New antiviral agents for the treatment of hepatitis C: ABT-450
- PMID: 24517400
- PMCID: PMC6658177
- DOI: 10.1517/14656566.2014.889116
New antiviral agents for the treatment of hepatitis C: ABT-450
Abstract
Introduction: Hepatitis C virus (HCV) therapy continues to evolve rapidly. ABT-450 is a novel potent inhibitor of the non-structural 3/4A protease that has been studied in combination with several agents, allowing shorter duration of therapy and interferon-free/ribavirin-free all-oral regimens. Preliminary data from studies evaluating these new regimens are impressive with sustained virological response (SVR) rates of 88 - 100% after 12 weeks of therapy in patients with previously untreated HCV genotype 1 infection. SVR rates in treatment-experienced patients are also encouraging.
Areas covered: Efficacy and tolerability of antiviral regimens containing ABT-450 boosted with ritonavir (ABT-450/r). Results from published studies and abstracts from recent meetings are presented.
Expert opinion: Newer direct-acting antiviral agents such as ABT-450 promise effective and durable suppression of HCV with interferon/ribavirin-free all-oral regimens. This agent also allows for shorter duration of treatment and has tolerable side effects. Results of clinical trials including a broader spectrum of individuals with HCV infection are eagerly awaited.
Conflict of interest statement
Declaration of interest
AF Carrion and J Gutierrez have no conflict of interest.
P Martin is a consultant and investigator for Abbvie.
Similar articles
-
Phase 2b trial of interferon-free therapy for hepatitis C virus genotype 1.N Engl J Med. 2014 Jan 16;370(3):222-32. doi: 10.1056/NEJMoa1306227. N Engl J Med. 2014. PMID: 24428468 Clinical Trial.
-
A phase 2a trial of 12-week interferon-free therapy with two direct-acting antivirals (ABT-450/r, ABT-072) and ribavirin in IL28B C/C patients with chronic hepatitis C genotype 1.J Hepatol. 2013 Jul;59(1):18-23. doi: 10.1016/j.jhep.2013.02.009. Epub 2013 Feb 22. J Hepatol. 2013. PMID: 23439262 Clinical Trial.
-
Efficacy and Safety of Ombitasvir, Paritaprevir, and Ritonavir in an Open-Label Study of Patients With Genotype 1b Chronic Hepatitis C Virus Infection With and Without Cirrhosis.Gastroenterology. 2015 Oct;149(4):971-80.e1. doi: 10.1053/j.gastro.2015.07.001. Epub 2015 Jul 11. Gastroenterology. 2015. PMID: 26170136 Clinical Trial.
-
Profile of paritaprevir/ritonavir/ombitasvir plus dasabuvir in the treatment of chronic hepatitis C virus genotype 1 infection.Drug Des Devel Ther. 2015 Nov 13;9:6083-94. doi: 10.2147/DDDT.S80226. eCollection 2015. Drug Des Devel Ther. 2015. PMID: 26622169 Free PMC article. Review.
-
ABT-450/ ritonavir and ABT-267 in combination with ABT-333 for the treatment of hepatitis C virus.Expert Opin Pharmacother. 2015 Apr;16(6):929-37. doi: 10.1517/14656566.2015.1024653. Expert Opin Pharmacother. 2015. PMID: 25800085 Review.
Cited by
-
Current and potential treatments for ubiquitous but neglected herpesvirus infections.Chem Rev. 2014 Nov 26;114(22):11382-412. doi: 10.1021/cr500255e. Epub 2014 Oct 2. Chem Rev. 2014. PMID: 25275644 Free PMC article. Review. No abstract available.
-
Asymmetric synthesis of pharmaceutically relevant 1-aryl-2-heteroaryl- and 1,2-diheteroarylcyclopropane-1-carboxylates.Chem Sci. 2021 Jul 27;12(33):11181-11190. doi: 10.1039/d1sc02474d. eCollection 2021 Aug 25. Chem Sci. 2021. PMID: 34522315 Free PMC article.
-
Hepatitis C virus genotype 3: clinical features, current and emerging viral inhibitors, future challenges.Ann Gastroenterol. 2018 Sep-Oct;31(5):541-551. doi: 10.20524/aog.2018.0281. Epub 2018 Jun 4. Ann Gastroenterol. 2018. PMID: 30174390 Free PMC article. Review.
-
HCV Kinetic Models and Their Implications in Drug Development.CPT Pharmacometrics Syst Pharmacol. 2015 Apr;4(4):231-42. doi: 10.1002/psp4.28. Epub 2015 Apr 17. CPT Pharmacometrics Syst Pharmacol. 2015. PMID: 26225247 Free PMC article. Review.
-
Exposure-Safety Response Relationship for Ombitasvir, Paritaprevir/Ritonavir, Dasabuvir, and Ribavirin in Patients with Chronic Hepatitis C Virus Genotype 1 Infection: Analysis of Data from Five Phase II and Six Phase III Studies.Clin Drug Investig. 2017 Jul;37(7):647-657. doi: 10.1007/s40261-017-0520-5. Clin Drug Investig. 2017. PMID: 28378135
References
-
- Lavanchy D The global burden of hepatitis C. Liver Int 2009;29:S74–81 - PubMed
-
- Marcellin P, Asselah T, Boyer N. Fibrosis and disease progression in hepatitis C. Hepatology 2002;36:S47–56 - PubMed
-
-
Kanwal F, Lok AS, El-Serag HB. CDC and USPSTF 2012 recommendations for screening for hepatitis C virus infection: overview and take-home messages. Gastroenterology 2013;144:478–81
•• An excellent review summarizing recent updated recommendations for HCV screening.
-
-
- European Association for the Study of the Liver. EASL clinical practice guidelines: management of hepatitis C virus infection J Hepatol 2011;55:245–64 - PubMed
-
- Martinot-Peignoux M, Stern C, Maylin S, et al. Twelve weeks posttreatment follow-up is as relevant as 24 weeks to determine the sustained virologic response in patients with hepatitis C virus receiving pegylated interferon and ribavirin. Hepatology 2010;51:1122–6 - PubMed
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical