Review Article

Hepatitis C Virus: A Critical Appraisal of New Approaches to Therapy

Table 7

Boceprevir Dosing in Treatment-Experienced Patients [6].

Boceprevir HCV Genotype 1 Dosing

Previous Partial Responders or Relapsers Without Cirrhosis PEG-IFN/RBV for 4 weeks, then BOC 800 mg (four 200 mg capsules) orally 3 times daily (every 7–9 hours) with food [meal/light snack] to PEG-IFN/RBV regimen after 4 weeks of treatment—then RGT

Previous Partial Responders or Relapsers With Compensated Cirrhosis
OR 4 weeks PEG-IFN/RBV followed by 44 weeks BOC 800 mg 3 times daily in combination with PEG-IFN/RBV
<2-log10 HCV-RNA decline by treatment week 12 during prior therapy with PEG-IFN/RBV

Response-Guided TherapyAssessment (HCV-RNA Results) Recommendation
At Treatment Week 8At Treatment Week 24

Previous partial responders or relapsersUndetectableUndetectableComplete 3-medicine regimen at TW36
DetectableUndetectable(1) Continue all 3 medicines and finish through TW36 and then:
(2) Administer PEG-IFN/RBV and finish through TW48

BOC: boceprevir; TW: treatment week.