GIFT I: Study to Evaluate the Efficacy and Safety of ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) in Japanese Adults With Subgenotype 1b Chronic Hepatitis C Virus (HCV) Infection

Sponsor
AbbVie (Industry)
Overall Status
Completed
CT.gov ID
NCT02023099
Collaborator
(none)
363
3
22

Study Details

Study Description

Brief Summary

This is a phase 3, double-blinded, multicenter study. The study will consist of 2 substudies:

Substudy 1 (SS1) will be double-blinded and enroll non-cirrhotic subjects and Substudy 2 (SS2) will be open label and enroll subjects with compensated cirrhosis.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
363 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) in Treatment-Naïve and Treatment-Experienced Japanese Adults With Subgenotype 1b Chronic Hepatitis C Virus (HCV) Infection With and Without Compensated Cirrhosis (GIFT I)
Study Start Date :
Dec 1, 2013
Actual Primary Completion Date :
Oct 1, 2014
Actual Study Completion Date :
Oct 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Substudy 1, Arm A: DB 2-DAA

Double-blind (DB) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2 direct-acting antiviral agents [2-DAA]) once daily (QD) for 12 weeks in participants without cirrhosis

Drug: ABT-450/r/ABT-267
Tablet; ABT-450 coformulated with ritonavir and ABT-267
Other Names:
  • ABT-267 also known as ombitasvir
  • ABT-450 also known as paritaprevir
  • ritonavir also known as Norvir
  • VIEKIRAX Combination Tablets
  • Qurevo
  • Technivie
  • VIEKIRA Combination Tablets
  • Placebo Comparator: Substudy 1, Arm B: DB Placebo, Followed by OL 2-DAA

    DB placebo QD for 12 weeks followed by open-label (OL) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis

    Drug: ABT-450/r/ABT-267
    Tablet; ABT-450 coformulated with ritonavir and ABT-267
    Other Names:
  • ABT-267 also known as ombitasvir
  • ABT-450 also known as paritaprevir
  • ritonavir also known as Norvir
  • VIEKIRAX Combination Tablets
  • Qurevo
  • Technivie
  • VIEKIRA Combination Tablets
  • Drug: Placebo
    Tablet

    Experimental: Substudy 2, Arm C: OL 2-DAA

    OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis

    Drug: ABT-450/r/ABT-267
    Tablet; ABT-450 coformulated with ritonavir and ABT-267
    Other Names:
  • ABT-267 also known as ombitasvir
  • ABT-450 also known as paritaprevir
  • ritonavir also known as Norvir
  • VIEKIRAX Combination Tablets
  • Qurevo
  • Technivie
  • VIEKIRA Combination Tablets
  • Outcome Measures

    Primary Outcome Measures

    1. Percentage of Non-cirrhotic Treatment-Naïve Participants Who Are Eligible for Interferon (IFN)-Based Therapy and Who Have High Viral Load in the DB Active Treatment Group With a Sustained Virologic Response 12 Weeks Post-treatment [12 weeks after the last dose of study drug]

      The percentage noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline (HCV RNA ≥ 100,000 IU/mL) in the DB active treatment group with sustained virologic response (plasma Hepatitis C virus ribonucleic acid [HCV RNA] level less than the lower limit of quantitation [< LLOQ]) 12 weeks after the last dose of active study drug (SVR12). Among noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline, superiority of Arm A to a clinically relevant threshold based on historical SVR rate with telaprevir plus pegylated interferon alpha/ribavirin (pegIFN/RBV) in treatment-naïve, non-cirrhotic patients with high viral load; the lower bound of 95% confidence interval (LCB) had to exceed 63% to achieve superiority. The 95% confidence interval was calculated using the normal approximation to the binomial distribution.

    Secondary Outcome Measures

    1. Percentage of Participants in the Active Treatment Group With On-treatment Virologic Failure During Treatment [up to 12 weeks]

      On-treatment virologic failure among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and all enrolled participants with compensated cirrhosis who received at least one dose of OL ABT-450/r/ABT-267. On-treatment virologic failure is defined as the occurrence of at least one of the following: confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) at any point during treatment after HCV RNA < LLOQ (rebound), or confirmed increase from nadir in HCV RNA (defined as 2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir) at any time point during treatment (rebound), or HCV RNA ≥ LLOQ persistently during treatment with at least 6 weeks (≥ 36 days) of treatment (failure to suppress). The 95% confidence interval was calculated using the Wilson's score method.

    2. Percentage of Participants in the Substudy 1 Arm A Active Treatment Group With On-treatment Virologic Failure During Treatment, by Subpopulation [up to 12 weeks]

      On-treatment virologic failure among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 in the following subpopulations: noncirrhotic treatment-naïve (T-naïve) participants with a high baseline (BL) viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-based therapy (IFN-BT), a low viral load (HCV RNA < 100,000 IU/mL), or who are ineligible for IFN-BT; noncirrhotic treatment-experienced (T-exp) participants who relapsed after prior IFN-BT, who were nonresponders to prior IFN-BT, or who were intolerant to IFN-BT. On-treatment virologic failure is defined in Outcome measure 2. The 95% confidence interval was calculated using the Wilson's score method.

    3. Percentage of Participants in the Active Treatment Group With Post-treatment Relapse [within 12 weeks after last dose of study drug]

      Post-treatment relapse among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and completed treatment, and all enrolled participants with compensated cirrhosis who received at least one dose of OL ABT-450/r/ABT-267 and completed treatment. Relapse was defined as confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) between the final treatment visit and 12 weeks after the last dose of study drugs among participants completing treatment and with HCV RNA < LLOQ at the final treatment visit and at least one post-treatment HCV RNA value. The 95% confidence interval was calculated using the Wilson's score method.

    4. Percentage of Participants in Substudy 1 Arm A Active Treatment Group With Post-treatment Relapse, by Subpopulation [within 12 weeks after last dose of study drug]

      Post-treatment relapse among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and completed treatment, in the following subpopulations: noncirrhotic treatment-naïve (T-naïve) participants with a high baseline (BL) viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-based therapy (IFN-BT), a low BL viral load (HCV RNA < 100,000 IU/mL), or who are ineligible for IFN-BT; noncirrhotic treatment-experienced (T-exp) participants who relapsed after prior IFN-BT, who were nonresponders to prior IFN-BT, or who were intolerant to IFN-BT. Relapse was defined as confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) between the final treatment visit and 12 weeks after the last dose of study drugs among participants completing treatment and with HCV RNA < LLOQ at the final treatment visit and at least one post-treatment HCV RNA value. The 95% confidence interval was calculated using the Wilson's score method.

    5. Percentage of Participants in the Active Treatment Group With Sustained Virologic Response 12 Weeks Post-treatment [12 weeks after last dose of study drug]

      Sustained virologic response (plasma HCV RNA level < LLOQ) 12 weeks after the last dose of study drug for all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and for all enrolled participants with compensated cirrhosis who received at least one dose of open-label ABT-450/r/ABT-267. The 95% confidence interval was calculated using the Wilson's score method.

    6. Percentage of Participants in Substudy 1 Arm A Active Treatment Group With Sustained Virologic Response 12 Weeks Post-Treatment, by Subpopulation [12 weeks after last dose of study drug]

      Sustained virologic response (plasma HCV RNA level < LLOQ) 12 weeks after the last dose of study drug for all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 in the following subpopulations: noncirrhotic T-naïve participants with a high BL viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-BT; noncirrhotic T-naïve participants with low BL viral load (HCV RNA < 100,000 IU/mL); noncirrhotic T-naïve participants who are ineligible for IFN-BT; noncirrhotic T-exp participants who relapsed after prior IFN-BT; noncirrhotic T-exp participants who were nonresponders to prior IFN-BT; noncirrhotic T-exp participants who were intolerant to IFN-BT. The 95% confidence interval was calculated using the Wilson's score method.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Chronic HCV-infection prior to study enrollment

    • Screening laboratory result indicating HCV subgenotype 1b infection

    • Subject has plasma HCV RNA level greater than 10,000 IU/mL at Screening

    • Voluntarily sign an informed consent

    • Females must be practicing specific forms of birth control on study treatment, or be post-menopausal for more than 2 years or surgically sterile

    Exclusion Criteria:
    • Co-infection of Hepatitis B Virus (HBV), human immunodeficiency virus (HIV) or any HCV genotype other than subgenotype 1b

    • Prior therapy with direct acting antiviral agents for the treatment of HCV, including telaprevir, simeprevir and boceprevir

    • Any cause of liver disease other than chronic HCV-infection, including but not limited to the following: hemochromatosis; alpha-1 antitrypsin deficiency; Wilson's disease; autoimmune hepatitis; alcoholic liver disease; drug-related liver disease; clinically significant laboratory abnormalities; uncontrolled clinically significant disease, disorder or medical illness

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • AbbVie

    Investigators

    • Study Director: Nori Yachi, AbbVie GK.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT02023099
    Other Study ID Numbers:
    • M13-004
    First Posted:
    Dec 30, 2013
    Last Update Posted:
    Jun 6, 2018
    Last Verified:
    Sep 1, 2016

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo, Followed by OL 2-DAA Substudy 2, Arm C: OL 2-DAA
    Arm/Group Description Double-blind (DB) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2 direct-acting antiviral agents [2-DAA]) once daily (QD) for 12 weeks in participants without cirrhosis DB placebo QD for 12 weeks followed by open-label (OL) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
    Period Title: Overall Study
    STARTED 215 106 42
    COMPLETED 212 106 39
    NOT COMPLETED 3 0 3

    Baseline Characteristics

    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo, Followed by OL 2-DAA Substudy 2, Arm C: OL 2-DAA Total
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis DB placebo QD for 12 weeks followed by OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis Total of all reporting groups
    Overall Participants 215 106 42 363
    Age, Customized (participants) [Number]
    < 65 years
    129
    60%
    59
    55.7%
    21
    50%
    209
    57.6%
    ≥ 65 years
    86
    40%
    47
    44.3%
    21
    50%
    154
    42.4%
    Sex: Female, Male (Count of Participants)
    Female
    135
    62.8%
    59
    55.7%
    22
    52.4%
    216
    59.5%
    Male
    80
    37.2%
    47
    44.3%
    20
    47.6%
    147
    40.5%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Non-cirrhotic Treatment-Naïve Participants Who Are Eligible for Interferon (IFN)-Based Therapy and Who Have High Viral Load in the DB Active Treatment Group With a Sustained Virologic Response 12 Weeks Post-treatment
    Description The percentage noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline (HCV RNA ≥ 100,000 IU/mL) in the DB active treatment group with sustained virologic response (plasma Hepatitis C virus ribonucleic acid [HCV RNA] level less than the lower limit of quantitation [< LLOQ]) 12 weeks after the last dose of active study drug (SVR12). Among noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline, superiority of Arm A to a clinically relevant threshold based on historical SVR rate with telaprevir plus pegylated interferon alpha/ribavirin (pegIFN/RBV) in treatment-naïve, non-cirrhotic patients with high viral load; the lower bound of 95% confidence interval (LCB) had to exceed 63% to achieve superiority. The 95% confidence interval was calculated using the normal approximation to the binomial distribution.
    Time Frame 12 weeks after the last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    Primary Efficacy Population: randomized non-cirrhotic treatment-naïve participants who are eligible for interferon-based therapy and who have high viral load and received at least one dose of double-blind ABT-450/r/ABT-267.
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis
    Measure Participants 112
    Number (95% Confidence Interval) [percentage of participants]
    94.6
    44%
    2. Secondary Outcome
    Title Percentage of Participants in the Active Treatment Group With On-treatment Virologic Failure During Treatment
    Description On-treatment virologic failure among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and all enrolled participants with compensated cirrhosis who received at least one dose of OL ABT-450/r/ABT-267. On-treatment virologic failure is defined as the occurrence of at least one of the following: confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) at any point during treatment after HCV RNA < LLOQ (rebound), or confirmed increase from nadir in HCV RNA (defined as 2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir) at any time point during treatment (rebound), or HCV RNA ≥ LLOQ persistently during treatment with at least 6 weeks (≥ 36 days) of treatment (failure to suppress). The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame up to 12 weeks

    Outcome Measure Data

    Analysis Population Description
    Intent-to-treat (ITT) population: randomized/enrolled participants who received at least 1 dose of DB study drugs in Substudy 1 (Substudy 1 ITT population) and completed treatment; n=number of participants in the given subpopulation (among noncirrhotic participants, a single participant could potentially be included in more than 1 subpopulation).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 2, Arm C: OL 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
    Measure Participants 215 42
    Number (95% Confidence Interval) [percentage of participants]
    0.5
    0.2%
    2.4
    2.3%
    3. Secondary Outcome
    Title Percentage of Participants in the Substudy 1 Arm A Active Treatment Group With On-treatment Virologic Failure During Treatment, by Subpopulation
    Description On-treatment virologic failure among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 in the following subpopulations: noncirrhotic treatment-naïve (T-naïve) participants with a high baseline (BL) viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-based therapy (IFN-BT), a low viral load (HCV RNA < 100,000 IU/mL), or who are ineligible for IFN-BT; noncirrhotic treatment-experienced (T-exp) participants who relapsed after prior IFN-BT, who were nonresponders to prior IFN-BT, or who were intolerant to IFN-BT. On-treatment virologic failure is defined in Outcome measure 2. The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame up to 12 weeks

    Outcome Measure Data

    Analysis Population Description
    ITT population: all randomized/enrolled participants who received at least 1 dose of active DB study drugs in Substudy 1 (Substudy 1 ITT population, Arm A).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis
    Measure Participants 215
    T-naïve: high BL viral load, IFN-eligible; n=112
    0
    0%
    T-naïve: low BL viral load; n=6
    0
    0%
    T-naïve: IFN-ineligible; n=23
    0
    0%
    T-exp. w/prior IFN-BT: relapser; n=22
    0
    0%
    T-exp. w/prior IFN-BT: nonresponder; n=28
    0
    0%
    T-exp. w/prior IFN-BT: IFN-intolerant; n=26
    3.8
    1.8%
    4. Secondary Outcome
    Title Percentage of Participants in the Active Treatment Group With Post-treatment Relapse
    Description Post-treatment relapse among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and completed treatment, and all enrolled participants with compensated cirrhosis who received at least one dose of OL ABT-450/r/ABT-267 and completed treatment. Relapse was defined as confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) between the final treatment visit and 12 weeks after the last dose of study drugs among participants completing treatment and with HCV RNA < LLOQ at the final treatment visit and at least one post-treatment HCV RNA value. The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame within 12 weeks after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    ITT population: all randomized/enrolled participants who received at least 1 dose of active DB study drugs in Substudy 1 (Substudy 1 ITT population, Arm A) or at least 1 dose of OL study drugs in Substudy 2 (Substudy 2 ITT population).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 2, Arm C: OL 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
    Measure Participants 209 40
    Number (95% Confidence Interval) [percentage of participants]
    2.4
    1.1%
    5.0
    4.7%
    5. Secondary Outcome
    Title Percentage of Participants in Substudy 1 Arm A Active Treatment Group With Post-treatment Relapse, by Subpopulation
    Description Post-treatment relapse among all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and completed treatment, in the following subpopulations: noncirrhotic treatment-naïve (T-naïve) participants with a high baseline (BL) viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-based therapy (IFN-BT), a low BL viral load (HCV RNA < 100,000 IU/mL), or who are ineligible for IFN-BT; noncirrhotic treatment-experienced (T-exp) participants who relapsed after prior IFN-BT, who were nonresponders to prior IFN-BT, or who were intolerant to IFN-BT. Relapse was defined as confirmed HCV RNA ≥ LLOQ (defined as 2 consecutive HCV RNA measurements ≥ LLOQ) between the final treatment visit and 12 weeks after the last dose of study drugs among participants completing treatment and with HCV RNA < LLOQ at the final treatment visit and at least one post-treatment HCV RNA value. The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame within 12 weeks after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    ITT population: all randomized/enrolled participants who received at least 1 dose of active DB study drugs in Substudy 1 (Substudy 1 ITT population, Arm A) and completed treatment; n=number of participants in the given subpopulation (among noncirrhotic participants, a single participant could potentially be included in more than 1 subpopulation).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis
    Measure Participants 209
    T-naïve: high BL viral load, IFN-eligible; n=109
    2.8
    1.3%
    T-naïve: low BL viral load; n=6
    0
    0%
    T-naïve: IFN-ineligible; n=22
    4.5
    2.1%
    T-exp. w/prior IFN-BT: relapser; n=21
    0
    0%
    T-exp. w/prior IFN-BT: nonresponder; n=28
    0
    0%
    T-exp. w/prior IFN-BT: IFN-intolerant; n=25
    4.0
    1.9%
    6. Secondary Outcome
    Title Percentage of Participants in the Active Treatment Group With Sustained Virologic Response 12 Weeks Post-treatment
    Description Sustained virologic response (plasma HCV RNA level < LLOQ) 12 weeks after the last dose of study drug for all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 and for all enrolled participants with compensated cirrhosis who received at least one dose of open-label ABT-450/r/ABT-267. The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame 12 weeks after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    ITT population: all randomized/enrolled participants who received at least 1 dose of DB study drugs in Substudy 1 (Substudy 1 ITT population) or at least 1 dose of OL study drugs in Substudy 2 (Substudy 2 ITT population).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 2, Arm C: OL 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
    Measure Participants 215 42
    Number (95% Confidence Interval) [percentage of participants]
    94.9
    44.1%
    90.5
    85.4%
    7. Secondary Outcome
    Title Percentage of Participants in Substudy 1 Arm A Active Treatment Group With Sustained Virologic Response 12 Weeks Post-Treatment, by Subpopulation
    Description Sustained virologic response (plasma HCV RNA level < LLOQ) 12 weeks after the last dose of study drug for all randomized non-cirrhotic participants who received at least one dose of DB ABT-450/r/ABT-267 in the following subpopulations: noncirrhotic T-naïve participants with a high BL viral load (HCV RNA ≥ 100,000 IU/mL) who are eligible for IFN-BT; noncirrhotic T-naïve participants with low BL viral load (HCV RNA < 100,000 IU/mL); noncirrhotic T-naïve participants who are ineligible for IFN-BT; noncirrhotic T-exp participants who relapsed after prior IFN-BT; noncirrhotic T-exp participants who were nonresponders to prior IFN-BT; noncirrhotic T-exp participants who were intolerant to IFN-BT. The 95% confidence interval was calculated using the Wilson's score method.
    Time Frame 12 weeks after last dose of study drug

    Outcome Measure Data

    Analysis Population Description
    ITT population: all randomized/enrolled participants who received at least 1 dose of active DB study drugs in Substudy 1 (Substudy 1 ITT population, Arm A); n=number of participants in the given subpopulation (among noncirrhotic participants, a single participant could potentially be included in more than 1 subpopulation).
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis
    Measure Participants 215
    T-naïve: all; n=139
    94.2
    43.8%
    T-naïve: high BL viral load, IFN-eligible; n=112
    94.6
    44%
    T-naïve: low BL viral load; n=6
    100
    46.5%
    T-naïve: IFN-ineligible; n=23
    91.3
    42.5%
    T-exp. w/prior IFN-BT: all; n=76
    96.1
    44.7%
    T-exp. w/prior IFN-BT: relapser; n=22
    95.5
    44.4%
    T-exp. w/prior IFN-BT: nonresponder; n=28
    100
    46.5%
    T-exp. w/prior IFN-BT: IFN-intolerant; n=26
    92.3
    42.9%

    Adverse Events

    Time Frame AEs collected from time of informed consent through 30 days post-study drug dosing (dosing period was 12 or 24 weeks [12 weeks of placebo followed by 12 weeks of DAAs]); Serious AEs collected up to post-treatment Week 48.
    Adverse Event Reporting Description
    Arm/Group Title Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo Substudy 1, Arm B: OL 2-DAA Substudy 2, Arm C: OL 2-DAA
    Arm/Group Description DB 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2 direct-acting antiviral agents [2-DAA]) once daily (QD) for 12 weeks in participants without cirrhosis. DB placebo QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis OL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
    All Cause Mortality
    Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo Substudy 1, Arm B: OL 2-DAA Substudy 2, Arm C: OL 2-DAA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo Substudy 1, Arm B: OL 2-DAA Substudy 2, Arm C: OL 2-DAA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 7/215 (3.3%) 2/106 (1.9%) 3/106 (2.8%) 2/42 (4.8%)
    Eye disorders
    NECROTISING RETINITIS 0/215 (0%) 0/106 (0%) 1/106 (0.9%) 0/42 (0%)
    Gastrointestinal disorders
    LARGE INTESTINE POLYP 0/215 (0%) 0/106 (0%) 1/106 (0.9%) 0/42 (0%)
    Infections and infestations
    ANAL ABSCESS 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    Injury, poisoning and procedural complications
    TENDON RUPTURE 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BREAST CANCER 0/215 (0%) 0/106 (0%) 1/106 (0.9%) 0/42 (0%)
    COLON ADENOMA 0/215 (0%) 1/106 (0.9%) 0/106 (0%) 0/42 (0%)
    GASTRIC CANCER STAGE IV 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    HEPATOCELLULAR CARCINOMA 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    METASTASES TO BONE 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    RECTOSIGMOID CANCER 0/215 (0%) 1/106 (0.9%) 0/106 (0%) 0/42 (0%)
    Nervous system disorders
    MULTIPLE SCLEROSIS 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    Renal and urinary disorders
    ANURIA 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    Respiratory, thoracic and mediastinal disorders
    PULMONARY OEDEMA 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    Vascular disorders
    HYPOTENSION 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 0/42 (0%)
    Other (Not Including Serious) Adverse Events
    Substudy 1, Arm A: DB 2-DAA Substudy 1, Arm B: DB Placebo Substudy 1, Arm B: OL 2-DAA Substudy 2, Arm C: OL 2-DAA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 116/215 (54%) 48/106 (45.3%) 47/106 (44.3%) 31/42 (73.8%)
    Blood and lymphatic system disorders
    ANAEMIA 3/215 (1.4%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    Eye disorders
    EYE DISCHARGE 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    Gastrointestinal disorders
    ABDOMINAL DISCOMFORT 4/215 (1.9%) 0/106 (0%) 3/106 (2.8%) 1/42 (2.4%)
    ABDOMINAL PAIN UPPER 3/215 (1.4%) 0/106 (0%) 1/106 (0.9%) 2/42 (4.8%)
    CONSTIPATION 2/215 (0.9%) 2/106 (1.9%) 1/106 (0.9%) 2/42 (4.8%)
    DIARRHOEA 8/215 (3.7%) 3/106 (2.8%) 5/106 (4.7%) 1/42 (2.4%)
    GLOSSODYNIA 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    HAEMATOCHEZIA 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    NAUSEA 9/215 (4.2%) 4/106 (3.8%) 1/106 (0.9%) 3/42 (7.1%)
    STOMATITIS 6/215 (2.8%) 3/106 (2.8%) 3/106 (2.8%) 0/42 (0%)
    VOMITING 2/215 (0.9%) 2/106 (1.9%) 1/106 (0.9%) 2/42 (4.8%)
    General disorders
    FACE OEDEMA 2/215 (0.9%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    FATIGUE 6/215 (2.8%) 1/106 (0.9%) 1/106 (0.9%) 1/42 (2.4%)
    FEELING HOT 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    LOCAL SWELLING 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    MALAISE 9/215 (4.2%) 3/106 (2.8%) 0/106 (0%) 2/42 (4.8%)
    OEDEMA PERIPHERAL 11/215 (5.1%) 0/106 (0%) 4/106 (3.8%) 3/42 (7.1%)
    PYREXIA 4/215 (1.9%) 1/106 (0.9%) 1/106 (0.9%) 4/42 (9.5%)
    THIRST 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    Infections and infestations
    CELLULITIS 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    CYSTITIS 2/215 (0.9%) 4/106 (3.8%) 2/106 (1.9%) 1/42 (2.4%)
    FOLLICULITIS 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    NASOPHARYNGITIS 36/215 (16.7%) 14/106 (13.2%) 8/106 (7.5%) 6/42 (14.3%)
    PHARYNGITIS 1/215 (0.5%) 1/106 (0.9%) 3/106 (2.8%) 1/42 (2.4%)
    URINARY TRACT INFECTION 0/215 (0%) 2/106 (1.9%) 3/106 (2.8%) 0/42 (0%)
    Injury, poisoning and procedural complications
    ARTHROPOD BITE 0/215 (0%) 0/106 (0%) 2/106 (1.9%) 1/42 (2.4%)
    CONTUSION 2/215 (0.9%) 0/106 (0%) 3/106 (2.8%) 1/42 (2.4%)
    LIGAMENT SPRAIN 1/215 (0.5%) 1/106 (0.9%) 0/106 (0%) 1/42 (2.4%)
    THERMAL BURN 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    Investigations
    ALANINE AMINOTRANSFERASE INCREASED 1/215 (0.5%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    ALPHA-2 MACROGLOBULIN INCREASED 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    APOLIPOPROTEIN A-I DECREASED 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    ASPARTATE AMINOTRANSFERASE INCREASED 2/215 (0.9%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    BLOOD BILIRUBIN INCREASED 1/215 (0.5%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    BLOOD PRESSURE INCREASED 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    BLOOD TRIGLYCERIDES INCREASED 0/215 (0%) 0/106 (0%) 1/106 (0.9%) 2/42 (4.8%)
    HAEMATOCRIT DECREASED 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    HAEMOGLOBIN DECREASED 2/215 (0.9%) 0/106 (0%) 1/106 (0.9%) 2/42 (4.8%)
    LYMPHOCYTE MORPHOLOGY ABNORMAL 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    PLATELET COUNT DECREASED 0/215 (0%) 0/106 (0%) 0/106 (0%) 3/42 (7.1%)
    RED BLOOD CELL COUNT DECREASED 2/215 (0.9%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    TRANSAMINASES INCREASED 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    WHITE BLOOD CELL COUNT DECREASED 1/215 (0.5%) 1/106 (0.9%) 0/106 (0%) 1/42 (2.4%)
    Metabolism and nutrition disorders
    DECREASED APPETITE 2/215 (0.9%) 1/106 (0.9%) 1/106 (0.9%) 2/42 (4.8%)
    DIABETES MELLITUS 2/215 (0.9%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    HYPOKALAEMIA 0/215 (0%) 1/106 (0.9%) 1/106 (0.9%) 1/42 (2.4%)
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA 3/215 (1.4%) 1/106 (0.9%) 1/106 (0.9%) 2/42 (4.8%)
    BACK PAIN 7/215 (3.3%) 2/106 (1.9%) 1/106 (0.9%) 0/42 (0%)
    MUSCLE SPASMS 1/215 (0.5%) 1/106 (0.9%) 0/106 (0%) 1/42 (2.4%)
    MUSCULOSKELETAL STIFFNESS 6/215 (2.8%) 1/106 (0.9%) 1/106 (0.9%) 0/42 (0%)
    PERIARTHRITIS 0/215 (0%) 0/106 (0%) 1/106 (0.9%) 1/42 (2.4%)
    Nervous system disorders
    DIZZINESS 6/215 (2.8%) 2/106 (1.9%) 0/106 (0%) 2/42 (4.8%)
    HEADACHE 19/215 (8.8%) 10/106 (9.4%) 7/106 (6.6%) 3/42 (7.1%)
    NERVOUS SYSTEM DISORDER 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    SOMNOLENCE 3/215 (1.4%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    Psychiatric disorders
    INSOMNIA 4/215 (1.9%) 2/106 (1.9%) 1/106 (0.9%) 2/42 (4.8%)
    Respiratory, thoracic and mediastinal disorders
    SPUTUM RETENTION 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    UPPER RESPIRATORY TRACT INFLAMMATION 4/215 (1.9%) 2/106 (1.9%) 1/106 (0.9%) 2/42 (4.8%)
    Skin and subcutaneous tissue disorders
    DERMAL CYST 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    DERMATITIS ACNEIFORM 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    DRUG ERUPTION 0/215 (0%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    ECZEMA 3/215 (1.4%) 0/106 (0%) 3/106 (2.8%) 3/42 (7.1%)
    ECZEMA ASTEATOTIC 2/215 (0.9%) 0/106 (0%) 0/106 (0%) 1/42 (2.4%)
    PRURITUS 10/215 (4.7%) 4/106 (3.8%) 4/106 (3.8%) 0/42 (0%)
    PRURITUS GENERALISED 0/215 (0%) 0/106 (0%) 0/106 (0%) 2/42 (4.8%)
    RASH 4/215 (1.9%) 2/106 (1.9%) 4/106 (3.8%) 2/42 (4.8%)
    Vascular disorders
    HYPERTENSION 2/215 (0.9%) 2/106 (1.9%) 1/106 (0.9%) 1/42 (2.4%)
    HYPOTENSION 1/215 (0.5%) 0/106 (0%) 0/106 (0%) 2/42 (4.8%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    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.

    Results Point of Contact

    Name/Title Global Medical Services
    Organization AbbVie
    Phone 800-633-9110
    Email
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT02023099
    Other Study ID Numbers:
    • M13-004
    First Posted:
    Dec 30, 2013
    Last Update Posted:
    Jun 6, 2018
    Last Verified:
    Sep 1, 2016