Department of Clinical Development Infectious Diseases, AbbVie Inc., North Chicago, IL 60064, USA.
Department of Statistics, AbbVie Inc., North Chicago, IL 60064, USA.
Future Microbiol. 2019 Jan;14:89-110. doi: 10.2217/fmb-2018-0233. Epub 2018 Nov 30.
In recent years, management of chronic hepatitis C virus (HCV) infection has been revolutionized by the availability of oral direct-acting antivirals (DAAs), which have significantly better efficacy and safety profiles than interferon-containing regimens. Simple, short-duration DAA therapies will facilitate expansion of HCV treatment to nonspecialist providers, which will be vital to achieve the WHO target of eliminating chronic HCV as a major public health threat by 2030. Coformulated glecaprevir/pibrentasvir is the only 8-week, pan-genotypic, 2-DAA regimen recommended by international guidelines as a first-line regimen in treatment-naive, noncirrhotic HCV genotype 1-6 patients. This review provides a comprehensive summary of the pharmacodynamic and pharmacokinetic parameters, efficacy, safety and place in the HCV treatment paradigm for glecaprevir/pibrentasvir.
近年来,由于口服直接作用抗病毒药物(DAAs)的出现,慢性丙型肝炎病毒(HCV)感染的管理发生了革命性变化,这些药物在疗效和安全性方面明显优于含干扰素的方案。简单、短疗程的 DAA 治疗将促进 HCV 治疗向非专业提供者扩展,这对于实现世界卫生组织到 2030 年消除慢性 HCV 作为主要公共卫生威胁的目标至关重要。复方制剂 glecaprevir/pibrentasvir 是唯一一种被国际指南推荐的 8 周、泛基因型、2 种 DAA 方案,作为无肝硬化的 HCV 基因型 1-6 患者初治的一线方案。这篇综述全面总结了 glecaprevir/pibrentasvir 的药效学和药代动力学参数、疗效、安全性及其在 HCV 治疗模式中的地位。