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Failed Triple Therapy w/Incivek

Hello,

Sad to say that I had a viral load increase to 3000 at week 8 on triple therapy. Trying to wrap my head around it all, but in the meantime I have been looking at the trials available in my area.  I see one that seems I would be a candidate for - Sofosbuvir/ 5885 with or without riga. I am not familiar with these trials and how they work, but I emailed the contact person and my nurse. Are these the correct steps?  If anyone has any other ideas, I would appreciate it!!  Thanks!!
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Avatar universal
Hi Pooh,

I am 1a, I have not had a biopsy or the IL28B test done.  I am going to request the test next week when I see my doctor. MRI shows no cirrhosis and Fibrosure test shows between 2-3.  But I am not sure that test is super accurate. I am going to talk to my doctor more next week about all of that too.
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1815939 tn?1377991799
Just curious what Genotype subtype you are, Genotype 1a or Genotype 1b?

Also, do you know if you are (IL28B)  CC, CT, or TT?

Did you have a liver biopsy prior to treatment and, if so, what stage are you, if you know.

These factors can play a role in treatment response.

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Avatar universal
Thanks, this helps! I was wondering how I would be classified
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2135877 tn?1381861126
According to Can-Do's response, I was just like you.  I was a partial responder.  I had a 4-log drop, got my VL down to 94, before jumping back up at week 5.

Yes, my side effects from the shot were really terrible.  I basically couldn't do anything for two days while I got over it.  I didn't like it at all.  And I'm a very healthy 39 year old (38 at the time.)
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Avatar universal
That is the same one I am looking at. I will start the phone calls as well. A polite pest is something I can be very good at once I get determined! Thanks for the tip!
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Avatar universal
Not sure if this would be called a null or non responder as the OP did have more then a 2 log drop, on SOC it looks to be a partial responder.


It is important to know how treatment-experienced people responded to their first course of treatment, and the regimen that they were treated with, because these factors help to predict the likelihood of SVR from re-treatment. People initially treated with standard interferon, or standard interferon plus ribavirin, may achieve SVR when re-treated with pegylated interferon and ribavirin. Sometimes, HCV re-treatment trials study a mixed population of relapsers, partial responders, non-responders, and null responders, which makes it difficult to interpret the results.

Null Responder: A null responder is someone who achieves little or no decrease in hepatitis C viral load during HCV treatment. Null responders are highly unlikely to respond to re-treatment with an interferon-based regimen.

Non-responder: Often referred to as a "treatment failure," a non-responder is someone who does not have an EVR or, if they stay on treatment for 24 weeks, does not ever have a 2-log (99%) drop in hepatitis C viral load or undetectable HCV RNA during hepatitis C treatment.

Partial Responder: A partial responder is someone who experiences at least a 2-log decrease in hepatitis C viral load during HCV treatment. Partial responders are more likely to respond to re-treatment than non-responders or null responders.

Relapser: The term relapser refers to someone who has had an EVR or ETR, but whose virus rebounded after they completed HCV treatment. People who had a relapse after completing HCV treatment are more likely to achieve SVR after re-treatment than partial responders, non-responders, or null responders.

http://www.thebody.com/content/art46371.html
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