{"id":2087,"date":"2011-11-09T14:58:53","date_gmt":"2011-11-09T19:58:53","guid":{"rendered":"http:\/\/blogs.nejm.org\/?p=2087"},"modified":"2011-11-09T14:58:53","modified_gmt":"2011-11-09T19:58:53","slug":"hcv-treatment-studies-at-aasld-wow-and-i-mean-wow","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/hcv-treatment-studies-at-aasld-wow-and-i-mean-wow\/2011\/11\/09\/","title":{"rendered":"HCV Treatment Studies at AASLD:  Wow &#8230; and I Mean WOW!"},"content":{"rendered":"<p>I didn&#8217;t attend &#8220;<a href=\"http:\/\/www.aasld.org\/LM2011\/Pages\/default.aspx\" target=\"_blank\">The Liver Meeting<\/a>&#8221; (the nickname for the annual meeting of the American Association for the Study of Liver Diseases, AASLD), but the studies presented there this week on HCV treatment were absolutely mind-boggling.<\/p>\n<p>&#8220;Breathtaking!&#8221; said one of my HCV-oriented colleagues. &#8220;Hopeful is an understatement,&#8221; said another.<\/p>\n<p>An example:<\/p>\n<blockquote><p><strong>Dual Oral Combination Therapy with the NS5A Inhibitor Daclatasvir (DCV; BMS-790052) and the NS3 Protease Inhibitor Asunaprevir (ASV; BMS-650032) Achieved 90% Sustained Virologic Response (SVR12) in Japanese HCV Genotype 1b-Infected Null Responders <\/strong><\/p><\/blockquote>\n<p>Mind you, this was only 10 patients, but 9\/10 is no fluke &#8212; especially when all the responders had HCV RNA below detection by week 8, and all 9 who completed 24 weeks were cured!<\/p>\n<p>Want a larger study?<\/p>\n<blockquote><p><strong>PROTON: PSI-7977 &amp; Peg\/RBV in Treatment-na\u00efve Patients with HCV GT1: Sustained Virologic Response<\/strong><\/p><\/blockquote>\n<p>Here, in nearly 100 patients, the addition of 12 weeks of \u00a0the nucleotide analogue polymerase inhibitor PSI-7977 to Peg\/RBV led to a cure rate of over 90%, regardless of baseline IL-28B status (13\/13 cured with genotype TT). \u00a0Works with other HCV genotypes, too.<\/p>\n<p>I chose these two studies in particular because the companies developing these drugs &#8212; BMS and Pharmasset &#8212; are\u00a0<a href=\"http:\/\/hepatitiscnewdrugs.blogspot.com\/2011\/11\/psi-7977-and-daclatasvir-12-wk.html\" target=\"_blank\">working together<\/a> on a prospective study that features all-oral, interferon-less strategies <em>lasting only 12 weeks. <\/em><\/p>\n<p>But there&#8217;s plenty more.\u00a0Don&#8217;t take my word for it &#8212; go over to <a href=\"http:\/\/natap.org\/\" target=\"_blank\">NATAP<\/a>, click on the &#8220;Hepatitis C&#8221; link on the left, and start reading.<\/p>\n<p>And if you have limited time, and want a glimpse of the future of HCV therapy, limit your search to studies that say &#8220;interferon-free&#8221;.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I didn&#8217;t attend &#8220;The Liver Meeting&#8221; (the nickname for the annual meeting of the American Association for the Study of Liver Diseases, AASLD), but the studies presented there this week on HCV treatment were absolutely mind-boggling. &#8220;Breathtaking!&#8221; said one of my HCV-oriented colleagues. &#8220;Hopeful is an understatement,&#8221; said another. An example: Dual Oral Combination Therapy [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,8,10],"tags":[408,417,513,666,667,762,810],"class_list":["post-2087","post","type-post","status-publish","format-standard","hentry","category-infectious-diseases","category-patient-care","category-research","tag-hcv","tag-hepatitis-c","tag-interferon","tag-ns3","tag-ns5a","tag-psi-7977","tag-ribavirin"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/2087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=2087"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/2087\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=2087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=2087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=2087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}