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Working together to tackle HCV infection: ombitasvir/paritaprevir/ritonavir and dasabuvir combination
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Insights
New interferon-free hepatitis C virus (HCV) treatments offer improved efficacy and tolerability. An all-oral regimen (ombitasvir/paritaprevir/ritonavir with dasabuvir) shows up to 100% sustained virologic response in genotype 1 HCV patients.
Area of Science:
- Hepatology
- Virology
- Pharmacology
Background:
- Hepatitis C virus (HCV) infection affects 184 million globally, potentially leading to liver cirrhosis and failure.
- Traditional PEGylated interferon/ribavirin therapy for HCV had limited efficacy and significant side effects.
- Advances in antiviral therapy have introduced interferon-free regimens with better outcomes and tolerability.
Purpose of the Study:
- To review current knowledge on a new all-oral interferon-free regimen for HCV.
- To highlight the efficacy and safety of ombitasvir/paritaprevir/ritonavir co-packaged with dasabuvir.
Main Methods:
- Review of scientific literature on novel HCV treatments.
- Analysis of clinical data for the specified all-oral regimen.
Main Results:
- The regimen ombitasvir/paritaprevir/ritonavir co-packaged with dasabuvir is FDA-approved for genotype 1 HCV.
- This all-oral therapy demonstrates high sustained virologic response rates, up to 100%.
- The treatment is reported to be safe and well-tolerated in patients, including those with compensated cirrhosis.
Conclusions:
- Interferon-free regimens represent a significant advancement in HCV treatment.
- The new all-oral combination therapy offers a highly effective and safe option for genotype 1 HCV patients.
- Further research and clinical application of this regimen are warranted.
Abstract:
An estimated 184 million people worldwide have hepatitis C virus (HCV) infection. Chronic infection can ultimately result in liver cirrhosis and hepatic failure. Eradication of the virus by antiviral treatment can hinder the development of the aforementioned complications. Historically, the combination therapy of PEGylated interferon/ribavirin was considered the standard-of-care therapy for HCV. Such therapy did not demonstrate satisfactory cure rates and had significant side effects that precluded its widespread use among HCV patients. In view of this situation, scientific advances have led to the development of new interferon-free regimens that are better tolerated, more effective and with shorter duration of therapy. One of the newest members of this family is the all-oral regimen (ombitasvir/paritaprevir/ritonavir co-packaged with dasabuvir) that has recently received FDA approval for the treatment of adult patients with genotype 1 HCV infection, including those with compensated cirrhosis. This new combination was found to be safe and well tolerated with high rates of sustained virologic response of up to 100%. An overview of the current knowledge about this regimen is reviewed herein.
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