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Hepatitis C future or investigational therapies

Introduction

Overview

Overview

Several investigational drugs are being tested for use in hepatitis C such as danoprevir, asunaprevir, vaniprevir, and ledipasvir among others.

Future Or Investigational Therapies

Future Or Investigational Therapies

Several investigational drugs are being tested for use in hepatitis C. These agents focus on proteins essential for viral replication. The table below summarizes the agents currently being investigated.

Name Alternative Mechanism of Action
Danoprevir[1] RG7227/ITMN-191 Inhibitor of the HCV NS3/4A serine protease
Asunaprevir[2] BMS-650032 Inhibitor of the HCV NS3/4A serine protease
Vaniprevir[3] MK-7009 Inhibitor of the HCV NS3/4A serine protease
Daclatasvir[4] BMS-790052 Inhibitor of the HCV non-structural protein NS5A
Mericitabine[5] RG7128 Inhibitor of the HCV NS5B polymerase
Ledipasvir[6] GS-5885 Inhibitor of the HCV non-structural protein NS5A
Faldaprevir[7] BI-2010335 Protease inhibitor
References

References

  1. ↑ Jiang Y, Andrews SW, Condroski KR, Buckman B, Serebryany V, Wenglowsky S; et al. (2014). “Discovery of danoprevir (ITMN-191/R7227), a highly selective and potent inhibitor of hepatitis C virus (HCV) NS3/4A protease”. J Med Chem. 57 (5): 1753–69. doi:10.1021/jm400164c. PMIDΒ 23672640.
  2. ↑ Eley T, He B, Chang I, Colston E, Child M, Bedford W; et al. (2014). “The effect of hepatic impairment on the pharmacokinetics of asunaprevir, an HCV NS3 protease inhibitor”. Antivir Ther. doi:10.3851/IMP2773. PMIDΒ 24704773.
  3. ↑ Lawitz E, Rodriguez-Torres M, Stoehr A, Gane EJ, Serfaty L, Bhanja S; et al. (2013). “A phase 2B study of MK-7009 (vaniprevir) in patients with genotype 1 HCV infection who have failed previous pegylated interferon and ribavirin treatment”. J Hepatol. 59 (1): 11–7. doi:10.1016/j.jhep.2013.02.008. PMIDΒ 23439259.
  4. ↑ Herbst DA, Reddy KR (2013). “NS5A inhibitor, daclatasvir, for the treatment of chronic hepatitis C virus infection”. Expert Opin Investig Drugs. 22 (10): 1337–46. doi:10.1517/13543784.2013.826189. PMIDΒ 23931586.
  5. ↑ Pockros PJ, Jensen D, Tsai N, Taylor R, Ramji A, Cooper C; et al. (2013). “JUMP-C: a randomized trial of mericitabine plus pegylated interferon alpha-2a/ribavirin for 24 weeks in treatment-naΓ―ve HCV genotype 1/4 patients”. Hepatology. 58 (2): 514–23. doi:10.1002/hep.26275. PMIDΒ 23359491.
  6. ↑ Kowdley KV, Gordon SC, Reddy KR, Rossaro L, Bernstein DE, Lawitz E; et al. (2014). “Ledipasvir and sofosbuvir for 8 or 12 weeks for chronic HCV without cirrhosis”. N Engl J Med. 370 (20): 1879–88. doi:10.1056/NEJMoa1402355. PMIDΒ 24720702.
  7. ↑ Nishiguchi S, Sakai Y, Kuboki M, Tsunematsu S, Urano Y, Sakamoto W; et al. (2014). “Safety and efficacy of faldaprevir with pegylated interferon alfa-2a and ribavirin in Japanese patients with chronic genotype-1 hepatitis C infection”. Liver Int. 34 (1): 78–88. doi:10.1111/liv.12254. PMIDΒ 23944720.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Nina Axiotakis [2]