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Vedroprevir in the management of hepatitis C virus infection
Ameer Abutaleb1, Shyamasundaran Kottilil1
1a Division of Clinical Care and Research, Institute of Human Virology , University of Maryland School of Medicine , Baltimore , MD , USA.
Insights
New direct-acting antivirals (DAAs) offer improved Hepatitis C Virus (HCV) treatment. Vedroprevir (GS-9451) effectively shortens treatment duration when combined with other DAAs, achieving high cure rates.
Area of Science:
- Hepatology and Viral Hepatitis Research
- Pharmacology of Antiviral Agents
Background:
- Hepatitis C Virus (HCV) infection is a primary cause of liver failure and transplantation globally.
- Direct-acting antivirals (DAAs) have revolutionized HCV therapy, offering shorter durations and higher efficacy compared to older treatments.
Purpose of the Study:
- To review the literature on the use of Vedroprevir (GS-9451) for Hepatitis C Virus treatment.
- To evaluate Vedroprevir's efficacy in diverse patient populations and its role in combination therapy.
Main Methods:
- Literature review of articles on Vedroprevir (GS-9451) accessible via MEDLINE/PubMed.
- Analysis of chemistry, pharmacology, and clinical efficacy data for Vedroprevir in HCV treatment.
Main Results:
- Vedroprevir (GS-9451) demonstrates high effectiveness in reducing treatment duration when used with other DAAs.
- Monotherapy with GS-9451 is not recommended due to rapid development of resistance.
- Combination therapy is essential for achieving sustained virologic response (SVR).
Conclusions:
- Vedroprevir is a valuable component in combination DAA regimens for HCV.
- Combining Vedroprevir with other DAAs enhances treatment success without compromising outcomes.
- Effective HCV eradication requires combination therapy due to resistance potential of GS-9451.
Introduction:
Hepatitis C Virus (HCV) is a chronic infection of the liver and the leading cause of liver failure and liver transplantation worldwide. While prior HCV therapies were prolonged and had variable success rates, the advent of direct-acting antivirals (DAAs) has dramatically improved HCV therapy with minimal side effects, shorter treatment durations, and higher cure rates. Areas covered: In this paper, we review the literature discussing the use of Vedroprevir (GS-9451) in treatment of HCV in a variety of patient populations. Articles accessible on MEDLINE/PubMed were reviewed to provide context on chemistry, pharmacology, and efficacy of Vedroprevir in HCV treatment. Expert opinion: Vedroprevir is highly effective in reducing treatment duration in combination with other DAAs without compromising treatment success rates. GS-9451 is insufficient as HCV monotherapy due to low threshold for development of high level of resistance and must be combined with other DAAs to achieve sustained virologic response (SVR).
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