ABBV/ENTA—HIV co-infection part is recommended, while cirrhosis is strongly suggested, see the wording difference there, thus ABBV/ENTA to include cirrhosis in original NDA, but not HIV co-infection.
The staging of TURQUOISE-1 and TURQUOISE-2 was more of a business decision than a regulatory decision, IMO.
It’s very important for ABBV/ENTA to have GT1 cirrhotic patients on-label from the get-go, while promoting the GT1 regimen for HCV/HIV co-infected patients can wait. The initial label will not explicitly exclude HIV patients, but rather will say that the drug cocktail has not (yet) been tested in HIV patients.
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”