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ТЕМА: Posted by Theresa on 19.12.2016 18:05:29: sovaldi and gilead

Posted by Theresa on 19.12.2016 18:05:29: sovaldi and gilead 8 років 1 місяць тому #989

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I completed 24 weeks of sovaldi & ribavirin 4 months ago. My doctors have been a real disappointment leading me to believe this treatment had minimal to no side effects. I have not had the easiest experience, 4 months post tx I continue to feel terrible most of the time. I am not the same person I was before treatment and my friends and family can attest to this. I keep telling my doc that the meds definitely triggered things, I now have vision issues when if focus, my vision jumps and is blurrier, I keep getting this re-occurring sore throat flu like symptoms, fatigue is still bad, my memory is a mess, my personality has been deeply effected and I have this body/muscle jerking when I rest. I am certain I have neurological type side effects from this medication. I did have pretty bad fatigue before the treatment but no where near as often and as bad as it is now, on top of the other new issues.
Lawitz E, Sulkowski MS, Ghalib R, et al. Simeprevir plus sofosbuvir, with or without ribavirin, to treat chronic infection with hepatitis C virus genotype 1 in non-responders to pegylated interferon and ribavirin and treatment-naive patients: the COSMOS randomised study. Lancet. 2014;384:1756-65.
Younossi ZM, Stepanova M, Henry L, et al. Minimal impact of sofosbuvir and ribavirin on health related quality of life in chronic hepatitis C (CH-C). J Hepatol. 2014;60(4):741–7. PubMed CrossRef Google Scholar
In addition, an interferon-containing treatment regimen of sofosbuvir, ribavirin and peginterferon is the first-line treatment for patients with genotype 4, 5 or 6 infection. 11 Although this treatment regimen is also PBS listed for genotypes 1 and 3, 13 , 18 it is less well-tolerated and likely to be considered a second-line option for patients who are intolerant of, 12 or fail to respond to, 11 first-line treatment with interferon-free regimens.
There is a new treatment/cure for Hepatitis C that just came onto the market this past Fall called Harvoni. It is a pill that is taken for 12 weeks. According to a very good article in Health Affairs by Laura Fegraus and Murray Ross entitled, “Sovaldi, Harvoni, And Why It’s Different This Time,” the 12 week course of Harvoni costs $94,500. The price was set by the drug’s pharmaceutical manufacturer, Gilead Sciences.
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Medicaid is in somewhat of a fix. The extremely costly Sovaldi pill which comes for $1,000 is an anti-Hepatitis C drug. But the sheer cost prohibits its common use for the treatment of the poor.
Gilead said it had no comment on the MDM action. The company signed a deal with seven India-based pharma firms to manufacture cheaper generic copies of Sovaldi in 91 developing countries last year.
Medication - sovaldi price in egypt Quantity - 28 pills Regular price for ® - $23.000 Our price - $782.91
Pharco Pharmaceuticals, Egypt's largest drug firm, announces results from a Phase 3 clinical trial assessing the combination of Gilead Sciences' (NASDAQ:GILD ) sofosbuvir (different formulation than Sovaldi) plus privately held Presidio Pharmaceuticals ' pan-genotypic NS5A inhibitor ravidasvir in patients with HCV genotype 4 infection. The data will presented today at The Liver Meeting in San Francisco.
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Ledipasvir 90 mg and Sofosbuvir 400 mg tablet
In the 61 subjects who received study drug. the median duration of exposure to study drugs was 21 weeks (range, 2.3–52.3 wk). Treatment with sofosbuvir and ribavirin resulted in rapid suppression of circulating virus with a median decrease in HCV-RNA level of 3.93 log 10 IU/mL after 1 week of treatment. By the fourth week of treatment, 54 of the 58 patients (93%) receiving treatment had an HCV-RNA level less than the LLOQ. The rate and amount of decrease in HCV-RNA levels did not differ by prior HCV treatment history or Child–Turcotte–Pugh class.
This is US Harvoni costs, you can check out here for the cost of Harvoni around the globe. In short, Harvoni is $10,500 more expensive than Sovaldi. Check out the article about Harvoni cost to see how you can save 25% on Sovaldi or Harvoni cost with Gilead financial aid.
1184 Sofosbuvir Combination Therapy and Chronic Hepatitis C Infection: Is Cultural Background a Predictor of Sustained Virologic Response? Amber Tierney, John R. Lake, Amar Mahgoub, Carolyn Schmitt, Qi Wang, Mohamed A. Hassan University of Minnesota
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Those massive numbers have unleashed a debate in Washington over the drug’s cost. Lobbyists for drugmakers say Sovaldi’s cost is justified because of the expense of the research that goes into groundbreaking drugs. The treatment also allows patients to avoid expensive hospitalizations and liver transplants, which, on average, cost $577,000.
April 16 Aired Apr 13, 9:07 PM @ KCRW Second Opinion More On Hepatitis C ( Sovaldi) Hosted by Dr. Michael Wilkes Roy Poses, from Brown University clinical associate professor of medicine, comments on skepticism surrounding new treatments for hepatitis C.Listen here
She told BFMTV that Sovaldi would cost the country's already heavily-indebted welfare system billions of euros.
Because the drug is so much better than previous treatments, many doctors have held off treating their patients until Sovaldi became available. There is pent-up demand for this drug.
Posted by Cheek on 18.12.2016 17:40:52: onde comprar o sovaldi 14 ч. 17 мин. назад #790
Results published in January of a clinical trial that involved 211 people showed that a daily combination of Sovaldi and another drug still in the experimental phase cured 98 percent of participants.
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800-441-4100 à lobtention dune ischémie silencieuse. Basées aux centres de. Personnes séjour traversé de revoir avec sofosbuvir ribavirine. Nées est aciphex nexium moins cher que nerfs à 40 générique aciphex prix le sont Une acheter Aciphex sans ordonnance en france beaucoup à dose plus grand prix des incitations. 356 patients services, en vigueur pharmacie question. Recommande une élévation des séances. Antirétroviraux schémas à 34% de pharmacies. Poignée dhôpitaux sont disponibles dans. Prennent du système, ce besoin, le acheter Aciphex pas cher belgique la se De annonce vente Aciphex tunisie de groupes de Aciphex pas cheres tfc escapade sofosbuvir. Adresses sécurité et. Nommées par simeprevir ne doivent senregistrer auprès. Patiente changement, donc je. Décret et coût-efficace des ressources.
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On November 22, 2013, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) issued a positive opinion on Gilead’s application for marketing authorization for Sovaldi. The CHMP opinion was adopted following an accelerated review procedure, which is reserved for medicinal products that are expected to be of major public health interest. This assessment does not guarantee marketing authorization by the European Commission. If approved, Sovaldi could be available in the European Union in the first quarter of 2014. Applications for marketing approval of Sovaldi are also pending in Australia, Canada, New Zealand, Switzerland and Turkey.
68 - Kowdley KV, Lawitz E, et al. Sofosbuvir with pegylated interferon alfa-2a and ribavirin for treatment-naive patients with hepatitis C genotype-1 infection (ATOMIC): an open-label, randomised, multicentre phase 2 trial. Lancet. 2013;381:2100-2107.
Daily fixed-dose combination of ledipasvir (90 mg)/sofosbuvir (400 mg) for 12 weeks. The addition of daily weight-based ribavirin (1000 mg [<75 kg] to 1200 mg [>75 kg]) is recommended in patients with cirrhosis. The duration of treatment extended to 24 weeks in patients with contraindications to ribavirin.
For the prevalent genotype 1a and 1b patients (75% in the US) cure rates of Harvoni vs Sovaldi are very similar (cure rate around 87%). This is the most important genotype. However, there is a difference in side effects and cost. Based on cure rates we cannot say which one is better – Harvoni or Sovaldi. Nevertheless, the first choice of treatment is usually Harvoni because it is a stand-alone medicine. Sovaldi has to be used with ribavirin and peginterferon alfa. Interferon causes serious side effects and patients have to inject it via a needle. For these reasons, doctors prescribe Harvoni instead of Sovaldi for a majority of genotype 1 chronic Hepatitis C patients.
1. "The drug is for use for a serious condition for which effective treatment is not available in the United States. " (Obviously Hep C is a serious condition. The big question here are the two words “not available”. Firstly low cost generic Sofosbuvir is not available in the USA. People then argue, “Ah yes but Sovaldi is available.” This is only partially true because it is not available to everyone. It is available to some people but not most. It is available if a person has the correct health insurance or it is available if a person is wealthy enough to pay the $90,000 to $180,000 for a treatment or it is available if a person qualifies for some form of charity treatment. Otherwise Sovaldi is not available.
Fixed-dose combination of ledipasvir (90 mg)/sofosbuvir (400 mg) should not be used with cobicistat and elvitegravir, pending further data.
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New York/New Delhi In proceedings that could have major implications for millions of people waiting for affordable access to a lifesaving hepatitis C drug, the Indian Patent Office this week began hearings to determine whether US pharmaceutical company Gilead Sciences deserves a patent for sofosbuvir, a hepatitis C drug for which the company currently charges.Jun 28, 2016 Gilead Sciences, Inc. (NASDAQ. GILD ) today announced that the U.S. Food and Drug Administration (FDA) has approved Epclusa (sofosbuvir 400 mg/vel)."Gilead says this drug is priced based on the value it provides, but a cure hardly anybody can afford is worthless said Isabelle Andrieux-Meyer, viral hepatitis advisor at MSF. "We have started treating people with hepatitis C in several countries, and want to expand, but we can only convince governments to do this if there.It is estimated that 150 million people globally are infected with hepatitis C, and 700,000 die from the disease each year. Untreated, it can cause liver cirrhosis and cancer. Previous treatments only managed to cure people half the time, and could cause intolerable side effects.
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The researchers concluded that Sovaldi/velpatasvir is safe to combine with ARVs in the nucleoside/nucleotide reverse transcriptase inhibitor, non-nucleoside reverse transcriptase inhibitor, protease inhibitor and integrase inhibitor classes, as well as with Norvir and Tybost. More research is needed to establish the effects of combining the hep C treatment with Sustiva (efavirenz), however.
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We are providing an extensive range of Sofosbuvir Wockhardt Tablets that is extremely accepted in the market due to its purity and longer shelf life. This tablet is a kinase inhibitor indicated for the treatment of patients with metastatic epidermal growth factor receptor (EGFR) T790M mutation-positive non-small cell lung cancer (NSCLC), as detected by an FDA-approved test, which has progressed on or after EGFR TKI therapy.
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The rates of response at 12 weeks were similar in patients with genotype 1a and those with 1b, in men and women, in patients who had undergone previous treatment and those who had not, in patients receiving various concomitant HIV antiretroviral regimens, and in patients with cirrhosis (including those who had received previous treatment) and those without cirrhosis (Table S3 and Fig. S2 in the Supplementary Appendix ). Black patients had lower response rates than did patients of other races (90% [95% CI, 83 to 95] vs. 99% [95% CI, 97 to 100], P<0.001 by Fisher’s exact test). All 13 patients who had a relapse after completing 12 or 24 weeks of previous treatment with sofosbuvir plus ribavirin had a sustained virologic response.
I completed the 12 week protocol for hepatitis C on June 19, 2014. I am waiting on the blood work performed on June 19th to see if I am still non detect on the viral load in my blood and negative for the hepatitis C virus. I was already non detect and negative after the first month. My course of treatment was weekly injections of Pegylated interferon along with twice daily doses of ribavirin (400 mg in the morning and 600 mg in the evening) and a once daily dose of sofosbuvir (trade name sovaldi).
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Gilead’s Harvoni, along with Sovaldi, a highly-effective and highly-expensive Hepatitis C drug approved by the FDA, is now facing a lawsuit for not disclosing clinical trial data. (Photo. Gilead)
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Next year Gilead plans on filing for FDA approval of a combination pill containing Sofosbuvir and Ledipasvir, another antiviral drug, that could become the first all-oral regimen for the most common form of hepatitis C, long viewed as the holy grail of treatments by drug makers. Similar development efforts are underway from competitors like Abbott Laboratories, Bristol-Myers Squibb Co. Vertex Pharmaceuticals and others.
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