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2016 ; 8
(ä): 21-6
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gab.com Text
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English Wikipedia
Daclatasvir-sofosbuvir combination therapy with or without ribavirin for
hepatitis C virus infection: from the clinical trials to real life
#MMPMID27019602
Pol S
; Corouge M
; Vallet-Pichard A
Hepat Med
2016[]; 8
(ä): 21-6
PMID27019602
show ga
The treatment of hepatitis C virus has changed dramatically with the rapid advent
of numerous new antiviral agents, including direct-acting antivirals and agents
with non-viral targets (cyclophilin inhibitors, interferon-lambda, vaccine
therapy). Given the better safety profile and high antiviral potency of
direct-acting antivirals, their combination in interferon-free oral regimens is
becoming the standard of care for hepatitis C virus infection, tailored to
individual patients according to the degree of disease progression (fibrosis),
hepatitis C virus genotype and subtype, resistance profile, and prior therapeutic
history. Results from clinical studies as well as preliminary real-life data
regarding the combination of sofosbuvir (a nucleotide polymerase inhibitor) and
daclatasvir, a first-in-class NS5A replication complex inhibitor, demonstrate
that it is one of the most promising antiviral therapies, with once-daily oral
dosing, a low pill burden, good tolerability, and limited drug-drug interactions,
in addition to high antiviral potency, with >90% sustained virologic response
rates. This combination has high pangenotypic antiviral potency regardless of the
severity and patient characteristics. The combination of sofosbuvir and an NS5A
inhibitor with ribavirin for 12 weeks appears to be a very good further treatment
option in both cirrhotic and treatment-experienced patients whatever the stage of
fibrosis.