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Hepatitis C Drugs Kill the Virus...and Your Sex Drive

By Trista Morrison | Oct 27, 2009

As the American Association for the Study of Liver Diseases (AASLD) kicks off its annual confab this week, all eyes will be on efforts to revolutionize the standard of care for hepatitis C.

Most HCV patients are treated with ribavirin and pegylated interferon, a combination that often comes under fire for its 40 percent to 50 percent cure rate and significant side effects including anemia, infections, depression and anxiety. And now, according to research published in the journal Gastroenterology, there’s another side effect to add to that list…one that may warrant a new nickname for the HCV regimen: urdixaflop. 

HCV drugs associated with erectile dysfunctionAccording to the study, 38 percent to 48 percent of men reported that their sexual function was worse after a course of ribavirin and pegylated interferon. The men also saw declines in sexual desire, sexual satisfaction, erectile function and ejaculatory function. Viagra-maker Pfizer is sure to be all over this…

In all seriousness, the data are just one more reason folks are so excited about Phase III drugs like Vertex Pharmaceuticals‘ telaprevir and Schering-Plough’s boceprevir. The two are protease inhibitors that could offer a much-needed new option in HCV, which is why they take center-stage at every major medical meeting where HCV is on the agenda.

This year’s AASLD conference should be no exception, although analysts also are watching competing protease inhibitors like Schering’s SCH-900518, Boehringer Ingelheim’s BI-201335 and Tibotec’s TMC-435350.

For now, the protease inhibitors are being studied as add-ons to ribavirin and interferon, but experts are eager for ways to reduce or eliminate reliance on the standard of care. One such approach, which combined a protease inhibitor with a polymerase inhibitor, made a huge splash at another liver meeting this spring, and updated data are coming at AASLD.

Immunotherapy also may offer a way either to build on or avoid standard of care. GlobeImmune is presenting data at AASLD from a Phase II study combining its HCV vaccine with both ribavirin and interferon, while Idera Pharmaceuticals has data showing its IMO-2125 may be able to stimulate natural interferon production, making that part of the regimen unnecessary.

Limp photo by Flickr user fhwrdh, CC.

Trista Morrison is a staff writer at BioWorld Today, a daily newspaper that's been covering the biotech industry about as long as there's been a biotech industry to cover.

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  •  
    1

    kbrichard

    10/28/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    Was wondering if the author was a paid employee. Pretty misinformed drool youv'e published here Ms. Morton...FYI the severely side effect laden HCV drug regiem is taken with and not instead of Telaprievier. This whole trying to be funny about a 48 week therepy of hell that didn't work for half those sentenced to liver failure, is pretty god damn despicable and I hope you feel some remorse or shame for stooping to this style journalism. Please save your limp dick editorial sarcasm for some other venue. I can't believe they'd have someone who would go this low and with this peculiar type of sensationalism be involved with such an entity as bnet. Think a few apologies are in order starting with your boss.

  •  
    2

    JackMartin

    10/28/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    No apologies needed here (except perhaps from the person who can't copy a name correctly from the byline). Personally, I think its an odd side effect - especially odd that somebody would seek to publish the findings. Not sure when erectile dysfunction became such a serious side effect anyways. All the same - the article covers it nicely. If Viagra can have ridiculously light hearted commercials for the drug, I would say that a light hearted first paragraph in an article about the side effect is fair.

  •  
    3

    David P Hamilton

    10/28/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    kbrichard, I'm the editor of this section, so if you've got an issue, feel free to have it out with me. There was clearly no intent to ridicule hepatitis patients in Trista's post. Yes, she made an offhand joke about this particular side effect of the ribavarin-interferon combo, but it obviously wasn't aimed at the folks taking the drugs.

    If you think medical black humor is in bad taste, that's entirely your right. But you also have a bone to pick with plenty of doctors -- not to mention the many patients who find dark jokes a comfort of sorts in coping with their own situation.

    I obviously don't want anyone ridiculing people's suffering here. At the same time, I don't see the point in being so deadly serious about the coverage of disease and its treatment that we can't poke a bit of fun at medical jargon and unanticipated side effects.

    As for how telaprevir is used, let me draw your attention to part of Trista's post you may have missed (emphasis added):

    For now, the protease inhibitors are being studied as add-ons to ribavirin and interferon, but experts are eager for ways to reduce or eliminate reliance on the standard of care. One such approach, which combined a protease inhibitor with a polymerase inhibitor, made a huge splash at another liver meeting this spring, and updated data are coming at AASLD.


    Btw, Trista's last name is Morrison, not Morton.

  •  
    4

    hgeese

    10/28/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    I think that kbrichard really needs to lighten up. Everyone knows that standard of care for HCV sucks. Ms. Morrison uses humor to point out just one more reason why it sucks and draw attention to the very real need for better options FOR PATIENTS. And ultimately that is what drug development is about--better options for patients! She isn't riduculing patients with hepatitis C, she is advocating for them.

  •  
    5

    Trista Morrison

    10/28/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    kbrichard - just wanted to apologize personally if I offended you and assure you I meant absolutely no disrespect to HCV patients. This post was intended simply to summarize new research about yet another unpleasant side effect of the standard of care and to emphasize the need for new options, some of which will be showcased at AASLD.

    All the best,
    Trista

  •  
    6

    vanjo75

    10/29/09 | Report as spam

    RE: Hepatitis C Drugs Kill the Virus...and Your Sex Drive

    am undergone for oral treatment but hope and pray i will be cure....am so much worried about this...

  •  
    7

    vanjo75

    10/29/09 | Report as spam

    hepa b

    theirs any hope to cure please help me

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