The prediction of treatment outcomes for patients with chronic hepatitis C virus (HCV) infection has been revolutionized by the finding of a strong association between single-nucleotide polymorphisms (SNPs) near the interleukin-28B (IL-28B) gene and sustained virological response (SVR) after pegylated interferon and ribavirin-based therapy for HCV genotype 1 infection. This startling finding came from 3 independent studies that were published almost simultaneously in the second half of 2009; they were conducted in the United States, in Japan, and by an Australia-based collaborative group. 1-3 These genome-wide association studies essentially reported the same finding: certain SNPs near the region encoding IL-28B [interferon type 3 or interferon-k (IFN-k)] were associated with either nonresponse or SVR with odds ratios of approximately 2.0 in unselected populations. Although some SNPs were shared between studies, others differed because the suppliers and the resolutions of the chips employed by the genome-wide association studies differed. Patients who were homozygous for a favorable SNP had an SVR rate of approximately 60%, whereas patients who were homozygous for an unfavorable allele had an SVR rate of 30%. The details of these findings have been the subject of several commentaries, 4-7 and the original findings will not be discussed further here. Thus far, the exact mechanisms by which this association results in higher SVR rates remain unclear; however, these data have invigorated research into both the prediction of treatment outcomes and the mechanisms controlling HCV replication and clearance. Since the publication of the original studies, several other findings have emerged, and these include associations of the favorable SNPs with the following: