One should not completely discount ABBV/ENTA’s second-generation, 2-DAA, one-pill qD regimen of ABT-493 + ABT-530, which is just entering the clinic (#msg-89280030). Although the companies have refrained from calling this regimen pan-genotypic, they have said they expect it to have efficacy in multiple genotypes.
I think it's hard to envision this PI+NS5A combo having widespread efficacy across several genotypes. I'm sure there is at least strong potential in GT1b, if it pans out.
Although the companies have refrained from calling this regimen pan-genotypic, they have said they expect it to have efficacy in multiple genotypes
Not quite true. From Abbvie's last earnings call:
In addition to our late-stage efforts, we’re also advancing a compelling next-generation HCV program including a potent protease inhibitor, ABT-493, and a new NS5A inhibitor ABT-530. In preclinical studies, these promising assets have shown pan-genotypic activity and excellent activity against key resistant mutants
If in fact ABT-493 is truly pan-genotypic (and of course performs in the clinic), it could end up being ENTA's most valuable asset. There seem to be several pan-genotypic NS5As in development (idix, achn, gild, abbv), but i don't know of too many PIs that make this claim (idix had one back in the day that failed on safety). So it could be a rare commodity