
Reuters (11.04.08) - Tuesday, December 16, 2008
Martha Kerr
"The high response rates seen with boceprevir in this study are very exciting, especially given that [the type of virus studied], genotype 1, is the most common and hardest to treat form of hepatitis C," said Dr. Paul Kwo of Indiana University, who led the HCV SPRINT-1 trial.
For the study, 595 hepatitis C-infected patients were randomly assigned to one of five treatment regimens featuring standard drugs (interferon and ribavirin) alone or combined with boceprevir. Patients who received only standard therapy had a response rate of 38 percent. By comparison, those who received standard therapy for four weeks, with boceprevir added for an additional 44 weeks had a response rate of 74 percent.
Kwo noted the side effects with the triple therapy "are not different" from ribavirin and interferon alone.
The rapid response achieved using triple therapy makes patients want to continue with treatment, Kwo said, "and we can begin using the word 'cure' in these patients." This is key because "patients are motivated to continue with therapy, to adhere to treatment, if they know they can be cured within 48 weeks," he said.
"We might even be able to change the outcome [of hepatitis C infection] with successful treatment," said Kwo. "We've seen a dramatic reversal of fibrosis and in some cases a reversal of cirrhosis."
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