Drug intelligence / Profile preview

ombitasvir + paritaprevir + ritonavir + dasabuvir + ribavirin

Development stage
Phase 3
Lead developer
AbbVie
Modality
Small Molecules
Administration
Oral
01

Overview

ombitasvir + paritaprevir + ritonavir + dasabuvir + ribavirin is an all-oral combination antiviral regimen primarily used for the treatment of chronic hepatitis C virus (HCV) genotype 1 infection. Marketed by AbbVie as Viekira Pak (when co-packaged without ribavirin), the regimen includes ombitasvir (an NS5A inhibitor), paritaprevir (an NS3/4A protease inhibitor), ritonavir (a CYP3A4 inhibitor used to boost paritaprevir levels), and dasabuvir (a non-nucleoside NS5B palm polymerase inhibitor). Ribavirin, a nucleoside analogue, is added to the regimen for specific patient populations, such as those with cirrhosis or genotype 1a infection, to improve cure rates. The regimen was FDA-approved in December 2014 but was discontinued in the United States in 2020 following the emergence of more effective, pangenotypic treatments with fewer side effects and lower pill burdens. Kaiser Permanente conducted significant Phase IV real-world studies to evaluate the effectiveness and patient-reported outcomes of this regimen in clinical practice.

Other names
ombitasvir, paritaprevir, ritonavir, and dasabuvir tablets; ribavirinViekira Pak + RBVViekira Pak with Ribavirin
02

Targets

NS3/4A (Hepatitis C virus nonstructural protein 3/4A serine protease)NS5A (Hepatitis C virus nonstructural protein 5A (genotype 1b))NS5B (Hepatitis C virus non-structural protein 5B (NS5B) RNA-dependent RNA polymerase)IMPDH (Inosine-5'-monophosphate dehydrogenase 1)RdRp (Coronavirus RNA-dependent RNA polymerase)

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