Nearing Finish Line, HCV Race Focuses On Salvage Therapy

With few remaining unmet needs in hepatitis C, Gilead, Merck and AbbVie are focusing on tough-to-treat niches with their next-gen combination regimens, especially treatment-experienced patients who failed on prior direct-acting antiviral therapy. Merck also is studying injectable drug users in an effort to eradicate HCV entirely.

BOSTON – Change was in the air at the American Association for the Study of Liver Diseases meeting here Nov. 11-15 and not just because of the recent US election results. The shifting drug development focus in liver diseases from the hepatitis C virus (HCV) to non-alcoholic steatohepatitis (NASH) is palpable, with market-leader Gilead Sciences Inc. recently stating that its latest Phase III, three-drug combination regimen probably signals the end of its R&D work in HCV.

Still, Gilead and its two closest pursuers in HCV – Merck & Co. Inc. and AbbVie Inc. – unveiled data for their next-generation direct-acting antiviral (DAA) combination regimens in Boston, and each company is working to produce eye-opening data in one of the few remaining challenges in the space – salvage therapy, that is curing HCV-infected patients who’ve failed a previous round of therapy with a DAA regimen

Elsewhere, Merck is trying to build a case for treating injectable drug users who have HCV as a means to address the greatest risk for new infections and as a possible pathway to eradicating the virus

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