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Alan Franciscus

Editor-in-Chief

HCV Advocate



Wednesday, February 4, 2015

Cigna Signs Agreement with Gilead to Improve Affordability of Hepatitis C Treatment for Customers and Clients

  • Improving customers' health at the most competitive pricing benefits all stakeholders
  • Harvoni is the only Cigna preferred hepatitis C drug treatment for genotype 1

BLOOMFIELD, Conn., February 04, 2015 - Cigna (NYSE: CI) has reached an agreement with Gilead Sciences, Inc. (NASDAQ: GILD) to include Harvoni as the only preferred brand prescription drug treatment for customers with hepatitis C genotype 1, the most common form of the disease in the United States. Cigna clients and customers benefit from obtaining breakthrough clinical cure rates for hepatitis C while significantly lowering the cost of drug treatment.

“Cigna is committed to offering customers and clients the most affordable solutions that deliver improved health while containing both drug and total medical costs. We have selected Gilead’s Harvoni as the preferred drug treatment for hepatitis C genotype 1. Harvoni’s clinical effectiveness, safety and convenience, coupled with our innovative customer counseling, will deliver material health and financial outcomes for our customers and clients,” said Jon Maesner, chief pharmacy officer for Cigna Pharmacy Management.

Clinical studies have shown that 94% to 99% of individuals with genotype 1 hepatitis C treated with Harvoni achieve a sustained virologic response (SVR). Customers who have an SVR when tested 12 weeks after the completion of treatment are considered cured.

“Cigna continues to invest in analyzing real-world SVR outcomes with the leading hepatitis C treatments across the genotypes as we believe creating alignment around clinical and financial outcomes drives more affordable access to essential medications,” added Maesner. The agreement includes development of an innovative outcomes incentive alignment based on actual SVR results across Cigna's customer population.

Cigna is continuing to:
  • Offer therapy support management through Cigna Specialty Pharmacy Services to every customer undergoing hepatitis C treatment.
  • Conduct real-world outcomes assessments on existing and new hepatitis C drug treatments, including Harvoni, to further develop outcome-based strategies.
Cigna Medicare customers will also now have Harvoni as an additional formulary choice for treatment.

Terms of the agreement are not disclosed.

Read complete press release here
 

Gilead to discount its pricey Sovaldi drug

LOS ANGELES (MarketWatch)—The future appeared golden when Gilead Sciences Inc. reported its results Tuesday, with earnings per share blowing past forecasts and revenue beating estimates by more than half a billion dollars.

So why was Gilead’s GILD, -7.92%  stock down by double digits at one point Wednesday morning? The main driver of those results, the hit hepatitis C drug Sovaldi, will come down in price, the company says.

Gilead will begin offering discounts and rebates of up to 46% this year for the $1,000-a-day pill to insurers and others who pay for health care expenses, now that rivals like AbbVie Inc. ABBV, -6.73%  and Merck & Co. Inc. MRK, -2.90%  are entering the market.

Read more...

UPDATE 2-Merck says hepatitis C treatment to lose "breakthrough" status


Feb 4 (Reuters) - Merck & Co on Wednesday said the U.S. Food and Drug Administration intends to rescind its "breakthrough therapy" designation for the company's experimental combination treatment for hepatitis C because of other recently approved treatments.

Merck, in its fourth-quarter earnings report, said it plans to discuss the matter with the FDA, and still expects to seek U.S. approval for the treatment in the first half of 2015. It consists of a protease inhibitor called MK-5172 and a so-called NS5A inhibitor called MK-8742 that together had received the "breakthrough therapy" designation from the FDA.

The setback for Merck's treatment follows recent approvals of costly oral treatments for the liver disease from Gilead Sciences Inc and AbbVie that have wiped out all signs of the virus in more than 90 percent of patients after eight or 12 weeks.

Read more....

Tuesday, February 3, 2015

Ghana: Hepatitis C More Prevalent Than HIV/AIDS or Ebola Yet Lacks Equal Attention

Loyola’s HepNet study reveals high frequency of active infection and multiple risk factors in Ghana

Newswise — More than 180 million people in the world have hepatitis C, compared with the 34 million with HIV/AIDS and the roughly 30,000 who have had Ebola. Yet very little is heard about the hepatitis C virus (HCV) in the way of awareness campaigns, research funding or celebrity fundraisers.

One of the global regions highly affected by hepatitis C is West Africa. In developed countries, hepatitis C, a blood-borne disease, is transmitted through intravenous (IV) drug use. “In West Africa, we believe that there are many transmission modes and they are not through IV drug use, but through cultural and every day practices,” says Jennifer Layden, MD, PhD principal investigator on a study recently published in the journal Clinical Infectious Diseases. “In this study, tribal scarring, home birthing and traditional as opposed to hospital-based circumcision procedures, were associated with hepatitis C infection in Ghana.”

The study was conducted by HepNet, an international multidisciplinary group of physicians and scientists. “The other important finding was that a high percentage of individuals who tested positive for HCV had evidence of active infection,” says Layden. “This illustrates the need for treatment.”

Read more....

Doctors group joins fight against 'skyrocketing' drug prices

These doctors are concerned you won't be able to afford the medicines they want to prescribe you.

A national group of more than 140,000 physicians on Tuesday joined a coalition dedicated to reversing the growing trend of high-cost specialty drugs, which are being blamed for straining the finances of patients, insurance plans and public health coverage programs.

The move by the American College of Physicians came a day after the Obama administration said it is asking Congress to give it power to negotiate with drugmakers over the prices of costly prescription medication provided to Medicare beneficiaries.

Read more...

UK: Lesley Hughes now demanding apology for blood transfusion scandal blighting thousands of patients

At risk: Lesley Hughes who found out just last year she contracted hepatitis C from a blood transfusion. 

It was the blood that was supposed to give her life.

However, the 61-year-old says that blood has given her a death sentence after discovering just last year by chance that it infected her with the deadly virus hepatitis C. 

Last week the couple from the New Forest travelled to London where the issue was debated in parliament with MPs calling for a long-awaited national public apology and final settlement ahead of the results of a public inquiry into the scandal being published in March.

 Read more...

Canada: Hepatitis C outbreak declared at Kitchener colonscopy clinic

A hepatitis C outbreak has been declared after five patients were diagnosed with the virus following treatment at the Tri-City Colonoscopy Clinic in Kitchener on Christmas Eve in 2013.  

The patients were treated that day along with eight others, according to a report from Waterloo Region Public Health. 

"At this point in time, Public Health has no evidence that there was a risk to clients seen on other days at Tri-City Colonoscopy Clinic," the report said. 

Read more...