Current and emerging antiviral treatments for hepatitis C infection

被引:45
作者
Doyle, Joseph S. [1 ,2 ,3 ]
Aspinall, Esther [7 ]
Liew, Danny [4 ]
Thompson, Alexander J. [5 ,6 ,8 ,9 ]
Hellard, Margaret E. [1 ,2 ,3 ]
机构
[1] Burnet Inst, Ctr Populat Hlth, Melbourne, Vic 3004, Australia
[2] Alfred Hosp, Infect Dis Unit, Melbourne, Vic, Australia
[3] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia
[4] Univ Melbourne, Dept Med RMH, Melbourne EpiCtr, Melbourne, Vic, Australia
[5] St Vincents Hosp, Dept Gastroenterol, Melbourne, Vic, Australia
[6] Victorian Infect Dis Reference Lab, Melbourne, Vic, Australia
[7] Univ Strathclyde, Dept Math & Stat, Glasgow, Lanark, Scotland
[8] Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC USA
[9] Duke Univ, Med Ctr, Div Gastroenterol, Durham, NC 27710 USA
基金
英国医学研究理事会;
关键词
antiviral therapy; direct acting antiviral; hepatitis C virus; polymerase inhibitors; protease inhibitors; SUSTAINED VIROLOGICAL RESPONSE; TREATMENT-NAIVE PATIENTS; ALPHA-2A PLUS RIBAVIRIN; PROTEASE INHIBITOR; POLYMERASE INHIBITOR; PEGINTERFERON ALPHA-2A; VIRUS-INFECTION; VIRAL RESPONSE; HCV INFECTION; DRUG-USERS;
D O I
10.1111/j.1365-2125.2012.04419.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Newly licensed direct acting antivirals for hepatitis C virus HCV are able to cure up to 75% of patients chronically infected with genotype-1 infection, which is the predominant HCV strain in Europe and North America. Emerging antiviral therapies promise further increases in virological response, as well as improved tolerability, reduced duration of therapy, and will potentially eliminate the need for interferon use. This review highlights the main therapeutic agents used in current standard of care, including telaprevir and boceprevir. It goes on to evaluate the mechanisms of emerging drugs, their stage of development and response rates seen in research to date. Finally, it projects into the not too distant future to consider treatment strategies involving combinations of agents and interferon-free therapies, and in which patients they might prove most successful.
引用
收藏
页码:931 / 943
页数:13
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