Hep C Discussion Forum

Members Login
Username 
 
Password 
    Remember Me  
Chatbox
Please log in to join the chat!
Post Info TOPIC: Ledipasvir and Sofosbuvir for Previously Treated HCV Genotype 1 Infection


Guru

Status: Offline
Posts: 1781
Date:
RE: Ledipasvir and Sofosbuvir for Previously Treated HCV Genotype 1 Infection
Permalink  
 


Hey Bruce

I am hoping that the FDA and the Insurance companies realize that 24 weeks of treatment with the Gilead combo is still less expensive than a liver transplant,

Check out this quote from the article that could influence standard treatment protocol.

"The difference between the rates of response among patients with cirrhosis who received 12 weeks of treatment and the rates among patients with cirrhosis who received 24 weeks of treatment was significant "

I know my Hepatologist will be recommending 24 weeks for me, and I am hoping that it will not cost more than the current combo (Sovaldi & Olysio). Who knows in 6 months what the price will be with all the pressure that Gilead is experiencing with Sovaldi.

Whatever price of the new combo will be, the SVR high percentage is worth the fight to go for it.

matt     



__________________

"And in the end, the love you take is equal to the love you make"

61 year old Geno type A1, F4 Cirrhotic, started 24 weeks on Harvoni 12-17-14 ,EOT-5 week = UND, 8-31-15 =UND , SVR-24 Baby YES! 



Senior Member

Status: Offline
Posts: 380
Date:
Permalink  
 

Good stuff, Matt.  Nice to see this level of detail on one of these studies.  Additional to Bruce's point, glad to see that including riba had no effect on outcomes, either 12 or 24 week.



__________________

66 y/o male - Geno 1b - F4 cirrhotic dx 2001 - 16 wk treatment w/ Sovaldi/Olysio/Riba - Und @ EOT+24 SVR

 



Senior Member

Status: Offline
Posts: 158
Date:
Permalink  
 

Matt,

This is a very interesting article. It's looking more and more like we cirrhotics really stand a much better chance of SVR  if we could get 24 weeks of treatment going the route of SOF/LDV. A 99% cure rate w/24 wks of treatment vs 86% cure rate w/12 wks of treatment is quite a bit of difference. Unfortunately for now we may only see people getting 24 wks SOF/LDV in clinicals and not in the real world of insurance.



__________________

GT 1a, was tx naļve, cirrhotic(Fibrosure), 64 y.o. Started Harvoni 12/12/14 for 12 wks. EOT weeks 4, 13, and 24 HCV not detected! HVC not detected EOT plus one year.

A smooth sea doesn't make for a skillful sailor.

 



Guru

Status: Offline
Posts: 1781
Date:
Permalink  
 

Hey All

This is Great article that Gilead and most of the Trials site Doctors have collaborated on that was released at the EASL Conference in London this week-end and also was released as a important article in The New England Journal of Medicine on Sat.

Please follow this link to read

http://www.nejm.org/doi/full/10.1056/NEJMoa1316366#t=articleIts

It reads easier with all the slides if you choose to read it in PDF mode (activate by selecting on web page tools area)

This has both 12 week and 24 weeks results for both cirrhotics and non-cirrhotics.

This report has a Supplementary Appendix and it has some very insight information (For example) Geno 1A cirrhotic patients that completed treated for 24 weeks had 100% SVR-12 Rates

This is some fantastic results

matt



-- Edited by Matt Chris on Monday 14th of April 2014 01:29:47 AM



-- Edited by Matt Chris on Monday 14th of April 2014 01:31:19 AM



__________________

"And in the end, the love you take is equal to the love you make"

61 year old Geno type A1, F4 Cirrhotic, started 24 weeks on Harvoni 12-17-14 ,EOT-5 week = UND, 8-31-15 =UND , SVR-24 Baby YES! 

Page 1 of 1  sorted by
 
Quick Reply

Please log in to post quick replies.

Legal Disclaimer:

THIS FORUM, IT'S OWNERS, ADMINISTRATORS, MODERATORS AND MEMBERS DO NOT AT ANY TIME GIVE MEDICAL ADVICE AND IN ALL CASES REFER ANYONE HERE TO SEEK APPROPRIATE MEDICAL ADVICE FROM THEIR DOCTOR.