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Velpatasvir is a direct-acting antiviral (DAA) medication used as part of combination therapy, most commonly with sofosbuvir, for the treatment of chronic hepatitis C virus (HCV) infection across all major genotypes. It acts as an inhibitor of the HCV nonstructural protein 5A (NS5A), a viral protein essential for HCV replication and assembly. By binding to NS5A, velpatasvir disrupts viral RNA replication and virion assembly, thereby inhibiting the spread of HCV within the body. Velpatasvir is highly protein-bound (>99.5%), metabolized primarily by CYP2B6, CYP2C8, and CYP3A4 enzymes in the liver, and excreted mainly via feces. The drug was developed by Gilead Sciences[1][5][6].
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