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Sunday, January 29, 2012

Combination Hepatitis C Treatment Clears Virus Without Interferon Alpha.

The Los Angeles Times Share to FacebookShare to Twitter (1/19, Roan) "Booster Shots" blog reports "that combining two antiviral medications was effective in stopping the infection in some patients who were not helped by the traditional treatment," according to a study Share to FacebookShare to Twitter published in the New England Journal of Medicine. The phase-2 trial included 21 people who "were randomly assigned to receive the two antiviral drugs daclatasvir and asunaprevir or those two antivirals with interferon and ribavirin (another drug used to treat hepatitis C infection)."
        According to study lead author Anna Lok, "the study released today is the first to suggest that difficult hepatitis C cases may be cured without using the injected drug interferon," Bloomberg News Share to FacebookShare to Twitter (1/19, Armstrong, Langreth) reports. Raymond Chung, a gastroenterologist at Massachusetts General Hospital in Boston, wrote, "We are on the threshold of a treatment revolution that will greatly improve the effectiveness of HCV therapy." Chung "called it 'a watershed moment in the annals of HCV therapy.'"
        MedPage Today Share to FacebookShare to Twitter (1/19, Smith) explains, "In an 'exploratory' phase II study, four of 11 patients treated with the two agents daclatasvir and asunaprevir had undetectable levels of the virus 12 and 24 weeks after the end of treatment," Lok reported. "On the other hand, results were even better in the second arm of the study, in which 10 patients were given all four drugs: all had a sustained virologic response 12 weeks after stopping treatment and nine still had undetectable levels of hepatitis C RNA after 24 weeks." For both groups, "the most common adverse event...was diarrhea, and six patients had transient elevations of alanine aminotransferase levels to more than three times the upper limit of the normal range."
        HealthDay Share to FacebookShare to Twitter (1/19, Marcus) reports, "All of the patients were infected with genotype 1, the most common type of hepatitis C virus in the United States, and had not responded to previous treatment with interferon and ribavirin," Lok explains. "She said even though only four patients in the two-drug group reached a sustained response, this is the first study to show it can be achieved without interferon or ribavirin." Chung said, "The new drugs are not FDA-approved yet, but a number of trials are under way."

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