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New Hepatitis C Therapies: The Toolbox, Strategies, and
New Hepatitis C Therapies: The Toolbox, Strategies, and

... 2, and 4, but none of them has effectiveness against genotype 3. They have a low barrier to resistance and share extensive cross-resistance among them and with telaprevir and boceprevir. ABT-450 and danoprevir are boosted by ritonavir (100 mg/day) to extend dosing intervals while increasing patient ...
EASL Recommendations on Treatment of Hepatitis C 2015
EASL Recommendations on Treatment of Hepatitis C 2015

... who have previously failed IFN and ribavirin. Based on data with other genotypes and results in a small group of genotype 3-infected patients, the triple combination of PegIFN-α, ribavirin and sofosbuvir appears to be valuable. The IFN-free combination of sofosbuvir and daclatasvir, with or without ...
indications and usage dosage and administration contraindications
indications and usage dosage and administration contraindications

... • This indication is based on clinical trials of combination therapy in patients with CHC and compensated liver disease, some of whom had histological evidence of cirrhosis (Child-Pugh class A), and in patients with clinically stable HIV disease and CD4 count > 100 cells/mm2. ...
Pegin insert
Pegin insert

... (benzyl alcohol) which may be found in this product can infrequently cause serious problems (sometimes death) if given in large amounts (more than 100 milligrams per kilogram daily) to an infant during the first months of life (neonatal period). The risk is also greater with low birth weight infants ...
Hepatitis C therapy-the future looks bright
Hepatitis C therapy-the future looks bright

... responsive to standard therapy. The recommended treatment time is also dependent on the HCV genotype. For patients with genotypes 2 and 3, a 24-week course of combination treatment is adequate, whereas for those carrying genotype 1, a 48-week course is recommended. The approximate cost of 48-week th ...
Issue 2 - Passport Health Plan
Issue 2 - Passport Health Plan

... PLAN STATUS ...
Gilead Sciences (7-03
Gilead Sciences (7-03

... Approximately 1.2 million Americans are living with HIV and half are not being treated. Half a million people world wide are treating HIV with one of Gilead’s products which generated revenues of 3 billion in 2007. Hepsera is the leading antiviral to treat Hepatitis B, there are more than 400 milli ...
Ibavyr Datasheet 200, 400, 600mg
Ibavyr Datasheet 200, 400, 600mg

... treated with an interferon-based regimen and one in all patients irrespective of prior treatment history or ability to take interferon. Patients in these trials had compensated liver disease including cirrhosis. Patients in these trials had compensated liver disease including cirrhosis. The ribaviri ...
Targeting the Treatment of Metastatic Breast
Targeting the Treatment of Metastatic Breast

... after moving to the United States and starting job as medical assistant – Previously evaluated and treated by a gastroenterologist but fell out of care in 2004 – Reports taking peginterferon and ribavirin for 48 weeks leading to an undetectable viral load followed by relapse ...
Sofosbuvir: A New Oral Once-Daily Agent for The Treatment of
Sofosbuvir: A New Oral Once-Daily Agent for The Treatment of

... adverse effects, grade 3 or 4 laboratory abnormalities, or treatment discontinuations were associated with SOF administration. Furthermore, investigators reported much lower rates of adverse events that can be attributed to SOF administration compared to PEG or RBV. Because SOF was always used in co ...
Is Hepatitis Virus Resistance to Antiviral Drugs a Threat?
Is Hepatitis Virus Resistance to Antiviral Drugs a Threat?

... to pre-exist frequently at baseline in patients who have not been exposed previously to lamivudine. Therefore, their selection by first-line entecavir is unlikely, and the antiviral potency of the drug prevents them from being generated on treatment.7 In treated patients, adherence to therapy is a k ...
Senate HCV Drug Pricing Investigation Federal Needle Exchange Ban Lifted
Senate HCV Drug Pricing Investigation Federal Needle Exchange Ban Lifted

... the Veteran’s Affairs Administration felt the brunt of the drug pricing. As a result, many institutions put access restrictions on Gilead’s HCV drugs. Rebates offered by Gilead were often inversely proportional to the number of restrictions imposed by insurance providers (e.g. the more restrictions ...
Drug-Drug Interactions Among Hepatitis C Virus (HCV) and Human
Drug-Drug Interactions Among Hepatitis C Virus (HCV) and Human

... Furthermore, coadministration of SIM and DRV/r is not recommended because of the significant increase in SIM exposure (AUC: : 159%’ Cmax: : 79%; Cmin: : 358%) in the presence of DRV/r, even after dose adjustment of SIM [15, 20], resulting in their exclusion from the phase 3 C212 clinical trial asses ...
First Major European Viral Hepatitis Study Reports Serious Gaps in
First Major European Viral Hepatitis Study Reports Serious Gaps in

... "It is completely unacceptable that hepatitis continues to be so poorly addressed in Europe. There are excellent prevention and treatment possibilities, well-thought-out strategies are available, and we have numerous international initiatives, especially from WHO," said Tatjana Reic, President of EL ...
Pharmacometrics and Biostatistics Interactions at the FDA
Pharmacometrics and Biostatistics Interactions at the FDA

... • Proposed Context of Use: Baseline TKV can be applied as a prognostic biomarker that, in combination with patient age, can be used to help identify those ADPKD patients who are at the greatest risk of advancing in the course of their disease to a point where there is substantial decline in renal fu ...
VH B - IS MU
VH B - IS MU

... • Infection is possible to acquire in CR as well (pork, sea food) ...
History and progress of antiviral drugs: From acyclovir to direct
History and progress of antiviral drugs: From acyclovir to direct

... by Ehlrich in 1910,2 to the discovery of penicillin by Fleming in 1929,3 to Domagk’s description of prontosil, the precursor of sulfonamides in 19354 and the isolation of streptomycin, chloramphenicol, erythromycin and tetracycline by Waksman in 1944.5 However, it took almost 60 years for antiviral ...
Epclusa - Gilead
Epclusa - Gilead

... If EPCLUSA is administered with ribavirin, refer to the prescribing information for ribavirin for a description of ribavirin-associated adverse reactions. Adverse Reactions in Subjects without Cirrhosis or with Compensated Cirrhosis The adverse reactions data for EPCLUSA in patients without cirrhosi ...
Epclusa - Gilead
Epclusa - Gilead

... If EPCLUSA is administered with ribavirin, refer to the prescribing information for ribavirin for a description of ribavirin-associated adverse reactions. Adverse Reactions in Subjects without Cirrhosis or with Compensated Cirrhosis The adverse reactions data for EPCLUSA in patients without cirrhosi ...
(PSD) July 2016 PBAC Meeting
(PSD) July 2016 PBAC Meeting

... Schedule and Highly Specialised Drugs Program (S100 public and private hospitals) as per the current listings for ribavirin. ...
NEWS YOU CAN USE 2015 08 UPD
NEWS YOU CAN USE 2015 08 UPD

... with schizophrenia and as an add-on treatment to antidepressant therapy in adults with MDD • Black box warning: increased risk of ...
February 26, 2015 Meeting Summary - Posted 03/10/2015, Updated 03/18/2015
February 26, 2015 Meeting Summary - Posted 03/10/2015, Updated 03/18/2015

... Stage of disease affected response to both the 3D regimen (ombitasvir/paritaprevir/ritonavir and dasabuvir) and ledipasvir/sofosbuvir in treatment-experienced patients or those with mixed treatment history. In patients with cirrhosis, shorter treatment durations were associated with lower SVR and/or ...
NOVEMBER 2016 PBAC OUTCOMES – OTHER MATTERS DRUG
NOVEMBER 2016 PBAC OUTCOMES – OTHER MATTERS DRUG

... to trial and fail, or cease to respond to, the same PBS-subsidised TNF-alfa antagonist more than twice within the same treatment cycle. The PBAC recommended that once a patient has either failed or ceased to respond to treatment three times, they are deemed to have completed a treatment cycle and mu ...
Daclatasvir - Daklinza - Bristol
Daclatasvir - Daklinza - Bristol

... in combination with another HCV direct-acting antiviral, including DAKLINZA. A fatal cardiac arrest was reported in a patient receiving a sofosbuvir-containing regimen (ledipasvir/sofosbuvir). Bradycardia has generally occurred within hours to days, but cases have been observed up to 2 weeks after i ...
Hepatitis C Treatment
Hepatitis C Treatment

... the cytocrome P450 system have been notes except for the inhibition of P450 1A2 enzyme, a 25% increase in theophyllin AUC, and a 10% increase in methadone AUC. Serum theophyllin levels should be monitored in patients concomitantly receiving pegasys and appropriate dose adjustments made when these dr ...
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Sofosbuvir



Sofosbuvir (brand names Sovaldi, Hepcinat, Resof, Hepcvir, SoviHep) is a nucleotide analog used in combination with other drugs for the treatment of hepatitis C virus (HCV) infection. It has been marketed since 2013. Compared to previous treatments, sofosbuvir-based regimens provide a higher cure rate, fewer side effects, and a two- to four-fold reduced duration of therapy. Sofosbuvir allows most patients to be treated successfully without the use of peginterferon, an injectable drug with severe side effects that is a key component of older drug combinations for the treatment of HCV.Sofosbuvir inhibits the RNA polymerase that the hepatitis C virus uses to replicate its RNA. It was discovered at Pharmasset and developed by Gilead Sciences.In 2013, the FDA approved sofosbuvir in combination with ribavirin (RBV) for oral dual therapy of HCV genotypes 2 and 3, and for triple therapy with injected pegylated interferon (pegIFN) and RBV for treatment-naive patients with HCV genotypes 1 and 4. In 2014 a combination of sofosbuvir with the viral NS5A inhibitor ledipasvir was approved. This latter combination provides high cure rates in people infected with genotype 1 (the most common subtype in the U.S., Japan, and much of Europe) without the use of interferon, irrespective of prior treatment failure or the presence of cirrhosis.The price of sofosbuvir, quoted in various media sources as $84,000 to $168,000 for a course of treatment in the U.S., £35,000 in the UK for 12 weeks has engendered considerable controversy. In September 2014, Gilead announced that it would permit generic manufacturers to sell sofosbuvir in 91 developing countries and that it would sell a name brand version of the product in India for approximately $300 per course of treatment.It is on the World Health Organization's List of Essential Medicines, a list of the most important medications needed in a basic health system.
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