Direct-acting Antiviral in the Treatment of Chronic Hepatitis C: Bonuses and Challenges

Int J Med Sci. 2020 Mar 15;17(7):892-902. doi: 10.7150/ijms.43079. eCollection 2020.

Abstract

Owing to the rapid development and wide clinical application of direct acting antiviral (DAA) drugs in the treatment of hepatitis C virus (HCV) infection, the era of interferon-based therapy has almost come to an end. Cumulative studies show that DAA therapy renders high cure efficiency (>90%) and good safety profile, and may even bring some unexpected benefits to the patients. However, some issues of concern arise, one of which is the resistance mutation of HCV genome leading to failure of treatment. With the aim of providing some meaningful references for the treatment of chronic hepatitis C (CHC), this article summarizes the research progress on benefits of DAA accompanied by viral clearance in the treatment of chronic hepatitis and the drug resistance.

Keywords: direct acting antiviral (DAA); hepatitis C virus (HCV); resistance-associated substitutions (RAS); sustained virological response (SVR).

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Drug Resistance, Viral / drug effects
  • Glucose / metabolism
  • Hepacivirus / drug effects*
  • Hepacivirus / genetics
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / metabolism
  • Hepatitis C, Chronic / physiopathology
  • Humans
  • Lipid Metabolism / drug effects
  • Liver / drug effects
  • Liver / physiology
  • Liver / virology
  • Liver Function Tests

Substances

  • Antiviral Agents
  • Glucose