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Sofosbuvir + Simeprevir +/- Ribavirin in Genotype 1 COSMOS Trial (Cohorts 1 and 2)

Phase 2a, Treatment Naïve and Treatment Experienced. Treatment Naïve and Treatment Experienced. Sofosbuvir + Simeprevir +/- Ribavirin in Genotype 1 COSMOS Trial (Cohorts 1 and 2).

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Sofosbuvir + Simeprevir +/- Ribavirin in Genotype 1 COSMOS Trial (Cohorts 1 and 2)

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  1. Phase 2a, Treatment Naïve and Treatment Experienced Treatment Naïve and Treatment Experienced Sofosbuvir + Simeprevir +/- Ribavirin in Genotype 1COSMOS Trial (Cohorts 1 and 2) SulkowskiM, et al. 49th EASL; April 2014. Abstract 07.LawitzE, et al. 49th EASL; April 2014. Abstract 165.

  2. Sofosbuvir + Simeprevir +/-Ribavirin for HCVGT 1COSMOS Trial: Study Features Source: (Cohort 1) SulkowskiM, et al. 49th EASL. April 2014. Abstract 07. (Cohort 2) Lawitz E, et al. 49th EASL. April 2014. Abstract 165.

  3. Sofosbuvir+ Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Design for Cohort 1 Cohort 1: Prior Null Responders; MetavirScores F0-F2 0 12 24 36 Week SOF + SMV + RBV N =24 SVR12 SOF + SMV SVR12 N =15 SOF + SMV + RBV SVR12 N =27 SOF + SMV N =14 SVR12 Drug DosingSOF= Sofosbuvir: 400 mg once dailySMP =Simeprevir: 150 mg once dailyRBV = Ribavirin (weight-based and divided bid): 1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg Source: Sulkowski M, et al. 49th EASL. April 2014. Abstract 07.

  4. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Results for Cohort 1 COSMOS (Cohort 1): SVR 12 by Regimen 19/24 14/15 26/27 13/14 24-Week Treatment 12-Week Treatment SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Sulkowski M, et al. 49th EASL. April 2014. Abstract 07.

  5. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Cohort 1 Subgroup Analysis Impact of Q80K on SVR in Patients with GT1 SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Sulkowski M, et al. 49th EASL. April 2014. Abstract 07.

  6. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Design for Cohort 2 Cohort 2: Treatment Naïve & Prior Null Responders; MetavirScores F3-F4 0 12 24 36 Week SOF + SMV + RBV N =30 SVR12 SOF + SMV SVR12 N =16 SOF + SMV + RBV SVR12 N =27 SOF + SMV N =14 SVR12 Drug DosingSofosbuvir: 400 mg once dailySimeprevir: 150 mg once dailyRibavirin (weight-based and divided bid): 1000 mg/day if < 75 kg or 1200 mg/day if ≥ 75 kg Source: Lawitz E, et al. 49th EASL. April 2014. Abstract 165.

  7. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Results COSMOS (Cohort 2 with F3-F4 Fibrosis): SVR12 by Regimen 28/30 16/16 25/27 13/14 24-Week Treatment 12-Week Treatment SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Lawitz E, et al. 49th EASL. April 2014. Abstract 165.

  8. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Results COSMOS (Cohort 2 Metavir F4 Patients): SVR12 by Naïve or Null 3/3 9/9 5/5 4/4 6/6 4/5 2/3 4/4 16/17 21/22 24-Week Treatment 12-Week Treatment SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Lawitz E, et al. 49th EASL. April 2014. Abstract 165.

  9. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Cohort 2 Subgroup Analysis Impact of Q80K on SVR in Patients with GT1 SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Lawitz E, et al. 49th EASL. April 2014. Abstract 165.

  10. Sofosbuvir + Simeprevir +/- Ribavirin for HCV GT 1COSMOS Trial: Results COSMOS: Impact of Q80K on SVR in Patients with GT1 24/27 30/30 17/17 10/11 21/21 8/8 Cohort 1: SVR 12 (12 & 24-week arms) Cohort 2: SVR 4 (12-week arms) SOF = sofosbuvir; SMV = simeprevir; RBV = ribavirin Source: Jacobson IM, et al. AASLD. Nov, 2013. Abstract LB-3.

  11. This slide deck is from the University of Washington’s Hepatitis C Online and Hepatitis Web Study projects. Hepatitis C Onlinewww.hepatitisc.uw.edu Hepatitis Web Studyhttp://depts.washington.edu/hepstudy/ Funded by a grant from the Centers for Disease Control and Prevention.

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