dose

4

360

Odds Ratio (M‐H, Fixed, 95% CI)

0.43 [0.26, 0.70]

6.2 Under median dose

3

259

Odds Ratio (M‐H, Fixed, 95% CI)

0.36 [0.19, 0.68]

6.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 9. Daclatasvir versus placebo/no intervention
Comparison 10. Simeprevir versus placebo/no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

14

1589

Odds Ratio (M‐H, Fixed, 95% CI)

0.49 [0.08, 2.96]

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose Show forest plot

14

1589

Odds Ratio (M‐H, Fixed, 95% CI)

0.49 [0.08, 2.96]

2.1 Over or equal to median dose

4

441

Odds Ratio (M‐H, Fixed, 95% CI)

0.51 [0.03, 8.21]

2.2 Under median dose

8

705

Odds Ratio (M‐H, Fixed, 95% CI)

0.41 [0.01, 12.22]

2.3 Not available

2

443

Odds Ratio (M‐H, Fixed, 95% CI)

0.55 [0.02, 13.62]

3 Serious adverse events Show forest plot

18

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Serious adverse events ‐ according to median dose Show forest plot

18

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Over or equal to median dose

7

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 Under median dose

9

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Not available

2

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Without sustained virological response Show forest plot

19

2898

Odds Ratio (M‐H, Fixed, 95% CI)

0.22 [0.19, 0.27]

6 Without sustained virological response ‐ according to median dose Show forest plot

19

2898

Odds Ratio (M‐H, Fixed, 95% CI)

0.22 [0.19, 0.27]

6.1 Over or equal to median dose

9

1765

Odds Ratio (M‐H, Fixed, 95% CI)

0.25 [0.20, 0.32]

6.2 Under median dose

8

696

Odds Ratio (M‐H, Fixed, 95% CI)

0.19 [0.13, 0.29]

6.3 Not available

2

437

Odds Ratio (M‐H, Fixed, 95% CI)

0.13 [0.07, 0.24]

Figuras y tablas -
Comparison 10. Simeprevir versus placebo/no intervention
Comparison 11. Vaniprevir versus placebo/no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Hepatitis C‐related morbidity or all‐cause mortality Show forest plot

9

379

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.03, 18.90]

2 Hepatitis C‐related morbidity or all‐cause mortality ‐ according to dose Show forest plot

9

379

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.03, 18.90]

2.1 Over or equal to median dose

6

313

Odds Ratio (M‐H, Fixed, 95% CI)

0.76 [0.03, 18.90]

2.2 Under median dose

3

66

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

2.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Serious adverse events Show forest plot

10

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4 Serious adverse events ‐ according to median dose Show forest plot

10

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

4.1 Over or equal to median dose

6

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.2 Under median dose

4

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4.3 Not available

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Without sustained virological response Show forest plot

9

333

Odds Ratio (M‐H, Fixed, 95% CI)

0.12 [0.06, 0.22]

6 Without sustained virological response ‐ according to median dose Show forest plot

9

333

Odds Ratio (M‐H, Fixed, 95% CI)

0.12 [0.06, 0.22]

6.1 Over or equal to median dose

6

280

Odds Ratio (M‐H, Fixed, 95% CI)

0.10 [0.05, 0.20]

6.2 Under median dose

3

53

Odds Ratio (M‐H, Fixed, 95% CI)

0.26 [0.06, 1.04]

6.3 Not available

0

0

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 11. Vaniprevir versus placebo/no intervention
Comparison 12. All DAA versus placebo/no intervention

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Without significant reductions in ALT/AST serum levels Show forest plot

11

2099

Risk Ratio (M‐H, Random, 95% CI)

0.79 [0.68, 0.92]

2 Without significant reductions in ALT/AST serum levels ‐ according to DAA status Show forest plot

11

2099

Risk Ratio (M‐H, Random, 95% CI)

0.79 [0.68, 0.92]

2.1 Trials assessing DAAs on or on the way to the market

0

0

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

2.2 Trials assessing DAAs withdrawn from market

11

2099

Risk Ratio (M‐H, Random, 95% CI)

0.79 [0.68, 0.92]

3 Without significant reductions in ALT/AST serum levels ‐ according to type of drug Show forest plot

11

2099

Risk Ratio (M‐H, Random, 95% CI)

0.79 [0.68, 0.92]

3.1 Faldaprevir

8

2019

Risk Ratio (M‐H, Random, 95% CI)

0.81 [0.69, 0.96]

3.2 Balaparavir

3

80

Risk Ratio (M‐H, Random, 95% CI)

0.61 [0.41, 0.92]

Figuras y tablas -
Comparison 12. All DAA versus placebo/no intervention