San Francisco Chronicle

Merck tests hepatitis C drug combo

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Merck & Co.’s experiment­al hepatitis C drug combinatio­ns were effective against two common strains of the disease in a midstage trial as the company tries to show an edge over competitor­s Gilead Sciences Inc. and AbbVie Inc.

In the trial, which examined 240 hepatitis C patients treated with different combinatio­ns of Merck medicines, the drug cocktails wiped out the disease in more than 90 percent of patients with the two most common types of the virus. In another strain the drugs were less effective, except in patients taking a higher dose of one of the drugs.

The data were reported in an abstract posted Tuesday for the annual meeting of the American Associatio­n for the Study of Liver Diseases.

There were no serious side effects of Merck’s drugs, according to the abstract. More than 5 percent of patients said they had some side effects such as headaches or nausea.

The study looked at treatments lasting eight weeks, shorter than the current standard of 12 weeks for drugs from Gilead and AbbVie that are already for sale. There are six common strains of hepatitis C, known as genotypes, with genotypes 1 and 3 being the most prominent.

“The next goal for hep C is pan-genotypic activity,” Asthika Goonewarde­ne, an analyst at Bloomberg Intelligen­ce, said before results were released. “Merck needs this more than anyone if they are to be taken seriously.”

Both of Merck’s competitor­s have experiment­al combinatio­ns that can take on multiple strains. Gilead reported last month that its experiment­al combinatio­n wiped out all six strains of the virus 99 percent of the time after 12 weeks. AbbVie said this month that in 12 weeks, its experiment­al combinatio­n had cleared out genotypes 2 and 3 from patients more than 93 percent of the time, and had earlier wiped out genotype 1 infections 99 percent of the time.

Gilead and AbbVie are also working on shorter-term therapies. A trial looking at an AbbVie combinatio­n drug found that 100 percent of genotype 1 patients given an eightweek treatment had no sign of the disease after four weeks, according to an abstract published Tuesday. Doni Bloomfield is a Bloomberg writer. E-mail: mbloomfiel­12@ bloomberg.net

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