Cited by 55Hepatitis C virus researchAnimal Virus Infections StudiesHIV/AIDS drug development and treatment

Protease inhibitor therapy for hepatitis C virus-infection

de Leuw, P., Stephan, C.·2018·Expert Opinion on Pharmacotherapy

Abstract

INTRODUCTION: The hepatitis C virus (HCV) has affected an estimated of 80 million individuals worldwide and is a strain on public health. Around 25-30% of patients in Europe and the US who are infected with HIV are coinfected with HCV. Prior to 2013, treatment modalities containing an NS3/4A protease inhibitor in combination with pegylated interferon and ribavirin improved sustained virological response (SVR) rates. However, rates of severe side effects were high. Nowadays, oral direct-acting antiviral (DAA) combination therapy offers excellent treatment efficacy, safety and tolerability. AREAS COVERED: This review focuses on the current literature and clinical evidence and their impact regarding NS3/4A protease inhibitors. The pitfalls encountered in treating HIV- and HBV-coinfected patients are also discussed. EXPERT OPINION: In the era of DAA treatment, third-generation pan-genotypic NS3/4A protease inhibitors (mainly glecaprevir and voxilaprevir) show high antiviral activity and a genetic resistance barrier with cure rates of over 95% when combined with an NS5A inhibitor, irrespective of baseline resistance associated variants (RASs) being present. These new key components of DAA combination therapy are impressive options to eradicate HCV in the so-called difficult-to-treat population (e.g. compensated cirrhosis, end-stage renal disease and patients who failed previous DAA treatment).

Integrity signals

Registry

Crossref · 10.1080/14656566.2018.1454428

Cites

88 of 88 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • α-Ketoamide-based covalent inhibitors have been developed to treat HCV by inhibiting NS3/4a.

    “α-Ketoamide-based covalent inhibitors have been developed to treat hepatitis C virus (HCV) infection through inhibiting NS3/4a”

    From Advances in covalent drug discovery (2022) · cites this paper as [107]

  • NS3/4a is a serine protease that cleaves the HCV polyprotein into non-structural proteins required for replication.

    “NS3/4a — a serine protease that cleaves the HCV polyprotein into multiple non-structural proteins required for replication107.”

    From Advances in covalent drug discovery (2022) · cites this paper as [107]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
de Leuw, P., & Stephan, C.
Affiliations
  • Medical Clinic II, Infectious Diseases Unit, Goethe-University Hospital Frankfurt, Frankfurt am Main, Germany
  • University Hospital Frankfurt (DE)
Venue
Expert Opinion on Pharmacotherapy
Published
2018-03-29
Volume
19
Issue
6
Pages
577-587
ISSN
  • 1465-6566 (ISSN-L)
  • 1744-7666
OpenAlex
W2795355022
Cited by
51
References
88
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 7 · 2019: 17 · 2018: 6
FWCI
1.42
Type
journal article
Language
en
Open access
closed
Locations
  • Expert Opinion on Pharmacotherapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
not funded
Topics
  • Health Sciences › Medicine › Hepatology › Hepatitis C virus research
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
Keywords
hepatitis C virus, NS3/4A protease inhibitors, direct-acting antivirals, glecaprevir, voxilaprevir, NS5A inhibitors, HIV coinfection, hepatitis B coinfection, resistance-associated variants, sustained virological response, difficult-to-treat patients, end-stage renal disease, compensated cirrhosis, pegylated interferon and ribavirin
MeSH terms
Hepatitis C, Humans, Protease Inhibitors, Hepacivirus

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review