Last Updated: 9/20/2013

US Food and Drug Administration (FDA)-Approved Antiviral Drugs for Hepatitis C Virus (HCV) Treatment

boceprevir (BOC) an NS3/4A protease inhibitor (PI); approved in 2011
peginterferon alfa (PEG IFN) a synthetic version of a substance normally produced in the body to fight infection; approved in 2001
ribavirin (RBV) a nucleoside analogue, used in combination with at least 1 other drug; approved in 2001
telaprevir (TVR) an NS3/4A PI; approved in 2011

Investigational Antiviral Drugs for HCV Treatment

This list is not necessarily comprehensive and is intended as an aid in following course presentations.

In Phase III Testing:

ABT-267 an NS5A inhibitor
ABT-333 an NS5B polymerase inhibitor
ABT-450/r a ritonavir-boosted (/r) PI
asunaprevir formerly BMS-650032; an NS3 PI
daclatasvir formerly BMS-790052; an NS5A inhibitor
deleobuvir formerly BI 207127; an NS5B polymerase inhibitor
faldaprevir formerly BI 201335; an NS3/4A PI
ledipasvir formerly GS-5885; an NS5A inhibitor
mericitabine an NS5B polymerase inhibitor
narlaprevir formerly SCH 900518; an NS3/NS4A inhibitor
simeprevir formerly TMC435; an NS3/4A PI
sofosbuvir formerly GS-7977; an NS5B polymerase inhibitor
vaniprevir formerly MK-7009; an NS3/4A PI

In Phase II Testing:

BMS-791325 an NS5B polymerase inhibitor
danoprevir formerly RG7227; an NS3/4A PI
VX-135 formerly ALS-2200; an NS5B polymerase inhibitor

Organizations, Conferences, and Legislation

AASLD American Association for the Study of Liver Diseases
ASM American Society for Microbiology
CROI Conference on Retroviruses and Opportunistic Infections
DSMB Data and Safety Monitoring Board
DHHS Department of Health and Human Services
EASL European Association for the Study of the Liver
IAS–USA International Antiviral Society–USA
ICAAC Interscience Conference on Antimicrobial Agents and Chemotherapy
NIH National Institutes of Health
NIAID National Institute of Allergy and Infectious Diseases
PPACA or ACA Patient Protection and Affordable Care Act
WHO World Health Organization

General Medical Terms

AE adverse effect
AFP alpha-fetoprotein
AKR aldo-keto reductase
ALT alanine aminotransferase
ART antiretroviral therapy
ARV antiretroviral
AST aspartate aminotransferase
AUC area under the curve
BLD below the limit of detection
BLQ below the limit of quantification
BMI body mass index
cEVR complete early virologic response
CC, CT, TT IL28B gene polymorphisms
COPD Chronic Obstructive Pulmonary Disease
CP or CTP Score Child-Pugh Score or Child-Turcotte-Pugh Score
CSF cerebrospinal fluid
DAA direct-acting antiviral
DCP des-gamma-carboxy-prothrombin
EGD esophagogastroduodenoscopy
EIA enzyme immunoassay
ELISA enzyme-linked immunosorbent assay
EPO erythropoietin
EOT end of treatment
eRVR extended rapid virologic response
ESLD end-stage liver disease
ETR end-of-treatment response
EVR early virologic response
FIB-4 a test for hepatic fibrosis
Forns index a test for hepatic fibrosis
GGT gamma-glutamyl transferase
GT or gt genotype
HA hyaluronic acid
HAI histological activity index; used to determine stage of liver disease
HbcAb hepatitis B core antibody
HbcAg hepatitis B core antigen
HbeAb hepatitis B “e” antibody
HbeAg hepatitis B “e” antigen
HBIG hepatitis B immune globulin
HbsAb hepatitis B surface antibody
HbsAg hepatitis B surface antigen
HCC hepatocellular carcinoma
HE hepatic encephalopathy
HPS hepatorenal syndrome
HVPG hepatic venous pressure gradient
IFN interferon alfa
IgG immunoglobulin G
IL28B a genotype that can help indicate likelihood of HCV treatment response to interferon
INR International Normalized Ratio
IRES internal ribosome entry segment
ISG interferon-stimulated gene
LFT liver function test
MELD model for end-stage liver disease; a scoring system for assessing the severity of chronic liver disease
Metavir a scoring system used to determine stage of liver disease
OLT orthotopic liver transplantation
pEVR partial early virologic response
P-gp P–glycoprotein
PI protease inhibitor
PR or P/R peginterferon alfa and ribavirin
PT prothrombin time
RAV resistance-associated variant
RGT response-guided therapy
RVR rapid virologic response
SBP spontaneous bacterial peritonitis
SVR sustained virologic response
TIMP tissue inhibitor of metalloproteinase
VL viral load

Opportunistic Infections (OIs)

HAV hepatitis A virus
HBV hepatitis B virus
HCV hepatitis C virus
HDV hepatitis D virus
HEV hepatitis E virus
HIV human immunodeficiency virus