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Dr James.
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15 June 2017 at 3:56 am #26415
And then there is this, http://www.aidsmap.com/Hepatitis-C-virus-reinfection-is-uncommon-after-being-cured-with-DAAs/page/3139853/ by research scientists, undermining the Cochrane review…..maybe the Cochrane review could investigate good barbecue recipes, I am curious what is effective.
15 June 2017 at 4:23 am #26416The Guardian have at least had the decency to publish several contrary letters:
https://www.theguardian.com/society/2017/jun/13/hepatitis-c-antiviral-drugs-are-effective
YMMV
15 June 2017 at 3:20 pm #2641716 June 2017 at 11:19 am #26418Prof Ed Gane is reported here
http://medicalhealthnews.net/cochrane-comes-down-hard-on-hep-c-drug-trials-calls-39cure39-a-misnomer
G2, infected maybe in 1971?
Diagnosed HVnon-A non-B 1980s, revised to HVC 1990’s.
Treatment naive. Fibroscan & bloods all normal ranges.
Viral load 7million,
began Redemption trial4, 12-week generic Sof/Vel (Incepta) 2017. Week 4 UND, Week 12UND, SVR24
Thank-yous to my doctor for the script, to Jan at FixHepC for wrangling, and to Dr Freeman for courage.
Kia kaha e hoa ma!25 June 2017 at 5:19 am #26500A response from the AASLD:
AASLD and IDSA would like to express our serious concerns regarding the recent Cochrane Group Review concluding that there is a lack of valid evidence supporting the benefit of direct acting antiviral (DAA) therapy for chronic infection with hepatitis C virus (HCV), and its supposition: “the possibility of potentially harming people with chronic hepatitis ought to be considered before treating people with hepatitis C with DAAs.” Our review of this Cochrane publication suggests significant flaws in this analysis, yielding a misleading and a harmful conclusion.
and
……even early data from the DAA experience support clear improvements in clinical outcomes that can be measured in the short term. Cure of HCV infection immediately reduces symptoms and organ dysfunction from severe extrahepatic manifestations including cryoglobulinemic vasculitis, a complication affecting up to 10 percent of HCV-infected patients.
https://www.aasld.org/about-aasld/press-room/aasld-expresses-concern-cochrane-review-daas
Edit: EASL have also responded along similar lines:
“EASL, the European Association for the Study of the Liver, one of the world leading associations of liver specialists, feels compelled to express its serious concerns after the recent publication of a Cochrane Group systematic review entitled “Direct acting antivirals for chronic hepatitis C” by Jakobsen et al.”
G3a since ’78 – Dx ’12 – F4 (2xHCC)
24wk Tx – PEG/Riba/Dac 2013 relapsed
24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
SVR7 – 22/06/17 UND
SRV12 – 27/07/17 UND
SVR24 – 26/10/17 UND
26 June 2017 at 11:19 am #26502 -
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