PMID- 29869645 OWN - NLM STAT- MEDLINE DCOM- 20180730 LR - 20211204 IS - 1699-3993 (Print) IS - 1699-3993 (Linking) VI - 54 IP - 4 DP - 2018 Apr TI - Daclatasvir, asunaprevir and beclabuvir fixed-dose combination for patients with genotype 1 chronic hepatitis C. PG - 237-244 LID - 10.1358/dot.2018.54.4.2795154 [doi] AB - Hepatitis C is killing 350,000 persons per year worldwide, 60% of the cases being patients with genotype 1 (GT-1). The fixed-dose tablet combination of daclatasvir (30 mg)/asunaprevir (200 mg)/beclabuvir (75 mg), DCV-TRIO, is one of the latest drugs in the pipeline of interferon-free direct-acting antiviral hepatitis C virus (HCV) therapies. DCV-TRIO increases the genetic barrier to resistance by acting at the same time against three hepatitis C key viral proteins. Results from the UNITY 1, 2, 3 and 4 phase III clinical trials showed that DCV-TRIO exhibited high sustained virologic responses at 12 weeks (between 92% and 100% for HCV GT-1 treatment-naive patients). Furthermore, DCV-TRIO was well tolerated in all studies with reported adverse events (AEs) with an incidence of at least 10% mostly being headache, diarrhea, fatigue and nausea and few AE-related discontinuations. Further research should focus on more real-life data on DCV-TRIO and on developing a pill regimen that works on other HCV genotypes with high genetic barriers and that is available at a reduced cost. CI - Copyright 2018 Clarivate Analytics. FAU - Thiam, A AU - Thiam A AD - Vancouver Infectious Diseases Centre, Vancouver, British Columbia, Canada. Astou.thiam@vidc.ca. FAU - Conway, B AU - Conway B AD - Vancouver Infectious Diseases Centre, Vancouver, British Columbia, Canada. LA - eng PT - Journal Article PT - Review PL - Spain TA - Drugs Today (Barc) JT - Drugs of today (Barcelona, Spain : 1998) JID - 101160518 RN - 0 (8-cyclohexyl-N-((dimethylamino)sulfonyl)-1,1a,2,12b-tetrahydro-11-methoxy-1a-((3-methyl-3,8-diazabicyclo(3.2.1)oct-8-yl)carbonyl)cycloprop(d)indolo(2,1-a)(2)benzazepine-5-carboxamide) RN - 0 (Antiviral Agents) RN - 0 (Benzazepines) RN - 0 (Carbamates) RN - 0 (Drug Combinations) RN - 0 (Imidazoles) RN - 0 (Indoles) RN - 0 (Isoquinolines) RN - 0 (Pyrrolidines) RN - 0 (Sulfonamides) RN - HG18B9YRS7 (Valine) RN - LI2427F9CI (daclatasvir) RN - S9X0KRJ00S (asunaprevir) SB - IM MH - Antiviral Agents/*administration & dosage/adverse effects MH - Benzazepines/*administration & dosage/adverse effects MH - Carbamates MH - Drug Combinations MH - Drug Resistance, Viral/genetics MH - Genotype MH - Hepacivirus/*drug effects/genetics/pathogenicity MH - Hepatitis C, Chronic/diagnosis/*drug therapy/virology MH - Humans MH - Imidazoles/*administration & dosage/adverse effects MH - Indoles/*administration & dosage/adverse effects MH - Isoquinolines/*administration & dosage/adverse effects MH - Pyrrolidines MH - Sulfonamides/*administration & dosage/adverse effects MH - Sustained Virologic Response MH - Treatment Outcome MH - Valine/analogs & derivatives OTO - NOTNLM OT - Direct-acting antivirals OT - Inhibitors of NS5A, NS3 and NS5B OT - Asunaprevir OT - Beclabuvir OT - Daclatasvir OT - Fixed-dose combination OT - HCV therapy EDAT- 2018/06/06 06:00 MHDA- 2018/07/31 06:00 CRDT- 2018/06/06 06:00 PHST- 2018/06/06 06:00 [entrez] PHST- 2018/06/06 06:00 [pubmed] PHST- 2018/07/31 06:00 [medline] AID - 2795154 [pii] AID - 10.1358/dot.2018.54.4.2795154 [doi] PST - ppublish SO - Drugs Today (Barc). 2018 Apr;54(4):237-244. doi: 10.1358/dot.2018.54.4.2795154.