Drug intelligence / Profile preview

sofosbuvir + velpatasvir + ribavirin + peginterferon alfa-2b

Development stage
Unknown
Lead developer
Gilead Sciences
Modality
Cytokines & Interferons → Recombinant Proteins and Enzymes, Small Molecules
Administration
Oral, Subcutaneous
01

Overview

This drug combination is a quadruple therapy regimen consisting of sofosbuvir, velpatasvir, ribavirin, and peginterferon alfa-2b, specifically investigated for the re-treatment of chronic hepatitis C virus (HCV) infection in patients who have failed or relapsed after prior direct-acting antiviral (DAA) therapy. Sofosbuvir is a nucleotide analog that inhibits the HCV NS5B RNA-dependent RNA polymerase, while velpatasvir is an NS5A inhibitor that disrupts viral replication and assembly. Ribavirin is a guanosine analog with broad antiviral activity, and peginterferon alfa-2b is a pegylated cytokine that stimulates the host immune response via the interferon-alpha/beta receptor. This intensive regimen aims to overcome resistance in difficult-to-treat populations, such as those with genotype 3 or cirrhosis, by combining multiple mechanisms of action.

Other names
SOF/VEL + RBV + PEG-IFN
02

Targets

NS5B (Hepatitis C virus non-structural protein 5B (NS5B) RNA-dependent RNA polymerase)IMPDH (Inosine-5'-monophosphate dehydrogenase 1)IFNAR (Immune system modulation via type I interferon receptor)NS5A (Hepatitis C virus nonstructural protein 5A (genotype 1b))

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