Back Hepatitis C

Hepatitis C

EASL 2015: Sofosbuvir + Daclatasvir + Ribavirin Cures Advanced Cirrhosis and Liver Transplant Patients

An interferon-free regimen of sofosbuvir, daclatasvir, and ribavirin for 12 weeks produced sustained response rates of 83% for hepatitis C patients with advanced liver cirrhosis and 94% for liver transplant recipients, with similar cure rates for those with hard-to-treat HCV genotype 3, according to findings from the ALLY-1 study presented at a late-breaker session at the European Association for the Study of the Liver (EASL) 50th International Liver Congress last week in Vienna. More than half of patients with the most severe decompensated cirrhosis achieved sustained response.

alt

EASL 2015: New European Guidelines Prioritize Interferon-Free Hepatitis C Treatment

The European Association for the Study of the Liver (EASL) released its latest hepatitis C treatment guidelines at the 50th International Liver Congress taking place this week in Vienna. The guidelines recommend a variety of interferon-free direct-acting antiviral (DAA) regimens for people with hepatitis C virus genotypes 1-6. The panel offered recommendations for patient groups that remain difficult to treat, such as those with decompensated cirrhosis, but noted that more research is still needed in several areas. Also concurrent with the conference, EASL and the Latin American Association for the Study of the Liver released joint guidelines for non-invasive assessment of liver disease severity, noting that liver stiffness measurement is becoming the standard of care. 

alt

EASL 2015: International Liver Congress Now Underway in Vienna

The European Association for the Study of the Liver's International Liver Congress (EASL 2015) takes place April 22-26 at the Reed Messe Wien Centre in Vienna, Austria. The annual meeting -- one of the key scientific conferences covering hepatitis B and C and its complications -- is observing its 50th year. Look for breaking news coverage from HIVandHepatitis.com and our partners at Aidsmap.com starting Friday at www.HIVandHepatitis.com and via @HIVandHepatitis on Twitter. Abstracts and other information are available on the International Liver Congress website.

alt

EASL 2015: Sofosbuvir/ Ledipasvir + Ribavirin Cures Most Hepatitis C Patients with Advanced Liver Disease

An oral regimen of sofosbuvir/ledipasvir (Harvoni) and ribavirin taken for 12 or 24 weeks produced sustained virological response rates of 85%-88% for genotype 1 hepatitis C patients with decompensated cirrhosis and 95%-98% for liver transplant recipients with less advanced liver damage, according to preliminary results from the SOLAR-2 study presented at the European Association for the Study of the Liver (EASL) 50th International Liver Congress taking place this week in Vienna.

alt

ASCEND Study Looks at Community-based Hepatitis C Treatment

A new trial sponsored by the U.S. National Institutes of Health will evaluate whether primary care physicians and other health care providers such as nurse practitioners can provide interferon-free therapy for hepatitis C as effectively as hepatologists or infectious disease specialists. If successful, community-based care could greatly expand the number of people able to access treatment.

alt

EASL 2015: Merck Hepatitis C Combination Achieves 90% Cure in Advanced Cirrhosis Patients

A 12-week course of treatment with 2 direct-acting antivirals in development by Merck cured hepatitis C virus infection in 90% of people with very advanced cirrhosis and at imminent risk of liver failure, Ira Jacobson of Weill Cornell Medical College reported at the European Association for the Study of the Liver (EASL) 50th International Liver Congress this week in Vienna. The Phase 2 study looked at the use of the HCV protease inhibitor grazoprevir and the NS5A inhibitor elbasvir in people with Child-Pugh B cirrhosis.

alt

Allergy Drug Inhibits Hepatitis C Virus Replication in Mouse Study

The over-the-counter allergy medication chlorcyclizine HCl, or CCZ, was found to be a potent inhibitor of hepatitis C virus (HCV) genotype 1b and 2a replication, according to a laboratory study described in the April 8 edition of Science Translational Medicine. The study authors suggest that this older drug could potentially be an affordable component of combination treatment. A Phase 1 clinical trial is now underway.

alt

EASL 2015: Merck HCV Combination Effective after Failure of First Generation Direct-Acting Antivirals

Treatment for 12 weeks with grazoprevir and elbasvir, 2 direct-acting antivirals being development by Merck, plus ribavirin, cured 95% of people with hepatitis C who had experienced failure of a previous combination containing an HCV protease inhibitor, Xavier Forns of the University of Barcelona Hospital Clinic reported the at the European Association for the Study of the Liver (EASL) 50th International Liver Congress this week in Vienna.

alt

CROI 2015: HCV Viral Load and Speed of Decline Do Not Predict Cure with Interferon-Free Therapy

Direct-acting antiviral regimens containing sofosbuvir (Sovaldi) and the drugs in Viekira Pak were highly effective regardless of how soon HCV viral load became undetectable after starting treatment, according to research presented at the recent 2015 Conference on Retroviruses and Opportunistic Infections (CROI). Furthermore, even having low-level detectable HCV RNA at the end of treatment does not preclude a cure, the investigators for a related study concluded.

alt