11/23/2015
HCV News
Week Ending 11/16/2015 & 11/23/2015
It's time to stop stigmatizing Hepatitis C patients and cover their treatment
'Recently, two important events happened for hepatitis C patients in Oregon. The Oregon HCV Treatment Access Initiative met for the second time, and the Centers for Medicare and Medicaid Services (CMS) released a letter about increasing access for Medicaid beneficiaries to new hepatitis C Drugs.'
Montefiore and Einstein researchers awarded $14 million PCORI grant for hepatitis C research
'A research team at Montefiore Health System and Albert Einstein College of Medicine led by Alain Litwin, M.D., was awarded $14 million by the Patient-Centered Outcomes Research Institute (PCORI) to determine how best to treat hepatitis C among people who inject drugs (PWID), a group with a high rate of infection.'
Modified Hep C Regimen May Help in Severe Renal Impairment
'Half-dose sofosbuvir (Sovaldi, Gilead) plus full-dose simeprevir (Olysio, Janssen) achieved an almost 90% cure rate in a small study of patients with severe renal impairment who were infected with hepatitis C virus (HCV) genotype 1. "This study is significant. Patients with renal failure, particularly those receiving hemodialysis, have an increased prevalence of HCV infection.'
Montefiore and Einstein researchers awarded $14 million PCORI grant for hepatitis C research
'A research team at Montefiore Health System and Albert Einstein College of Medicine led by Alain Litwin, M.D., was awarded $14 million by the Patient-Centered Outcomes Research Institute (PCORI) to determine how best to treat hepatitis C among people who inject drugs (PWID), a group with a high rate of infection. A follow up portion of the study will also seek to understand why some patients develop resistance to therapies for the hepatitis C virus (HCV), which causes the damaging liver disease.'
U.S. FDA approves Gilead's hepatitis C drug for expanded use
'Drugmaker Gilead Sciences Inc said on Thursday the U.S. Food and Drug Administration had approved the expanded use of its blockbuster hepatitis C drug, Harvoni. The drug can now be used to treat patients with subtypes of chronic hepatitis C virus (HCV) and patients who are co-infected with Human Immunodeficiency Virus (HIV), Gilead said in a statement.'
One-step test for hepatitis C virus infection developed by UC Irvine Health researchers: Related research shows blood or urine sample can be used
'UC Irvine Health researchers have developed a cost-effective one-step test that screens, detects and confirms hepatitis C virus (HCV) infections. Dr. Ke-Qin Hu, director of hepatology services, will present findings at the Annual Meeting of American Association for the Study of Liver Disease (AASLD) in San Francisco, Nov. 14-16. Current blood-based HCV testing requires two steps and can be expensive, inconvenient and is not widely available or affordable globally.'
Hepatitis C: Looking for an Effective Regimen for Genotype 3
'Hepatitis C genotype 3 can be hard to cure, but researchers presenting a study at the Liver Meeting (AASLD) in San Francisco, CA, said they have found a regimen that works. Vincent LeRoy, MD, of the Centre Hospitalier Universitaire de Grenoble, La Tronche France, and colleagues at other institutions reported on a trial known as ALLY-3+.'
The Risk of Developing Liver Cancer Even After Being Cured from Hepatitis C
'Hepatocellular carcinoma (HCC) remains one of the cancers growing in frequency and mortality in the United States. Patients with hepatitis C virus (HCV) left untreated will often progress to cirrhosis and HCC. Direct acting antivirals (DAAs) now used to treat patients with HCV have achieved almost universal cure rates. However, the risk of HCC following cure is not clear. Researchers from Houston VA Medical Center and Baylor College of Medicine (Houston, TX) presented data at the annual meeting of the American Association for the Study of Liver Diseases on the risk of developing HCC in patients with HCV who have achieved sustained virologic response (SVR).'
Grazoprevir/elbasvir shows high hepatitis C cure rate for people who inject drugs
'Merck's grazoprevir/elbasvir co-formulation cured hepatitis C infection in 92% of people who inject drugs (PWID) who received opioid substitution therapy in the C-EDGE CO-STAR study, according to a presentation on Sunday at the 2015 AASLD Liver Meeting in San Francisco. Participants maintained good adherence and had a high cure rate even though many continued to use illicit drugs.'
Leading Liver Doctors: Hepatitis C Patients Must Be Treated
'The American Association for the Study of Liver Diseases (AASLD) issued the following statement during The Liver Meeting® being held this weekend in San Francisco and attracting about 10,000 of the leading liver specialists in the world: Over the past two-plus years, the Food and Drug Administration has approved multiple new treatments for hepatitis C virus (HCV) that offer nearly universal cure rates with minimal side effects. It is a remarkable success story for medical science. Unfortunately, many insurers - both private and public - are delaying access to new HCV treatments to patients until their disease has progressed and the liver is further damaged. There is no medical evidence to justify that position and much to justify treating all patients.'
No Drop in Hep C Rates Among European G**s With HIV
'Hepatitis C virus (HCV) acquisition among HIV-positive European men who have s*x with men (MSM) has steadily increased during the past 25 years, although trends vary by region, with evidence of a recent leveling-off effect in Western Europe, aidsmap reports. Researchers analyzed data from almost 6,000 MSM in 16 of the 29 CASCADE cohorts of individuals with well-established dates of when they contracted HIV. Findings were presented at the 15th European AIDS Conference in Barcelona.'
FDA Updates Hepatitis C Drug Label to Include HIV Recommendations
'The US Food and Drug Administration (FDA) announced changes to the Harvoni (ledipasvir/sofosbuvir) label - a hepatitis C drug that was first approved in October 2014. Harvoni is a treatment option for patients with chronic hepatitis C genotype 1, 4, 5, or 6. The FDA released a report outlining the major changes on November 12, 2015.'
New AbbVie hepatitis C pan-genotypic combination cures 97% - 100% in early study
'A combination of two experimental direct-acting antivirals developed by AbbVie cured 97%-100% of non-cirrhotic people with genotype 1 hepatitis C infection in a mid-stage phase 2 study presented this week at the 2015 AASLD Liver Meeting in San Francisco. The SURVEYOR-1 study assessed the effectiveness and safety of two experimental next-generation direct-acting antivirals. ABT-493 is an HCV NS3/4A protease inhibitor active against all genotypes of hepatitis C.'
Why We Should Be Willing to Pay for Hepatitis C Treatment
'Hepatitis C virus (HCV), an epidemic impacting up to 3.9 million people in the U.S., could be a rare disease by 2035. How can we so confidently project such an outrageous shift? We can attribute this largely to two factors: updates in HCV screening guidelines and the launch of oral direct-acting antivirals (DAAs) to treat chronic HCV infection. The latter hit the scene in 2014 surrounded by controversy.'
Caring Ambassadors Program Inc.
Jill Wolf, LCSW
PO Box 1748
Oregon City, Oregon 97045