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Published on: September 25, 2019
Frontiers in the treatment of hepatitis C virus infection
1Dr Ahn is an associate professor of medicine at the Oregon Health & Science University in Portland, Oregon. Dr Flamm is a professor of medicine at the Northwestern University Feinberg School of Medicine in Chicago, Illinois.
Insights
Hepatitis C virus (HCV) screening is underutilized despite available diagnostics. New all-oral medications are transforming HCV treatment, offering hope for widespread cure and improved liver health outcomes.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Chronic hepatitis C virus (HCV) infection is a leading cause of liver disease and transplantation in the US.
- Despite over 20 years of diagnostic availability, a significant portion of HCV cases remain undiagnosed.
- Recent changes in screening recommendations by the CDC reflect the need for increased diagnosis.
Purpose of the Study:
- To review current screening recommendations for HCV infection.
- To outline the standard of care for HCV treatment.
- To highlight emerging therapies that are poised to revolutionize HCV management.
Main Methods:
- Review of current literature on HCV screening guidelines.
- Analysis of recent treatment advancements and approved medications for HCV.
- Examination of investigational agents in the HCV drug development pipeline.
Main Results:
- Updated CDC screening recommendations aim to increase HCV diagnosis rates.
- Newer antiviral medications, including sofosbuvir and simeprevir, have significantly improved treatment efficacy.
- A rapid expansion of diverse medication classes is anticipated, leading to all-oral regimens for HCV genotype 1.
Conclusions:
- Increased HCV screening is crucial for identifying undiagnosed infections.
- Recent therapeutic advances offer highly effective treatment options for HCV.
- The future of HCV treatment involves all-oral regimens, promising a paradigm shift in patient care and outcomes.
Abstract:
In the United States, chronic hepatitis C virus (HCV) infection is the leading cause of blood-borne, virus-associated death related to advanced liver disease and the leading indication for liver transplantation. Although the diagnostic test for HCV has been available for more than 20 years, the majority of persons with HCV infection still have not received a diagnosis. This has led to a recent change in screening recommendations by the Centers for Disease Control and Prevention. Moreover, new medications were approved in 2011 after nearly a decade of minimal progress in the development of treatments for HCV infection. This was followed by the highly anticipated approval of sofosbuvir and simeprevir in 201 3. In the past 3 years, there has been an explosion of reports on medications from different classes, promising a dramatic expansion to an all-oral regimen for the treatment of HCV genotype 1 infection within the next few years. This article reviews the current screening recommendations and standard of care for treatment of HCV infection and highlights specific agents in the pipeline that should change the landscape of how HCV infection is treated in the near future.
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