Discovery and Development of Antiviral Therapies for Chronic Hepatitis C Virus Infection

Miguel Angel Martinez1, Sandra Franco2

  • 1IrsiCaixa AIDS Research Institute, Hospital Universitari Germans Trias I Pujol, Universitat Autònoma de Barcelona, Badalona, Spain. mmartinez@irsicaixa.es.

Insights

Chronic hepatitis C virus (HCV) infection affects millions globally. Direct-acting antiviral (DAA) therapies have revolutionized treatment, achieving nearly 100% cure rates and enabling global HCV eradication efforts.

Area of Science:

  • Hepatology
  • Virology
  • Infectious Diseases

Background:

  • An estimated 71 million people worldwide lived with chronic hepatitis C virus (HCV) infection.
  • While some clear the infection spontaneously, most progress to chronic HCV, risking liver fibrosis, cirrhosis, and hepatocellular carcinoma (HCC).
  • Factors like age, alcohol, and HIV co-infection can accelerate disease progression.

Purpose of the Study:

  • To review the global burden of chronic hepatitis C virus (HCV) infection.
  • To highlight the impact of direct-acting antiviral (DAA) therapies on HCV cure rates and eradication potential.

Main Methods:

  • Review of epidemiological data on HCV prevalence.
  • Analysis of the clinical outcomes of chronic HCV infection.
  • Assessment of the efficacy of direct-acting antiviral (DAA) therapies.

Main Results:

  • Direct-acting antiviral (DAA) therapy, introduced in 2014, has achieved cure rates approaching 100% for chronic HCV.
  • DAAs represent a significant advancement in managing viral infections and offer a pathway to global HCV eradication.

Conclusions:

  • Direct-acting antiviral (DAA) therapy has transformed chronic hepatitis C (HCV) management.
  • The high efficacy of DAAs provides a realistic opportunity for the global eradication of HCV.