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A combination of three direct-acting antiviral agents developed for the treatment of chronic hepatitis C virus (HCV) infection, particularly genotype 1. - **Ledipasvir** is an NS5A inhibitor that blocks replication and assembly of HCV. - **Sofosbuvir** is a nucleotide analog NS5B polymerase inhibitor that acts as a chain terminator to prevent viral RNA synthesis. - **GS-9669** is a non-nucleoside NS5B polymerase inhibitor acting at a distinct allosteric site, further inhibiting HCV replication. This three-drug regimen aims to maximize suppression of HCV replication, accelerate cure rates (sustained virologic response, SVR), and shorten treatment durations. The specific combination has been studied in Phase 2 trials in both treatment-naive and treatment-experienced subjects with cirrhosis. The regimen is administered orally and was shown to be generally well tolerated, with headache and nausea as the most common adverse events[3][4][5].
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