Hepatitis web study Hepatitis web study Daclatasvir + Sofosbuvir +/- Ribavirin in Genotypes 1-3 A1444-040 Trial Phase 2a Treatment Naïve and Treatment.

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Presentation transcript:

Hepatitis web study Hepatitis web study Daclatasvir + Sofosbuvir +/- Ribavirin in Genotypes 1-3 A Trial Phase 2a Treatment Naïve and Treatment Experienced Sulkowski MS, et al. N Engl J Med. 2014;370:

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 A Trial: Features

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 A Design: Treatment-Naïve 24 Week Rx SOF × 7 days, then DCV + SOF N =14 Drug Dosing Daclatasvir (DCV): 60 mg once daily Sofosbuvir (SOF): 400 mg once daily Ribavirin (RBV): GT1, given weight-based and divided bid (1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg) Ribavirin (RBV): GT 2,3 (800 mg/day) Rx Naïve GT 2 or 3 n = 44 n = 14 n = 16 DCV + SOF n = 14 DCV + SOF + RBV SOF × 7 days, then DCV + SOF Rx Naïve GT 1a/1b n = 44 n = 14 n = 15 DCV + SOF n = 15 DCV + SOF + RBV Week 12 SVR12

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 Design: GT1 Treatment-Naïve & Experienced 12 Week Rx Week 024 N =14 Rx Naïve GT 1a/1b n = 82 n = DCV + SOF n = 41 DCV + SOF + RBV SVR12 Rx Experienced GT 1a/1b Prior Boceprevir- or Telaprevir failure n = 41 n = 21 DCV + SOF n = 20 DCV + SOF + RBV SVR12 Drug Dosing Daclatasvir (DCV): 60 mg once daily Sofosbuvir (SOF): 400 mg once daily Ribavirin (RBV): GT1, given weight-based and divided bid (1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg) Ribavirin (RBV): GT 2,3 (800 mg/day)

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 A Treatment-Naïve 24 Week Rx: Results SOF × 7 days, then DCV + SOF SVR12 = 88% Week 024 N =14 36 Rx Naïve GT 2 or 3 n = 44 n = 14 n = DCV + SOF n = 14 DCV + SOF + RBV SOF × 7 days, then DCV + SOF Rx Naïve GT 1a/1b n = 44 n = 14 n = 15 DCV + SOF n = 15 DCV + SOF + RBV SVR12 = 93% SVR12 = 86% SVR12 = 100% Drug Dosing Daclatasvir (DCV): 60 mg once daily Sofosbuvir (SOF): 400 mg once daily Ribavirin (RBV): GT 1, given weight-based and divided bid (1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg) Ribavirin (RBV): GT 2,3 (800 mg/day)

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 A Treatment-Naïve 24 Week Rx: Results Treatment-Naïve: GT 2 or 3Treatment-Naïve: GT 1a or 1b DCV = daclatasvir; SOF = sofosbuvir; RBV = ribavirin 14/1613/1412/1415/1514/1415/15

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 GT1 Treatment-Naïve & Experienced 12 Week Rx: Results N =14 Rx Naïve GT 1a/1b n = 82 n = 41 DCV + SOF n = 41 DCV + SOF + RBV Rx Experienced GT 1a/1b Prior Boceprevir- or Telaprevir failure n = 41 n = 21 DCV + SOF n = 20 DCV + SOF + RBV SVR12 = 100% SVR12 = 90% SVR12 = 95% Drug Dosing Daclatasvir (DCV): 60 mg once daily Sofosbuvir (SOF): 400 mg once daily Ribavirin (RBV): GT1, given weight-based and divided bid (1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg) Ribavirin (RBV): GT 2,3 (800 mg/day) 024 Week 12

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 GT1 Treatment-Naïve & Experienced 12 Week Rx: Results Treatment-Naïve: GT 1a or 1bTreatment-Experienced: GT 1a or 1b DCV = daclatasvir; SOF = sofosbuvir; RBV = ribavirin 41/41 19/2119/20

Hepatitis web study Source: Sulkowski MS, et al. N Engl J Med. 2014;370: Daclatasvir + Sofosbuvir +/- Ribavirin for HCV GT 1-3 Trial: Conclusions Conclusions: “Once-daily oral daclatasvir plus sofosbuvir was associated with high rates of sustained virologic response among patients infected with HCV genotype 1, 2, or 3, including patients with no response to prior therapy with telaprevir or boceprevir.”

Hepatitis web study Hepatitis web study This slide deck is from the University of Washington’s Hepatitis C Online and Hepatitis Web Study projects. Hepatitis C Online Hepatitis Web Study Funded by a grant from the Centers for Disease Control and Prevention. This slide deck is from the University of Washington’s Hepatitis C Online and Hepatitis Web Study projects. Hepatitis C Online Hepatitis Web Study Funded by a grant from the Centers for Disease Control and Prevention.