“Our patients are individuals,” she said. “We
often don’t get it right first try, and we can now have
several goes before we find the right regime for the patient.
We used to ‘treat to live’ - now we help people ‘live
with treatment’”.
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Only
15,000 will get T-20 during 2003 |
Roche Products,
manufacturers of the new fusion inhibitor anti-HIV drug T-20 (enfurvirtide,
trade name Fuzeon), have announced that manufacturing difficulties
mean that they will probably only be able to supply the drug to
12-15,000 patients worldwide by the end of 2003 rather than the
25,000 originally envisaged.
Roche are mass-manufacturing T-20 in partnership with the smaller
drug firm Trimeris, who originally developed it. Trimeris financial
officer Bob Bonczek told the news agency Reuters that projected
T-20 sales in 2003 would be at the lower end of the $57 to $164
million (£35 to £102 million) range forecast. Although
the initial price of T-20 is tightly under wraps till licensing,
this revenue yield would indicate a price of about $7,000 per patient
per year - twice as expensive as many other HIV drugs.
If all goes well T-20 is expected to be licensed by US regulators
in March.
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45 per cent ‘rebound’ within two years |
Nearly half of patients who initially respond to highly active
antiretroviral therapy (HAART) will find their HIV reappearing
- ‘rebounding’ over the course of two years, according
to results of a European study presented at the 6th International
Congress on HIV in Glasgow.
However, the likelihood of an HIV rebound decreases fourfold over
that time period, suggesting that many patients eventually find
a regime that works for them.
Amanda Mocroft, from University College London, presented data
on 1470 patients from the EuroSida study.
The group of patients all had undetectable viral loads at the
beginning of the study, and all were taking between three and
five HIV drugs.
Nearly half - 45.9 per cent - had experienced a viral load rebound
by the end of the two-year study. However
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the rate of
rebound decreased significantly over time from 38.8 per cent during
the first six months, to 9.8 per cent two years after initial suppression. |
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