New hep c treatment
There have been significant advancements in the treatment of Hepatitis C (HCV) in recent years, with several new medications and regimens approved by regulatory agencies. Here are some of the latest developments:
- Direct-Acting Antivirals (DAAs): DAAs are a class of medications that target specific proteins involved in the replication of HCV. They are highly effective and have revolutionized the treatment of HCV.
- Pangenotypic regimens: Pangenotypic regimens are treatments that can cure all six major genotypes of HCV (1-6). Examples include:
- Sofosbuvir/velpatasvir (Epclusa): approved in 2016 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Sofosbuvir/velpatasvir/voxilaprevir (Vosevi): approved in 2017 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Glecaprevir/pibrentasvir (Mavyret): approved in 2017 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Shorter treatment durations: Many new regimens have shorter treatment durations, often 8-12 weeks, compared to older treatments which could take 24 weeks or more.
- All-oral regimens: Most new treatments are all-oral, meaning they do not require interferon, which was a common component of older treatments.
- Curing HCV in a single treatment: Some regimens, such as Sofosbuvir/velpatasvir, have been shown to cure HCV in a single treatment, without the need for retreatment.
Some of the latest FDA-approved treatments for HCV include:
- Vosevi (Sofosbuvir/velpatasvir/voxilaprevir): approved in 2017 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Mavyret (Glecaprevir/pibrentasvir): approved in 2017 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Epclusa (Sofosbuvir/velpatasvir): approved in 2016 for treatment-naive and treatment-experienced patients with genotypes 1-6.
- Zepatier (Elbasvir/grazoprevir): approved in 2016 for treatment-naive and treatment-experienced patients with genotypes 1 and 4.
- Harvoni (Ledipasvir/sofosbuvir): approved in 2014 for treatment-naive patients with genotypes 1 and 4.
These new treatments have significantly improved the cure rates for HCV, with some regimens achieving cure rates of over 95%. However, it's essential to note that treatment options may vary depending on individual circumstances, such as genotype, treatment history, and liver disease severity. Consult with a healthcare provider to determine the best treatment plan for your specific situation.