Hepatitis web study Hepatitis web study Daclatasvir + Sofosbuvir in Genotype 3 ALLY-3 Study Phase 3 Treatment-Naïve and Treatment-Experienced Nelson DR,

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Presentation transcript:

Hepatitis web study Hepatitis web study Daclatasvir + Sofosbuvir in Genotype 3 ALLY-3 Study Phase 3 Treatment-Naïve and Treatment-Experienced Nelson DR, et al. Hepatology 2015;61:

Hepatitis web study Source: Nelson DR, et al. Hepatology 2015;61: Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Study Features

Hepatitis web study Source: Nelson DR, et al. Hepatology 2015;61: Treatment-Experienced N = 51 Treatment-Naïve N = 101 SVR12 Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Design Daclatasvir + Sofosbuvir Drug Dosing Daclatasvir: 60 mg once daily Sofosbuvir: 400 mg once daily Week 02412

Hepatitis web study Source: Nelson DR, et al. Hepatology 2015;61: Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Patient Characteristics a Intolerant of therapy (n=6), virologic breakthrough (n=2), HCV never undetectable on tx (n=2) CharacteristicTreatment-Naïve (n=101) Treatment-Experienced (n=51) Male 58 (57%)32 (63%) Median age, years (range) 53 (24-67)58 (40-73) Race White Black Asian 92 (91%) 4 (4%) 5 (5%) 45 (88%) 2 (4%) HCV RNA ≥800,000 IU/ml 70 (69%)38 (75%) Cirrhosis 19 (19%)13 (25%) IL28B non-CC genotype 61 (60%)31 (61%) Prior treatment failure Relapse Partial response Null response Other a N/A 31 (61%) 2 (4%) 7 (14%) 11 (22%)

Hepatitis web study Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Results ALLY-3: SVR12, by Baseline Characteristics Status Source: Nelson DR, et al. Hepatology 2015;61: Note: SVR 12 based on HCV RNA less than lower limit of quantitation (25 IU/mL), detectable or undetectable 77/90 58/62128/1427/1040/4495/10855/6080/92 MaleFemale<65≥65<800K≥800KCCNon-CC

Hepatitis web study Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Results ALLY-3: SVR12, by Cirrhosis Status Source: Nelson DR, et al. Hepatology 2015;61: /7511/199/1332/34 Note:11 had missing or inconclusive findings for cirrhosis and not included in denominators 105/109 20/3273/7511/1932/349/13

Hepatitis web study Source: Nelson DR, et al. Hepatology 2015;61: Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Adverse Events Event Daclatasvir + Sofosbuvir (n=152) Serious Adverse Events (AEs)1 (1%) AEs leading to discontinuation0 Grade 3 or 4 AEs3 a (2%) Adverse Events in ≥10% of patients Headache Fatigue Nausea 30 (20%) 29 (19%) 18 (12%) Grade 3 or 4 Lab Abnormalities Hemoglobin < 9 g/dL Neutrophils < 0.75 x 10 9 /L Platelets < 50 x 10 9 /L Lipase > 3 x ULN 0 2 (1%) 3 (2%) a All were grade 3 AEs. ULN = upper limit of normal

Hepatitis web study Source: Nelson DR, et al. Hepatology 2015;61: Daclatasvir + Sofosbuvir for HCV GT 3 ALLY-3 Trial: Conclusion Conclusion: “A 12-week regimen of daclatasvir plus sofosbuvir achieved SVR12 in 96% of patients with genotype 3 infection without cirrhosis and was well tolerated. Additional evaluation to optimize efficacy in genotype 3-infected patients with cirrhosis is underway.”

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.