{"id":238260,"date":"2010-01-27T18:19:06","date_gmt":"2010-01-27T23:19:06","guid":{"rendered":"http:\/\/blogs.jwatch.org\/hiv-id-observations\/?p=687"},"modified":"2010-01-27T18:19:06","modified_gmt":"2010-01-27T23:19:06","slug":"no-vicriviroc-%e2%80%94%c2%a0yet","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/238260","title":{"rendered":"No Vicriviroc \u2014\u00a0Yet"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-688\" title=\"ccr5lrg\" src=\"http:\/\/blogs.jwatch.org\/hiv-id-observations\/wp-content\/uploads\/2010\/01\/ccr5lrg-150x150.gif\" alt=\"ccr5lrg\" width=\"150\" height=\"150\" \/>Apparently, Merck &#8212; taking over for Schering-Plough &#8212; <a href=\"http:\/\/phx.corporate-ir.net\/External.File?item=UGFyZW50SUQ9MjcwNDV8Q2hpbGRJRD0tMXxUeXBlPTM=&amp;t=1\" >will not seek approval for vicriviroc<\/a> in treatment-experienced patients:<\/p>\n<blockquote>\n<p>In two Phase III studies in this patient population, vicriviroc did not meet the primary efficacy endpoint. These studies enrolled a high percentage of patients who had three or more active drugs in their optimized background therapy regimen.<\/p>\n<\/blockquote>\n<p>The report goes on to say that the results of these studies will be presented at <a href=\"http:\/\/www.retroconference.org\/2010\/\" >CROI next month<\/a>, and that other studies of vicriviroc in treatment-naive patients will continue.<\/p>\n<p>Even though we don&#8217;t know the details yet, it&#8217;s understandable how this trial didn&#8217;t show any benefit for vicriviroc.\u00a0 With the &#8220;optimized background therapy&#8221; having 3 or more active drugs, how could it?\u00a0 We&#8217;re a long way from the <a href=\"http:\/\/content.nejm.org\/cgi\/content\/abstract\/348\/22\/2175?ijkey=4c11d80527a116ce7ad89735730ba40f0845d058&amp;keytype2=tf_ipsecsha\">TORO\/T-20<\/a> days, when such &#8220;OBT&#8221; led to virologic suppression in &lt; 10% of patients.<\/p>\n<p>The control arms in these studies now just do <em>too<\/em> well.\u00a0 Progress!<\/p>\n<p>Still, given the checkered history of this particular CCR5 antagonist &#8212; including a <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18783318?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&amp;ordinalpos=6\" >failed phase II study<\/a> in treatment-naive patients and a <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17570119?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&amp;ordinalpos=6\" >possible signal of increased malignancies<\/a> in another trial &#8212; the FDA approval for any indication might be a long hill to climb.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/HivAndIdObservations\/~4\/lWn1yVMULnU\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Apparently, Merck &#8212; taking over for Schering-Plough &#8212; will not seek approval for vicriviroc in treatment-experienced patients: In two Phase III studies in this patient population, vicriviroc did not meet the primary efficacy endpoint. These studies enrolled a high percentage of patients who had three or more active drugs in their optimized background therapy regimen. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-238260","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/238260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=238260"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/238260\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=238260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=238260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=238260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}