The Medical Letter on Drugs and Therapeutics
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Simeprevir (Olysio) for Chronic Hepatitis C

The FDA has recently approved 2 new drugs for treatment of chronic hepatitis C virus (HCV) infection. Simeprevir (Olysio – Janssen) is the third oral protease inhibitor to be approved for use in combination with peginterferon and ribavirin for treatment of chronic HCV genotype 1 infection in adults with compensated liver disease. Telaprevir (Incivek) and boceprevir (Victrelis) were approved in 2011 for the same indication. Sofosbuvir (Sovaldi – Gilead), a nucleotide analog polymerase inhibitor that has been approved for use with and without interferon for treatment of multiple HCV genotypes, will be reviewed in the next issue of The Medical Letter.

STANDARD THERAPY — For many years, the standard therapy for chronic HCV genotype 1 infection (the most common genotype in the US and Europe) was 48 weeks of subcutaneously-injected ... more      

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