Abstract
This article introduces one of the most diverse classes of direct-acting antivirals for hepatitis C, the nucleoside and non-nucleoside NS5B polymerase inhibitors. Through a systematic review of the published literature, we describe their structure, mechanism of action, issues with resistance, and clinical effectiveness shown in the latest clinical trials. Direct-acting antiviral combination trials that have already shown some early promising results even in the setting of interferon-sparing antiviral regimens are discussed.
Copyright © 2011 Elsevier Inc. All rights reserved.
MeSH terms
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Antiviral Agents / therapeutic use*
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Clinical Trials as Topic
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Deoxycytidine / analogs & derivatives
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Deoxycytidine / therapeutic use
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Guanosine Monophosphate / analogs & derivatives
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Guanosine Monophosphate / therapeutic use
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Hepatitis C / drug therapy*
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Hepatitis C / virology
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Humans
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Sofosbuvir
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Uridine Monophosphate / analogs & derivatives
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Uridine Monophosphate / therapeutic use
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Viral Nonstructural Proteins / antagonists & inhibitors*
Substances
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2'-fluoro-2'-methyl-3',5'-diisobutyryldeoxycytidine
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Antiviral Agents
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IDX184
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Viral Nonstructural Proteins
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Deoxycytidine
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Guanosine Monophosphate
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Uridine Monophosphate
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NS-5 protein, hepatitis C virus
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Sofosbuvir