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Bristol-Myers Squibb is a global biopharmaceutical company whose mission is to extend and enhance

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human life. This may occur with liver enlargement (hepatomegaly) and fat in the liver (steatosis). — 100% of patients achieved undetectable viral load (HBV DNA less than 300 copies/mL by PCR). BARACLUDE does not cure HBV or stop the spread of HBV to others. At week 148, 100% (37/37) of treatment-naive patients and 89% (23/26) of lamivudine-refractory

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patients experienced improvement in

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Knodell necroinflammatory score, and 47% (17/36) of treatment-naive and 32% (8/25) of lamivudine-refractory patients experienced an improvement in liver fibrosis as measured by the Knodell fibrosis score. World Health Organization Web site.

BARACLUDE will not help HIV infection. “The ability to provide effective long-term treatment with a potent antiviral with minimal resistance represents a positive step forward.” About the ETV-901 Analysis ETV-901 is a long-term rollover study for patients who previously completed phase 2-3 entecavir studies. — Pregnant or planning to become pregnant. This has happened in some patients taking medicines pylori test kits

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like BARACLUDE(R).

The most com side effects of BARACLUDE(R) in clinical studies were headache, tiredness, dizziness, and nausea. BARACLUDE(R) has been approved in more than 86 countries and regions around the world. — Patients who have or get HIV infection (the virus that can cause AIDS). Patients should not take BARACLUDE if they are allergic to any of its ingredients. BARACLUDE has not been studied in children and is not recommended for anyone less than 16 years old. About BARACLUDE Discovered at Bristol-Myers Squibb, BARACLUDE is a nucleoside analogue indicated for use in adults with chronic hepatitis B infection with compensated

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liver disease, evidence of active viral replication, and either evidence of persistent elevations of

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the blood levels of aminotransferases – a marker for liver disease – or active liver disease as determined by biopsy. New long-term histology results were presented from a cohort of 57 nucleoside-naive patients from rollover study ETV-901.

Lai CL, Shouval D, Lok A, Chang TT, Cheinquer H, Goodman Z, et al. Endnotes One patient had a baseline biopsy not evaluable for necroinflammation One patient had a baseline

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biopsy not evaluable for fibrosis Two patients had baseline biopsies

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not evaluable for fibrosis References 1. It is not known if BARACLUDE helps to prevent a pregnant mother from passing HBV to her baby. The histology data were presented today at the 59th Annual Meeting of the American Association for the Study of Liver Diseases. Please see accompanying Full Prescribing Information, including boxed WARNINGS, or visit or /. BARACLUDE should be taken exactly as prescribed and on an empty stomach (at least two hours after a meal and at least two hours before the next meal). — Yellowing (jaundice) of the skin or the white part of the eyes, darkening of the urine, lightening in the color of bowel movements (stools), not feeling like eating

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food for several days or longer, feeling sick to the stomach (nausea), or having lower stomach pain, may drug testing hair kits be signs of serious liver problems called hepatotoxicity. Please see the following Important Safety Information for BARACLUDE, including boxed WARNINGS in bold.

Of the 57 patients, 96 percent (55/57) experienced improvement in liver histology (improvement in how the liver tissue looks under a microscope). Lactic acidosis is a medical emergency and must be treated in the hospital. For patients taking BARACLUDE to treat chronic hepatitis B and not taking medicines for HIV at the same time, some HIV treatments

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that they take in the future may be less likely to work.

This list of side effects is not complete at this time because BARACLUDE is still under study. About the ETV-060 Analysis ETV-060 was an open-label rollover study of Japanese chronic hepatitis B patients, including 66 treatment-naive patients who completed 52 weeks of treatment with BARACLUDE(R) 0.1 mg or 0.5 mg in study ETV-053, and 82 lamivudine-refractory patients

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who completed 52 weeks of treatment with BARACLUDE 0.5 mg or 1 mg in study ETV-052. This has happened in some patients who have taken medicines like BARACLUDE.

Patients are advised to get an HIV test before starting to take BARACLUDE and anytime after that when there is a eduardo they were exposed to HIV. Because BARACLUDE is removed from the body through the kidneys, a lower dose

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or a different dose schedule may be needed. Histology results were also presented from the open-label rollover study ETV-060, which evaluated Japanese patients with chronic hepatitis B. Results of patients in ETV-901 who agreed to undergo long-term liver biopsies (median of 6 years of treatment) — 96% of patients had improvement

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in liver histology at long-term liver biopsy – an increase from 73% at week 48.

The most com adverse events

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were upper respiratory tract infection (23%); headache (16%); nasopharyngitis, an inflammation of the nose and throat (16%); ALT increase, an increase in the production of the liver enzyme ALT, which may indicate inflammation

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of the liver or liver damage (14%); abdominal pain (13%); influenza (13%); back pain (12%); pyrexia-fever (12%); arthralgia-joint pain (10%); cough (10%); hypertension (10%); insomnia (10%); and pharyngolaryngeal pain – throat pain (10%). Healthcare providers will need to follow their patients and do blood tests to check the liver if BARACLUDE is stopped. Bristol-Myers Squibb Company (NYSE:BMY) today announced data from two separate cohort evaluations, in which long-term treatment with BARACLUDE(R) (entecavir) was associated with improved liver histology, including improvement in fibrosis, in chronic hepatitis B patients. — Safety results for this cohort analysis were not reported at this conference. Patients should report any new or continuing symptom to

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their healthcare provider.

Healthcare providers may want to do tests to see if a lower dose is needed or if BARACLUDE should be taken less often than once a day. The current analysis evaluated the long-term histologic results for patients who had liver biopsies

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after receiving at least three years of continuous treatment with BARACLUDE (37 patients from ETV-053 and 27 patients from ETV-052). Control of viral replication is

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an important goal of chronic hepatitis B treatment. BARACLUDE(R) (entecavir) is a registered trademark of Bristol-Myers Squibb Company. The long-term histology cohort included 57 nucleoside-naive patients who received a minimum of 3 years of cumulative therapy with BARACLUDE from the start of studies ETV-022 or -027(1,2)

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(BARACLUDE 0.5 mg) to the time of their last observed biopsy in ETV-901 (BARACLUDE 1 mg), and had adequate baseline and long-term liver biopsies. A pregnant woman and her healthcare provider will need to decide if BARACLUDE is right for her. Worldwide, more than two billion people (one out of every

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three people) have been infected with the hepatitis B virus and approximately 350 million people are chronically

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infected(3,4). BARACLUDE may interact with medicines that leave the body through the kidneys.

– Grade 3-4 adverse event(s) were reported in 20% of patients, and serious adverse event(s) were reported in 25%. Entecavir versus lamivudine for patients with HBeAg-negative chronic hepatitis B. Of these 64 patients, 100 percent (37/37) of treatment-naive patients and 89 percent (23/26) of lamivudine-refractory patients experienced improvement

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in liver histology (measured by a greater than or equal to a two-point decrease in Knodell necroinflammatory score), and 47 percent (17/36)

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of treatment-naive and 32 percent (8/25) of lamivudine-refractory patients experienced an improvement in liver fibrosis (greater than or equal to a one-point decrease in Knodell fibrosis score). It is not known if BARACLUDE is safe to use during pregnancy. These patients were treated with BARACLUDE for a median of six years. A woman should not breastfeed if she is taking BARACLUDE.

These patients must be carefully monitored before and during treatment with BARACLUDE, and they should discuss treatment with their doctor. The safety

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and effectiveness of BARACLUDE in liver transplant recipients are unknown. Results of patients in ETV-060 who agreed to undergo long-term

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liver biopsies (at least 3 years of treatment) — Among both treatment-naive and lamivudine-refractory CHB patients, liver histology improved after three years of continuous BARACLUDE(R) treatment.

Patients should tell their healthcare provider right away if they have any conditions, including the following. Patients should discuss with their healthcare provider all prescription and non-prescription medicines, vitamins, herbal supplements, and other health preparations they are taking or plan to take. Histologic improvement (greater than or equal to a two-point decrease in Knodell necroinflammatory score) and improvement in Knodell fibrosis score (greater than or equal to a one-point decrease) were evaluated for patients with biopsies at baseline, Week 48 and Week 148.

– Of the 43 patients with a baseline fibrosis score of greater than or equal to 2, 58% had a 2-point or more decrease in Ishak fibrosis score. — The proportion of patients with improvement in Ishak fibrosis score increased from 32% at 48 weeks to 88% at long-term liver biopsy. Visit Bristol-Myers Squibb at. An estimated

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1.25 million Americans are chronically infected with hepatitis B, and over half are of Asian descent(4). Indication and Important Safety Information About BARACLUDE 0.5 home testing kits for hiv mg and 1 mg Tablets BARACLUDE is a prescription medicine used for chronic infection with hepatitis B virus (HBV) in adults where the virus is multiplying and damaging the liver. Additionally, 88 percent of patients

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(50/57) experienced a reduction in liver fibrosis, defined as improvement in Ishak fibrosis score (greater than or equal to a one-point decrease). Fibrosis occurs when excessive fibrous connective tissue builds up in the liver in response to chronic inflammation, which can be caused by chronic hepatitis B infection.

Patients should not stop taking BARACLUDE without talking to their healthcare provider. Improvement in liver histology was defined as greater than or equal to a two-point decrease in Knodell necroinflammatory

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score and no worsening of Knodell fibrosis score. In the ETV-060 rollover study, patients continued treatment with BARACLUDE at 0.5 mg (treatment-naive patients) or 1 mg (lamivudine-refractory patients). At the time of the ETV-901 long-term

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biopsy, 100 percent of subjects with evaluable liver biopsies (57/57) had undetectable viral load (HBV DNA less than 300 copies/mL by polymerase chain reaction (PCR)). Patients taking BARACLUDE should

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tell their healthcare provider right away if they have any side effects or conditions, including the following. — Worsening of HBV infection if patients stop taking BARACLUDE. Hepatitis B symptoms may get worse or become very serious if they stop taking BARACLUDE.

Chang TT, Gish RG, de Man R, Gadano A, Sollano J, You-Chen C, et al. About Chronic Hepatitis

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B Chronic hepatitis B is a serious global health issue. The co-primary long term histology endpoints were the proportion of patients with histologic improvement (defined as greater than or equal to a two-point decrease in Knodell necroinflammatory score and no worsening of Knodell fibrosis score) and the proportion of patients with improvement in Ishak

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fibrosis score (greater than or equal to a one-point decrease), both compared to baseline. ETV-901 provided long-term treatment with BARACLUDE 1 mg for patients

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who completed phase 2-3 studies. Patients follo in this cohort received BARACLUDE for a median of six years across the studies (ETV-022, -027 and -901) and had evaluable baseline and long-term

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liver biopsies. — Feeling very weak or tired, unusual muscle pain, trouble breathing, stomach pain with nausea and vomiting, feeling cold (especially in the arms and legs), feeling dizzy or lightheaded, or a fast or irregular heartbeat may be signs of a serious condition called lactic acidosis (buildup of an acid in the blood).

– At week 148, 95% (35/37) of treatment-naive patients and 56% (15/27) of lamivudine-refractory patients had HBV DNA less than 400 copies/mL. “These data suggest that long-term treatment with BARACLUDE has the

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potential to stop liver damage and may even improve liver fibrosis caused by chronic hepatitis B infection,” said Professor Yun-Fan Liaw, lead investigator for the Long-term Histology Cohort (subset of ETV-901), from Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan. A comparison of entecavir and lamivudine for HBeAg-positive chronic hepatitis B. This

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cohort included 37 treatment-naive patients and 27 patients resistant to treatment with lamivudine from two Phase 2 studies (ETV-053, ETV-052) who had liver biopsies after receiving at least three years of treatment with BARACLUDE(R). T/mediacentre/factsheets/fs204/en/.

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