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                    New 
                      Test for Hepatitis B Provides More Tailored Solutions for 
                      Patients
 
 
                
                  
                    Bangkok 
                      -- February 23, 2011 -- The new hepatitis B surface antigen 
                      (HBsAg) quant test enables physicians to assess a patient's 
                      response to chronic hepatitis B treatment 
                
                  
                    As chronic hepatitis B remains endemic in many parts of 
                      Asia, experts from across the region are meeting at the 
                      21st Asian Pacific Association for the Study of the Liver 
                      (APASL) annual congress in Bangkok, Thailand to discuss 
                      advances in the management of this devastating disease, 
                      which is a major cause of liver cirrhosis and cancer.
 
 
 
                
                  
                    One 
                      key advance is the availability of a new quantitative test 
                      for monitoring a patient's response to hepatitis B therapy, 
                      launched during the congress by Roche Diagnostics. The test 
                      measures the amount of hepatitis B surface antigen (HBsAg), 
                      a marker on the surface of the hepatitis B virus, in a patient's 
                      blood. This, in combination with HBV DNA testing, enables 
                      clinicians to provide tailored treatment approaches for 
                      chronic hepatitis B patients. 
                
                  
                    "Testing is important for the diagnosis and improved 
                      management of chronic hepatitis B. All too often there are 
                      either no symptoms until the liver is severely damaged or 
                      the early symptoms are ignored, allowing the disease to 
                      progress untreated with potentially fatal consequences," 
                      said Professor Teerha Piratvisuth, President of APASL, Director 
                      of the NKC Institute of Gastroenterology and Hepatology, 
                      Thailand, and President of Liver Society of Thailand. "This 
                      is a significant problem in Thailand where less than 30 
                      percent of people with chronic hepatitis B are currently 
                      being treated and most do not even know they are infected."
 
                
                  
                    Almost a third of the world's population is, at some time, 
                      infected with the hepatitis B virus (HBV) and approximately 
                      350 million people (5%) are currently chronically infected. 
                      In Asia, up to 10 percent of the adult population is chronically 
                      infected with the disease. Every year, 25% to 45% of these 
                      HBV carriers die of HBV-related liver cirrhosis (permanent 
                      scarring) or liver cancer. Liver cancer is one of the leading 
                      causes of cancer death, particularly in Asia.
 
                
                  
                    Treatment for chronic hepatitis B aims for complete clearance 
                      of the HBsAg in the patient. Recent data has shown that 
                      HBsAg clearance is associated with reduced disease progression 
                      to liver cirrhosis and liver cancer, and improved life expectancy 
                      as well as quality of life due to the immune control of 
                      the virus and remission of viral activity.
 
                
                  
                    HBsAg quantitative testing represents a simple and reliable 
                      means of assessing how well the body's own immune system 
                      is combating the hepatitis B virus. It allows clinicians 
                      to monitor and assess a patient's response to pegylated 
                      interferon (PEG-IFN) therapy, thereby confidently predict 
                      sustained treatment success early. This is particularly 
                      important as studies show that one in three respond to the 
                      PEG-IFN treatment. In addition, there is evidence that HBsAg 
                      levels in combination with HBV DNA levels, can be used to 
                      distinguish patients who do not require therapy (inactive 
                      carriers) from those who would benefit from treatment.
 
                
                  
                    "We now have two complementary tests for monitoring 
                      chronic hepatitis B that, when used in combination, enables 
                      us to determine how well a patient is responding to treatment 
                      and to tailor it accordingly" said Professor Henry 
                      Chan, Professor of Medicine, Director of Cheng Suen Man 
                      Shook Centre for Hepatitis Research and Director of Centre 
                      for Liver Health of The Chinese University of Hong Kong. 
                      "This is a real advance in the management of chronic 
                      hepatitis B as it enables us to respond quicker than we 
                      previously could and, by doing so, reduce the chance of 
                      disease progression."
 
                
                  
                    Commenting on the advance, Mr. Pichetpong Srisuwankul, General 
                      Manager of Roche Diagnostics Thailand said; "Given 
                      the millions of lives affected by hepatitis B each year, 
                      Roche is proud to be able to make a real difference in tackling 
                      all aspects of managing the disease; from initial diagnosis, 
                      through to treatment and ongoing treatment monitoring. Furthermore, 
                      this is an area where, once again, Roche is facilitating 
                      healthcare professionals in providing tailored treatments 
                      to individual patients to significantly improve their health 
                      and wellbeing, a demonstration of Roche leading in Personalized 
                      Healthcare."
 
 About the Elecsys HBsAg II Quant 
                      Immunoassay
 
 What is the Elecsys HBsAg II quant immunoassay?
 
 
 
                         
                          |  | The 
                            Elecsys HBsAg II quant immunoassay is a new test for 
                            assessing the amount of the hepatitis B surface antigen 
                            (HBsAg) in chronic hepatitis B patients. |   
                          |  | The 
                            Elecsys HBsAg II quant immunoassay is optimized for 
                            clinical decision making. |  
                
                  
                    What is the role of HBsAg testing?
 
                         
                          |  | HBsAg 
                            quantitative testing represents a simple and reliable 
                            means of assessing how well the body's own immune 
                            system is combating the hepatitis B virus. |   
                          |  | With 
                            HBsAg quant testing, clinicians can monitor and assess 
                            patients' response to anti-viral therapy. This allows 
                            clinicians to predict treatment success early during 
                            pegylated-interferon (PEG-IFN) treatment. |   
                          |  | Recent 
                            data has shown that HBsAg clearance is associated 
                            with greatly reduced liver cancer, liver cirrhosis 
                            and improved life expectancy due to the immune control 
                            of the virus and its remission. |   
                          |  | Hence, 
                            HBsAg testing can also aid in identifying long-term 
                            treatment outcomes in patients. |   
                          |  | HBV 
                            DNA is currently the most widely used diagnostic test 
                            in chronic hepatitis B patients. |   
                          |  | Combined 
                            used of HBV DNA and HBsAg quantification tests enable 
                            clinicians to tailor therapy options for optimal treatment 
                            outcomes in patients. |   
                          |  | There 
                            is evidence that HBsAg levels in combination with 
                            HBV DNA levels, can be used to distinguish patients 
                            who do not require therapy (inactive carriers) from 
                            those who would benefit from treatment. |  What 
                      are the advantages of the Elecsys® HBsAg II quant immunoassay?
 
 The Elecsys HBsAg II quant immunoassay 
                      is optimized for clinical decision making and has the following 
                      advantages:
 
 
 
                         
                          |  | Enhanced 
                            convenience -- The Elecsys HBsAg II quant immunoassay 
                            has been optimized to reduce retesting through automated 
                            features such as onboard dilution. |   
                          |  | Maximized 
                            reliability -- The Elecsys HBsAg II quant immunoassay 
                            is traceable to the WHO second international standard 
                            for HBsAg and offers accurate and validated exact 
                            results as well as enhanced safety through the onboard 
                            dilution feature. It is also suitable for quantifying 
                            HBsAg samples with all major hepatitis B genotypes. |   
                          |  | Excellent 
                            precision -- The Elecsys HBsAg II quant immunoassay 
                            offers excellent precision across the entire measure 
                            range. |  
                     Headquartered 
                      in Basel, Switzerland, Roche is a leader in research-focused 
                      healthcare with combined strengths in pharmaceuticals and 
                      diagnostics. Roche is the world's largest biotech company 
                      with truly differentiated medicines in oncology, virology, 
                      inflammation, metabolism and CNS. Roche is also the world 
                      leader in in-vitro diagnostics, tissue-based cancer diagnostics 
                      and a pioneer in diabetes management. Roche's personalised 
                      healthcare strategy aims at providing medicines and diagnostic 
                      tools that enable tangible improvements in the health, quality 
                      of life and survival of patients. In 2010, Roche had over 
                      80,000 employees worldwide and invested over 9 billion Swiss 
                      francs in R&D. The Group posted sales of 47.5 billion 
                      Swiss francs. Genentech, United States, is a wholly owned 
                      member of the Roche Group. Roche has a majority stake in 
                      Chugai Pharmaceutical, Japan. For more information: www.roche.com. 
              
                
                  
                    2/25/11 SourceRoche Diagnostics. New Test for Hepatitis B Provides More 
                      Tailored Solutions for Patients. Press release. February 
                      23, 2011.
 
 
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