- |||||||||| Vosevi (sofosbuvir/velpatasvir/voxilaprevir) / Gilead, velpatasvir (GS-5816) / Gilead, voxilaprevir (GS-9857) / Gilead
Journal, Real-world evidence, Real-world effectiveness, Real-world: Real-world effectiveness of voxilaprevir/velpatasvir/sofosbuvir in patients following DAA failure. (Pubmed Central) - Feb 15, 2024 The study results, derived from a multicenter cohort consisting of 746 patients, demonstrated that re-treatment with VOX/VEL/SOF is an effective salvage therapy associated with an overall per protocol sustained virologic response rate of 95%. Hepatocellular carcinoma onset, cirrhosis and HCV genotype 3 were identified as independent negative predictors of treatment response, whereas resistance-associated substitutions, as well as rare genotypes and chimera, did not impact sustained virologic response rates following re-treatment with VOX/VEL/SOF.
- |||||||||| Sovaldi (sofosbuvir) / Gilead
Sofosbuvir/Viplatasvir/Vosigrivir Retreatment of Hepatitis C Failed a NS5A-containing DAAs Regimen (New Hall) - Jan 6, 2024 - Abstract #APASL2024APASL_561; The two cases we reported showed the use of Sofosbuvir/Viplatasvir/Vosigrivir combined with or without ribavirin therapy for patients who failed DAA treatment with NS5A inhibitors is effective and well tolerated. This group of cases represents an effective re-treatment program with good curative effects and few side effects.
- |||||||||| Journal: Recent Methods for the Synthesis of Quinoxaline Derivatives and their Biological Activities. (Pubmed Central) - Oct 27, 2023
Recognizing the significance of these bioactive quinoxaline derivatives, researchers have dedicated their efforts to developing various synthetic methods for their production. This review aimed to compile the most recent findings on the synthesis and biological properties of quinoxaline derivatives from 2015 to 2023.
- |||||||||| Vosevi (sofosbuvir/velpatasvir/voxilaprevir) / Gilead, velpatasvir (GS-5816) / Gilead, voxilaprevir (GS-9857) / Gilead
Journal: Pangenotypic triple versus double therapy in HCV-infected patients after prior failure of direct-acting antivirals. (Pubmed Central) - Oct 4, 2023 A comparison of double and triple pangenotypic retherapy in patients after failure of DAA therapy showed a higher sustained virological response in the triple option with a comparable response at the end of therapy. The factors reducing the chances of cure were cirrhosis, genotype 3 infection and male gender.
- |||||||||| voxilaprevir (GS-9857) / Gilead
Journal: Computational model for lipid binding regions in phospholipase (Ves a 1) from Vespa venom. (Pubmed Central) - Jul 5, 2023 Furthermore, the MD simulation results indicated that voxilaprevir formed stable conformations within the catalytic pocket. Consequently, voxilaprevir could act as a potent inhibitor, opening up avenues for the development of more effective anti-venom therapeutics for Ves a 1.
- |||||||||| glecaprevir (ABT-493) / AbbVie, voxilaprevir (GS-9857) / Gilead, BL-8030 / BioLineRx, Genoscience Pharma, Cocrystal Pharma
Journal: Deciphering the Molecular Mechanism of HCV Protease Inhibitor Fluorination as a General Approach to Avoid Drug Resistance. (Pubmed Central) - May 6, 2022 Third generation Hepatitis C virus (HCV) NS3/4A protease inhibitors (PIs), glecaprevir and voxilaprevir, are highly effective across genotypes and against many resistant variants...However, the molecular basis by which fluorination improves potency and resistance profile of HCV NS3/4A PIs is not well understood...Detailed analysis of the co-crystal structures revealed that PIs with fluorinated P4 caps can sample alternate binding conformations that enable adapting to structural changes induced by the D168A substitution. Our results elucidate molecular mechanisms of fluorine-specific inhibitor interactions that can be leveraged in avoiding drug resistance.
- |||||||||| 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.
- |||||||||| velpatasvir (GS-5816) / Gilead, voxilaprevir (GS-9857) / Gilead
Clinical, Journal: Failure on voxilaprevir, velpatasvir, sofosbuvir and efficacy of rescue therapy. (Pubmed Central) - Jan 29, 2022 VOX/VEL/SOF failure was mainly observed in HCV GT3 and GT1a infected patients with cirrhosis and was not associated with specific RASs pattern within NS3, NS5A or NS5B target regions. Rescue treatment with multiple targeted therapies was effective in the majority of patients.
- |||||||||| velpatasvir (GS-5816) / Gilead, voxilaprevir (GS-9857) / Gilead
Review, Journal: Treatment failure with DAA therapy: importance of resistance. (Pubmed Central) - Jan 29, 2022 For first-line therapy with glecaprevir/pibrentasvir (G/P) or velpatasvir/sofosbuvir (VEL/SOF) no general baseline resistance analysis is required because of the high antiviral activity and high barrier to resistance...Voxilaprevir/velpatasvir/sofosbuvir (VOX/VEL/SOF) is the first choice for the second-line treatment of patients following a previous DAA failure, with rates of viral eradication above 90% irrespective of the presence of resistance-associated substitutions (RASs)...Limited data are available for third-line therapies. Here, independent of RASs profiles treatment with G/P plus SOF or VOX/VEL/SOF with or without ribavirin for 12 to 24 weeks showed promising results and should be administered.
- |||||||||| velpatasvir (GS-5816) / Gilead, voxilaprevir (GS-9857) / Gilead
Journal: The outcome of re-treatment of relapsed hepatitis C virus infection in a resource-limited setting. (Pubmed Central) - Oct 12, 2021 The first treatment regimen used was a significant predictor to SVR achievement. This study presents alternative treatment regimens for re-treatment of HCV patients in areas with limited resources in the case of non-availability of other regimens as velpatasvir, voxilaprevir, grazoprevir, elbasvir.
- |||||||||| glecaprevir (ABT-493) / AbbVie, voxilaprevir (GS-9857) / Gilead
Journal: Synthetic Opportunities and Challenges for Macrocyclic Kinase Inhibitors. (Pubmed Central) - Aug 25, 2021 Therefore, we reviewed the past literature of drug-like macrocycles highlighting reactions that have been successfully used for the macrocyclization. We classified the cyclization reactions by their type, ring-size, yield, and macrocyclization efficiency index.
- |||||||||| Clinical, Review, Journal: Direct-Acting Antivirals interactions with opioids, alcohol or illicit drugs in HCV-infected patients. (Pubmed Central) - Mar 24, 2021
Based on pharmacological considerations, neither efficacy loss, nor adverse drug event associated with detrimental interaction are expected with opioids, stimulants, cannabinoids, and ethanol. In summary, our literature review shows that the interaction potential of DAA with most opioids and illicit drugs is limited and should not be a hurdle to the initiate DAA.
- |||||||||| Technivie (ombitasvir/paritaprevir/ritonavir) / AbbVie, voxilaprevir (GS-9857) / Gilead
Clinical, Journal: Two case reports of chronic hepatitis C retreatment (Pubmed Central) - Feb 11, 2021 Two patients, one originally treated with dasabuvir/ombitasvir/paritaprevir/ritonavir and the other with glecaprevir/pibrentasvir, received a triple combination of sofosbuvir, velpatasvir and voxilaprevir for 12 weeks. Following the retreatment, both patients were permanently virus-free.
- |||||||||| voxilaprevir (GS-9857) / Gilead
Journal: In vitro Susceptibility of HCV Genotype 1 through 6 Clinical Isolates to the Pan-genotypic NS3/4A Inhibitor Voxilaprevir. (Pubmed Central) - Jun 29, 2020 The majority of RASs known to confer resistance to other protease inhibitors had little to no impact on voxilaprevir susceptibility, except A156L, T or V in genotype 1 to 4 which conferred >100-fold reductions but exhibited low replication capacity in most genotypes. These data support the use of voxilaprevir in combination with other DAAs in DAA-naïve and DAA-experienced patients infected with any subtype of HCV.
- |||||||||| pibrentasvir (ABT-530) / AbbVie, glecaprevir (ABT-493) / AbbVie, voxilaprevir (GS-9857) / Gilead
Clinical, Journal: Retreatment of Hepatitis C Virus-Infected Patients with Direct-Acting Antiviral Failures. (Pubmed Central) - Apr 30, 2020 The triple combination of sofosbuvir, velpatasvir, and voxilaprevir for 12 weeks is the first-line retreatment strategy in patients previously exposed to DAAs. Difficult-to-retreat patients may benefit from the combination of sofosbuvir plus glecaprevir/pibrentasvir and/or the addition of ribavirin and/or longer retreatment duration.
- |||||||||| voxilaprevir (GS-9857) / Gilead, Daklinza (daclatasvir) / BMS, Sovaldi (sofosbuvir) / Gilead
Clinical, Journal: A prospective study of daclatasvir and sofosbuvir in chronic HCV-infected kidney transplant recipients. (Pubmed Central) - Feb 9, 2020 P4 Our study demonstrates safety, efficacy and functional benefit of DCV/SOF treatment in KTR with chronic HCV infection. We provide data on rescue strategies for treatment failures due to present RAVs and amelioration of hepatic function and glucose tolerance.
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