Direct-acting antiviral agents and the path to interferon independence

Clin Gastroenterol Hepatol. 2014 May;12(5):728-37. doi: 10.1016/j.cgh.2013.06.024. Epub 2013 Jul 18.

Abstract

Chronic infection with hepatitis C virus (HCV) is a major global health problem; there are approximately 120 to 130 million chronic infections worldwide. Since the discovery of HCV 24 years ago, there has been a relentless effort to develop successful antiviral therapies. Studies of interferon-α-based therapies have helped define treatment parameters, and these treatment strategies have cured a substantial percentage of patients. However, interferon-α must be injected; there are problems with tolerability, adherence, and incomplete response in a large percentage of patients. New drug candidates designed to target the virus or the host have recently been introduced at an unprecedented pace. In phase I-III studies, these agents have exceeded expectations and achieved rates of response previously not thought possible. We are, therefore, entering a new era of therapy for HCV infection and interferon independence.

Keywords: DAA; NS3/4A Protease Inhibitor; Non-nucleoside; Nucleoside/Nucleotide.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Drug Therapy / methods
  • Drug Therapy / trends
  • Hepatitis C, Chronic / drug therapy*
  • Humans
  • Interferons / therapeutic use
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Interferons