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Hepatitis web study Hepatitis web study Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Phase 2 Curry MP, et al. Gastroenterology. 2014;September.

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Presentation on theme: "Hepatitis web study Hepatitis web study Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Phase 2 Curry MP, et al. Gastroenterology. 2014;September."— Presentation transcript:

1 Hepatitis web study Hepatitis web study Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Phase 2 Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Treatment Naïve and Treatment Experienced Liver Transplantation

2 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence

3 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Study Design 92 screened 63 enrolled 61 dosed 46 underwent liver transplantation 43 with HCV RNA <LLOQ at transplantation These 43 patients analyzed for post-transplant virologic response

4 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Study Design Drug Dosing Sofosbuvir: 400 mg once daily Ribavirin (weight-based and divided bid): 1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg Sofosbuvir + Ribavirin N = 61 SVR12 Week 0Post-12241248 Treatment for 12 to 48 weeks while awaiting liver transplant Liver Transplant Required Duration

5 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Baseline Characteristic (n = 40) All patients dosed (N=61) All Patients transplanted with HCV RNA <25 IU/mL at time of transplant (N=43) Median Age, years59 Male sex, %8074 White, %9093 Median Body Mass Index (BMI) kg/m 2 27.427.1 HCV genotype 1 (%)7372 IL28B genotype CC, (%)2223 Median baseline HCV RNA, log 10 IU/ml6.26.3 Previous HCV treatment, %7579

6 Hepatitis web study Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Virologic Response at Transplant and Post-Transplant Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] 43/4630/43

7 Hepatitis web study Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Virologic Response at Transplant and Post-Transplant Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] 43/4631/4330/4331/43 Data for the 43 patients with HCV RNA <25 IU/mL at time of transplant

8 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014 September 17. [Epub Ahead of Print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence EventSofosbuvir + Ribavirin (N=61) Any adverse event (%)54 (8%) Any serious adverse event11 (18%) Hemoglobin decrease to <10 g/dL18 (30%) Hemoglobin decrease to <8.5 g/dL3 (5%) Adverse event occurring in >10% of patients Fatigue23 (38%) Headache14 (23%) Nausea10 (16%) Rash9 (15%) Cough7 (11%) Dyspnea7 (11%) Insomnia7 (11%)

9 Hepatitis web study Source: Curry MP, et al. Gastroenterology. 2014;September 24. [Epub ahead of print] Sofosbuvir + Ribavirin to Prevent Post-Transplant HCV Recurrence Conclusions Conclusions: “Administration of sofosbuvir and ribavirin before liver transplantation can prevent post-transplant HCV recurrence.”

10 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 www.hepatitisc.uw.edu www.hepatitisc.uw.edu Hepatitis Web Study http://depts.washington.edu/hepstudy/ http://depts.washington.edu/hepstudy/ 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 www.hepatitisc.uw.edu www.hepatitisc.uw.edu Hepatitis Web Study http://depts.washington.edu/hepstudy/ http://depts.washington.edu/hepstudy/ Funded by a grant from the Centers for Disease Control and Prevention.


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