I am a 50yr old male, live in NZ and have HCV Genotype 1A.
I'm classed as a responder / relapser from a past 48week treatment of Pegulated Interferon & Riavirin.
December 2013 Fibroscan has shown fibrosis at F4.
I now have cirrhosis.
12 weeks Harvoni gives you a 94% SVR (the past failure has more impact than the cirrhosis). If your platelets are > 100 and you're up for it 12 weeks with Riba moves that up to 96% but you will need monitoring every 2 weeks for the expected anaemia, etc. 24 weeks without Riba should deliver 99% odds.
If money was no object doing a full 24 weeks without Riba would be the gold class option, but 94-96% odds are still pretty good.
Sofosbuvir Ledipasvir
NAIVE
default: svr: 97%, trials: ION-1 98% (142/145) ION-3 96% 96% (165/172) Aggregate 96.8% (307/317)
gt1a: default: svr: 97%, trials: ION-1 98% (142/145) ION-3 96% 96% (165/172) Aggregate 96.8% (307/317)
gt1b: default: svr: 99%, trials: ION-1 100% (67/67) ION-3 98% (43/44) Aggregate 99.1% (110/111)
F4
default: svr: 97%, trials: ION-1 97% (32/33)
w12: svr: 97%, trials: ION-1 97% (32/33)
w12riba: svr: 100%, trials: ION-1 100% (33/33)
w24: svr: 97%, trials: ION-1 97% (31/32)
w24riba: svr: 100%, trials: ION-1 100% (36/36)
FAIL
default: svr: 94%, trials: ION-3 94% (102/109)
w12: svr: 94%, trials: ION-3 94% (102/109)
w12riba: svr: 96%, trials: ION-3 96% (107/111)
w24: svr: 99%, trials: ION-3 99% (108/109)
w24riba: svr: 99%, trials: ION-3 99% (110/111)