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AASLD/IDSA Hepatitis C Guidelines Updated to Include New Therapies

The American Association for the Study of Liver Diseases, Infectious Diseases Society of America, and International Antiviral Society-USA this week updated their hepatitis C guidelines to add newly approved direct-acting antiviral (DAA) regimens, offering more options for people with HCV genotypes other than 1 or 4. The full guidance is available online at HCVguidelines.org.

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FDA Approves Gilead's Epclusa Combo Pill for All Hepatitis C Genotypes

On June 28 the U.S. Food and Drug Administration (FDA) approved Gilead Sciences Epclusa, a new once-daily combination pill containing sofosbuvir and velpatasvir, for the treatment of adults with hepatitis C virus (HCV) genotypes 1 through 6 -- the first approved oral pangenotypic regimen. While it is more effective against more types of HCV, Epclusa will cost less than most earlier interferon-free direct-acting antiviral regimens.

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DDW 2016: Modern DAA Regimens Cost Less Per Cure than Older Hepatitis C Treatments

The cost of treating chronic hepatitis C with sofosbuvir/ledipasvir (Harvoni) with or without ribavirin is lower than the cost of prior interferon-based therapy with first-generation direct-acting antivirals, in part because the newer regimen is well-tolerated and requires less management of side effects, according to a Kaiser Permanente study presented at Digestive Disease Week 2016 last month in San Diego.

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Successful Hepatitis C Treatment Reduces Portal Hypertension

Direct-acting antiviral therapy that produces a sustained virological response can lead to reduction in portal vein pressure, which causes some of the most serious complications of cirrhosis, according to a report in the May 26 online edition of the Journal of Hepatology. However, the researchers cautioned, reversal of portal hypertension is less likely if liver damage is too advanced, providing an argument for earlier treatment.

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EASL 2016: Grazoprevir/ Elbasvir Superior to Sofosbuvir Plus Pegylated Interferon

New research has demonstrated the clear superiority of an oral combination of direct-acting antivirals (DAAs) over a regimen that combines a DAA with pegylated interferon and ribavirin for the treatment of chronic hepatitis C virus (HCV) infection. Results from the C-EDGE Head-to-Head study were presented at the recent EASL International Liver Congress in Barcelona.

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