Duke University School of Medicine and Duke Clinical Research Institute, Durham, North Carolina 27715; email:
Annu Rev Med. 2017 Jan 14;68:345-358. doi: 10.1146/annurev-med-052915-015720. Epub 2016 Sep 23.
The current standard of care for the treatment of hepatitis C virus (HCV) consists of interferon-free direct-acting antiviral (DAA) regimens, including combinations of DAAs and fixed-dose combination pills. DAAs for HCV are likely to be heralded as one of medicine's greatest advancements. Viral eradication rates are pushing 100% for many HCV-infected populations, including patients with HIV/HCV coinfection, decompensated cirrhosis, liver and kidney transplants, and end-stage liver disease. We highlight the greatest successes of combination DAA therapies, discuss the ongoing challenges, and identify the remaining patient subgroups with unmet medical needs.
目前,丙型肝炎病毒 (HCV) 治疗的标准护理包括无干扰素直接作用抗病毒 (DAA) 方案,包括 DAA 联合固定剂量复方制剂。HCV 的 DAA 可能被誉为医学上最伟大的进步之一。许多 HCV 感染人群的病毒清除率都达到了 100%,包括 HIV/HCV 合并感染、失代偿性肝硬化、肝和肾移植以及终末期肝病患者。我们强调了联合 DAA 治疗的最大成功,讨论了正在面临的挑战,并确定了仍有未满足医疗需求的亚组患者。