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[mirceani]

Dear Dr Dietrich

I am gen 1b, currently on Pegasys (35 weeks so far) and I cleared the virus since week 8.
I know that standard duration of treatment is considered to be 48 weeks for my genotype.
I read studies which indicate that there is no benefit of 48 weeks of treatment for early responders (clear at week 4) vs 24 weeks of treatment.
Since I responded by week 8, not as early as 4 weeks but certainly sooner than week 12, I want to know your opinion regarding a shorter treatment duration - for ex 36, or 40 weeks.

Thank you

Mircea

[Douglas Dieterich, MD]

It is true that if you are truly virus negative by week 4, you may be able to stop earlier. However there is no data on 8 weeks. At this point you are over the hump and unless there are really compelling medical reasons to stop, I would continue to week 48. You have a lot invested in this treatment, so lets be sure that it works! Good luck!
DTD

[mirceani]

Dear Dr Dietrich

Thank you for your answer. I have to agree with it even if I do not like it.

I just want to add that I am a Mt Sinai patient, and I am extremelly happy with the professional care received from your coleagues. This is certainly the place to be for somebody with this disease.


Mircea N