Friday, April 1, 2011

Better Then SOC; Improvements in Viral Cure Rates W-Telaprevir-Based TX Regardless of IL28B Genotype Status

Data From Phase 3 Studies Showed Substantial Improvements in SVR
(Viral Cure) Rates With Telaprevir-Based Therapy Compared to
Currently Available Medicines in People With Hepatitis C, Regardless
of Their IL28B Genotype Status
90% of people with the ˜CC' variation of IL28B who
were new to treatment and received a telaprevir-based regimen
achieved a viral cure, 78% of them were eligible to stop all
treatment at 24 weeks -

- Nearly three-fold improvement in viral cure rates was
observed among people with the ˜CT' and ˜TT' variations
compared to the control group, regardless of prior treatment
experience -
BERLIN--(BUSINESS WIRE)--Mar 31, 2011 -
Vertex Pharmaceuticals
Incorporated (Nasdaq: VRTX) today announced new data from
retrospective analyses that evaluated the relationship between
variations at the IL28B gene and a patient's response to treatment
with telaprevir in combination with pegylated-interferon and
ribavirin from two of its pivotal Phase 3 studies (ADVANCE and
REALIZE) for a group of people who were tested for IL28B genotype.
These analyses showed that people in these studies had substantial
improvements in sustained viral response (SVR, or viral cure) rates
across all IL28B genotypes (CC, CT or TT) for those treated with
telaprevir-based combination therapy compared to those treated with
pegylated-interferon and ribavirin alone. Telaprevir is a medicine
in development for the treatment of genotype 1 chronic hepatitis C.
Safety and tolerability results were consistent across the Phase 3
studies of telaprevir. Data from these IL28B analyses were
presented today at The International Liver Congress™ 2011,
the 46th annual meeting of the European Association for
the Study of the Liver (EASL) in Berlin, Germany.

A specific genetic region near the IL28B gene is referred to as
an IL28B genotype. The three variations of IL28B genotypes have
been associated with a person's response to hepatitis C treatment
with pegylated-interferon and ribavirin. The CC variation is
associated with better responses to these medicines.
“Doctors sometimes use IL28B genotype status to decide
which patients should be treated with currently available medicines
because people with the CT and TT variations of IL28B tend to have
substantially lower viral cure rates compared to those with the CC
variation,” said Ira Jacobson, M.D., Chief of the Division of
Gastroenterology and Hepatology at New York-Presbyterian
Hospital/Weill Cornell Medical Center, and the Vincent Astor
Distinguished Professor of Medicine at Weill Cornell Medical
College and principal investigator for the ADVANCE study. “In
this study, telaprevir was associated with a substantial
improvement over currently available medicines, regardless of IL28B
status, and the greatest improvement was observed in patients with
the CT and TT variations.”

In ADVANCE, patients were randomized 1:1:1 to receive telaprevir
(eight weeks or 12 weeks) in combination with pegylated-interferon
and ribavirin, followed by pegylated-interferon and ribavirin alone
for a total of either 24 weeks or 48 weeks of treatment.
Eligibility for the shorter treatment duration was based on having
undetectable hepatitis C virus at weeks four and 12. Among patients
in this study tested for their IL28B genotype, 90 percent (45/50)
of CC patients who received a 12-week telaprevir-based combination
regimen, achieved a viral cure and 78 percent (39/50) of them were
eligible to stop all treatment at 24 weeks. These results were
compared to 64 percent (35/55) of patients who achieved a viral
cure with pegylated-interferon and ribavirin alone for 48
weeks.

“The 90 percent viral cure rate among people with the CC
variation of IL28B in this study is significant, but the fact that
nearly 80 percent of them were eligible for the shorter course of
treatment is an equally important finding,” said Robert
Kauffman, M.D., Ph.D., Senior Vice President and Chief Medical
Officer for Vertex. “Vertex plans to conduct a study
evaluating a short-duration, 12-week telaprevir-based regimen in
people who have not been treated for hepatitis C who have the CC
variation of IL28B.”
Data from the ADVANCE study showed that patients with the CC
variation of IL28B who were new to treatment and received a
telaprevir-based combination regimen had the highest viral cure
rates compared to those with the CT and TT variations. Data from
both ADVANCE and REALIZE showed a nearly three-fold improvement in
viral cure rates among patients with the CT and TT variations of
IL28B who received telaprevir-based combination therapy compared to
those who received pegylated-interferon and ribavirin. These
differences were observed among patients who were new to treatment
as well as those whose prior treatment for hepatitis C was
unsuccessful.

Retrospective Analysis from ADVANCE
The Phase 3 ADVANCE study evaluated people who were new to
treatment for hepatitis C. The retrospective analysis of IL28B
status presented today includes people tested for IL28B genotype
(454/1088; 42 percent). Of the patients in ADVANCE who were tested
for their IL28B genotype, the distribution of the variations was
consistent with previously published studies in people new to
treatment.1 Data from the subanalysis of IL28B status in
the control and telaprevir treatment arms (12 weeks) of the study
are shown in the table.

ADVANCE
CC (n=150)CT (n=224)TT (n=80)Overall Study


TVR+


Control++


TVR+


Control++


TVR+


Control++


TVR+


Control++


RVR*
84%
(42/50)
16%
(9/55)
60%
(41/68)
2%
(2/80)
59%
(13/22)
0%
(0/26)
68%
(246/363)
9%
(34/361)


eRVR**
78%
(39/50)
16%
(9/55)
57%
(39/68)
2%
(2/80)
45%
(10/22)
0%
(0/26)
58%
(212/363)
8%
(29/361)


SVR***
90%
(45/50)
64%
(35/55)
71%
(48/68)
25%
(20/80)
73%
(16/22)
23%
(6/26)
75%
(271/363)
44%
(158/361)

Due to the de-identification procedure, only samples from Caucasian patients were included in this analysis.


*RVR: rapid viral response; undetectable (less then 25 IU/mL undetectable by Roche COBAS Taqman HCV test) at week 4.

**eRVR: extended rapid viral response; undetectable (less then 25 IU/mL undetectable by Roche COBAS Taqman HCV test) at weeks 4 and 12.

***SVR: defined as the proportion of people who had undetectable hepatitis C virus 24 weeks after the end of all treatment; less then 25 IU/mL, undetectable by Roche COBAS Taqman HCV test.

TVR+: 12 weeks of telaprevir (TVR, 750 mg, q8h), Pegasys(R) (PEG, pegylated-interferon alfa-2a) and Copegus(R) (RBV, ribavirin) followed by 12 weeks or 36 weeks of only PEG & RBV, based on response to treatment at week 4 and week 12.

Control++: 12 weeks of placebo, PEG & RBV, followed by 36 weeks of PEG & RBV alone.
Retrospective Analysis from REALIZE
The Phase 3 REALIZE study evaluated people whose prior treatment
with pegylated-interferon and ribavirin was unsuccessful (prior
relapsers, prior partial responders and prior null responders). Of
the patients in REALIZE who were tested for their IL28B genotype
(527/662; 80 percent), the distribution of patients with the CT
variation was over-represented and the distribution of those with
the CC variation was under-represented. This is consistent with
expectations for a population that has not responded to a prior
course of treatment.
REALIZE
SVRCCCTTT


TVR+


Control++


TVR+


Control++


TVR+


Control++
Prior
Relapsers
88%
(51/58)
33%
(4/12)
85%
(100/117)
20%
(6/30)
85%
(29/34)
30%
(3/10)
Prior
Partial Responders
63%
(5/8)
20%
(1/5)
58%
(33/57)
20%
(2/10)
71%
(10/14)
0%
(0/5)
Prior
Null Responders
40%
(4/10)
n/a
(0/0)
29%
(27/92)
6%
(1/18)
31%
(10/32)
7%
(1/15)


Overall
79%
(60/76)
29%
(5/17)
60%
(160/266)
16%
(9/58)
61%
(49/80)
13%
(4/30)

TVR+:
Since there was no difference between the two telaprevir groups
studied, SVR rates reflect the combined telaprevir-based treatment
groups. (a) 12 weeks of telaprevir (750 mg, q8h),

PEG, pegylated-interferon alfa-2a) and Copegus (RBV, ribavirin), followed by 36 weeks of PEG & RBV alone and (b) 4 weeks of PEG and RBV alone followed by 12 weeks of telaprevir (750 mg, q8h), PEG and RBV, followed by 32 weeks of PEG and RBV alone.

Control++: 12 weeks of placebo, PEG and RBV, followed by 36
weeks of PEG and RBV alone.

Relapser: Defined as a person whose
hepatitis C virus was undetectable at the completion of at least 42
weeks of a prior course of therapy but whose virus became
detectable during the follow-up period.

Partial Responder: Defined as a
person who achieved at least a 2 log10 reduction in HCV
RNA at week 12, but whose hepatitis C virus never became
undetectable by week 24 of a prior course of therapy.

Null Responder: Defined as a person
who achieved a less than 2 log10 reduction in HCV RNA at
week 12 of a prior course of therapy.
Safety and Tolerability Information from Phase 3 Studies of
Telaprevir
The safety and tolerability results of the telaprevir-based
combination regimens were consistent across the Phase 3 studies.
The most common adverse events were fatigue, pruritus, nausea,
headache, rash, anemia, flu-like symptoms, insomnia and diarrhea
with the majority being mild to moderate. Rash and anemia occurred
more frequently in the telaprevir-based treatment arms compared to
the control groups.
Rash was primarily characterized as eczema-like, manageable and
resolved upon stopping telaprevir. More than 90 percent of rash was
mild to moderate and was primarily managed with the use of topical
corticosteroids and/or antihistamines. Anemia was primarily managed
by reducing the dose of ribavirin.
To optimize each patient's opportunity to achieve viral cure in
the Phase 3 studies, sequential discontinuation of the medicines
was recommended as a strategy to manage certain adverse events.
This strategy allowed patients to continue on pegylated-interferon
and ribavirin after stopping telaprevir. Discontinuation of all
medicines due to either rash or anemia during the
telaprevir/placebo treatment phase was 1 percent to 3 percent in
the telaprevir treatment arms.

About IL28B
IL28B is a gene related to the interferon system. A genetic
region near the IL28B gene is referred to as an IL28B genotype.
There are three variations of IL28B genotypes: CC, CT or TT. These
variations have been associated with a person's response to
treatment for hepatitis C with pegylated-interferon and ribavirin.
Studies have shown that people with the CC variation respond better
to treatment with pegylated-interferon and ribavirin than those
with the CT or TT variations. The CC variation is more frequent in
Caucasians compared to African Americans (39 percent versus 16
percent), which may partially explain the lower response to
treatment observed among African Americans in most clinical trials
of pegylated-interferon and ribavirin.1

About the Phase 3 ADVANCE and REALIZE Studies
ADVANCE was a pivotal Phase 3, randomized, double-blind,
placebo-controlled, global study of 1,088 people who were new to
hepatitis C treatment. The primary endpoint of ADVANCE was SVR
(defined as the proportion of people who had undetectable hepatitis
C virus 24 weeks after the end of all treatment; <25 IU/mL,
undetectable by Roche COBAS Taqman HCV test). The secondary
endpoint evaluated the safety of telaprevir when dosed in
combination with pegylated-interferon and ribavirin.
REALIZE was a pivotal Phase 3, randomized, double-blind,
placebo-controlled study conducted globally with the majority of
clinical trial sites in Europe and North America. The study was
designed to evaluate the efficacy, safety and tolerability of
telaprevir-based combination regimens in people infected with
genotype 1 chronic hepatitis C who did not achieve a viral cure
after at least one course of prior treatment with interferon-based
therapy.
Patients were randomized 2:2:1 to two telaprevir-based treatment
arms (simultaneous start and lead-in) and a control arm of
pegylated-interferon and ribavirin alone. The primary endpoint of
the REALIZE study was SVR in each of the two telaprevir treatment
arms compared to the control arm and for the three groups of people
included in the study.

Status of Telaprevir Regulatory Applications
The regulatory applications for the approval of telaprevir have
been granted Priority Review by the U.S. Food and Drug
Administration (FDA) and Health Canada and accelerated assessment
by the European Medicines Agency for the treatment of people with
genotype 1 chronic hepatitis C. The FDA has scheduled its Antiviral
Drugs Advisory Committee to discuss the New Drug Application for
telaprevir on April 28, 2011. A target response date of May 23,
2011 is set under the Prescription Drug User Fee Act (PDUFA). The
applications include data from three registration studies, ADVANCE,
ILLUMINATE and REALIZE, which evaluated telaprevir in combination
with pegylated-interferon and ribavirin in people with hepatitis C
who were new to treatment as well as those who did not achieve a
viral cure after treatment with currently available medicines. For
complete information on the telaprevir clinical trials or a fact
sheet on the trial designs visit:
www.vrtx.com/press.cfm
.

About the Telaprevir Development Program
Telaprevir is an investigational, oral inhibitor that acts
directly on the HCV protease, an enzyme essential for viral
replication. To date, more than 2,500 people with hepatitis C have
received telaprevir-based therapy as part of Phase 2 studies and
the Phase 3 ADVANCE, ILLUMINATE and REALIZE studies. Together,
these studies enrolled people with genotype 1 chronic hepatitis C
who had not been treated for their disease previously as well as
people who had been treated before but did not achieve a viral
cure.
Vertex is developing telaprevir in collaboration with Tibotec
BVBA and Mitsubishi Tanabe Pharma. Vertex has rights to
commercialize telaprevir in North America. Through its affiliate,
Janssen, Tibotec has rights to commercialize telaprevir in Europe,
South America, Australia, the Middle East and certain other
countries. Mitsubishi Tanabe Pharma has rights to commercialize
telaprevir in Japan and certain Far East countries.

About Hepatitis C
Hepatitis C is a serious liver disease caused by the hepatitis C
virus, which is spread through direct contact with the blood of
infected people and ultimately affects the liver.2
Chronic hepatitis C can lead to serious and life-threatening liver
problems, including liver damage, cirrhosis, liver failure or liver
cancer.2 Though many people with hepatitis C may not
experience symptoms, others may have symptoms such as fatigue,
fever, jaundice and abdominal pain.2 Approximately 60
percent of people who undergo treatment with an initial 48-week
regimen of pegylated-interferon and ribavirin, the currently
approved medicines for genotype 1 hepatitis C, do not achieve
SVR,3,4,5 or viral cure.6 If treatment is not
successful and a person does not achieve a viral cure, they remain
at an increased risk for progressive liver
disease.7,8
More than 170 million people worldwide are chronically infected
with hepatitis C.6 In the United States, nearly 4
million people have chronic hepatitis C and 75 percent of them are
unaware of their infection.9 The majority of people with
hepatitis C in the United States were born between 1946 and 1964,
accounting for two of every three people with chronic hepatitis
C.10 Hepatitis C is the leading cause of liver
transplantations in the United States and is reported to contribute
to 4,600 to 12,000 deaths annually.11,12 By 2029, total
annual medical costs in the United States for people with hepatitis
C are expected to more than double, from $30 billion in 2009 to
approximately $85 billion.10
PEGASYS® and COPEGUS® are
registered trademarks of Hoffmann-La Roche.

Special Note Regarding Forward-Looking Statements
This press release contains forward-looking statements as
defined in the Private Securities Litigation Reform Act of 1995,
including statements regarding (i) Vertex's plan to conduct a study
evaluating a short-duration, 12-week telaprevir-based regimen in
people how have not been treated for hepatitis C who have the CC
variation of IL28B, (ii) the date of the scheduled meeting of the
FDA's Antivirial Advisory Committee and (iii) the FDA's target
review date for the telaprevir NDA. While the company believes the
forward-looking statements contained in this press release are
accurate, there are a number of factors that could cause actual
events or results to differ materially from those indicated by such
forward-looking statements. Those risks and uncertainties include,
among other things, that Vertex could experience unforeseen delays
in obtaining approval to market telaprevir; that there may be
varying interpretations of the data from the telaprevir clinical
trials; that future outcomes from clinical trials of telaprevir may
not be favorable; that future scientific, clinical, competitive or
other market factors may adversely affect the potential for
telaprevir-based therapy and the other risks listed under Risk
Factors in Vertex's annual report and quarterly reports filed with
the Securities and Exchange Commission and available through
Vertex's website at
www.vrtx.com
. Vertex disclaims any obligation to update the
information contained in this press release as new information
becomes available.

About Vertex
Vertex creates new possibilities in medicine. Our team aims to
discover, develop and commercialize innovative therapies so people
with serious diseases can lead better lives.
Vertex scientists and our collaborators are working on new
medicines to cure or significantly advance the treatment of
hepatitis C, cystic fibrosis, epilepsy and other life-threatening
diseases.
Founded more than 20 years ago in Cambridge, MA, we now have
ongoing worldwide research programs and sites in the U.S., U.K. and
Canada.
For more information and to view Vertex's press releases, please
visit
www.vrtx.com
.
(VRTX - GEN)
1 Ge D, Fellay J, Thomspon AH, et al. Genetic
variation in IL28B predicts hepatitis C treatment-induced viral
clearance. Nature. 2009; 461:399-401
2 Centers for Disease Control and Prevention.
Hepatitis C Fact Sheet: CDC Viral Hepatitis. Available at:

http://www.cdc.gov/hepatitis/HCV/PDFs/HepCGeneralFactSheet.pdf
.
Accessed March 21, 2011.
3 Manns MP, McHutchison JG, Gordon SC, et al.
Peginterferon alfa-2b plus ribavirin compared with interferon
alfa-2b plus ribavirin for initial treatment of chronic hepatitis
C: a randomised trial. Lancet. 2001;358:958-965.
4 Fried MW, Shiffman ML, Reddy KR, et al.
Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus
infection. N Engl J Med. 2002;347:975-982.
5 McHutchison JG, Lawitz EJ, Shiffman ML, et al;
IDEAL Study Team. Peginterferon alfa-2b or alfa-2a with ribavirin
for treatment of hepatitis C infection. N Engl J Med.
2009;361:580-593.
6 Ghany MG, Strader DB, Thomas DL, Seeff, LB.
Diagnosis, management and treatment of hepatitis C; An update.
Hepatology. 2009;49 (4):1-40.
7 Morgan TR, Ghany MG, Kim HY, Snow KK, Lindsay K,
Lok AS. Outcome of sustained virological responders and
non-responders in the Hepatitis C Antiviral Long-Term Treatment
Against Cirrhosis (HALT-C) trial. Hepatology. 2008;50(Suppl
4):357A (Abstract 115).
8 Veldt BJ, Heathcote J, Wedmeyer H. Sustained
virologic response and clinical outcomes in patients with chronic
hepatitis C and advanced fibrosis. Annals of Internal Medicine.
2007; 147: 677-684.
9 Institute of Medicine of the National Academies.
Hepatitis and liver cancer: a national strategy for prevention and
control of hepatitis B and C. Colvin HM and Mitchell AE, ed.
Available at:
http://www.iom.edu/Reports/2010/Hepatitis-and-Liver-Cancer-A-National-Strategy-for-Prevention-and-Control-of-Hepatitis-B-and-C.aspx
.
Updated January 11, 2010. Accessed March 21, 2011.
10 Pyenson B, Fitch K, Iwasaki K. Consequences of
hepatitis C virus (HCV): Costs of a baby boomer epidemic of liver
disease. Available at:
http://www.natap.org/2009/HCV/051809_01.htm
. Updated May 2009.
Accessed March 21, 2011. This report was commissioned by Vertex
Pharmaceuticals, Inc.
11 Volk MI, Tocco R, Saini S, Lok, ASF. Public health
impact of antiviral therapy for hepatitis C in the United States.
Hepatology. 2009;50(6):1750-1755.
12 Davis GL, Alter MJ, El-Serag H, Poynard T,
Jennings LW. Aging of hepatitis C virus (HCV)-infected persons in
the United States: A multiple cohort model of HCV prevalence and
disease progression. Gastroenterology. 2010;138:513-521.
Contact: Vertex Pharmaceuticals Incorporated

Media:

Dawn Kalmar, 617-444-6992

or

Amy Pasqua, 617-444-6992

or

Zachry Barber, 617-444-6992

mediainfo@vrtx.com

or

Investors:

Michael Partridge, 617-444-6108

or

Lora Pike, 617-444-6755

or

Matthew Osborne, 617-444-6057


EASL; INX-189 Positive Safety/Antiviral Data from Phase 1b Hepatitis C Study

Inhibitex Reports Positive Safety and Antiviral Data from Its Phase 1b Study
of HCV Nucleotide Inhibitor INX-189

Potent Dose-Dependent Antiviral Activity Demonstrated with Once-Daily
Administration-
-Viral Load Declines in Combination with Ribavirin Confirm Antiviral Synergy-

ATLANTA--(BUSINESS WIRE)--Mar 31, 2011 - Inhibitex, Inc.
(Nasdaq: INHX) today reported positive top-line safety and
antiviral data from its multiple ascending dose Phase 1b clinical
trial of INX-189, an oral nucleotide polymerase inhibitor being
developed to treat chronic infections caused by hepatitis C virus
(HCV).

The trial was a double-blind, placebo-controlled, dose
escalation study designed to evaluate the safety, tolerability,
pharmacokinetics and antiviral activity of INX-189, administered
orally once-daily for seven days, in HCV genotype 1 treatment
naïve patients. A total of 70 subjects were randomized into
the trial among seven different dosing cohorts, including five
monotherapy treatment arms and two arms of adjunctive treatment
with ribavirin (RBV). Each treatment cohort in the study was
comprised of 10 patients, eight of whom received INX-189 and two
that received placebo.
INX-189, dosed once-daily at 9, 25, 50 and 100 mg for seven
days, demonstrated potent and dose-dependent antiviral activity
with median HCV RNA reductions from baseline of -0.64, -1.00,
-1.47, and -2.53 log10 IU/mL, respectively. INX-189,
dosed once-daily at 50 mg for one day, followed by 9 mg for six
days, achieved a median HCV RNA reduction from baseline of -0.50
log10 IU/mL. The median HCV RNA decline from baseline
observed in patients that received placebo was -0.20
log10 IU/mL. INX-189, dosed once-daily in combination
with RBV for seven days at 9 mg and 25 mg, resulted in median HCV
RNA reductions from baseline of -0.75 and -1.56 log10
IU/mL, respectively. The median HCV RNA decline from baseline
observed in patients that received placebo and RBV was 0.04
log10 IU/mL.

Cohort


(INX-189 QD)


Median HCV log10 IU/mL RNA


Viral Load Decline after 3 doses


Median HCV log10 IU/mL RNA


Viral Load Decline after 7 doses


Range Day 7


HCV log10 IU/mL RNA


Placebo


(n=10)


0.25


-0.20
0.60 to
-0.30


9 mg


(n=7)


-0.29


-0.64
-0.19 to
-1.06


25 mg


(n=8)


-0.85


-1.00
-0.56 to
-1.58


50 mg


(n=8)


-1.34


-1.47
-1.17 to
-2.30


100 mg


(n=8)


-1.46


-2.53
-1.35 to
-2.78


50 mg x 1 day


9 mg x 6 days


(n=7)


-0.46


-0.50
0.11 to
-0.88


RBV with


Placebo


(n=4)


-0.13


0.04
1.47 to
-0.61


9 mg


with RBV


(n=7)


-0.45


-0.75
-0.35 to
-0.93


25 mg


with RBV


(n=8)


-1.35


-1.56
-0.77 to
-2.68
In addition to these median reductions in viral load, clinically
meaningful decreases in alanine transaminase (ALT) levels were
observed for patients receiving INX-189 at all dose levels, and no
patients experienced viral breakthrough.
Additional data available from the Phase 1b study indicate that
INX-189 was generally well tolerated. There was one serious adverse
event reported in a subject treated with RBV and placebo (atrial
fibrillation in a subject with a previous history). All other
reported adverse events were mild or moderate, with the most common
adverse event in INX-189 treated subjects being headache. There
were no discontinuations of treatment due to adverse events and
there were no adverse events related to changes in clinical
laboratory evaluations or ECGs.
“Nucleotide polymerase inhibitors are likely to be a key
component of combination direct antiviral therapy,” stated
Dr. Eric Lawitz, President and Medical Director at Alamo Medical
Research, San Antonio, Texas and a principal investigator of the
Phase 1b study. “Further, the antiviral activity observed at
the low INX-189 doses evaluated is promising, provides proof of
concept, and provides the foundation for future studies.”
“The potent antiviral activity in monotherapy and the
synergistic activity observed in combination with RBV support our
belief that INX-189 has the potential to play a pivotal role in
future HCV combination therapy,” commented Joseph M. Patti,
Ph.D., Inhibitex's CSO and Senior Vice-President of Research.
“We believe these data, taken together with the successful
completion of our 13-week GLP toxicology studies, support advancing
INX-189 into Phase 2 clinical trials later this year.”

About HCV and INX-189
Hepatitis C is a disease of the liver caused by HCV. It is
estimated that over 4 million Americans and 170 million individuals
worldwide are infected with HCV, the majority of which represent
chronic infections that can cause liver disease, cirrhosis and
cancer, and is the leading cause of liver transplants in the United
States.
Inhibitex is developing a series of proprietary nucleotide
inhibitors that target the RNA-dependent RNA polymerase (NS5b) of
HCV. INX-189 is a protide of a 2'-C-methyl guanosine
analogue. The Company believes that preclinical and clinical
studies of INX-189 completed to-date support its potential as a
potent, once-daily, low dose oral therapy amenable to combination
with other antivirals for the treatment of patients with all known
genotypes of HCV.

About Inhibitex
Inhibitex, Inc. is a clinical stage biopharmaceutical company
focused on developing products to prevent and treat serious
infectious diseases. In addition to INX-189, the Company's clinical
stage pipeline includes FV-100, a bicyclic nucleoside inhibitor in
Phase 2 development for the treatment of shingles. The Company also
has additional HCV nucleotide polymerase inhibitors in various
stages of preclinical development, and has licensed the use of its
proprietary MSCRAMM® protein platform to Pfizer for
the development of active staphylococcal vaccines. For additional
information about the Company, please visit
www.inhibitex.com
.

Safe Harbor Statement
This press release contains forward-looking statements within
the meaning of the Private Securities Litigation Reform Act of 1995
that involve substantial risks and uncertainties. All statements,
other than historical facts included in this press release,
including statements regarding: the likelihood of nucleotide
polymerase inhibitors being a key component of combination direct
antiviral therapy; the Company's belief that INX-189 has the
potential to play a pivotal role in future HCV combination therapy;
the Company's belief that the Phase 1b data, taken together with
the successful completion of its 13-week GLP toxicology studies,
support advancing INX-189 into Phase 2 clinical trials later this
year; and the potential of INX-189 as a potent, once-daily low dose
oral therapy amenable to combination with other antivirals for the
treatment of patients with all known genotypes of HCV, are forward
looking statements. These intentions, expectations, or results may
not be achieved in the future and various important factors could
cause actual results or events to differ materially from the
forward-looking statements that the Company makes, including the
risk of ongoing or future clinical studies of other nucleotide
polymerase inhibitors in development not supporting their future
development; the risk of future preclinical or clinical studies of
INX-189 not supporting its further development for lack of safety,
tolerability, antiviral activity, or any other reason; INX-189 not
demonstrating sufficient anti-viral activity against HCV in future
clinical trials with a once-daily dose in combination with other
antiviral drugs; either the Company, the FDA, a safety review board
or an investigational review board suspending or terminating the
clinical development of INX-189 at any time for lack of safety,
tolerability, anti-viral activity, or any other reason; obtaining,
maintaining and protecting the intellectual property incorporated
into and supporting the commercial viability of the Company's
product candidates; and other cautionary statements contained
elsewhere herein and in its Annual Report on Form 10-K for the year
ended December 31, 2010, as filed with the Securities and Exchange
Commission, or SEC, on March 16, 2011. Given these uncertainties,
you should not place undue reliance on these forward-looking
statements, which apply only as of the date of this press
release.

There may be events in the future that the Company is unable to
predict accurately, or over which it has no control. The Company's
business, financial condition, results of operations and prospects
may change. The Company may not update these forward-looking
statements, even though its situation may change in the future,
unless it has obligations under the Federal securities laws to
update and disclose material developments related to previously
disclosed information. The Company qualifies all of the information
contained in this press release, and particularly its
forward-looking statements, by these cautionary statements.
Inhibitex® and MSCRAMM® are
registered trademarks of Inhibitex, Inc.

Contact: Inhibitex, Inc.

Russell H. Plumb, 678-746-1136

Chief Executive Officer

rplumb@inhibitex.com

or

The Trout Group

EASL "VX-222 Plus Telaprevir,Peg/Riba" Interim Phase 2 Data; Undetectable Viral Load At 12wks

Vertex said Thursday  the combination of telaprevir and VX-222 with pegylated-interferon and ribavirin treatment in HCV genotype 1, naive - "never treated before" patients met its safety goal . The four drug combination showed that 90% of participants were undetectable by week 12.

Previously ,Vertex halted other arms of telaprevir and VX-222 ; In October of 2010 the VX-222/telaprevir combo being tested in low doses was stopped because of viral breakthrough. In December 2010 in a higher dose of the VX-222/telaprevir combo was halted in part of the Vertex study.

Also See HIV and Hepatitis
4-Drug Combo with Telaprevir and VX-222 Clears
HCV at 12 Weeks
SUMMARY: 90% of previously untreated genotype 1 chronic hepatitis C patients treated with telaprevir plus VX-222 plus pegylated interferon and ribavirin achieved undetectable viral load at week 12, researchers reported at EASL 2011.
.

Interim Phase 2 Data Showed Rapid Viral Response to VX-222 in Combination with Telaprevir, Pegylated-Interferon and Ribavirin Among People With Hepatitis C

BERLIN--(BUSINESS WIRE)--Mar 31, 2011 - Vertex Pharmaceuticals
Incorporated (Nasdaq: VRTX) today announced interim results from an
ongoing Phase 2 study (ZENITH) designed to assess the safety and
tolerability of 12-week response-guided treatment regimens with its
polymerase inhibitor, VX-222, and its protease inhibitor,
telaprevir, in combination with pegylated-interferon and ribavirin
in people with genotype 1 chronic hepatitis C who were new to
treatment. The study enrolled 106 people into one of four treatment
groups. Among those who received VX-222 (400 mg) in combination
with telaprevir, pegylated-interferon and ribavirin, interim data
showed that 90 percent (27/30) of them had undetectable hepatitis C
virus at week 12. Half (15/30) of those in the VX-222 (400 mg)
treatment group were eligible to stop all treatment at week 12.
People in this same treatment group who were not eligible to stop
all treatment at 12 weeks were assigned to receive 24 total weeks
of treatment: 12 weeks of the four-drug regimen followed by 12
weeks of pegylated-interferon and ribavirin alone. Preliminary
safety results showed that the most frequently reported adverse
events were mild gastrointestinal symptoms and mild fatigue. At the
time of this analysis, there were no discontinuations due to
gastrointestinal symptoms. Data from this study are being presented
today at The International Liver Congress™ 2011, the
46th annual meeting of the European Association for the
Study of the Liver (EASL) in Berlin, Germany.

“Telaprevir triple therapy demonstrated significant
improvements in viral cure rates and an ability to halve treatment
time to 24 weeks for many people in late-stage studies,” said
Robert Kauffman, M.D., Ph.D., Senior Vice President and Chief
Medical Officer for Vertex. “Reducing treatment time in half
again to 12 weeks would be another important advance and the early
data from this study provide new information about the potential to
do this with a four-drug VX-222 regimen.”
Using an intent-to-treat analysis, 57 percent (17/30) of people
treated with VX-222 (400 mg) in combination with telaprevir,
pegylated-interferon and ribavirin had undetectable hepatitis C
virus by week two. Among people who were treated with VX-222 (100
mg) in combination with telaprevir, pegylated-interferon and
ribavirin, 38 percent (11/29) had undetectable hepatitis C virus by
week two. To determine if patients were eligible to stop all
treatment at 12 weeks in ZENITH, they had to have undetectable
hepatitis C virus at weeks two and eight. Using the eligibility
criteria for a 12-week total treatment duration, half (15/30) of
the patients in the high-dose VX-222 combination group and 38
percent (11/29) in the low-dose combination group were eligible to
stop all treatment at 12 weeks. Ninety percent (27/30) of patients
in the high-dose VX-222 group had undetectable hepatitis C virus by
week 12 as did 83 percent (24/29) in the low-dose VX-222 group. No
viral breakthrough was observed through week 12 among patients
receiving the four-drug combinations.

“The early data from this study are encouraging because
they showed patients had a very rapid decline in hepatitis C virus
as early as the second week of treatment,” said Adrian Di
Bisceglie, M.D., Chief of Hepatology at Saint Louis University
School of Medicine. “Hepatitis C virus was undetectable at
week 12 of treatment in 90 percent of patients who received the
higher dose of VX-222, and half of those in this treatment group
were eligible to stop all treatment at that time.”
ZENITH is an ongoing Phase 2 study that enrolled 106 people and
began with four treatment arms evaluating two-drug and four-drug
combination regimens. The primary endpoint is safety and
tolerability and the secondary endpoint is on-treatment antiviral
activity and the proportion of people in each treatment arm who
achieve a sustained viral response (SVR, defined as undetectable
hepatitis C virus 24 weeks after the end of treatment). The study
is designed to evaluate various combinations of VX-222, telaprevir,
pegylated-interferon and ribavirin for the treatment of genotype 1
chronic hepatitis C. In this study, VX-222, telaprevir and
ribavirin are given twice daily. Arms A (n=18) and B (n=29) were
designed to evaluate the all-oral, two-drug combination regimens of
VX-222 (400 mg or 100 mg) and telaprevir (1,125 mg). Both of these
study arms were discontinued due to a pre-defined stopping rule
related to viral breakthrough. Arms C (n=29) and D (n=30) are
ongoing and designed to evaluate the four-drug combination regimens
of VX-222 (400 mg and 100 mg), telaprevir (1,125 mg),
pegylated-interferon and ribavirin. An additional treatment arm has
been added to the study to evaluate an all-oral, three-drug regimen
of VX-222, telaprevir and ribavirin in people with genotype 1b
chronic hepatitis C. This study arm is now open for enrollment. A
sixth and final arm may be added to the trial per protocol based on
data from the study.

ZENITH: Interim Intent to Treat (ITT) Analysis of Arms C and D

VX-222 (100 mg) /TVR-

based
arm(+)

VX-222 (400 mg) /TVR-based arm(++)
Week 2 HCV RNA
undetectable
38%57%


(11/29)

(17/30)
Week 2 and 8 HCV
RNA
38%50%

undetectable*

(11/29)

(15/30)
Week 4 HCV RNA
undetectable
86%87%

(RVR)

(25/29)

(26/30)
Weeks
12 HCV RNA undetectable
83%90%

(eRVR)

(24/29)

(27/30)
HCV RNA
was evaluated using the TaqMan assay version 2.0.

*As part of a response-guided regimen, people who have
undetectable hepatitis C virus at weeks 2 and 8 are eligible to
stop all treatment at week 12.

+VX-222 (100 mg, BID), telaprevir (1,125 mg, BID),
Pegasys(R) (pegylated-interferon alfa-2a) and
Copegus(R) (ribavirin).

++VX-222 (400 mg, BID), telaprevir (1,125 mg, BID),
Pegasys(R) (pegylated-interferon alfa-2a) and
Copegus(R) (ribavirin).
Preliminary Safety and Tolerability
The 12-week safety and tolerability results are preliminary and
include data on all patients enrolled in the study: those enrolled
in the two-drug (n=47) and four-drug (n=59) treatment arms. The
most frequent adverse events observed in this study were mild
gastrointestinal symptoms (including diarrhea, nausea and vomiting)
and mild fatigue. No patients discontinued due to gastrointestinal
symptoms.
Preliminary safety data indicate that there were six
discontinuations due to adverse events among the four treatment
arms through week 12. There were two serious adverse events
considered by the investigator to be potentially related to study
medication: acute renal failure (Arm B), which resolved after study
medications were discontinued and anemia (Arm C). There was one
additional severe adverse event reported of pneumonia, septic shock
and renal failure; this severe adverse event was considered by the
investigator to be unrelated to study medication. The three
additional discontinuations included rash (n=2) and a motor vehicle
accident with facial fractures (n=1).

About Telaprevir and VX-222
Vertex has two oral medicines in development for the treatment
of genotype 1 chronic hepatitis C: telaprevir and VX-222.
Telaprevir is an investigational, oral inhibitor that acts directly
on the HCV protease, an enzyme essential for viral replication. To
date, more than 2,500 people with genotype 1 chronic hepatitis C
have received telaprevir in Phase 2 and Phase 3 studies. Vertex has
been granted Priority Review for its applications for the approval
of telaprevir by the U.S. Food and Drug Administration (FDA) and
Health Canada. The FDA has scheduled its Antiviral Drugs Advisory
Committee to discuss the New Drug Application for telaprevir on
April 28, 2011. A target response date of May 23, 2011 is set under
the Prescription Drug User Fee Act (PDUFA).
Vertex is developing telaprevir in collaboration with Tibotec
BVBA and Mitsubishi Tanabe Pharma. Vertex has rights to
commercialize telaprevir in North America. Through its affiliate,
Janssen, Tibotec has rights to commercialize telaprevir in Europe,
South America, Australia, the Middle East and certain other
countries. Mitsubishi Tanabe Pharma has rights to commercialize
telaprevir in Japan and certain Far East countries.
VX-222 is an investigational, oral, non-nucleoside inhibitor of
HCV NS5B polymerase. VX-222 is currently being evaluated in
combination with telaprevir, pegylated-interferon and ribavirin in
a Phase 2 study. Vertex has worldwide commercial rights for
VX-222.

About Hepatitis C
Hepatitis C is a serious liver disease caused by the hepatitis C
virus, which is spread through direct contact with the blood of
infected people and ultimately affects the liver.1
Chronic hepatitis C can lead to serious and life-threatening liver
problems, including liver damage, cirrhosis, liver failure or liver
cancer.1 Though many people with hepatitis C may not
experience symptoms, others may have symptoms such as fatigue,
fever, jaundice and abdominal pain.1 Approximately 60
percent of people who undergo treatment of an initial 48-week
regimen of pegylated-interferon and ribavirin, the currently
approved medicines for genotype 1 hepatitis C, do not achieve
SVR,2,3,4 or viral cure.5 If treatment is not
successful and a person does not achieve a viral cure, they remain
at an increased risk for progressive liver
disease.6,7
More than 170 million people worldwide are chronically infected
with hepatitis C.5 In the United States, nearly 4
million people have chronic hepatitis C and 75 percent of them are
unaware of their infection.8 The majority of people with
hepatitis C in the United States were born between 1946 and 1964,
accounting for two of every three people with chronic hepatitis
C.9 Hepatitis C is the leading cause of liver
transplantations in the United States and is reported to contribute
to 4,600 to 12,000 deaths annually.10,11 By 2029, total
annual medical costs in the United States for people with hepatitis
C are expected to more than double, from $30 billion in 2009 to
approximately $85 billion.9
PEGASYS® and COPEGUS® are
registered trademarks of Hoffmann-La Roche.

Special Note Regarding Forward-Looking Statements
This press release contains forward-looking statements as
defined in the Private Securities Litigation Reform Act of 1995,
including statements regarding (i) the potential importance of
reducing treatment time to 12 weeks and early data from this study
providing new information about the potential to do this with a
four-drug VX-222 regimen; (ii) the early data being encouraging
because the data showed patients had a very rapid decline in
hepatitis C virus as early as the second week of treatment; (iii)
the possibility that a sixth treatment arm may be added to the
trial; (iv) the date of the scheduled meeting of the FDA's
Antiviral Advisory Committee and (v) the FDA's target response date
for the telaprevir NDA. While the company believes the
forward-looking statements contained in this press release are
accurate, there are a number of factors that could cause actual
events or results to differ materially from those indicated by such
forward-looking statements. Those risks and uncertainties include,
among other things, that Vertex could experience unforeseen delays
in obtaining approval to market telaprevir; that the interim
on-treatment data presented in this press release may not be
predictive of the final outcomes from this clinical trial, outcomes
from any future clinical trials of telaprevir/VX-222 may not be
favorable; that future scientific, clinical, competitive or other
market factors may adversely affect the potential for
telaprevir/VX-222-based therapy and the other risks listed under
Risk Factors in Vertex's annual report and quarterly reports filed
with the Securities and Exchange Commission and available through
Vertex's website at
www.vrtx.com
.

Vertex disclaims any obligation to update the
information contained in this press release as new information
becomes available.

About Vertex
Vertex creates new possibilities in medicine. Our team aims to
discover, develop and commercialize innovative therapies so people
with serious diseases can lead better lives.
Vertex scientists and our collaborators are working on new
medicines to cure or significantly advance the treatment of
hepatitis C, cystic fibrosis, epilepsy and other life-threatening
diseases.
Founded more than 20 years ago in Cambridge, MA, we now have
ongoing worldwide research programs and sites in the U.S., U.K. and
Canada.
For more information and to view Vertex's press releases, please
visit
www.vrtx.com
.
(VRTX - GEN)

Centers for Disease Control and Prevention. Hepatitis C Fact Sheet: CDC Viral Hepatitis. Available at: http://www.cdc.gov/hepatitis/HCV/PDFs/HepCGeneralFactSheet.pdf . Accessed March 21, 2011.


2 Manns MP, McHutchison JG, Gordon SC, et al. Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet. 2001;358:958-965.

3 Fried MW, Shiffman ML, Reddy KR, et al. Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med. 2002;347:975-982.

4 McHutchison JG, Lawitz EJ, Shiffman ML, et al; IDEAL Study Team. Peginterferon alfa-2b or alfa-2a with ribavirin for treatment of hepatitis C infection. N Engl J Med. 2009;361:580-593.

5 Ghany MG, Strader DB, Thomas DL, Seeff, LB. Diagnosis, management and treatment of hepatitis C; An update. Hepatology. 2009;49 (4):1-40.

6 Morgan TR, Ghany MG, Kim HY, Snow KK, Lindsay K, Lok AS. Outcome of sustained virological responders and non-responders in the Hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) trial. Hepatology. 2008;50(Suppl 4):357A (Abstract 115).

7 Veldt BJ, Heathcote J, Wedmeyer H. Sustained virologic response and clinical outcomes in patients with chronic hepatitis C and advanced fibrosis. Annals of Internal Medicine. 2007; 147: 677-684.

8 Institute of Medicine of the National Academies. Hepatitis and liver cancer: a national strategy for prevention and control of hepatitis B and C. Colvin HM and Mitchell AE, ed. Available at: http://www.iom.edu/Reports/2010/Hepatitis-and-Liver-Cancer-A-National-Strategy-for-Prevention-and-Control-of-Hepatitis-B-and-C.aspx. Updated January 11, 2010. Accessed March 21, 2011.

9 Pyenson B, Fitch K, Iwasaki K. Consequences of hepatitis C virus (HCV): Costs of a baby boomer epidemic of liver disease. Available at: http://www.natap.org/2009/HCV/051809_01.htm. Updated May 2009. Accessed March 21, 2011. This report was commissioned by Vertex Pharmaceuticals, Inc.

10 Volk MI, Tocco R, Saini S, Lok, ASF. Public health impact of antiviral therapy for hepatitis C in the United States. Hepatology. 2009;50(6):1750-1755.


11 Davis GL, Alter MJ, El-Serag H, Poynard T, Jennings LW. Aging of hepatitis C virus (HCV)-infected persons in the United States: A multiple cohort model of HCV prevalence and disease progression. Gastroenterology. 2010;138:513-521.

Contact: Vertex Pharmaceuticals Incorporated

Media:

Dawn Kalmar, 617-444-6992

Amy Pasqua, 617-444-6992

Zachry Barber, 617-444-6992

mediainfo@vrtx.com

or

Investors:

Michael Partridge, 617-444-6108

Lora Pike, 617-444-6755

Matthew Osborne, 617-444-6057

Hepatitis C; HCC Have Risen Dramatically

Cirrhosis and HCC Have Risen Dramatically in Hepatitis C Patients

By: MARY ANN MOON, Internal Medicine News Digital Network
04/01/11

The burden of cirrhosis, hepatic decompensation, and hepatocellular carcinoma has risen dramatically during the past decade among patients with chronic hepatitis C virus infection, Dr. Fasiha Kanwal and her colleagues reported in the April issue of Gastroenterology.

In a large retrospective cohort study of more than 300,000 patients at Department of Veterans Affairs medical centers across the country, the prevalence of cirrhosis and hepatic decompensation doubled – and that of hepatocellular carcinoma increased 19-fold – between 1996 and 2006.

"Thus, 1 of 5 patients with HCV had cirrhosis and 1 of 100 patients with HCV had hepatocellular carcinoma in the 2006 calendar year," said Dr. Kanwal of the John Cochran division of the St. Louis VA Medical Center, and her associates.

This increase was significantly greater than that predicted by several mathematical models, they noted.

The investigators examined the burden of HCV illness directly, quantifying changes in the prevalence of cirrhosis and assessing trends in its related complications, because indirect data had suggested that it was increasing. "Our data are the first to provide direct and contemporary estimates of the time trends in the burden of cirrhosis from the largest assembled group of HCV patients anywhere in the world," the researchers said.

"Measuring the burden in HCV is important ... to understand changes in the pattern of care delivery, provide a critical insight into the magnitude of the problem, and guide both clinicians and the health care system to develop strategies [for] providing timely and effective care to this highly vulnerable group of patients," they said.

They analyzed data from the VA’s HCV database, which included HCV patients who sought treatment at any of 128 VA medical centers in 1996-2006. There were 17,261 patients in the database in 1996, a total that increased to 106,242 in 2006.

Overall, the number of patients with HCV who had cirrhosis rose from 2,061 to 23,294 during the study period, the number with hepatic decompensation rose from 1,012 to 13,724, and the number with hepatocellular carcinoma rose from 17 to 1,619.

The prevalence of cirrhosis doubled from 9% to 18.5% during that time, and still continues to rise. The prevalence of hepatic decompensation rose in parallel, with a twofold increase (from 5% to 11%).

The prevalence of hepatocellular carcinoma also rose, but the upward slope became particularly steep from 2003 onward. Prevalence grew 19-fold (from 0.07% to 1.3%) during the study period overall. This pattern suggests that "there might be a greater epidemic of hepatocellular carcinoma [coming] than we were expecting,’ Dr. Kanwal and her colleagues said.

Mortality of cirrhosis patients also increased over time, with a greater proportion of patients dying in recent years than in the 1990s.

The aging of the cohort explains part of these increases, but all of them persisted even after the data were adjusted to account for aging. It is not yet known what other factors play a role in these trends.

"The morbidity and mortality associated with cirrhosis and hepatocellular carcinoma may be greatly reduced if potentially life-saving interventions – such as liver transplantation and, for HCC, local ablation and surgical resection – are applied in a timely manner," they noted.

However, recent data from other studies demonstrate that patients with cirrhosis rarely receive high-quality health care, and their own previous research found that "the quality of health care given to patients with HCV infection falls far short of that recommended by practice guidelines."

In this study, only 16% of the cohort had ever received a prescription for interferon.

"Given the significant increase in the number of patients with cirrhosis, and given the data suggesting marked gaps in the quality of care, the health care system may need to rechannel its efforts in patients with HCV to provide timely and effective care to the patients with cirrhosis," the investigators said.

The research was supported in part by grants from the Department of Veterans Affairs. The authors had nothing to disclose.

EASL "TMC435" Hepatitis C Phase 2b ASPIRE Study Week 24 Interim Results

Medivir: Week 24 Interim Results From TMC435 Hepatitis C Phase 2b ASPIRE
Study Presented at EASL

HUDDINGE, Sweden, April 1, 2011 /PRNewswire-FirstCall/ --

- Results Show Potent Antiviral Efficacy of Once Daily 150 mg TMC435 in
Hepatitis C Patients Who Have Failed Earlier Treatment, Especially in Prior
Null Responders, and Excellent Safety and Tolerability
Medivir AB (OMX: MVIR), the emerging research-based specialty
pharmaceutical company focused on infectious diseases, announces that their
partner, Tibotec has presented the results of a planned Week 24 interim
analysis of the phase 2b ASPIRE study for TMC435 in treatment experienced
hepatitis C patients in a late-breaker session at the 46th Annual meeting of
the European Association for the Study of the Liver (EASL), Berlin, Germany.

Treatment experienced patients are known to be the most difficult to
treat hepatitis C patient group.

TMC435 is a potent, once-daily, oral hepatitis C virus protease inhibitor
which recently entered clinical phase 3 studies. The study enrolled patients
chronically infected with genotype-1 hepatitis C virus (HCV) that had
previously failed treatment with standard of care therapy (peginterferon and
ribavarin). TMC435 is being jointly developed by Medivir and its partner
Tibotec.

In this Week 24 interim analysis, treatment-experienced patients who
failed peginterferon and ribavarin treatment achieved significantly greater
virologic response rates following treatment with TMC435-containing regimen
at all doses, compared with placebo. Results demonstrated that the TMC435 150
mg dose group showed the highest response, particularly in prior null
responders. In this 150 mg dose group, HCV RNA levels were undetectable at
week 24 for between 82% and 91% of the patients. Results also showed that
there was no statistically relevant difference in safety and tolerability
between the TMC435 and placebo treated groups.

Ron Long, CEO of Medivir, commented: "We are delighted that these strong
results are to be presented at such a prestigious scientific conference as
EASL. TMC435 continues to demonstrate why Medivir are so confident that
hepatitis C treatment can be significantly changed by a more convenient, once
daily protease inhibitor especially for treatment experienced patients. These
data and the recent start of phase 3 clinical studies for TMC435, represent
an exciting stage in Medivir's development as a significant player in the
infectious disease market."

On-treatment response rates are shown below.

                            TMC12/PR48   TMC24/PR48   TMC48/PR48   TMC12/PR48
                              100mg        100mg        100mg        150mg
                              (N=66)       (N=65)       (N=66)       (N=66)
                               HCV RNA <25 IU/mL undetectable, % (u/N)
      Overall population  67,7 (44/65) 59,4 (38/64) 53,8 (35/65) 63,1 (41/65)
          Week 4 (RVR)         ***          ***          ***          ***
    Prior null responders 33,3 (5/15)  50,0 (8/16)  25,0 (4/16)  35,3 (6/17)
    Prior partial
    responders            65,2 (15/23) 40,9 (9/22)  60,9 (14/23) 65,2 (15/23)
         Prior relapser   88,9 (24/27) 80,8 (21/26) 65,4 (17/26) 80,0 (20/25)
       Overall population 87,1 (54/62) 84,5 (49/58) 85,2 (52/61) 85,7 (54/63)
            Week 24              ***          ***          ***          ***
    Prior null responders 71,4 (10/14) 83,3 (10/12) 68,8 (11/16) 70,6 (12/17)
    Prior partial
    responders            86,6 (19/22) 80,0 (16/20) 85,7 (18/21) 86,4 (19/22)
        Prior relapser    96,2 (25/26) 88,5 (23/26) 95,8 (23/24) 95,8 (23/24)
             *** Statistically significant difference versus placebo, p less then 0,001

    (table continued)

                              TMC24/PR48   TMC48/PR48   Pbo48/PR48
                                150mg        150mg
                                (N=68)       (N=65)       (N=66)
                                HCV RNA <25 IU/mL undetectable, % (u/N)
       Overall population    70,8 (46/65) 66,2 (43/65)  1,5 (1/65)
          Week 4 (RVR)           ***          ***
     Prior null responders   41,2 (7/17)  41,2 (7/17)   0,0 (0/16)
    Prior partial responders 69,6 (16/23) 68,2 (15/22)  0,0 (0/23)
         Prior relapser      92,0 (23/25) 80,8 (21/26)  3,8 (1/26)
       Overall population    90,8 (59/65) 90,3 (56/62) 51,9 (28/54)
            Week 24              ***          ***
     Prior null responders   81,3 (13/16) 93,3 (14/15)  44,4 (4/9)
    Prior partial responders 90,9 (20/22) 86,4 (19/22) 19,0 (4/21)
         Prior relapser      96,3 (26/27) 92,0 (23/25) 83,3 (20/24)
             *** Statistically significant difference versus placebo, p less then 0,001



The ASPIRE study evaluates the effect of TMC435 in 
combination with standard of care (SoC) in 462 
patients infected with the difficult to treat
genotype-1 hepatitis C virus who had undergone and failed prior treatment
with (SoC). The study includes patients that have relapsed, achieved partial
response, or achieved no response (null responders) to treatment with
standard of care. TMC435 was administered once daily at a dose of either 100
mg or 150mg given for either 12, 24, or 48 weeks in combination with standard
of care. Standard of care treatment was continued until the study completion
at week 48.

As well as the late-breaker ASPIRE data presented, a further three
presentations will be made at EASL on TMC435. These include:


Oral presentation: Impact of IL28b genotype and pretreatment serum IP-10
in treatment-naive genotype-1 HCV patients treated with TMC435 in combination
with peginterferona-2a and ribavirin in PILLAR study, J. Aerssens, which
found that during 24 weeks of treatment, IL28B genotype and serum IP-10 were
predictive of response in patients receiving standard of care (peginterferon
and ribavirin) but had limited predictive value in patients treated with both
TMC435 and peginterferon and ribavirin, therefore suggesting that TMC435, a
potent, once daily oral protease inhibitor, may overcome the negative
consequences of unfavourable host genotype encountered with pegIFN/RBV.

Poster presentation No.472: Pharmacokinetics of TMC435 in subjects with
moderate hepatic impairment, V. Sekar, which found that no TMC435 dose
adjustment was necessary for patients with moderate liver impairment.

Poster presentation No.1221: Treatment outcome and resistance analysis in
HCV genotype 1 patients previously exposed to TMC435 monotherapy and
re-treated with TMC435 in combination with pegifna-2a/ribavirin, O. Lenz,
which found that viral variants in patients who had received TMC435 as a
monotherapy were no longer detected over time and successful treatment after
prior exposure to TMC435 with emergence of resistance variants was possible
in 3/5 patients who had failed interferon-based therapy.

About TMC435 in other clinical studies

TMC435 is a once-daily (q.d.) protease inhibitor drug jointly developed
by Medivir and Tibotec Pharmaceuticals, to treat chronic hepatitis C virus
infections.

Three clinical phase 3 response guided studies were recently initiated:

- TMC435-C208 or QUEST-1 includes approximately 375 treatment-naive
patients

- TMC435-C216 or QUEST-2 includes approximately 375 treatment-naive
patients

- TMC435-C3007 or PROMISE includes approximately 375 who have relapsed
after prior interferon-based treatment

In parallel to the recent start of the global phase 3-studies, TMC435 is
currently in a follow up phase in three phase 2b clinical trials
(TMC435-C205, TMC435-C206 and TMC435-C215) in G1 treatment-naive and in G1
patients that failed previous IFN-based treatment. More safety and efficacy
data from the phase 2b trials will be presented at scientific meetings later
in 2011.

A phase 3 program for TMC435 has also recently been launched in Japan.

For additional information for these studies, please see
http://www.clinicaltrials.gov/

About Hepatitis C
Hepatitis C is a blood-borne infectious disease of the liver and is a
leading cause of chronic liver disease and liver transplants. The WHO
estimates that nearly 180 million people worldwide, or approximately 3% of
the world's population, are infected with hepatitis C virus (HCV). The CDC
has reported that almost three million people in the United States are
chronically infected with HCV.

About Medivir

Medivir is an emerging research-based specialty pharmaceutical company
focused on the development of high-value treatments for infectious diseases.
Medivir has world class expertise in polymerase and protease drug targets and
drug development which has resulted in a strong infectious disease R&D
portfolio. The Company's key pipeline asset is TMC435, a protease inhibitor
which has recently entered phase 3 clinical development for hepatitis C and
is partnered with Tibotec Pharmaceuticals.

Medivir is also marketing its first product, the unique cold sore product
Xerese(TM)/Xerclear(R) which has recently been launched on the US market.
Xerese(TM)/Xerclear(R), which is also approved in Europe, is partnered with
GlaxoSmithKline to be sold OTC in Europe, Japan and Russia and with Meda AB
in North America, Canada and Mexico. Medivir has retained the Rx rights for
Xerclear(R) in Sweden and Finland.

For more information about Medivir, please visit the Company's website:
http://www.medivir.com/.

For more information about Medivir, please contact:

    Medivir (http://www.medivir.com/):
    Rein Piir, CFO & VP Investor Relations
    Mobile: +46-708-537-292
    Bertil Samuelsson, CFO Mobile: +46(70)576-13-50

    M:Communications:
    Mary-Jane Elliott / Amber Bielecka / Katja Toon
    Medivir@mcomgroup.com
    +44(0)20-7920 2330

    USA: Roland Tomforde
    +1-212-232-2356