Aa
MedHelp.org will cease operations on May 31, 2024. It has been our pleasure to join you on your health journey for the past 30 years. For more info, click here.
Aa
A
A
A
Close
Avatar universal

Vertex v Schering - The Race Is On!

http://www.fool.com
By Brian Orelli

The marathon race to bring the next hepatitis C drug to the market is coming to a close. In the last couple of weeks, both Schering-Plough (NYSE: SGP) and Vertex Pharmaceuticals (Nasdaq: VRTX) have announced that their phase 3 trials have finished enrolling patients.  That means investors can pretty much guess when data from the trials should be available.

Almost there
Schering's Sprint-2 trial testing boceprevir and Vertex's Illuminate trial testing telaprevir have a maximum of 48 weeks of treatment and a 24-week follow up to see if the virus has been eradicated, so the subjects that just started treatment now should be done in about 17 months. Add a month or two to process the data, and investors should get results before the end of the summer next year.

Both companies are also testing the drug in patients who have failed the current treatments: Roche's Pegasys and Schering's Pegintron. Vertex is expecting final data from a phase 2 trial, confusingly called Prove 3, in the first half of this year. It's still a possibility that the company could file a marketing application with just that data given the unmet need, but the company needs to see the data and discuss it with the Food and Drug Administration first. If it can get approved with the phase 2 data, great -- Vertex would likely be first to market. But if that doesn't work out, it has a backup plan with a phase 3 trial that is expected to be fully enrolled this quarter. Schering's phase 3 trial for treatment-failure patients concluded enrollment last November.
17 Responses
Sort by: Helpful Oldest Newest
Avatar universal
At some point it may not be an "either/or" proposition; one may be able to treat with a PI and add or predose with Alinia.

I don't know if you have seen the Vertex results with past TX failures?  The results look pretty "sexy" to me

I post a study (thank you, zazza) on the 107 Vertex trial which were the results for treatment failures in the Vertex Prove 1 and Prove 2 SOC "control arms".  They were then given the chance to treat with triple therapy.  The results were very good.... I think pretty promising even for past "null responders".

Please take a look at this study; it's a thing of beauty.
http://www.natap.org/2008/AASLD/AASLD_39.htm

It shows that there is indeed hope for past TX failures.  If one more form of TX (such as a short course of an existing Polymerase inhibitor) could be added to this TX we could see an amazing cure rate.

The 107 study only goes to 24 weeks; no SVR rates.
The Prove 3 results may be revealed at the Spring EASL.
We may see final SVR rates for both studies soon.
We are still awaiting the results of the genotype 2 trials.
Vertex is also doing a trial in with 8 week triple dosing in naives.
I think they are trying out a SOC lead in as well.

hope springs eternal....

Willy
Helpful - 0
Avatar universal
I am more interested in Schering's Boceprevir at this point.  Already tried Vertex's produce and got the rash and since I didn't have the Riba with it, didn't clear either.  I'd rather take my chances with Boceprevir when it becomes available because it's not supposed to have so many rash issues with it.

Susan400
Helpful - 0
Avatar universal
Agree with Orleans on this. Romark should be making heaps out of Alinia
It Kills just about everything. H. Pylori, Giardia etc. And its safe.
Plus it doesnt generate Resistant mutations.

But I bet they are not.
CS
Helpful - 0
Avatar universal
Selling lots? To who (or is it whom). Very few here are on it and I do not know a single 1st time TXer (other than myself) using it I am flabergasted at this as it is the only addition to SOC, readily available with at least SOME data supporting it. Oh there is a few one time, older things like the German thing with PPC. Stuff like that. SOCs low sucess rate was just too much for me to swallow and I was thankful to have an option. I turned down a spot in the Vertex trials and went for Alinia as the better choice. jerry
Helpful - 0
Avatar universal
There are only three GT1's in the Alinia study and while they all cleared, that is not a number for me to get real excited about.
______________

And having we had the least a couple of geno ones who failed treatment here who took Alinia? I agree, hard to draw conclusions based on three people.
Helpful - 0
Avatar universal
Romark may not have a need to drive up their stock price but I am sure that they are selling lots and lots of Alinia  for HepC right now.

There are only three GT1's in the Alinia study and while they all cleared, that is not a number for me to get real excited about.

I wont be excited about Alinia until they show HCV clearance by a larger number of Geno 1's.
Helpful - 0
Avatar universal
Oh, it was a lead in with just Alinia. Didn't get that.
Helpful - 0
Avatar universal
You dont need the 12 week lead in no.
But we already knew that.

CS
Helpful - 0
Avatar universal
Looks like you are better off with less Alinia then?
Helpful - 0
Avatar universal
Well Spotted.
Doesnt make sense though. the 12 week lead in arm had 61%
the 4 week lead in had 80%. Me thinks Romark have got it mixed up.

CS
Helpful - 0
Avatar universal
Look closely at the 44 patient 4 week lead-in arm. Alinia + Peg, not SOC. The 24wk SVR data is in now. 80% svr, including all 3 G1s. jerry
Helpful - 0
Avatar universal
Not sure you are right about the no Riba arm.
The 80% SVR rate was wth Riba
The no Riba had an svr rate of 61%.

Romark Announces Presentation of New Data For Nitazoxanide in Chronic Hepatitis C at EASL 2008
http://www.romark.com/news/04232008.aspx

Thirty-five of 44 patients (80%) treated with a 4-week lead-in phase of nitazoxanide followed by the addition of peginterferon for 36 weeks experienced a SVR 12 weeks after the end of treatment (SVR12)
compared to 50% in the SOC historical control group (P = 0.004),
61% in patients receiving a 12-week lead-in with nitazoxanide followed by 36 weeks of nitazoxanide plus peginterferon,
and 79% in patients receiving a 12-week lead-in with nitazoxanide followed by 36 weeks of nitazoxanide plus SOC.

CS
Helpful - 0
Avatar universal
For some reason the PIs are "sexy". Not so with Alinia. I believe it is BECAUSE Romark is a private co. and has no need of stock moving hype. Granted the Romark trials have been small (they just don't have the mega $) but the results have been nothing less than stellar. 80% SVR in RibaLESS arm. Mostly G4s but all 3 of the G1s in that arm SVRed. NO RIBA! There early results in this country with G1s are due soon. jerry
Helpful - 0
Avatar universal
I am with Orleans.
The rest of you can keep the damn PIs

CS
Helpful - 0
Avatar universal
ill take 1000 shrae sof Schring please.
Helpful - 0
Avatar universal
A lot of cold hard cash is gonna be made...and i mean alot....billions.
Helpful - 0
Avatar universal
I'ld buy stock in Romark if it was a public co. jerry
Helpful - 0

You are reading content posted in the Hepatitis C Community

Top Hepatitis Answerers
317787 tn?1473358451
DC
683231 tn?1467323017
Auburn, WA
Learn About Top Answerers
Answer a few simple questions about your Hep C treatment journey.

Those who qualify may receive up to $100 for their time.
Explore More In Our Hep C Learning Center
image description
Learn about this treatable virus.
image description
Getting tested for this viral infection.
image description
3 key steps to getting on treatment.
image description
4 steps to getting on therapy.
image description
What you need to know about Hep C drugs.
image description
How the drugs might affect you.
image description
These tips may up your chances of a cure.
Popular Resources
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.