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Daclatatasvir & Sofosbuvir

Let's end the lack of cooperation between Gilead and Bistol Myers and get these two drugs on the maket to the people who need them.  The only way we can do that is through our White House Petition.  Pleas sign at www.hepc-cured.org we on have until 3/20/13 to get 100,000 signatures to have the white house intervene.  Please have your friends, relative, neighbors sign and add it to their face book and twitter... we need to end this deadly disease now. 4 million in US have this disease, 170 million world wide, hepc killmore people today than AIDS, a 1000 people a day die waiting for a cure.  Take action now---sign the petition.  Thank you
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I just read your 2nd post...unbelievable.
You just shot yourself in the foot.
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You make it sound like those 200,000 HCV patients worldwide would have been saved...when you know well had GS and BM cooperated and developed the drugs together those patients still wouldn't have had access.

The petition is fine, I signed it, but you need to be realistic. We are all disappointed that they will not work together but this is just beating one's head against the wall. There are other combinations in the works and even so, daclatasvir and sofosbuvir may end up available separately.
I do not disagree with you but I disagree with the frantic spin of your manner of persuasion.
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Avatar universal
You stop misleading the people here.  I am not like you that have nothing else to do in their life except write lengthy, meaningless, nonsense.   Gilead combines sofosbuvir with 5885 and that is what they plan to do,.Gilead has no intention of just manuf. sofosbuvir by itself.  (where did you ever come up with that one) Gilead intends to make a combo pill of sofosbuvir and 5885 and  use ribavirn (a highly toxic durg) to treat Hep C people.  Bristol Myers will have no choice but to combine its daclatasvir with another drug and hopefully the will not require ribavirin to get any success Gilead must use ribavirin with there combo to get success..  Doctors will not be able to say ok, I will prescrib you sofosbuvir and daclatasvir because they will not be separate drugs(where ever did you get that from)....they will be combo pills.  Get it yet?  When sofosbuvir and daclatasvir were combined in the 24 weeks patients had SVR and no relapses to date in Hep C 1a.  We have many doctors backing us including Dr Mark Murphy. Who article I published before this post.  If it did not post then I would be glad to send it to your email for your review if you dare provide it.  The only two drugs together that cure without the use of toxic drugs is sofosburvir and daclatasvir.  If you still don't have it, the White House Petition   www.hepc-cured.org   Gilead is strickly putting profits before patients!
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Avatar universal
Murphy: Hepatitis and the pharmacology of greed
Posted: February 25, 2013 - 10:35pm  |  Updated: February 26, 2013 - 12:06am

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By Mark E. Murphy
Murphy: Hepatitis and the pharmacology of greed
Savannah Now
Mark E. Murphy
February 26, 2013 12:06 AM EST
Copyright 2013 Savannah Now. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
I was eight years old, making rounds at the hospital with my father, when I first met the Yellow Man.

His eyes were an astonishing saffron color. His skin was also striking — an iridescent bilious hue.

My father sat poring over the Yellow Man’s voluminous chart in the nurses’ station, reading glasses perched on the end of his nose, while I tried my best to stay quiet.

Ultimately, I couldn’t.

“Why is he that color?” I asked my dad in a whisper.

“He has hepatitis,” my father said matter-of-factly, never looking up.

I nodded. I was fascinated. I even talked to my third-grade class about the Yellow Man later that week in Show and Tell. But I had no clue what my father was talking about when he told me that the Yellow Man had “hepatitis.”

Today, I do.

You see, I am a gastroenterologist. In my medical specialty, we deal with Yellow Men (and Yellow Women) just about every day. And many of them have various forms of hepatitis, or inflammation of the liver.

Some get it from alcohol; some, from medication. But an emerging variable in the growing liver disease population is hepatitis C — a viral illness that is now the leading cause for liver transplants in this country.

Over 170 million people worldwide have hepatitis C. More than 4 million of those people are in the United States. A lot of those folks acquired hepatitis C through blood transfusions (there was no blood test for the virus before 1989); some got it through IV drug use, or through tattoos and body piercings. A shocking 30 percent have no risk factors for it, and have no idea how they became infected.

So why is hepatitis C a problem?

Because it is a stealth epidemic.

You see, most people with this disease are not “yellow.” In fact, most of them have no symptoms at all. None, that is, until they develop cirrhosis and liver failure — or worse still, liver cancer. Hepatitis C is now the leading cause of liver cancer in the United States, and is the most rapidly increasing cause of cancer death in this country.

Hepatitis C kills more people every year than AIDS.

Let that sink in for a moment.

Traditionally, hepatitis C has been treated with a combination of an injectable drug called interferon and another orally-administered medicine called ribavirin. It’s a grueling regimen, resulting in nausea, malaise, weight loss, skin and hair changes, anemia, thyroid problems and depression in many patients.

Moreover, the cure rate (technically called “sustained virologic response,” or SVR) for this regimen is less than 40 percent after 48 weeks of treatment. Many people cannot complete the full course of therapy because of the horrendous side effects.

Now, to the punchline.

At a recent national medical meeting of liver specialists, Dr. Mark Sulkowski of Johns Hopkins University Medical Center described a Phase II research protocol using a combination of two new oral medications, daclatasvir and sofosbuvir. This medication combination has almost no side effects.

The gist of Dr. Sulkowski’s presentation is this: After a mere 12 weeks of treatment with this new regimen, the “cure” (SVR) rate for hepatitis C was an astonishing 93 percent.

When I read this, I literally stood up and whooped.

Hepatitis C patients have been waiting for a treatment regimen like daclatasvir and sofosbuvir for decades. It’s a true rarity in medicine — an honest-to-goodness game-changer, a phenomenally effective regimen for a serious, life-threatening disease that is also safe and well-tolerated.

The only problem? The two drugs are owned by different companies — daclatasvir is a Bristol-Myers-Squibb drug, while sofosbuvir is made by Gilead Sciences.

For reasons that are almost certainly financial in nature, Gilead has refused to do further work on this drug combination with Bristol-Myers Squibb, so there will be no further study of the regimen. With no Phase III trials, that means that the daclatasvir/sofosbuvir combination regimen will likely not be approved for use by the FDA.

Gilead has issued no formal commentary about why it does not wish to pursue further development of the new regimen, although there is speculation that it is altering its focus to produce single-tablet combination regimens — a product line that has been highly successful for the company in the treatment of HIV.

In fact, Gilead is doing quite well financially. It is a company with over $4 billion in annual revenues and over 4,000 employees. Its average margin of profitability over the last five years has been a whopping 34 percent.

Moreover, the total return to its shareholders on Gilead’s stock has been nearly 95 percent over the past year.

Still, the salient question is this: Should Gilead Sciences’ profitability trump doing what is right?

Since Dr. Sulkowski’s data presentation at the AASLD meeting in Boston this past November, over 200,000 hepatitis C patients worldwide have died of complications of their disease. Meanwhile, Gilead, a tremendously profitable corporation, refuses to consider the development of a drug regimen that could have cured most of those individuals in the pursuit of even greater profits.

I find that unconscionable. In fact, I find it patently offensive.

In short, it’s just plain wrong.


Mark Murphy, M.D., is a Savannah physician and writer. ***@****




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Really good posts Willy and doin time/
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My above post was only partially directed to DT, but really it was mostly directed to "all" in the forum.
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