Home Forums Main Forum Genotype Specific Genotype 3 (37%) Post Treatment GT 3a

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  • #15159
    Avatar photoHit The Road Jack
    • Topics: 4
    • Replies: 24
    • Total: 28
    • Treatment Warrior
    • ★★★
    @hit-the-road-jack

    Hi

    I’m GT3a 6 weeks into 12 week tx. I’ve read some info that refers to 3a & relapse due to GT 3a being a bit tricky to clear.

    Are there any GT3a’s out there who were on 12wk but are now considering upping the anti and extending another 4 or so weeks as a safe guard.?

    Also, how are the guys that have finished treatment feeling?
    The only real side I’ve experienced during treatment is I a feel a little more fatigued than usual. Nothing to write home about thou, totally able to function, work etc. feel fortunate for that.

    I’m not sure how to enter my stats so I’ve
    Included some below.

    No idea when I contracted. Tx Naive

    Commenced treatment 25/2/16
    F0
    VL 62700. 4wks UND
    Alt. 36. 18


    Tx naive. GT3a
    Female
    Diagnosed 1996

    Start 25/2/16
    VL 62700
    F0
    hb 141
    ALT 36
    ALP 81

    4 week test
    VL UND
    ALT 18
    ALP 70

    Additional 4 weeks Tx
    Start 19.5.16

    #15164
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi HTRJ,

    Your stats indicate a 97% chance of SVR which is pretty good. (G3 chances drop quickly compared to others as fibrosis increases and with prior Tx which is why I’m on the highest Tx level). I’ll leave it to others with more experience of your situation to comment about extending treatment.

    You may also want to consider Dr James post here though I’m not sure if it is case specific or applicable to all G3s. http://fixhepc.com/forum/gt3/861-alt-ast-ratio.html#14152

    ……to add your stats to your profile scroll to the top of this page and click on the Profile tab. Within there click on the Edit button on the right hand side and then enter your user password twice which will allow you to edit various fields including your signature panel right at the bottom of the Profile Information tab. Don’t forget to Save after editing. :)


    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
    :cheer: :cheer: :cheer:

    #15167
    Avatar photoHit The Road Jack
    • Topics: 4
    • Replies: 24
    • Total: 28
    • Treatment Warrior
    • ★★★
    @hit-the-road-jack

    Thanks for getting back to me Gaj,
    I’ll have a look at Dr Freemans link. Also thanks for qik Stats entering lesson :) I’ll see if I’ve done it correctly.

    I have chatted to Dr Freeman he said an additional 4 wks wouldn’t hurt for peace of mind.
    I’d believe and do anything Dr James said :)
    (I was more wondering if anyone else was thinking about extending)
    He also said he would see what comes out of
    The Liver conference . I believe this is held in Spain this year and starts on the 13 April. I read
    Something about this on Dear Greg Jefferies blog. He was on his way to the conference.


    Tx naive. GT3a
    Female
    Diagnosed 1996

    Start 25/2/16
    VL 62700
    F0
    hb 141
    ALT 36
    ALP 81

    4 week test
    VL UND
    ALT 18
    ALP 70

    Additional 4 weeks Tx
    Start 19.5.16

    #15168
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Without knowing your full history, and based on what’s in your signature you should be ok on 12 but the odds of SVR are improved significantly by longer treatment. If extending out to 16-18-24 weeks would not overburden your finances it is worth doing with GT3.


    YMMV

    #15169
    Avatar photoHit The Road Jack
    • Topics: 4
    • Replies: 24
    • Total: 28
    • Treatment Warrior
    • ★★★
    @hit-the-road-jack

    thank you Dr James.


    Tx naive. GT3a
    Female
    Diagnosed 1996

    Start 25/2/16
    VL 62700
    F0
    hb 141
    ALT 36
    ALP 81

    4 week test
    VL UND
    ALT 18
    ALP 70

    Additional 4 weeks Tx
    Start 19.5.16

    #15177
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Hi there HTRJ –

    I have a friend who is GT 3 and extending his treatment, he hasn’t decided for how long, but has ordered a further 12 weeks meds. He was UND at 4 weeks and his bloods weren’t as good as yours , VL higher and says he thinks he’s had it 40 years+ – So this is his take on it. ie Hit it the hardest you can first time treating.

    I believe some of us GT1as who have carried the virus a long time may well be a bit tricky too. My own VL was slow to come down and I am extending tx for 12 weeks. (Sofo/DAC)

    I send you my very best wishes for success, you certainly have a great chance of this :)


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #15180
    Avatar photoHit The Road Jack
    • Topics: 4
    • Replies: 24
    • Total: 28
    • Treatment Warrior
    • ★★★
    @hit-the-road-jack

    Hi Londongirl,

    Thanks for responding.

    I was originally diagnosed ’96..routine tests due to unexplained fatigue. & weight loss…in hindsight the weight loss was prob due to the relationship issues I was having at the time…Anyway, I’m off track…

    I will take these posts on board and go for broke….feel so lucky to have the option to extend .


    Tx naive. GT3a
    Female
    Diagnosed 1996

    Start 25/2/16
    VL 62700
    F0
    hb 141
    ALT 36
    ALP 81

    4 week test
    VL UND
    ALT 18
    ALP 70

    Additional 4 weeks Tx
    Start 19.5.16

    #15186
    Avatar photocoral
    • Guardian Angel
    • ★★★★★
    @coral

    Hi HTRJ,

    I am also a slower to respond 1a and I am doing an additonal 12 weeks of Sof/Dac following 12 weeks of Sof/Led. It is likely that technically a full 24 weeks is over treatment for me but I can’t deny the peace of mind factor. I am a bit conscious of the fact that I’ll need to go cold turkey in a couple of weeks. B)

    Wishing you all the best with your treatment.
    Coral

    #15190
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    HTRJ – I also lost alot of weight pre treatment, was positively skeletal, had fatigue, memory loss and inflamed joints, so it may not have been just stress in your case. Thankfully I’ve put some back on, but could do with a bit more. Yes, we are lucky to have the option to extend indeed :)

    Hi Coral, how are you feeling after all those weeks of meds? I feel better on the Sofo/Dac I must say, currently rather zippy :cheer:
    Yes, we get used to the comfort of the drugs I think B) Be kind to yourself #flower


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #15216
    Avatar photocoral
    • Guardian Angel
    • ★★★★★
    @coral

    Hi LG,

    I haven’t really noticed very much difference between the Harvoni and now the Sof/Dac apart from the weird period of dry hair that I had on the former but who knows as it may have been caused by something else. I have been lucky with few side effects and even though I was a bit slower to respond I think I could really notice how much better I felt by 12 weeks. We are lucky to be able to do another 12 weeks but know I definately have to stop then!

    Great that you are feeling better LG. Wishing you continued zippyness! :cheer:

    #15276
    Avatar photoMtGoat
    • Topics: 5
    • Replies: 74
    • Total: 79
    • Recovery Champion
    • ★★★★
    @mtgoat

    Hi HTRJ,
    I am G3a with similar stats to yours. I’m 11 weeks into treatment. From what I read, mostly here, I thought 12 weeks would be fine. I hadn’t heard that people were going longer. I’m tx naïve, had fairly low VL & went UND @ 4 weeks. Your note + Dr. James’ response makes me think twice though. I have the funds but I don’t think I could get the next batch before EOT in 5 days. Not to mention I have a 6 day trip planned & set to leave on the day tx is done. What a drag to second guess this.
    If I’d seen this a week or so ago I guess I’d probably buy more. Maybe do 4 more weèks.


    Cheers
    3a for 35 years
    Dx 1996, tx naive, ALT 46 AST 38 VL 140K
    Started Sof/Dac 1/23/16
    Kingswood generics AUS
    2/19/16 4wk lab HCV Undetected ALT 14 AST 19
    EOT 6/1/2016
    TX was 18 wks (w/some 1/2 doses & 1 skip dose after 11 wks
    while waiting for +6 wks to arrive)
    SVR4 6/30/16
    SVR12
    SVR24 Redeemed

    #15417
    Avatar photoHit The Road Jack
    • Topics: 4
    • Replies: 24
    • Total: 28
    • Treatment Warrior
    • ★★★
    @hit-the-road-jack

    Hi Mtgoat

    I was just reading your post and was going to copy & paste info from Dr Freeman for you re: halving daily dose whilst u were waiting for a new order to be delivered…but I can see you found the relevant posts!!!..I hope it times well for you I.e ordering/trip away/delivery…

    I’ve also been away..just got back which means, although I’m still 5 wks away from EOT I’ll be actively looking at ordering more..just not sure whether to order an additional 4 – 8 or 12 weeks supply … Even thou it appears it can’t do any harm going full throttle I still feel a little lost on making the decision…

    What did or at you thinking to do?


    Tx naive. GT3a
    Female
    Diagnosed 1996

    Start 25/2/16
    VL 62700
    F0
    hb 141
    ALT 36
    ALP 81

    4 week test
    VL UND
    ALT 18
    ALP 70

    Additional 4 weeks Tx
    Start 19.5.16

    #15423
    Avatar photoMtGoat
    • Topics: 5
    • Replies: 74
    • Total: 79
    • Recovery Champion
    • ★★★★
    @mtgoat

    Hi Hit The Road,
    Thanks for your well wishes. Timing for 1/2 doses will work out fine for my timeline. They estimated through a “Fibrosure” (blood tests) that I am F1-F2. So, even though I think 12 weeks was enough, I figure if I go another 4 weeks that’s a little extra insurance. But I ordered 6 more weeks worth. I might take it all but right now I feel like 16 weeks should do it. I didn’t even consider going another 12. I just think that would be overkill. For one thing, I’m a pretty small person & I figure my dosing is on the heavy side already because of it.


    Cheers
    3a for 35 years
    Dx 1996, tx naive, ALT 46 AST 38 VL 140K
    Started Sof/Dac 1/23/16
    Kingswood generics AUS
    2/19/16 4wk lab HCV Undetected ALT 14 AST 19
    EOT 6/1/2016
    TX was 18 wks (w/some 1/2 doses & 1 skip dose after 11 wks
    while waiting for +6 wks to arrive)
    SVR4 6/30/16
    SVR12
    SVR24 Redeemed

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