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TOPIC: Treatment over waiting for SVR

Treatment over waiting for SVR 3 years 11 months ago #2780

berrinice Offline Premium Member Posts: 135 Thank you received: 76 Karma: 0	it's good enough to be considered the same for generic purposes, but it is less Thanks for that information, don't like the sounds of" but it is less". Do you think I should increase Sosobuvir a bit, I do have a pill cutter
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Treatment over waiting for SVR 3 years 11 months ago #2790

DrJames
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For something to qualify as a generic it must show similar pharmacokinetic properties (in English similar blood levels at different points of time after taking it). You will find all the nitty gritty here:

www.australianprescriber.com/magazine/26/4/85/7

The Form I vs Form II argument is probably irrelevant to clinical results but it remains a fact that Form I was what was used in the Phase 3 trials everyone reads and Form II is what is used in the commercial product.

It is unlikely to make a significant difference. A 50 kg person is getting 150% of the dose an average 75 kg person gets in mg/kg terms. A 150 kg person is getting only 50% in mg/kg terms. Provided the therapeutic window is wide enough dose adjustment is not required and a one size fits all dose is fine.

That said my eyes nearly fell out of my head when I saw that Gilead had changed from using what was tested to something that was not tested in the same way (Phase 3) but rather in the same way a generic is declared bio-identical.

YMMV

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Treatment over waiting for SVR 3 years 11 months ago #2794

berrinice Offline Premium Member Posts: 135 Thank you received: 76 Karma: 0	I am about 68kg so the answer is yes, if I want 150% dosage. Which I do. I am hard to treat 3 non responder. I never want to go down this path ever again; its been a total nightmare. kindly
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Treatment over waiting for SVR 3 years 11 months ago #2798

Alsdad Offline Moderator Posts: 335 Thank you received: 294 Karma: 5	That info about Gilead quietly changing the product is simply breathtaking Doc. For once, I'm almost lost for words!
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Treatment over waiting for SVR 3 years 11 months ago #2800

berrinice Offline Premium Member Posts: 135 Thank you received: 76 Karma: 0	One more point Doc, those Hep organisations should have picked this deception up.(there is enough of them spread across the country) Its wrong that we are only learning about it now. We have a right to know. The public has a right to know. This must be a new news worthy story. kindly
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Treatment over waiting for SVR 3 years 11 months ago #2805

DrJames Offline Platinum Member Posts: 1861 Thank you received: 6886 Karma: 102	You would be better off doing Sof+Dac+Riba
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Treatment over waiting for SVR 3 years 11 months ago #2807

Paul-Jarman-facebook Offline Moderator The gypsy woman told my mother Before I was born Posts: 383 Thank you received: 659 Karma: 9	berrinice wrote: I am about 68kg so the answer is yes, if I want 150% dosage. Which I do. I am hard to treat 3 non responder. I never want to go down this path ever again; its been a total nightmare. kindly I'm a 96 kg 3a non responder with a knocked around liver but have had a great response with Sof and Dac regular dose so far. Week 2 bloods Alt Ast within range V/L 19 mill down to 16.
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Treatment over waiting for SVR 3 years 11 months ago #2817

DrJames
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That's interesting James, and I don''t doubt you are right, but some drugs are more effective with different genotypes eg Viekira Pak with 1b. Wouldn't it be better if Government negotiated the best price for a cure for each genotype.

1b is the easiest genotype to treat with DAAs and can be done in 3 weeks with 3 DAAs

news.sciencemag.org/health/2015/10/study...eek-hepatitis-c-cure

See LB-23 here....

www.aasld.org/sites/default/files/TLM-20...reakingAbstracts.pdf

Simeprevir is already listed so 1/4 of a course of Harvoni and 1/4 a course of Olysio looks like it will do the trick for RVR patients.

AbbVie and Viekira Pak are more civilized in their PBS negotiations. Better ? It just got a black box FDA warning....

www.fool.com/investing/general/2015/11/0...nd-express-scri.aspx

We, as in Australia do not need all the manufacturers products.

We, as in Australia should invite those Pharma companies who want our TAX DOLLARS to sharpen their pencils.

We, as in Australia should cure as many patients now as we can afford.

Hypothetically why not cut a deal with one?

That would be infinity percent more patients getting treatment. Currently it is a division by zero error.

YMMV

Last Edit: 3 years 11 months ago by DrJames.

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Treatment over waiting for SVR 3 years 11 months ago #2842

berrinice Offline Premium Member Posts: 135 Thank you received: 76 Karma: 0	So passionately said .
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Treatment over waiting for SVR 3 years 11 months ago #2843

berrinice Offline Premium Member Posts: 135 Thank you received: 76 Karma: 0	We need Sarah Henderson on the case.
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