Hepatitis web study Hepatitis web study Ledipasvir-Sofosbuvir in GT-1 and HIV Coinfection NIAID ERADICATE Trial Phase 2a Treatment Naïve and Treatment.

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Presentation transcript:

Hepatitis web study Hepatitis web study Ledipasvir-Sofosbuvir in GT-1 and HIV Coinfection NIAID ERADICATE Trial Phase 2a Treatment Naïve and Treatment Experienced Osinusi A, et al. JAMA. 2015;313: HIV Coinfection

Hepatitis web study Source: Osinusi A, et al. JAMA. 2015;313: Ledipasvir-Sofosbuvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Features

Hepatitis web study Source: Osinusi A, et al. JAMA. 2015;313: Ledipasvir-Sofosbuvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Study Design Ledipasvir- Sofosbuvir SVR12 Ledipasvir- Sofosbuvir Antiretroviral Untreated (n = 13) CD4 count stable & HIV RNA 500 cells/mm 3 *Antiretroviral Treated (n = 37) CD4 > 100 cells/mm 3 HIV RNA < 40 copies/ml Current ARVs ≥ 8 weeks Week Drug Dosing: Ledipasvir-sofosbuvir (90/400 mg): fixed dose combination; one pill once daily *Antiretrovirals allowed: tenofovir-emtricitabine, efavirenz, rilpivirine, and raltegravir SVR12

Hepatitis web study Ledipasvir-Sofosbuvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Baseline Characteristics Baseline Characteristic Ledipasvir-Sofosbuvir ARV Untreated (n = 13) ARV Treated (n = 37) Mean age, years 5958 Male, n (%) 7 (54)30 (81) African American, n (%) 10 (77)23 (88) Mean BMI, kg/m 2 26 GT 1a, n (%) 9 (75)30 (81) HAI Fibrosis Stage 3, n (%) 5 (38)8 (22) Mean HCV RNA, log 10 IU/mL Median CD4 Count (cells/mm 3 ) Source: Osinusi A, et al. JAMA. 2015;313:

Hepatitis web study Ledipasvir-Sofosbuvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Antiretroviral Regimens Antiretroviral Agent Antiretroviral Received (n = 37) Tenofovir-emtricitabine37 (100) Efavirenz15 (41) Raltegravir10 (27) Rilpivirine8 (21) Rilpivirine + Raltegravir3 (8) Efavirenz + Raltegravir 1 (3) Source: Osinusi A, et al. JAMA. 2015;313:

Hepatitis web study Sofosbuvir-Ledipasvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Results HCV RNA < LLOQ, % ARV Untreated (n=13) ARV Treated (n=37) Week 4100 (n =13)100 (n=37) Week 8100 (n =13)100 (n=37)) Week 12 (EOT)100 (n =13)100 (n=37) SVR 4100 (n =13) 97 (n=36) SVR 8100 (n =13)97 (n=36) SVR (n =13)97 (n=36) Source: Osinusi A, et al. JAMA. 2015;313:

Hepatitis web study Source: Osinusi A, et al. JAMA. 2015;313: Sofosbuvir-Ledipasvir in GT1 with HIV Coinfection NIAID ERADICATE Trial: Conclusions Conclusions and Relevance: “In this open-label, uncontrolled, pilot study enrolling patients co-infected with HCV genotype 1 and HIV, administration of an oral combination of ledipasvir and sofosbuvir for 12 weeks was associated with high rates of SVR after treatment completion. Larger studies that also include patients with cirrhosis and lower CD4 T-cell counts are required to understand if the results of this study generalize to all patients co-infected with HCV and HIV.”

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.