He Huang, Kang R, Zhao Z Hepatitis C virus infection and risk of stroke: a systematic review and meta-analysis. PLoS One. 2013 Nov 12;8(11):e81305. doi: 10.1371/journal.pone.0081305. eCollection 2013. Review.
Hsu CS, Kao JH, Chao YC, Lin HH, Fan YC, Huang CJ, Tsai PS Interferon-based therapy reduces risk of stroke in chronic hepatitis C patients: a population-based cohort study in Taiwan. Aliment Pharmacol Ther. 2013 Aug;38(4):415-23. doi: 10.1111/apt.12391. Epub 2013 Jun 26.
Huang H, Kang R, Zhao Z Is hepatitis C associated with atherosclerotic burden? A systematic review and meta-analysis. PLoS One. 2014 Sep 3;9(9):e106376. doi: 10.1371/journal.pone.0106376. eCollection 2014.
Klevens RM, Hu DJ, Jiles R, Holmberg SD Evolving epidemiology of hepatitis C virus in the United States. Clin Infect Dis. 2012 Jul;55 Suppl 1:S3-9. doi: 10.1093/cid/cis393. Review.
Ly KN, Xing J, Klevens RM, Jiles RB, Ward JW, Holmberg SD The increasing burden of mortality from viral hepatitis in the United States between 1999 and 2007. Ann Intern Med. 2012 Feb 21;156(4):271-8. doi: 10.7326/0003-4819-156-4-201202210-00004. Erratum in: Ann Intern Med. 2012 Jun 5;156(11):840.
Munoz M, Liesenfeld O, Heimesaat MM Immunology of Toxoplasma gondii. Immunol Rev. 2011 Mar;240(1):269-85. doi: 10.1111/j.1600-065X.2010.00992.x. Review.
Petta S, Maida M, Macaluso FS, Barbara M, Licata A, Craxì A, Cammà C Hepatitis C Virus Infection Is Associated With Increased Cardiovascular Mortality: A Meta-Analysis of Observational Studies. Gastroenterology. 2016 Jan;150(1):145-155.e4; quiz e15-6. doi: 10.1053/j.gastro.2015.09.007. Epub 2015 Sep 18. Review.
Voulgaris T, Sevastianos VA Atherosclerosis as Extrahepatic Manifestation of Chronic Infection with Hepatitis C Virus. Hepat Res Treat. 2016;2016:7629318. doi: 10.1155/2016/7629318. Epub 2016 Jan 13. Review.
Assessing Healthcare Outcomes of Hepatitis C Virus (HCV) Positive Patients Counseled for Cardiovascular Disease Risk Factors
Interventional studies are often prospective and are specifically tailored to evaluate direct impacts of treatment or preventive measures on disease.
Observational studies are often retrospective and are used to assess potential causation in exposure-outcome relationships and therefore influence preventive methods.
Expanded access is a means by which manufacturers make investigational new drugs available, under certain circumstances, to treat a patient(s) with a serious disease or condition who cannot participate in a controlled clinical trial.
Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.
Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.