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Due to shared transmission routes, hepatitis C virus (HCV) affects many people living with HIV infection. Despite better HIV treatment options, HCV continues to be a major cause of morbidity and mortality in such individuals. The newer HCV treatment regimens have been proven efficacious and well tolerated in HIV-uninfected patients, but more data are needed regarding coinfected individuals, given the significant drug interactions between antiretrovirals and anti-HCV medications.
Now, in two manufacturer-supported, open-label trials, researchers have examined the efficacy of once-daily combination regimens involving the nucleotide analog inhibitor sofosbuvir plus one of two FDA-approved NS5A inhibitors — ledipasvir (S/L; n=335; 55% treatment-…