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Updated: Oct 29, 2025

Early Viral Entry Assays for the Identification and Evaluation of Antiviral Compounds
Published on: October 29, 2015
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.
Abstract:
At the beginning of this decade, an estimated 71 million people were living with chronic hepatitis C virus (HCV) infection worldwide. After the acute stage of HCV infection, 18-34% of individuals exhibit spontaneous clearance. However, the remaining 66-82% of infected individuals progress to chronic HCV infection and are at subsequent risk of progression to hepatic fibrosis, cirrhosis, and hepatocellular carcinoma (HCC). Chronic hepatitis C progression is generally slow during the first two decades of infection, but can be accelerated during this time in association with advancing age and cofactors, such as heavy alcohol intake and human immunodeficiency virus (HIV) co-infection. Since acute HCV infection is generally asymptomatic, HCV goes undiagnosed in a significant percentage of infected individuals. In 2014, direct-acting antiviral (DAA) therapy for chronic HCV was developed, which has increased the cure rates to nearly 100%. DAA therapy is among the best examples of success in the fight against viral infections. DAAs have transformed HCV management and have opened the door for the global eradication of HCV.
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