Table 2.
Boceprevir | Telaprevir | |||
4-week peginterferon alfa/ribavirin lead-in | Yes | No | ||
PI duration HCV treatment-naive | 24 weeks or 44 weeks | 12 weeks | ||
HCV treatment- experienced | 32 weeks or 44 weeks | 12 weeks | ||
Criterion for RGT* | RNA-negative at weeks 8-24 | RNA-negative at week 4 and week 12 | ||
RGT-eligible, treatment- naive patients | ~44% | ~58%-65% | ||
RGT-eligible, treatment- experienced patients | Relapsers and partial responders (null responders not eligible) | Relapsers (partial and null responders not eligible) | ||
Total duration of treatment in treatment- experienced patients | 36 weeks (with eRVR) or 48 weeks | 24 weeks or 48 weeks | ||
Stopping rule for futility | HCV RNA > 100 IU/mL at week 12 | HCV RNA > 1000 IU/mL at week 4 or week 12 | ||
Detectable virus at week 24 | Detectable virus at week 24 | |||
Added adverse effects | Anemia, dysgeusia | Anemia, rash, pruritus, nausea, diarrhea | ||
Dosage | Four 200 mg pills every 8 hours | Two 375 mg pills every 8 hours | ||
Food requirement | Must be taken with some food | Must be taken with meal containing ≥ 20 g of fat |
RGT indicates response-guided therapy; PI, protease inhibitor; eRVR, early rapid virologic response. RGT is not recommended in patients with cirrhosis or HIV coinfection.