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Dr Robert in the News


Published in Hepatology, July 2014,was “ALL ORAL COMBINATION OF LEDIPASVIR, VEDROPREVIR, TEGOBUVIR, AND RIBAVIRIN IN TREATMENT-NAÏVE PATIENTS WITH GENOTYPE 1 HCV INFECTION.”Due to the importance of the findings, the report was published in July 2014, by the world’s most widely read journal for liver disease and research, Hepatology. Hepatology is the official journal of the American Association for the study of liver disease, the largest professional organization for liver doctors, with over 5000 members worldwide.Dr. Robert W. Herring, Jr. ,published in Hepatology last year as well.

Earlier this year, Dr. Herring published two other articles regarding his hepatitis C research, in the prestigious, New England Journal of Medicine. He published in the New England Journal of Medicine last year as well. Additionally, he has published findings in two of the widely read journals, The Journal of Clinical Gastroenterology and Gastroenterology.

Dr. Herring did his research training at John Hopkins and has over 30 years of research experience. Dr. Herring’s clinical research as it relates to HCV and other diseases of the liver,has lead him to be a leader in PILL ONLY TREATMENT OF HEPATITIS C in relation to this field of study. To learn more regarding this new drug treatment, please call Christy Swope, RN at 615-835-4738.

To review DR. Herrings latest Genotype 1 article please follow the hotlink

Additional articles that Dr. Herring has authored and co-authored are listed below, please click on the article to review the abstract of that study

  • All-oral combination of ledipasvir, vedroprevir,tegobuvir, and ribavirin in treatment-naïve patients with genotype 1 HCV infection
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  • PROPEL: A Randomized Trail of Mericitabine Plus Peginterferon Alpha-2a Therapy in Treatment-Naïve HCV Genotype ¼ Patients
  • Read More

  • Ledipasvir and Sofosbuvir for Previously Treated HCV Genotype 1 Infection
  • Read More

  • Ledipasvir and Sofosbuvir for 8 or 12 Weeks for Chronic HCV without Cirrhosis
  • Read More

  • Sofosbuvir for hepatitis C genotype 2 or 3 in patients without treatement options
  • Read More

  • Safety and Tolerance of Oral 5-ASA (Asacol) in the treatment of Ulcerative Colitis and Crohn’s Disease: Results of the US Multicenter Open-Label Study
  • Read More

  • Balapiravir Plus Pegiterferon alfa-2a (40KD) and Ribavirin for the treatment of Chronic Hepatitis C Genotype 1: Randomized Double-Blind, Placebo-Controlled Phase 2 Study
  • Read More

  • Racial differences in response rates to consensus interferon in HCV infected patient’s naïve to previous therapy
  • Read More

  • Oral 5-ASA (Asacol) in the treatment of Mild to Moderate Ulcerative Colitis (UC): The Nashville Experience
  • Read More

  • Effect of acute alcohol administration on erythrocyte aldehyde dehydrogenase activity in man
  • Read More


Miracle drugs carry big price tags

Hepatitis C drug’s

$1000 cost worries
Insurers, lawmakers

By Tom Wilemon
3:18 p.m. CDT June 9, 2014

Sovaldi is a pill to take sitting down at the dinner table. Costing $1,000 a dose, losing one is akin to dropping a diamond down the drain.

At a time when federal and state governments are trying to rein in health care spending through myriad initiatives, the high cost of new blockbuster drugs such as Sovaldi and specialized cancer treatments could torpedo those efforts.

But this new hepatitis C treatment is a lifesaver for people like Barry Morrow of Clarksville because it cures the virus infection when other drugs have failed. Morrow tried to beat hepatitis C in 2008, taking the only treatments available at that time. His viral load never budged.

After Sovaldi became available, his doctor prescribed the new drug along with the same regimen he took before. This time, no virus was detected after only four weeks of treatment. Morrow stayed on track for the full 12-week course, taking his last Sovaldi on May 23.

Last week, a followup blood test confirmed he was free of hepatitis C – in his case a particularly stubborn strain of the virus.

"I don’t have words to describe how I feel,” Morrow said.

Grateful could be one word. Because he is a U.S. Navy retiree, his treatments were covered by TRICARE Prime.

Sovaldi has become the symbol for exorbitant pharmaceuticals. Its maker, Gilead Science Inc., defends the price, saying it “reflects the value of the medicine” and that its cost is “comparable to the previous standard of care regimen” even though it works faster and better with fewer side effects.

TennCare Cautious

Dr. Robert W. Herring Jr., a Nashville liver specialist, doesn’t spend too much time worrying about the macroeconomic conditions of the pharmaceutical market. He just wants to make sure his patients get the medicines they need.

“I have written so far about 60 prescriptions for Sovaldi,” Herring said. “They have all been approved except for TennCare patients.”

TennCare will approve Sovaldi when criteria are met. They include a biopsy or diagnostic imagery that indicates liver damage.

“I think the biggest problem with TennCare right now is that they do not want to use Sovaldi on people unless they have very advanced disease,” Herring said.