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editorial
. 2015 Nov 6;6(4):105–110. doi: 10.4292/wjgpt.v6.i4.105

Table 2.

Main characteristics of the approved direct acting antivirals that are currently used in interferon-free regimens for the treatment of chronic hepatitis C

Name Category, antiviral activity Doses Adjustments
Simeprevir Second-wave NS3/4A protease inhibitor, genotypes 1 and 4 150 mg daily, orally No renal adjustment is needed
Contraindicated in patients with Child-Pugh B/C
Contraindicated cyclosporine co-administration
Sofosbuvir NS5B RNA Polymerase nucleotide inhibitor, pangenotypic 400 mg daily, orally Only in glomerular filtration rate > 30 mL/min
No CNI adjustment is needed
Daclatasvir NS5A inhibitor, genotypes 1, 3 and 4 60 mg daily, orally No renal adjustment is needed
No CNI adjustment is needed
Ledipasvir NS5A inhibitor genotypes 1, 3 and 4 90 mg daily, orally (fixed dose with sofosbuvir) No renal adjustment is needed1
No CNI adjustment is needed
Dasabuvir Non-NUC NS5B polymerase inhibitor genotype 1 250 mg every 12 h No renal adjustment is needed
Paritaprevir/Ritonavir/Ombitasvir Ritonavir boosted NS3/4A protease inhibitor/NS5A inhibitor, genotypes 1 and 4 75/50/12.5 mg x 2 once daily No safety data in Child-Pugh B, contraindicated in Child-Pugh C
Cyclosporine: 20% of pretreatment total daily dose; tacrolimus: 0.2 mg/72 h or 0.5 mg once weekly
1

Ledipasvir in combination with sofosbuvir should not be given in patients with glomerular filtration rate < 30 mL/min. CNI: Calcineurin inhibitor.