3-drug synergistic interactions of small molecular inhibitors of hepatitis C virus replication

J Infect Dis. 2008 Jan 1;197(1):42-5. doi: 10.1086/524062.

Abstract

Small molecular inhibitors of hepatitis C virus (HCV) replication provide remarkable potency, but the rapid selection of resistance mutations will require that these agents be used in combination for clinical treatment. Using a model HCV replicon system, we have extended prior in vitro studies of double combinations of candidate small molecular inhibitors to studies evaluating the simultaneous use of 3 agents. This was done in an effort to anticipate conditions that might ultimately be required clinically. We formally demonstrate synergistic antiviral activity with 3-drug combinations in this model, further supporting the concept of clinical investigations of combination therapy for HCV infection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / pharmacology
  • Drug Synergism
  • Hepacivirus / drug effects*
  • Hepacivirus / physiology
  • Humans
  • Microbial Sensitivity Tests
  • Nucleic Acid Synthesis Inhibitors*
  • Protease Inhibitors / pharmacology*
  • Virus Replication / drug effects*

Substances

  • Antiviral Agents
  • Nucleic Acid Synthesis Inhibitors
  • Protease Inhibitors