- |||||||||| Vosevi (sofosbuvir/velpatasvir/voxilaprevir) / Gilead, glecaprevir (ABT-493) / AbbVie, Daklinza (daclatasvir) / BMS
Hard-to-Treat HCV - An Approach to Retreatment With Extended Duration: A Case Report (Crown Ballroom) - Sep 4, 2022 - Abstract #ACG2022ACG_1810; We then elected to initiate a protracted course of antiviral therapy SOF/daclatasvir followed by SOF/velpatasvir (SOF/VEL), SOF/G/P, and SOF/VEL for a total duration of 56 weeks...Our patient despite a history of failing to achieve SVR, was finally able to achieve SVR12 after roughly 13 months of continuous DAAs coupled with RBV and IFN as tolerated. It is possible, therefore, that extending treatment length beyond current recommendations may be necessary to successfully induce a durable response among patients with multiple RASs and previous treatment failures.
- |||||||||| A Hepatitis C (HCV) Infection Treatment Dilemma (Crown Ballroom) - Sep 4, 2022 - Abstract #ACG2022ACG_592;
Patient was instructed to start the ezetimibe with the GLE/PIB + SOF but was hesitant to take it due to adverse reaction to statins in the past...HCV relies on cell-to-cell transmission, so we chose to add ezetimibe 10mg daily until HCV not detected. There is a need for larger studies to determine the applicability of this case study to other patients.
- |||||||||| Daklinza (daclatasvir) / BMS, Sovaldi (sofosbuvir) / Gilead
Journal: Dual versus triple therapy in treatment of hepatitis C virus (HCV). (Pubmed Central) - Aug 31, 2022 Although group D patients initially had poor pretreatment investigations relative to other groups, they proved to have the highest tolerability to this regimen. Such findings hold promising line of treatment and better prognosis even for chronic HCV patients with poor liver condition.
- |||||||||| velpatasvir (GS-5816) / Gilead, Daklinza (daclatasvir) / BMS, Sovaldi (sofosbuvir) / Gilead
Journal: First report in Peru on direct-acting antiviral therapy for chronic hepatitis C in HIV-positive patients (Pubmed Central) - Aug 4, 2022 This present investigation is the first clinical experience in Peru with DAAs for chronic hepatitis C in HIV-positive patients. Virologic response, tolerability, and safety against daclatasvir and velpatasvir, each in conjunction or in combination with sofosbuvir, were optimal in the case series presented.
- |||||||||| Sunvepra (asunaprevir) / BMS, Daklinza (daclatasvir) / BMS
Enrollment change, Trial withdrawal: Early Post-marketing Study of Daclatasvir (Daklinza (clinicaltrials.gov) - May 27, 2022 P=N/A, N=0, Withdrawn, The effects of DAAs on kidney function may differ among drugs, suggesting the possibility that the risk of kidney disease is not a class effect of DAAs and should be evaluated individually for each DAA. N=30 --> 0 | Not yet recruiting --> Withdrawn
- |||||||||| Daklinza (daclatasvir) / BMS
P2 data, Journal: Efficacy and safety of alfosbuvir plus daclatasvir in Chinese patients with hepatitis C virus genotypes 1, 2, 3, and 6 infection - an open-label, phase 2 study. (Pubmed Central) - May 15, 2022 P2/3 There were no discontinuations due to adverse events, and no treatment-related serious adverse events were reported. Once-daily oral administration of alfosbuvir plus daclatasvir were highly effective and safe in Chinese patients infected with HCV genotype 1, 2, 3, or 6, suggesting this regimen could be a promising drug candidate for HCV treatment irrespective of genotype.
- |||||||||| Zepatier (grazoprevir/elbasvir) / Merck (MSD), Daklinza (daclatasvir) / BMS, Mavyret (glecaprevir/pibrentasvir) / AbbVie, Enanta Pharma
Eliminating hepatitis C virus infection in prisons: 7 years of experience (Poster Area) - May 12, 2022 - Abstract #EASLILC2022EASL_ILC_1941; All the 79 patients were initially treated with Sofosbuvir/Ledipasvir and Daclatasvir with or without ribavirin (according to criteria defined in initial protocols) and more recently, Grazoprevir/Elbasvir and pangenotypic drugs, namely Sofosbuvir/Velpatasvir, and Glecaprevir/Pibrentasvir. Our encouraging data is a result from an optimized partnership between the healthcare team in prisons and our hospital, allowing a fast diagnosis, an agile disease staging and adequate treatment, minimizing future risk of transmission and taking us closer to eliminating the infection by 2030.
- |||||||||| Daklinza (daclatasvir) / BMS
Clinical, Journal: Real-life experience of treating HCV co-infection among HIV-infected population in Egypt: single-center experience. (Pubmed Central) - May 6, 2022 DAAs are an effective and safe choice to treat HCV in PLHIV. Social stigma could be a major cause for lacking adherence to follow-up visits.Abbreviations: ALT: Alanine Aminotransferase; ARV: Antiretroviral treatment; AST: Aspartate Aminotransferase; DAAs: Direct acting antivirals; ARVs: antiretroviral therapy; EMR: Eastern Mediterranean region; HCV: Hepatitis C virus; kPa: Kilopascal; LTFU: Patient lost to follow up; NCCVH: The National Committee for Control of Viral Hepatitis; PWID: People who inject drugs; SVR: Sustained virological response;UNAIDS: The Joint United Nations Programme on HIV/AIDS.
- |||||||||| Preclinical, Journal: In Vitro Assessment of Transporter Mediated Perpetrator DDIs for Several Hepatitis C Virus Direct-Acting Antiviral Drugs and Prediction of DDIs with Statins Using Static Models. (Pubmed Central) - May 6, 2022
Inhibitory effects of asunaprevir, daclatasvir, grazoprevir, paritaprevir, simeprevir, and voxilaprevir, direct-acting antiviral (DAA) drugs for the treatment of chronic hepatitis C virus (HCV) infection, were evaluated in vitro against a range of clinically important drug transporters...Furthermore, we refined and developed static models to predict complex DDIs with several statins (pitavastatin, rosuvastatin, atorvastatin, and pravastatin) by mechanistically assessing differential inhibitory effects of perpetrator drugs on multiple transporters, such as organic anion transporting polypeptides (OATP1B), breast cancer resistance protein (BCRP), multidrug resistance protein 2 (MRP2), organic anion transporter 3 (OAT3), and cytochrome P450 CYP3A enzyme, as they are known to contribute to absorption, distribution, metabolism and excretion (ADME) of above statins...Our studies suggest that mechanistic static model is a promising and useful tool to provide more accurate prediction of the risk and magnitude of DDIs with statins in early drug development and may help to improve the management of clinical DDIs for HCV drugs to ensure effective and safe HCV therapy. GRAPHICAL ABSTRACT.
- |||||||||| ivermectin oral / Generic mfg.
Journal: Identification of host transcriptome-guided repurposable drugs for SARS-CoV-1 infections and their validation with SARS-CoV-2 infections by using the integrated bioinformatics approaches. (Pubmed Central) - Apr 15, 2022 We also detected some chemicals (Valproic Acid, Cyclosporine, Copper Sulfate and arsenic trioxide) that may regulates HubGs...We found Rapamycin, Tacrolimus, Torin-2, Radotinib, Danoprevir, Ivermectin and Daclatasvir as the top-ranked 7 candidate-drugs with respect to our proposed target proteins for the treatment against SARS-CoV-1 infections...Finally, we validated all of our findings by the literature review. Therefore, the proposed candidate-drugs might play a vital role for the treatment against different variants of SARS-CoV-2 infections with comorbidities, since the proposed HubGs are also associated with several comorbidities.
- |||||||||| grazoprevir (MK-5172) / Merck (MSD), Daklinza (daclatasvir) / BMS, Sovaldi (sofosbuvir) / Gilead
Review, Journal: Antivirals against HCV infection: the story thus far. (Pubmed Central) - Apr 1, 2022 Despite these milestones, the WHO global target of eliminating hepatitis C as a public health problem by 2030 seems uncertain. In this review, we provide a concise account of the evolution and advancements in the development of anti-HCV regimens.
- |||||||||| Daklinza (daclatasvir) / BMS
Journal: Factors Influencing the Intracellular Concentrations of the Sofosbuvir Metabolite GS-331007 (in PBMCs) at 30 Days of Therapy. (Pubmed Central) - Mar 27, 2022 The aim of this study was to investigate whether clinical and pharmacological factors could influence GS-331007 intracellular (IC) concentrations in peripheral blood mononuclear cells (PBMCs) associated with a sustained virological response in patients treated with SOF and ribavirin (RBV)...The GS-331007 IC concentration at 30 days was associated with its plasma concentration determinate at 30, 60 and 90 days of SOF-therapy and with daclatasvir concentrations at 7 days of therapy...This study presents data on an IC evaluation in a cohort of patients treated with SOF, also considering pharmacogenetics. These results could be useful for regions where SOF-RBV treatment is considered the standard of care; moreover, they could further deepen the knowledge of IC exposure for similar drugs in the future.
- |||||||||| Daklinza (daclatasvir) / BMS
Biomarker, Journal: Computational identification of host genomic biomarkers highlighting their functions, pathways and regulators that influence SARS-CoV-2 infections and drug repurposing. (Pubmed Central) - Mar 22, 2022 We found Torin-2, Rapamycin, Radotinib, Ivermectin, Thiostrepton, Tacrolimus and Daclatasvir as the top ranked seven candidate drugs...Finally, we investigated the stability of top three drugs (Torin-2, Rapamycin and Radotinib) by using 100 ns MD-based MM-PBSA simulations with the two top-ranked proposed receptors (TLR2, USP53) and independent receptors (IRF7, STAT1), and observed their stable performance. Therefore, the proposed drugs might play a vital role for the treatment against different variants of SARS-CoV-2 infections.
- |||||||||| Daklinza (daclatasvir) / BMS
Preclinical, Journal: Identification of SARS-CoV-2 inhibitors targeting Mpro and PLpro using in-cell-protease assay. (Pubmed Central) - Mar 5, 2022 Thus, we provide methods for rapid and effective screening and development of inhibitors for blocking virus polyprotein processing as SARS-CoV-2 antivirals. Additionally, we show that the combined inhibition of Mpro and PLpro is more effective in inhibiting SARS-CoV-2 and the delta variant.
- |||||||||| Daklinza (daclatasvir) / BMS, Sovaldi (sofosbuvir) / Gilead
Enrollment closed, Enrollment change, Trial completion date, Trial primary completion date: REVOLUTIOn: Antiviral Agents Against COVID-19 Infection (clinicaltrials.gov) - Feb 28, 2022 P2/3, N=256, Active, not recruiting, Additionally, we show that the combined inhibition of Mpro and PLpro is more effective in inhibiting SARS-CoV-2 and the delta variant. Recruiting --> Active, not recruiting | N=1005 --> 256 | Trial completion date: Feb 2022 --> Dec 2022 | Trial primary completion date: Nov 2021 --> Aug 2021
- |||||||||| Preclinical, Journal: Evaluation of the Potency of Anti-HIV and Anti-HCV Drugs to Inhibit P-Glycoprotein Mediated Efflux of Digoxin in Caco-2 Cell Line and Human Precision-Cut Intestinal Slices. (Pubmed Central) - Feb 27, 2022
However, abacavir, dolutegravir, maraviroc, sofosbuvir, tenofovir disoproxil fumarate, and zidovudine had no inhibitory effect...More inhibitors were identified when using digoxin as the ABCB1 probe substrate than when using rhodamine123. However, both approaches had limitations, indicating that inhibitory potency should be tested with at least these two ABCB1 probes.
- |||||||||| velpatasvir (GS-5816) / Gilead, Daklinza (daclatasvir) / BMS
Clinical, Journal: Sofosbuvir-based antiviral therapy provided highly treatment efficacy, safety and good tolerability for Taiwanese chronic hepatitis C patients with decompensated cirrhosis. (Pubmed Central) - Feb 26, 2022 However, both approaches had limitations, indicating that inhibitory potency should be tested with at least these two ABCB1 probes. For patients with HCV-related decompensated cirrhosis, which has been considered a contraindication for interferon-based therapy, sofosbuvir-based all-oral DAAs provided high treatment efficacy, acceptable safety, and good tolerability.
- |||||||||| Elpida (elsulfavirine) / Viriom
Trial completion: Study to Evaluate the Safety and PK of Elpida (clinicaltrials.gov) - Jan 11, 2022 P1, N=36, Completed, Moreover, the observed migration order could be rationalized based on the composition and substitution pattern of the CDs. Recruiting --> Completed
- |||||||||| Daklinza (daclatasvir) / BMS
Journal: The compound SBI-0090799 inhibits Zika virus (ZIKV) infection by blocking de novo formation of the membranous replication compartment. (Pubmed Central) - Dec 28, 2021 Intriguingly, this defines a novel non-enzymatic target and chemical matter for the development of a new class of ZIKV antivirals. Moreover, chemical modulation affecting this non-structural protein mirrors the identification and development of hepatitis C virus (HCV) NS5A inhibitor daclatasvir and its derivatives, similarly interfering with the formation of the viral replication compartment and also targeting a protein with no enzymatic activity, which have been part of a curative strategy for HCV.
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