Hepatitis C direct-acting antivirals (2013–2014)
In December 2013, the Food and Drug Administration approved sofosbuvir, the first of several direct-acting antivirals that cured most hepatitis C patients after 12 to 24 weeks. The drugs turned a chronic infection into a finite-course target.
High prices rationed access, and insurers limited treatment to sicker patients.
Hepatitis C became a curable infection for most treated patients, with cure defined by sustained virologic response.
The hepatitis C case shows that a finite antiviral cure can reshape a chronic infection. Hepatitis B is harder because its DNA persists in the nucleus.
