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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-001953-18 | EudraCT Number |
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The purpose of this study was to evaluate the safety and efficacy of ombitasvir/ paritaprevir/ ritonavir and dasabuvir in adults with genotype 1b chronic hepatitis C virus (HCV) infection and cirrhosis.
This was a multicenter study evaluating the efficacy and safety of ombitasvir/ paritaprevir/ritonavir and dasabuvir administered for 12 weeks in HCV genotype 1b (GT1b)-infected, treatment-naïve and previous pegylated interferon (pegIFN)/ ribavirin (RBV) treatment-experienced adults with compensated cirrhosis. The duration of the study was up to 36 weeks (not including a screening period of up to 42 days) and consisted of a 12-week Treatment Period and a 24-week Post-Treatment Period for all participants who received study drugs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ombitasvir/Paritaprevir/Ritonavir plus Dasabuvir | Experimental | Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) administered for 12 weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ombitasvir/Paritaprevir/Ritonavir | Drug | Tablet; paritaprevir co-formulated with ritonavir and ombitasvir |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment | Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (< LLOQ; < 25 IU/mL) 12 weeks after the last dose of study drug. The primary efficacy endpoints were non-inferiority and superiority of the percentage of participants who achieved sustained virologic response 12 weeks after treatment in each treatment arm compared with the historical threshold for sofosbuvir and peginterferon (pegIFN)/RBV for the treatment of subjects with HCV GT1b infection and cirrhosis. | Post-treatment Day 1 to Post-treatment Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With On-Treatment Virologic Failure | On-Treatment Virologic Failure is defined as confirmed HCV RNA >= LLOQ after HCV RNA < LLOQ during treatment, or confirmed increase from nadir (local minimum value) in HCV RNA [2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir] at any time point during treatment, or failure to suppress during treatment [all on-treatment values of HCV RNA >= LLOQ] with at least 6 weeks [defined as active study drug duration ≥ 36 days] of treatment. |
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Inclusion Criteria:
Chronic HCV genotype 1-infection prior to study enrollment. Chronic HCV-infection is defined as the following:
Screening laboratory result indicating HCV genotype 1b-infection.
Compensated cirrhosis defined as a Child-Pugh Score of 5 or 6 at Screening.
Exclusion Criteria:
Women who are pregnant or breastfeeding.
Positive test result for Hepatitis B surface antigen (HBsAg) or positive human immunodeficiency virus (HIV) antibody (confirmed by Western Blot).
Any current or past clinical evidence of Child-Pugh B or C classification or clinical history of liver decompensation such as ascites (noted on physical exam), variceal bleeding, or hepatic encephalopathy.
Confirmed presence of hepatocellular carcinoma indicated on imaging techniques such as computed tomography (CT) scan or magnetic resonance imaging (MRI) within 3 months prior to Screening or on an ultrasound performed at Screening (a positive ultrasound result will be confirmed with CT scan or MRI.)
Use of contraindicated medications within 2 weeks of dosing
Screening laboratory analyses showing any of the following abnormal laboratory results:
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| Name | Affiliation | Role |
|---|---|---|
| Roger Trinh, MD | AbbVie | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26476290 | Background | Feld JJ, Moreno C, Trinh R, Tam E, Bourgeois S, Horsmans Y, Elkhashab M, Bernstein DE, Younes Z, Reindollar RW, Larsen L, Fu B, Howieson K, Polepally AR, Pangerl A, Shulman NS, Poordad F. Sustained virologic response of 100% in HCV genotype 1b patients with cirrhosis receiving ombitasvir/paritaprevir/r and dasabuvir for 12weeks. J Hepatol. 2016 Feb;64(2):301-307. doi: 10.1016/j.jhep.2015.10.005. Epub 2015 Oct 22. |
| Label | URL |
|---|---|
| Related Info | View source |
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A total of 60 subjects were enrolled and all the subjects completed the study. All 60 subjects were analyzed for both efficacy (included all participants who received at least 1 dose of study drug (ITT)) and safety.
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| ID | Title | Description |
|---|---|---|
| FG000 | Ombitasvir/Paritaprevir/Ritonavir Plus Dasabuvir | Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) administered for 12 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Dasabuvir | Drug | Tablet |
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| Day 1 through Week 12 |
| Percentage of Participants With Post-Treatment Relapse | Post- Treatment Relapse is defined as confirmed HCV RNA >= LLOQ between end of treatment and 12 weeks after last actual dose of active study drug [up to and including the SVR12 assessment time point] for a participant with HCV RNA < LLOQ at Final Treatment Visit who completes treatment. | Post-treatment Day 1 to Post-treatment Week 12 |
| COMPLETED |
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| NOT COMPLETED |
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Baseline analyses included all participants.
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| ID | Title | Description |
|---|---|---|
| BG000 | Ombitasvir/Paritaprevir/Ritonavir Plus Dasabuvir | Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) administered for 12 weeks. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Interleukin 28B (IL28B) Genotype | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment | Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (< LLOQ; < 25 IU/mL) 12 weeks after the last dose of study drug. The primary efficacy endpoints were non-inferiority and superiority of the percentage of participants who achieved sustained virologic response 12 weeks after treatment in each treatment arm compared with the historical threshold for sofosbuvir and peginterferon (pegIFN)/RBV for the treatment of subjects with HCV GT1b infection and cirrhosis. | Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). | Posted | Number | 95% Confidence Interval | percentage of participants | Post-treatment Day 1 to Post-treatment Week 12 |
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| Secondary | Percentage of Participants With On-Treatment Virologic Failure | On-Treatment Virologic Failure is defined as confirmed HCV RNA >= LLOQ after HCV RNA < LLOQ during treatment, or confirmed increase from nadir (local minimum value) in HCV RNA [2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir] at any time point during treatment, or failure to suppress during treatment [all on-treatment values of HCV RNA >= LLOQ] with at least 6 weeks [defined as active study drug duration ≥ 36 days] of treatment. | Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). | Posted | Number | 95% Confidence Interval | percentage of participants | Day 1 through Week 12 |
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| Secondary | Percentage of Participants With Post-Treatment Relapse | Post- Treatment Relapse is defined as confirmed HCV RNA >= LLOQ between end of treatment and 12 weeks after last actual dose of active study drug [up to and including the SVR12 assessment time point] for a participant with HCV RNA < LLOQ at Final Treatment Visit who completes treatment. | Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). | Posted | Number | 95% Confidence Interval | percentage of participants | Post-treatment Day 1 to Post-treatment Week 12 |
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AEs and SAEs were collected from the time of study drug administration to 30 days after last dose of study drug (12 weeks); SAEs were also collected from the time that informed consent was obtained until the end of the study (up to 42 weeks).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ombitasvir/Paritaprevir/Ritonavir Plus Dasabuvir | Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) administered for 12 weeks. | 1 | 60 | 39 | 60 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| SYNCOPE | Nervous system disorders | 18.0 | Systematic Assessment |
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| HYPOTENSION | Vascular disorders | 18.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ABDOMINAL PAIN UPPER | Gastrointestinal disorders | 18.0 | Systematic Assessment |
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| DIARRHOEA | Gastrointestinal disorders | 18.0 | Systematic Assessment |
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| DYSPEPSIA | Gastrointestinal disorders | 18.0 | Systematic Assessment |
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| NAUSEA | Gastrointestinal disorders | 18.0 | Systematic Assessment |
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| FATIGUE | General disorders | 18.0 | Systematic Assessment |
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| INFLUENZA | Infections and infestations | 18.0 | Systematic Assessment |
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| NASOPHARYNGITIS | Infections and infestations | 18.0 | Systematic Assessment |
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| ARTHRALGIA | Musculoskeletal and connective tissue disorders | 18.0 | Systematic Assessment |
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| MYALGIA | Musculoskeletal and connective tissue disorders | 18.0 | Systematic Assessment |
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| DIZZINESS | Nervous system disorders | 18.0 | Systematic Assessment |
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| HEADACHE | Nervous system disorders | 18.0 | Systematic Assessment |
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| INSOMNIA | Psychiatric disorders | 18.0 | Systematic Assessment |
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| COUGH | Respiratory, thoracic and mediastinal disorders | 18.0 | Systematic Assessment |
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| PRURITUS | Skin and subcutaneous tissue disorders | 18.0 | Systematic Assessment |
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| PRURITUS GENERALISED | Skin and subcutaneous tissue disorders | 18.0 | Systematic Assessment |
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| HYPERTENSION | Vascular disorders | 18.0 | Systematic Assessment |
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AbbVie requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. AbbVie requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if AbbVie needs to secure patent or proprietary protection.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | AbbVie | 800-633-9110 |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D006521 | Hepatitis, Chronic |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C586094 | ombitasvir |
| C585405 | paritaprevir |
| D019438 | Ritonavir |
| C588260 | dasabuvir |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| TT |
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| Missing |
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| The superiority of the Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir regimen in SVR12 to a historical threshold for sofosbuvir plus pegIFN/ ribavirin (RBV) for the treatment of participants with HCV Genotype 1b (GT1b) infection and cirrhosis was calculated using a 2-sided 95% CI from Wilson's score method. Superiority was declared if the lower confidence bound was greater than 83.2%. | Percentage of Participants | 100 | 2-Sided | 95 | 94.0 | 100.0 | 95% confidence interval (CI) was calculated using Wilson score method. | Superiority or Other (legacy) |
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