PEARL-I studied AbbVie’s all-oral, interferon-free investigational treatment combining two[i.e. no ABT-333]direct-acting antivirals (ABT-450/r and ombitasvir [ABT-267]) with or without ribavirin (RBV) for 12 weeks in non-cirrhotic adult patients with…GT1b and GT4.
…Results showed that 100 percent of genotype 4 patients who were new to therapy (n=42/42) or who had failed previous treatment with pegylated interferon and RBV (n=49/49) achieved sustained virologic response rates at 12 weeks post-treatment (SVR12) after taking AbbVie’s investigational treatment with RBV.
…There were no discontinuations due to adverse events...
ABBV/ENTA reported results from the GT1b portion of PEARL-1 in Nov 2013 (#msg-93662501), but the above data for the GT4 portion of the study are new.
(The PEARL-1 GT4 arm without ribavirin produced an SVR of 91%—vs 100% with ribavirin—so inclusion of ribavirin is advisable for this 2-DAA regimen in GT4 patients.)
GT4 is mainly a Middle East strain, but it has a prevalence of 5-15% in France and Spain (two countries with a high proportion of residents with Middle East origin).
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