Hep C drug achieves 75 percent cure rate: study

A hepatitis C treatment being developed by Vertex Pharmaceuticals Inc led to a 75 percent cure rate in a pivotal trial of previously untreated patients, the company said on Tuesday.

The results from the first late-stage study of telaprevir came in at the high end of expectations for a cure rate of 70 to 75 percent, with slightly lower discontinuation rates due to side effects than previously seen.

Telaprevir is not yet approved by the U.S. Food and Drug Administration, and the results were announced in a press release and conference call, not a journal or medical meeting.

Hepatitis C is a liver infection usually spread through infected blood, and it often leads to liver cancer.

Seventy-five percent of patients who received 12 weeks of telaprevir in combination with current standard treatment of pegylated interferon and ribavirin, followed by either 12 or 36 weeks of standard treatment achieved a sustained virologic response, or SVR, which is tantamount to a cure.

That compared with a 44 percent SVR rate for patients who received the usual 48-week regimen of the standard drugs.

“I think it is a bellwether day for hepatitis C drug development. It’s really impressive to see a 75 percent SVR rate” in a late-stage trial, said Sanford Bernstein analyst Geoffrey Porges. A member of Porges’ household owns stock in Vertex.

Telaprevir is in a race with a similar drug called boceprevir being developed by Merck & Co.

Data from two more late-stage trials of telaprevir, including results in patients who failed with previous treatment, is expected in the third quarter. The first boceprevir late-stage data will be released later this year.

Through mid-stage studies, most analysts have tabbed the Vertex drug as superior.

In a third arm of the late stage study, 69 percent of patients who received the telaprevir combination for just eight weeks followed by either 16 or 40 weeks of the standard drugs achieved SVR, Vertex said.

There has been great hope for this new class of antiviral drugs for the serious liver disease because of the potential for significantly higher cure rates and the possibility of cutting the duration that the standard drugs must be taken.

The tough to tolerate standard drugs - interferon and ribavirin - offer cure rates in the 40 percent to 50 percent range, must be taken for 48 weeks, and often cause debilitating flu-like symptoms, causing many patients to discontinue their use.

Several drugmakers are working on next generation drugs with the hope they could be combined with treatments like telaprevir and eliminate the need for interferon altogether.

Telaprevir discontinuation rates due to adverse events that were a bit lower than those seen in mid-range studies.

“Discontinuations due to rash were lower,” Skorney said.

The discontinuation rate was 6.9 percent in the 12-week telaprevir arm, 7.7 percent in the 8-week arm and 3.6 percent with the standard drugs alone.

Viral relapse rates - patients who had achieved undetectable levels of the virus in the blood only to relapse after completing treatment - were much lower in the telaprevir arms of the study.

The relapse rate was 8.6 percent among patients who received 12 weeks of telaprevir and 9.5 percent for those who got the Vertex drug for 8 weeks. That compared with a 28 percent viral relapse rate on the standard drugs.

“The results highlight that telaprevir-based combination regimens may increase viral eradication rates and shorten treatment time for many patients,” Dr Ira Jacobson from Weill Cornell Medical College and a researcher for the study, said in a statement.

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By Bill Berkrot

NEW YORK (Reuters)