Treatment of hepatitis C with new fixed dose combinations
@article{Soriano2017TreatmentOH, title={Treatment of hepatitis C with new fixed dose combinations}, author={Vincent Soriano and Jos{\'e} Vicente Fern{\'a}ndez-Montero and Carmen de Mendoza and Laura Ben{\'i}tez-Guti{\'e}rrez and Jos{\'e} Ma Pe{\~n}a and Ana Arias and Pablo Barreiro}, journal={Expert Opinion on Pharmacotherapy}, year={2017}, volume={18}, pages={1235 - 1242} }
ABSTRACT Introduction: The advent of oral direct-acting antivirals (DAA) has revolutionized the hepatitis C virus (HCV) therapeutic landscape providing cure rates over 90%. However, a subset of patients remains at higher risk for treatment failure, including those infected with: i) genotype 3 and cirrhosis; ii) resistance-associated substitutions (RAS) occurring either as natural polymorphisms or selected after prior DAA failure; and iii) poor drug adherence associated with social disabilities…
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- MedicineJournal of Gastroenterology
- 2019
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- BiologyFront. Microbiol.
- 2019
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- MedicineDigestive Diseases and Sciences
- 2018
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- 2017
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65 References
Prevention and management of treatment failure to new oral hepatitis C drugs
- MedicineExpert opinion on pharmacotherapy
- 2016
The management of HCV treatment failure and the impact of RAVs on re-treatment strategies are discussed and it is unclear when and how to re-treat hepatitis C in patients with prior DAA failure.
Hepatitis C virus resistance to the new direct-acting antivirals
- Medicine, BiologyExpert opinion on drug metabolism & toxicology
- 2016
Although DAA failures generally occur in less than 10% of treated chronic hepatitis C patients, selection of drug resistance is the rule in most cases and first-line therapeutic strategies should be optimized to efficiently prevent DAA failure due to baseline HCV resistance.
Hepatitis C Virus-Genotype 3: Update on Current and Emergent Therapeutic Interventions
- Biology, MedicineCurrent Infectious Disease Reports
- 2017
Current and emergent DAA regimens for HCV-GT3 treatment are discussed, and disruption of HCV entry by targeting required host cellular receptors shows potential in minimizing HCV resistance and broadening therapeutic options for certain subpopulations of GT3 patients.
Importation of generic hepatitis C therapies: bridging the gap between price and access in high-income countries
- MedicineThe Lancet
- 2017
The importance of resistance to direct antiviral drugs in HCV infection in clinical practice.
- Biology, MedicineJournal of hepatology
- 2016
Hepatitis C Virus Resistance to Direct-Acting Antiviral Drugs in Interferon-Free Regimens.
- Medicine, BiologyGastroenterology
- 2016
First-line treatment strategies should be optimized to efficiently prevent treatment failure due to HCV resistance, as viral variants resistant to NS5A inhibitors at baseline is associated with lower rates of virological cure in certain groups of patients.
Pharmacologic Considerations in the Treatment of Hepatitis C Virus in Persons With HIV.
- Medicine, BiologyClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2016
The clinical pharmacology and drug interaction potential of the DAAs, the interaction data with DAAs and antiretroviral agents, and the knowledge gaps in the pharmacologic aspects of treating HCV in individuals with HIV coinfection are described.
Efficacy of Sofosbuvir, Velpatasvir, and GS-9857 in Patients With Genotype 1 Hepatitis C Virus Infection in an Open-Label, Phase 2 Trial.
- MedicineGastroenterology
- 2016
In a phase 2 open-label trial, 8 weeks of treatment with sofosbuvir-velpatasvir plus GS-9857 to be safe and effective in treatment-naive patients; 12 weeks was safe andeffective in patients previously treated with DAAs.
Glecaprevir and pibrentasvir for 12 weeks for hepatitis C virus genotype 1 infection and prior direct‐acting antiviral treatment
- Medicine, BiologyHepatology
- 2017
The combination of GLE and PIB was highly efficacious and well tolerated in patients with HCV genotype 1 infection and prior failure of DAA‐containing therapy; RBV coadministration did not improve efficacy.