Drug intelligence / Profile preview

hydroxychloroquine + peginterferon alfa-2a + ribavirin

Development stage
Phase 2
Lead developer
Sheba Medical Center
Modality
Small Molecules, Recombinant Proteins and Enzymes
Administration
Oral, Subcutaneous
01

Overview

This investigational combination therapy consists of hydroxychloroquine added to the standard-of-care regimen of peginterferon alfa-2a and ribavirin. Developed by Sheba Medical Center, it was evaluated in a Phase I/II clinical trial for patients with chronic hepatitis C genotype 1 who had previously failed to respond to standard dual therapy. Hydroxychloroquine, a small molecule antimalarial, was included for its potential to inhibit autophagy and modulate the immune response, theoretically enhancing the virological response. Peginterferon alfa-2a (Pegasys) provides antiviral and immunomodulatory effects by binding to type I interferon receptors, while ribavirin (Copegus) acts as a nucleoside analog that interferes with viral RNA replication through multiple mechanisms, including inhibition of viral RNA polymerase and depletion of intracellular guanosine triphosphate pools.

Other names
HCQ + Peg-IFN + RBVHydroxychloroquine + Pegylated Interferon Alpha-2a + Ribavirin
02

Targets

IMPDH (Inosine-5'-monophosphate dehydrogenase 1)IFNAR1 (Interferon alpha/beta receptor 1)IFNAR2 (Interferon alpha/beta receptor subunit 2)NS5B (Hepatitis C virus non-structural protein 5B (NS5B) RNA-dependent RNA polymerase)TLR7 (Toll-like receptor 7)TLR9 (Toll-like receptor 9)

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