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