TheraRadar
Data updated: Mar 29, 2026

SOVALDI

SOFOSBUVIR RNA Replicase Inhibitors
Infectious Disease Approved 2013-12-06

Sovaldi (sofosbuvir) is a direct-acting antiviral medication indicated for the treatment of chronic hepatitis C virus (HCV) infection in both adult and pediatric populations. It is approved for use in adults with HCV genotypes 1, 2, 3, or 4 and in pediatric patients aged 3 years and older with genotypes 2 or 3. The medication is prescribed for patients without cirrhosis or those with compensated cirrhosis as part of a combination antiviral regimen. Depending on the specific genotype and patient age, it is used in conjunction with ribavirin or a combination of pegylated interferon and ribavirin.

Source: FDA Label • Gilead Sciences • Hepatitis C Virus Nucleotide Analog NS5B Polymerase Inhibitor

How SOVALDI Works

Sofosbuvir is a hepatitis C virus nucleotide analog NS5B polymerase inhibitor that acts as a direct-acting antiviral agent. It targets the HCV NS5B polymerase, which is an enzyme essential for the replication of the viral genome. By inhibiting this polymerase, the drug prevents the hepatitis C virus from multiplying and creating new viral copies. This mechanism disrupts the viral life cycle to treat the chronic infection.

3
Indications
--
Phase 3 Trials
3
Priority Reviews
12
Years on Market

Details

Status
Prescription
First Approved
2013-12-06
Routes
ORAL
Dosage Forms
PELLETS, TABLET

Companies

Active Ingredient: SOFOSBUVIR

SOVALDI Approval History

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What SOVALDI Treats

1 indications

SOVALDI is approved for 1 conditions since its original approval in 2013. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hepatitis C
Source: FDA Label

SOVALDI Boxed Warning

RISK OF HEPATITIS B VIRUS REACTIVATION IN PATIENTS COINFECTED WITH HCV AND HBV Test all patients for evidence of current or prior hepatitis B virus (HBV) infection before initiating treatment with SOVALDI. HBV reactivation has been reported in HCV/HBV coinfected patients who were undergoing or had completed treatment with HCV direct acting antivirals and were not receiving HBV antiviral therapy. Some cases have resulted in fulminant hepatitis, hepatic failure, and death. Monitor HCV/HBV coinfect...

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

SOVALDI FDA Label Details

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Indications & Usage

FDA Label (PDF)

SOVALDI is a hepatitis C virus (HCV) nucleotide analog NS5B polymerase inhibitor indicated for the treatment of: Adult patients with genotype 1, 2, 3 or 4 chronic HCV infection without cirrhosis or with compensated cirrhosis as a component of a combination antiviral treatment regimen. Pediatric patients 3 years of age and older with genotype 2 or 3 chronic HCV infection without cirrhosis or with compensated cirrhosis in combination with ribavirin. Adult Patients: SOVALDI is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV) infection as a component of a combinat...

⚠️ BOXED WARNING

WARNING: RISK OF HEPATITIS B VIRUS REACTIVATION IN PATIENTS COINFECTED WITH HCV AND HBV Test all patients for evidence of current or prior hepatitis B virus (HBV) infection before initiating treatment with SOVALDI. HBV reactivation has been reported in HCV/HBV coinfected patients who were undergoing...

SOVALDI Patents & Exclusivity

Latest Patent: Jun 2031
Exclusivity: Aug 2026

Patents (132 active)

US8618076*PED Expires Jun 11, 2031
US9284342*PED Expires Mar 13, 2031
US8618076 Expires Dec 11, 2030
US9284342 Expires Sep 13, 2030
US7964580*PED Expires Sep 26, 2029
US8633309*PED Expires Sep 26, 2029
US8889159*PED Expires Sep 26, 2029
US9549941*PED Expires Sep 26, 2029
US7964580 Expires Mar 26, 2029
US8633309 Expires Mar 26, 2029
+ 122 more patents

Exclusivity

ODE-258 Until Aug 2026
ODE-258 Until Aug 2026
ODE-258 Until Aug 2026
ODE-258 Until Aug 2026
ODE* Until Aug 2026
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.