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Daclatasvir + asunaprevir + beclabuvir + sofosbuvir is an experimental four-drug direct-acting antiviral (DAA) combination regimen evaluated by Bristol Myers Squibb for the treatment of chronic hepatitis C virus (HCV) infection, specifically genotype 1. The regimen, investigated in the Phase 2 FOURward study, combines four agents with distinct mechanisms of action: daclatasvir (an NS5A inhibitor), asunaprevir (an NS3 protease inhibitor), beclabuvir (a non-nucleoside NS5B polymerase inhibitor), and sofosbuvir (a nucleotide NS5B polymerase inhibitor). This 'quad therapy' was designed to explore whether a potent combination of multiple DAAs could achieve high sustained virologic response (SVR) rates with a significantly shortened treatment duration of 4 to 6 weeks in treatment-naive, non-cirrhotic patients, compared to the standard 12-week regimens.
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