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The Phase 1 program evaluated DDIs between sofosbuvir/velpatasvir/voxilaprevir (S/V/V) and drug transporter and CYP probes, immunosuppressants, HIV antiretrovirals (ARV), and oral contraceptives (OC). S/V/V 400/100/ 100 mg ± VOX 100 mg was administered to healthy volunteers to achieve systemic VOX exposures observed across the HCV-infected patient population, as appropriate.
S/V/V did not alter the PK of bictegravir, cobicistat, darunavir, elvitegravir, emtricitabine, rilpivirine, tenofovir alafenamide (TAF) or Tenofovir (from TAF or tenofovir disoproxil fumarate). Unboosted ARV regimens generally did not alter SOF, GS-331007, VEL or VOX PK except VEL AUC was ↓53% when administered with efavirenz (EFV); co-use of EFV with S/V/V is not recommended.
The authors concluded that sofosbuvir/velpatasvir/voxilaprevir could be safely coadministered with Emtricitabine
Garrison KL, Kirby B, Stamm LM, Ma G, Vu A. Drug-drug interaction profile of sofosbuvir/velpatasvir/voxilaprevir fixed-dose combination. Ilc: International Liver Conference. Amsterdam, Netherlands. 2017; April 2017.