Abstract

The standard of care for HCV genotype 1 (the most common HCV genotype) is a protease inhibitor combined with PEG-IFN and ribavirin for 24–48 weeks. “Although a sustained virologic response (SVR) is achieved in up to 75% of patients, tolerability of these regimens is poor, dosing is complex and development of resistance is common among patients who do not achieve SVR,” says Eric Lawitz. Now, two phase II trials from the USA have revealed that sofosbuvir—a uridine nucleotide analogue that selectively inhibits the HCV NS5B polymerase—is safe and effective in the treatment of patients with HCV infection.

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