Is undectected at 3 months EOT considered SVR?

[soldieradvocate]

My virus is undetected 3 months post EOT. I thought this was considered SVR and asked my doctor for a "cure letter" for employment purposes. She said she would only write the letter if my labs indicate undetected at 6 months post treatment. This means waiting another 3 months before I can pursue employment with the military. I am devastated. Thoughts?

[johnny679]

You are cured just be patient and be very happy you have plenty of time to join army .
These new medicines are amazing .
The doctors are being extra careful .
Remember when telaprevir was released they said svr was on average around 70 % svr then they stated if you have significant liver damage and are genotype 1 svr is 30 % .
Just do what I do when sometimes I am not having a  good day , just smile and be happy that we are free at last and the rest will come in time .

[dontworry_behappy1]

Let us know how that turns out for you.   I'm sure others are very interested in the outcome.

[soldieradvocate]

That's pretty much what I did. Got another lab done for a small fee and asking them to write a letter. Btw Genotype 1, 8 weeks Harvoni.

[keepingOnkeepingOn]

Cure is technically 3 months SVR. 6 months SVR is for personal psychological info is what my specialist said. That's with S/O and as indicated here Harvoni also.

I'd ask doc to write a letter saying you no longer have the virus. The word cured doesn't have to be there. Or go to county STD clinic and get tested for $20 or less. It'll come out clear but with anti-bodies so have the clinic write the letter.

[patra_]

If you were Gt3 and IF you treated with Sovaldi and Ribavirin for 24 weeks,  then 'cure' is not said until you reach 24 weeks EOT, as, in studies, the only people who relapsed AFTER 12 weeks EOT were those who were Gt3.

I just got my 24 week EOT Labs and was still UND, so my Dr actully said 'cure'.  Again that depends on the meds and the genotype.

Good luck whichever treatment and genotype you were!

[soldieradvocate]

Thanks to everyone for the info. Not sure how to approach doctor. If I make her defensive, not likely to get a convincing letter. I have asked an organization that specializes in the treatment of HCV to write a letter for me. Hope that might do it.

[hrsepwrguy]

This is from the AASLD website, it probably carries a little more clout than the harvoni website

Monitoring Patients Who Have Completed Treatment

Patients who do not achieve an SVR, because of failure of the treatment to clear or to maintain clearance of HCV infection with relapse after treatment completion, have ongoing HCV infection and the possibility of continued liver injury and transmission. Such patients should be monitored for progressive liver disease and considered for retreatment when alternative treatments are available. Patients who have undetectable HCV RNA in the serum, when assessed by a sensitive polymerase chain reaction (PCR) assay, 12 or more weeks after completing treatment, are deemed to have achieved an SVR. In these patients, HCV-related liver injury stops, although the patients remain at risk for non–HCV-related liver disease, such as fatty liver disease or alcoholic liver disease. Patients with cirrhosis remain at risk for developing hepatocellular carcinoma.

http://www.hcvguidelines.org/full-report/monitoring-patients-who-are-starting-hepatitis-c-treatment-are-treatment-or-have

[dontworry_behappy1]

You treated with Harvoni?   Show her the Havoni.com page.  It says cure is three months.