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Published on: May 10, 2022
Beclabuvir for the treatment of hepatitis C
Ivan Gentile1, Emanuela Zappulo, Antonio Riccardo Buonomo
1University of Naples 'Federico II,' Department of Clinical Medicine and Surgery , via S. Pansini 5, I-80131 Naples , Italy +39 0 81 7463178 ; +39 0 81 7463190 ; ivan.gentile@unina.it.
Insights
Beclabuvir, a new direct-acting antiviral, shows a favorable profile for treating hepatitis C virus (HCV) infection. Its combination therapy achieves high viral eradication rates, offering a powerful option for HCV treatment.
Area of Science:
- Hepatology
- Virology
- Pharmacology
Background:
- Hepatitis C virus (HCV) chronically infects 185 million people globally.
- Current therapies reduce progression to advanced liver disease.
- New direct-acting antivirals (DAAs) are emerging for HCV treatment.
Purpose of the Study:
- This review examines beclabuvir, a novel non-nucleotide inhibitor of HCV polymerase.
- The focus is on its pharmacokinetics, mechanism of action, safety, tolerability, and resistance profile.
Main Methods:
- Review of beclabuvir's pharmacokinetic properties.
- Analysis of its mechanism of action as an allosteric inhibitor.
- Evaluation of safety, tolerability, and resistance patterns.
Main Results:
- Beclabuvir demonstrates favorable pharmacokinetics, efficacy, and tolerability.
- High viral eradication rates (~90%) observed with beclabuvir, asunaprevir, and daclatasvir combination therapy.
- Effective against HCV genotype 1, the most prevalent worldwide.
Conclusions:
- Beclabuvir possesses a highly favorable profile regarding pharmacokinetics, efficacy, tolerability, and resistance.
- It is a potent therapeutic agent for HCV infection.
- Beclabuvir is an optimal component in interferon-free combination therapies for HCV.
Introduction:
About 185,000,000 people worldwide are chronically infected with hepatitis C virus (HCV). Currently, the most successful HCV infection antiviral therapies reduce the chance of progression towards the advanced phases of the hepatopathy (liver cirrhosis, hepatocellular carcinoma and death). Recently, however, several new direct-acting antivirals against HCV are available or are in an advanced phase of clinical development.
Areas Covered:
This review focuses on beclabuvir , an allosteric non-nucleotide inhibitor of HCV polymerase. The article covers its pharmacokinetics, mechanism of action, in addition to its tolerability and safety profile as well as its resistance pattern.
Expert Opinion:
The pharmacokinetic, efficacy and tolerability profile of beclabuvir, as well as its barrier to resistance, are very favorable. In particular, the combination of beclabuvir with asunaprevir and daclatasvir achieves very high rates of viral eradication (about 90%) in patients infected with HCV genotype 1, which is the most common genotype worldwide. Therefore, beclabuvir represents a powerful weapon against HCV infection and has to be considered an optimal option in tailored IFN-free combinations.
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