TARGETING HEPATITIS C: AN INSIGHTFUL MINI-REVIEW ON THE LATEST BREAKTHROUGHS IN DRUG THERAPY

Main Article Content

Muhammad Jawad Hassan
Naveed Alam
Rubina Kousar
Sohail Riaz
Muzaffar Abbas
Nasreen Ghani
Gulfam Ali Shahzad
Syed Nadeem Ul Hasan Mohani
Falak Hamid
Jadoon Khan

Keywords

FDA, Hepatitis C virus, Hepatitis, Antiviral drugs

Abstract

Introduction: Hepatitis C Virus is a highly infectious and potentially fatal ailment resulting in liver damage and inflammation, can be treated by anti-HCV medications. Latest updates in the development of anti-HCV medications are required for robust clinical decisions.


Objective: To provide an overview of the most recent advancements in the pharmacological treatment of HCV, this mini-review collected published data on recently approved drugs for HCV treatment from research articles, focusing on identifying the most effective options for treating HCV.


Recently Approved anti-HCV medications: It was discovered that only four Direct Acting Antiviral Agents (DAAs) have been approved by the FDA in recent years: Epclusa®, which contains sofosbuvir and velpatasvir (NS5B and NS5A inhibitor); Zepatier®, which contains elbasvir and grazoprevir (NS5B and NS3/4A protease inhibitor); Mavyret®, which contains glecaprevir and pibrentasvir (NS3/4A protease and NS5A inhibitor); and Vosevi®, which contains sofosbuvir, velpatasvir, and voxilaprevir (NS5B, NS5A, and NS3/4A protease inhibitor).


Conclusion: These drugs have demonstrated remarkable efficacy in treating HCV. However, the cost of treatment with anti-HCV medications is prohibitive. Therefore, the development of cost-effective anti-HCV drugs is required in the future. The unavailability of these advanced treatments in Pakistan calls for strategic efforts to introduce these drugs while ensuring accessibility.

Abstract 200 | PDF Downloads 54

References

1. Manns MP, Buti M, Gane E, Pawlotsky J-M, Razavi H, Terrault N, et al. Hepatitis C virus infection. Nature reviews Disease primers. 2017;3(1):1-19.
2. Pietschmann T, Brown RJ. Hepatitis C virus. Trends in microbiology. 2019;27(4):379-80.
3. Rabaan AA, Al-Ahmed SH, Bazzi AM, Alfouzan WA, Alsuliman SA, Aldrazi FA, et al. Overview of hepatitis C infection, molecular biology, and new treatment. Journal of infection and public health. 2020;13(5):773-83.
4. Mehmood S, Raza H, Abid F, Saeed N, Rehman HM, Javed S, et al. National prevalence rate of hepatitis B and C in Pakistan and its risk factors. Journal of Public Health. 2020;28:751-64.
5. World Health Organization Pakistan. tackles high rates of hepatitis from many angles. 11 July 2017. 2018.
6. World Health Organization Pakistan. Hepatitis C 2022 [Available from: https://www.who.int/newsroom/factsheets/detail/hepatitisc#:~:text=Globally%2C%20an%20estimated%2058%20million,carcinoma%20(primary%20liver%20cancer].
7. American Association For The Study of Liver Disease. HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C 2020 [Available from: https://www.hcvguidelines.org/].
8. US Food and Drug Administration. Novel Drug Approvals for 2017 US2019 [Available from: https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-newtherapeutic-biological-products/novel-drug-approvals-2017].
9. US Food and Drug Administration. Novel Drug Approvals for 2016 US2019 [Available from: https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-newtherapeutic-biological-products/novel-drug-approvals-2016].
10. Sokol R. Sofosbuvir/velpatasvir (Epclusa) for hepatitis C. American Family Physician. 2017;95(10):664-6.
11. Miller MM. Sofosbuvir–velpatasvir: A single-tablet treatment for hepatitis C infection of all genotypes. American Journal of Health-System Pharmacy. 2017;74(14):1045-52.
12. US Food and Drug Administration. Drug Trials Snapshots: EPCLUSA US2016 [Available from:https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trials-snapshotsepclusa].
13. PubChem Compound Summary for CID 91885554, Epclusa.: National Center for Biotechnology Information (US), National Library of Medicine, Bethesda, MD, USA.; [Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Epclusa].
14. Early J, Maxted G. Elbasvir/Grazoprevir (Zepatier) for Hepatitis C Virus Infection. American Family Physician. 2017;95(6):393-4.
15. Papudesu C, Kottilil S, Bagchi S. Elbasvir/grazoprevir for treatment of chronic hepatitis C virus infection. Hepatology international. 2017;11(2):152-60.
16. US Food and Drug Administration. Drug Trials Snapshots: ZEPATIER US2016 [Available from: https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trialssnapshotszepatier].
17. Zepatier: LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2022 [Available from: https://www.ncbi.nlm.nih.gov/books/NBK548933/].
18. Grover A, Erlich D. Glecaprevir/pibrentasvir (Mavyret) for the treatment of chronic hepatitis C. American Family Physician. 2018;98(10):601-2.
19. Matthew AN, Kurt Yilmaz N, Schiffer CA. Mavyret: A Pan-Genotypic Combination Therapy for the Treatment of Hepatitis C Infection: Published as part of the Biochemistry series “Biochemistry to Bedside”. ACS Publications; 2018;481-2.
20. US Food and Drug Administration. MAVYRET Drug Trials Snapshot US 2017 [Available from:https://www.fda.gov/drugs/drug-approvals-and-databases/mavyret-drug-trialssnapshot].
21. PubChem Compound Summary for CID 58031952, Pibrentasvir: Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; [Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Pibrentasvir#section=Structures].
22. Mavyret: LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2022 [Available from: https://www.ncbi.nlm.nih.gov/books/NBK548803/].
23. Childs-Kean LM, Brumwell NA, Lodl EF. Profile of sofosbuvir/velpatasvir/voxilaprevir in the treatment of hepatitis C. Infection and Drug Resistance. 2019;12:2259–68.
24. US Food and Drug Administration. Drug Trials Snapshots: VOSEVI US2017 [Available from: https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trials-snapshots-vosevi].
25. PubChem Compound Summary for CID 129011857, Sofosbuvir, velpatasvir, and voxilaprevir: Bethesda (MD): National Library of Medicine (US), NCBI; [Available from: https://pubchem.ncbi.nlm.nih.gov/compound/129011857#section=2D-Structure].
26. Fookes C. Vosevi cost 2022 [Available from: https://www.drugs.com/medical-answers/vosevi-cost-3538719/].