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Daclatasvir (Daklinza)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Daclatasvir

What it is

Daclatasvir is a direct-acting antiviral for hepatitis C that blocks NS5A, a viral protein needed for copying the virus and assembling new particles. Combined with sofosbuvir, it cured most hepatitis C infections across genotypes, and remains on the WHO essential medicines list, though in richer countries newer combinations have replaced it. It was sold as Daklinza.

How genes come into it

Daclatasvir is broken down mainly by CYP3A4. The gene studies listed looked at the IFNL3 (IL28B) region, which mattered much more for interferon-based treatment, and at genes such as HINT1 and NME1 involved in activating sofosbuvir, given with it. The findings come from a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Daclatasvir. Upload your DNA file to see which of these rows apply to you.

Rated evidence (1 rated variant)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

IFNL3;IFNL4 rs12979860: Level 3. Efficacy: Chronic hepatitis C virus infection. 1.

Metabolism (2 findings)

Studies of how quickly the body processes this medication.

CYP24A1 rs2248359: Genotypes CT + TT is associated with increased concentrations of daclatasvir in people with Hepatitis C as compared to genotype CC.

VDR rs11568820: Genotype TT is associated with decreased concentrations of daclatasvir in people with Hepatitis C as compared to genotypes CC + CT.

Response (5 findings)

Studies of how well it worked in people carrying a variant.

HINT1 rs7728773: Genotypes CT + TT is associated with increased clinical benefit to daclatasvir null sofosbuvir in people with Hepatitis C, Chronic as compared to genotype CC.

IFNL3 rs12979860: Genotype CC is associated with increased clinical benefit to daclatasvir null sofosbuvir in people with Hepatitis C, Chronic as compared to genotypes CT + TT.

IFNL3, IFNL4 rs12979860: Genotype CC is associated with increased response to daclatasvir, peginterferon alfa-2a, peginterferon alfa-2b and ribavirin in people with Hepatitis C, Chronic as compared to genotypes CT + TT.

HINT1 rs4696: Genotype AA is not associated with increased clinical benefit to daclatasvir null sofosbuvir in people with Hepatitis C, Chronic as compared to genotypes AG + GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Ledipasvir (NS5A Inhibitors)

Velpatasvir (NS5A Inhibitors)

Actemra (IL-6 Inhibitors)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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