Interferon-free strategies without a nucleoside/nucleotide analogue

Semin Liver Dis. 2014 Feb;34(1):47-57. doi: 10.1055/s-0034-1371010. Epub 2014 Apr 29.

Abstract

The identification of viral and host factors involved in hepatitis C virus (HCV) replication was a key prerequisite for the discovery and further exploration of antiviral drug targets. As of today, numerous direct-acting antiviral agents (DAAs), as well as host-targeting agents (HTAs), have been developed and entered clinical testing. The goal to omit pegylated interferon due to its unfavorable side-effect profile from novel HCV therapeutic approaches led to an expedited design and competitive conduct of DAA combination trials striving for easily applicable, all-oral HCV treatments. Approval of several interferon-free regimens is awaited in the near future (2014/2015). Results of different DAA combination trials (without nucleos(t)ide polymerase inhibitors) and trials involving HTAs are reviewed herein.

Publication types

  • Review

MeSH terms

  • Animals
  • Antiviral Agents / therapeutic use*
  • Carrier Proteins / antagonists & inhibitors
  • Carrier Proteins / metabolism
  • Drug Design
  • Drug Resistance, Viral
  • Drug Therapy, Combination
  • Hepacivirus / drug effects*
  • Hepacivirus / enzymology
  • Hepacivirus / genetics
  • Hepacivirus / growth & development
  • Hepatitis C / diagnosis
  • Hepatitis C / drug therapy*
  • Hepatitis C / virology
  • Humans
  • Interferons / therapeutic use
  • Intracellular Signaling Peptides and Proteins
  • Molecular Targeted Therapy
  • Nucleosides / therapeutic use
  • Nucleotides / therapeutic use
  • Protease Inhibitors / therapeutic use
  • Treatment Outcome
  • Viral Nonstructural Proteins / antagonists & inhibitors
  • Viral Nonstructural Proteins / metabolism

Substances

  • Antiviral Agents
  • Carrier Proteins
  • Intracellular Signaling Peptides and Proteins
  • NS3 protein, hepatitis C virus
  • NS4A cofactor peptide, Hepatitis C virus
  • Nucleosides
  • Nucleotides
  • Protease Inhibitors
  • Viral Nonstructural Proteins
  • Interferons