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Clinical Pharmacology

Table 2 Sustained Virologic Response to Combination Therapy (Study 4)

Interferon alfa-2b +
Ribavirin 1000 mg or 1200 mg
PEGASYS +
Placebo
PEGASYS +
COPEGUS 1000 mg or 1200 mg
All patients
197/444 (44%)*
65/224 (29%)
241/453 (53%)*
Genotype 1
103/285 (36%)
29/145 (20%)
132/298 (44%)
Genotypes 2-6
94/159 (59%)
36/79 (46%)
109/155 (70%)

*Difference in overall treatment response (PEGASYS/COPEGUS Interferon alfa-2b/ribavirin) was 9% (95% CI 2.3, 15.3).

In Study 5 (see Table 3), all patients received PEGASYS 180 mg sc qw and were randomized to treatment for either 24 or 48 weeks and to a COPEGUS dose of either 800 mg or 1000 mg/1200 mg (for body weight <75 kg / ≥75 kg). Assignment to the four treatment arms was stratified by viral genotype and baseline HCV viral titer. Patients with genotype 1 and high viral titer (defined as >2 x 106 HCV RNA copies/mL serum) were preferentially assigned to treatment for 48 weeks.

HCV Genotypes

HCV 1 and 4 - Irrespective of baseline viral titer, treatment for 48 weeks with PEGASYS and 1000 mg or 1200 mg of COPEGUS resulted in higher SVR (defined as undetectable HCV RNA at the end of the 24-week treatment free follow-up period) compared to shorter treatment (24 weeks) and/or 800 mg COPEGUS.

HCV 2 and 3 -Irrespective of baseline viral titer, treatment for 24 weeks with PEGASYS and 800 mg of COPEGUS resulted in a similar SVR compared to longer treatment (48 weeks) and/or 1000 mg or 1200 mg of COPEGUS (see Table 3).

The numbers of patients with genotype 5 and 6 were too few to allow for meaningful assessment.

Table 3 Sustained Virologic Response as a Function of Genotype (Study 5)

24 Weeks Treatment
48 Weeks Treatment
PEGASYS +
COPEGUS
800 mg
(N=207)
PEGASYS +
COPEGUS
1000 mg or 1200 mg*
(N=280)
PEGASYS +
COPEGUS
800 mg
(N=361)
PEGASYS +
COPEGUS
1000 mg or 1200 mg*
(N=436)
Genotype 1
29/101 (29%)
48/118 (41%)
99/250 (40%)
138/271 (51%)
Genotypes 2, 3
79/96 (82%)
116/144 (81%)
75/99 (76%)
117/153 (76%)
Genotype 4
0/5 (0%)
7/12 (58%)
5/8 (63%)
9/11 (82%)
Brand Name: Pegasys
Generic Name: Peginterferon alfa-2a

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