Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Germany (LIFE-C)

Sponsor
AbbVie (Industry)
Overall Status
Completed
CT.gov ID
NCT02615145
Collaborator
(none)
472
27.7

Study Details

Study Description

Brief Summary

The interferon-free combination regimen of paritaprevir/r - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) for the treatment of chronic hepatitis C (CHC) has been shown to be safe and effective in randomized controlled clinical trials with strict inclusion and exclusion criteria under well controlled conditions.

This observational study is the first effectiveness research examining the ABBVIE REGIMEN ± RBV, used according to local label, under real world conditions in Germany in a clinical practice patient population.

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    472 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Germany (LIFE-C)
    Actual Study Start Date :
    Dec 3, 2015
    Actual Primary Completion Date :
    Mar 26, 2018
    Actual Study Completion Date :
    Mar 26, 2018

    Arms and Interventions

    Arm Intervention/Treatment
    Genotype 1a (G1a) Participants

    Treatment-naïve or -experienced participants with confirmed chronic hepatitis C (CHC) genotype 1a (G1a, includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + ribavirin (RBV) according to standard of care and in line with the current local label. The prescription of a treatment regimen is at the discretion of the physician in accordance with local clinical practice and label, is made independently from this observational study and precedes the decision to offer the patient the opportunity to participate in this study.

    Genotype 1b (G1b) Participants

    Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/Genotype 4 [G4]), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. The prescription of a treatment regimen is at the discretion of the physician in accordance with local clinical practice and label, is made independently from this observational study and precedes the decision to offer the patient the opportunity to participate in this study.

    Genotype 4 (G4) Participants

    Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. The prescription of a treatment regimen is at the discretion of the physician in accordance with local clinical practice and label, is made independently from this observational study and precedes the decision to offer the patient the opportunity to participate in this study.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Sustained Virologic Response (SVR12) [12 weeks after the last dose of study drug (treatment period was 12 or 24 weeks)]

      SVR12 is defined as hepatitis C virus (HCV) ribonucleic acid (RNA) less than the lower limit of quantification (< 50 IU/mL) 12 weeks after the last actual dose of the ABBVIE REGIMEN.

    Secondary Outcome Measures

    1. Percentage of Participants With Virological Response at End of Treatment (EoTR) [EoT, (treatment period was 12 weeks or 24 weeks)]

      Virological response is defined as HCV RNA < 50 IU/mL. End of Treatment (EoT) is defined as the last intake of ABBVIE REGIMEN or RBV.

    2. Number of Participants With On-Treatment Virological Failure or Relapse [Up to post-treatment Week 12 (treatment period was 12 or 24 weeks)]

      The number of participants meeting the following SVR12 non-response categories: On-treatment virological failure (breakthrough) defined >= 1 documented HCV RNA < 50 IU/mL followed by HCV RNA >= 50 IU/mL during treatment or failure to suppress (each measured on-treatment HCV RNA value >= 50 IU/mL) Relapse defined as HCV RNA < 50 IU/mL at EoT followed by HCV RNA >= 50 IU/mL post-treatment in participants who completed treatment (<= 7 days shortened).

    3. Percentage of Participants With Rapid Virological Response at Week 4 (RVR4) [Week 4]

      RVR4 is defined as participants with HCV RNA < 50 IU/mL at Week 4.

    4. Percentage of Participants With Sustained Virological Response 24 Weeks After EoT (SVR24) [24 Weeks After EoT (treatment period was 12 or 24 weeks)]

      SVR24 is defined as HCV RNA < 50 IU/mL 24 Weeks After EoT.

    5. Percentage of Participants With Sustained Virological Response 48 Weeks After EoT (SVR48) [48 Weeks After EoT (treatment period was 12 or 24 weeks)]

      SVR48 is defined as participants with HCV RNA < 50 IU/mL 48 weeks after EoT.

    6. Change From Baseline in PRISM Over Time [Baseline, 12 and 48 weeks after EoT (treatment period was 12 or 24 weeks)]

      PRISM is a visual quantitative method to assess the perceived burden of suffering due to illness. The distance between the center of the "self" (yellow disk) and the illness disk (red disk) is called "self-illness separation" (SIS) and is measured in cm (range is 0 - 27). The smaller the distance, the higher the burden of suffering.

    7. Percentage of Participants With ≥ 1 Comorbidity and/or Co-Infection [up to post-treatment Week 48 (treatment period was 12 or 24 weeks)]

    8. Percentage of Participants Taking ≥ 1 Co-Medication [up to post-treatment Week 48 (treatment period was 12 or 24 weeks)]

    9. Mean Duration of of ABBVIE REGIMEN and RBV Taken [Up to Week 12 or Week 24]

      Documented by participant interview and/or participant diary.

    10. Percentage of Planned Duration of ABBVIE REGIMEN and RBV Taken [Up to Week 12 or Week 24]

      Planned duration of treatment was 12 or 24 weeks.

    11. Change From Baseline in FACIT-F Scale Over Time [Baseline, EoT (treatment period was 12 or 24 weeks), 12 and 48 weeks after EoT]

      The FACIT-F Scale is a 13-item questionnaire that assesses self-reported fatigue during the past 7 days and its impact upon daily activities and function. Scores range from 0 - 100, with higher scores indicating a lesser degree of fatigue.

    12. Change From Baseline to EoT in PAM-13 Questionnaire [Baseline, EoT (treatment period was 12 or 24 weeks)]

      The PAM-13 item scale is a measure used to assess the patient knowledge, skill, and confidence for self-management. Scores range from 0 to 100. Higher scores indicate a higher level of knowledge, skill and confidence.

    13. Change From Baseline Over Time in WPAI: Total Work Productivity Impairment [Baseline, EoT (treatment period was 12 or 24 weeks),12 and 24 weeks after EoT]

      The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total work productivity impairment indicates the percentage of overall work impairment due to health problems.

    14. Change From Baseline Over Time in WPAI: Total Activity Impairment [Baseline, EoT (treatment period was 12 or 24 weeks),12 and 24 weeks after EoT]

      The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total activity impairment indicates the percentage of general (non-work) activity impairment due to health problems.

    15. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and/or Pregnancies [up to 30 days post treatment (treatment period was 12 weeks or 24 weeks)]

      An adverse event (AE) is defined as any untoward medical occurrence. If an AE meets any of the following criteria, it is considered serious: results in death, is life threatening, results in hospitalization or prolongation of hospitalization, is a congenital anomaly, results in significant disability/incapacity, or is an important medical event. TEAEs are defined as any reported event that begins or worsens in severity after initiation of study drug through 30 days post-study drug dosing.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 99 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Treatment-naïve or -experienced patients with confirmed CHC, genotype 1 or 4, receiving combination therapy with the interferon-free ABBVIE REGIMEN ± RBV according to standard of care and in line with local label.

    • If RBV is co-administered with the ABBVIE REGIMEN, it has been prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy)

    • Patients must voluntarily sign and date a patient authorization to use and/or disclose his/her pseudonymized health data prior to inclusion into the study

    • Patient must not be participating or intending to participate in a concurrent interventional therapeutic trial

    Exclusion Criteria:

    • Adolescents; people not treated according to label

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • AbbVie

    Investigators

    • Study Director: AbbVie Inc., AbbVie

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT02615145
    Other Study ID Numbers:
    • P15-398
    First Posted:
    Nov 26, 2015
    Last Update Posted:
    Oct 7, 2019
    Last Verified:
    Jan 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    No
    Keywords provided by AbbVie
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details In this prospective, multi-center observational study, adult patients chronic hepatitis C (CHC) virus receiving the interferon-free ABBVIE REGIMEN (paritaprevir/r - ombitasvir with or without dasabuvir) with or without ribavirin (RBV) were offered the opportunity to participate in this study during a routine clinical visit at participating sites.
    Pre-assignment Detail Per protocol, the Enrolled Population is used to present Participant Flow. Enrolled Population analysis groups are defined according to the participant's HCV genotype/subtype, regardless of ABBVIE Regimen prescribed.
    Arm/Group Title Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants Missing
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed chronic hepatitis C (CHC) genotype 1a (G1a, includes all GT1- participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + ribavirin (RBV) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC but no genotype information.
    Period Title: Overall Study
    STARTED 145 278 48 1
    2 DAA + Ribavirin (RBV) 0 0 45 0
    3DAA 5 261 0 0
    3DAA + RBV 140 17 2 0
    COMPLETED 118 263 40 0
    NOT COMPLETED 27 15 8 1

    Baseline Characteristics

    Arm/Group Title 2 DAA+RBV 3DAA 3DAA+RBV Total
    Arm/Group Description Two direct-acting antivirals (2DAA): paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV Three direct-acting antivirals (3DAA): paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV Total of all reporting groups
    Overall Participants 45 266 159 470
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    47
    (11.5)
    55
    (13.6)
    49
    (11.9)
    52
    (13.3)
    Sex: Female, Male (Count of Participants)
    Female
    10
    22.2%
    124
    46.6%
    38
    23.9%
    172
    36.6%
    Male
    35
    77.8%
    142
    53.4%
    121
    76.1%
    298
    63.4%
    Race/Ethnicity, Customized (Count of Participants)
    White/Caucasian
    41
    91.1%
    255
    95.9%
    152
    95.6%
    448
    95.3%
    Black
    0
    0%
    2
    0.8%
    1
    0.6%
    3
    0.6%
    Asian/Oriental
    4
    8.9%
    3
    1.1%
    5
    3.1%
    12
    2.6%
    Other, Not Specified
    0
    0%
    6
    2.3%
    1
    0.6%
    7
    1.5%
    Pictorial Representation of Illness and Self-Measure (PRISM) Tool (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    13.1
    (9.16)
    12.3
    (8.78)
    12.4
    (8.89)
    12.4
    (8.84)
    Chronic Illness Therapy-Fatigue (FACIT-F) Scale (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    70.8
    (22.1)
    69.3
    (23.1)
    67.4
    (23.1)
    68.8
    (23.0)
    Patient Activation Measure (PAM-13) Questionnaire (units on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [units on a scale]
    64.1
    (11.8)
    64.3
    (10.1)
    63.0
    (9.49)
    63.8
    (10.1)
    Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (percentage of work productivity impairme) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [percentage of work productivity impairme]
    14.2
    (17.9)
    19.1
    (28.0)
    18.1
    (23.3)
    18.2
    (25.5)
    WPAI: Total Activity Impairment (percentage of activity impairment) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [percentage of activity impairment]
    23.0
    (25.8)
    25.9
    (27.3)
    28.0
    (28.9)
    26.3
    (27.7)

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Sustained Virologic Response (SVR12)
    Description SVR12 is defined as hepatitis C virus (HCV) ribonucleic acid (RNA) less than the lower limit of quantification (< 50 IU/mL) 12 weeks after the last actual dose of the ABBVIE REGIMEN.
    Time Frame 12 weeks after the last dose of study drug (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known) with sufficient follow-up data regarding SVR12.
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 470 423 145 278 47
    Number [percentage of participants]
    88.1
    195.8%
    88.4
    33.2%
    77.9
    49%
    93.9
    20%
    85.1
    NaN
    2. Secondary Outcome
    Title Percentage of Participants With Virological Response at End of Treatment (EoTR)
    Description Virological response is defined as HCV RNA < 50 IU/mL. End of Treatment (EoT) is defined as the last intake of ABBVIE REGIMEN or RBV.
    Time Frame EoT, (treatment period was 12 weeks or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known).
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 470 423 145 278 47
    Number [percentage of participants]
    93.4
    207.6%
    94.8
    35.6%
    89.0
    56%
    97.8
    20.8%
    80.9
    NaN
    3. Secondary Outcome
    Title Number of Participants With On-Treatment Virological Failure or Relapse
    Description The number of participants meeting the following SVR12 non-response categories: On-treatment virological failure (breakthrough) defined >= 1 documented HCV RNA < 50 IU/mL followed by HCV RNA >= 50 IU/mL during treatment or failure to suppress (each measured on-treatment HCV RNA value >= 50 IU/mL) Relapse defined as HCV RNA < 50 IU/mL at EoT followed by HCV RNA >= 50 IU/mL post-treatment in participants who completed treatment (<= 7 days shortened).
    Time Frame Up to post-treatment Week 12 (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known). Participants with non-response 12 weeks after EoT.
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 56 49 32 17 7
    On-Treatment Virological Failure
    6
    13.3%
    3
    1.1%
    3
    1.9%
    0
    0%
    3
    NaN
    Relapse
    5
    11.1%
    5
    1.9%
    1
    0.6%
    4
    0.9%
    0
    NaN
    4. Secondary Outcome
    Title Percentage of Participants With Rapid Virological Response at Week 4 (RVR4)
    Description RVR4 is defined as participants with HCV RNA < 50 IU/mL at Week 4.
    Time Frame Week 4

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known).
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 470 423 145 278 47
    Number [percentage of participants]
    57.0
    126.7%
    57.2
    21.5%
    62.1
    39.1%
    54.7
    11.6%
    55.3
    NaN
    5. Secondary Outcome
    Title Percentage of Participants With Sustained Virological Response 24 Weeks After EoT (SVR24)
    Description SVR24 is defined as HCV RNA < 50 IU/mL 24 Weeks After EoT.
    Time Frame 24 Weeks After EoT (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known) with sufficient follow-up data regarding SVR24.
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 362 325 97 228 37
    Number [percentage of participants]
    95.0
    211.1%
    95.4
    35.9%
    92.8
    58.4%
    96.5
    20.5%
    91.9
    NaN
    6. Secondary Outcome
    Title Percentage of Participants With Sustained Virological Response 48 Weeks After EoT (SVR48)
    Description SVR48 is defined as participants with HCV RNA < 50 IU/mL 48 weeks after EoT.
    Time Frame 48 Weeks After EoT (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known) with sufficient follow-up data regarding SVR48.
    Arm/Group Title All Participants Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed chronic hepatitis C (CHC), genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and in line with the current local label Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 262 237 73 164 25
    Number [percentage of participants]
    92.7
    206%
    93.2
    35%
    89.0
    56%
    95.1
    20.2%
    88.0
    NaN
    7. Secondary Outcome
    Title Change From Baseline in PRISM Over Time
    Description PRISM is a visual quantitative method to assess the perceived burden of suffering due to illness. The distance between the center of the "self" (yellow disk) and the illness disk (red disk) is called "self-illness separation" (SIS) and is measured in cm (range is 0 - 27). The smaller the distance, the higher the burden of suffering.
    Time Frame Baseline, 12 and 48 weeks after EoT (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known). Participants with a measurement at given time point.
    Arm/Group Title 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) + RBV
    Measure Participants 30 222 115
    12 Weeks EoT
    5.41
    7.05
    5.31
    48 Weeks EoT
    10.2
    10.1
    10.3
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 12
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1110
    Comments Between group change comparison: overall. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments Week 12
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2704
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 1.64
    Confidence Interval (2-Sided) 95%
    -1.28 to 4.56
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments Week 12
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9516
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -0.09
    Confidence Interval (2-Sided) 95%
    -3.17 to 2.98
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 12
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0489
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -1.73
    Confidence Interval (2-Sided) 95%
    -3.46 to -0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 48
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9785
    Comments Between group change comparison: overall. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments Week 48
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9379
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -3.37 to 3.11
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments Week 48
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9678
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 0.07
    Confidence Interval (2-Sided) 95%
    -3.33 to 3.47
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 48
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8373
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable is the change of PRISM from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 0.20
    Confidence Interval (2-Sided) 95%
    -1.70 to 2.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 12 vs Baseline across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments
    Method paired t-test
    Comments paired t-test of whether difference in means is 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.37
    Confidence Interval (2-Sided) 95%
    5.417 to 7.320
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Week 48 vs Baseline across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments
    Method paired t-test
    Comments paired t-test of whether difference in means is 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 10.15
    Confidence Interval (2-Sided) 95%
    8.936 to 11.362
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    8. Secondary Outcome
    Title Percentage of Participants With ≥ 1 Comorbidity and/or Co-Infection
    Description
    Time Frame up to post-treatment Week 48 (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known).
    Arm/Group Title All Participants Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed chronic hepatitis C (CHC), genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 470 423 145 278 47
    Number [percentage of participants]
    70.0
    155.6%
    69.3
    26.1%
    71.0
    44.7%
    68.3
    14.5%
    76.6
    NaN
    9. Secondary Outcome
    Title Percentage of Participants Taking ≥ 1 Co-Medication
    Description
    Time Frame up to post-treatment Week 48 (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all enrolled participants who received at least one dose of the ABBVIE REGIMEN (the prescribed ABBVIE REGIMEN was known).
    Arm/Group Title Total 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir [ABBVIE REGIMEN]) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir [ABBVIE REGIMEN]) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 470 45 266 159
    Number [percentage of participants]
    59.1
    131.3%
    64.4
    24.2%
    54.1
    34%
    66.0
    14%
    10. Secondary Outcome
    Title Mean Duration of of ABBVIE REGIMEN and RBV Taken
    Description Documented by participant interview and/or participant diary.
    Time Frame Up to Week 12 or Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all enrolled participants who received at least one dose of the ABBVIE REGIMEN (the prescribed ABBVIE REGIMEN was known) and had an assessment.
    Arm/Group Title Total 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir [ABBVIE REGIMEN]) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir [ABBVIE REGIMEN]) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 468 45 265 158
    ABBVIE REGIMEN
    83
    (11.7)
    84
    (3.4)
    83
    (9.7)
    84
    (15.6)
    RBV
    81
    (18.1)
    84
    (3.4)
    81
    (20.5)
    11. Secondary Outcome
    Title Percentage of Planned Duration of ABBVIE REGIMEN and RBV Taken
    Description Planned duration of treatment was 12 or 24 weeks.
    Time Frame Up to Week 12 or Week 24

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known). Participants taking specified study drug with non-missing data.
    Arm/Group Title All Participants All Genotype 1 Participants Genotype 1a Participants Genotype 1b Participants Genotype 4 Participants
    Arm/Group Description Treatment-naïve or -experienced participants with confirmed CHC genotype 1 or 4, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1, receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC G1a (includes all GT1-participants except participants with GT1b or GT1b/4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 1b (G1b; includes G1b/G4), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir with dasabuvir (ABBVIE REGIMEN) according to standard of care and in line with the current local label. Treatment-naïve or -experienced participants with confirmed CHC genotype 4 (G4; non-G1), receiving combination therapy with the interferon-free paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) + RBV according to standard of care and in line with the current local label.
    Measure Participants 468 421 144 277 47
    ABBVIE REGIMEN
    98.7
    (9.74)
    98.6
    (10.18)
    97.7
    (12.94)
    99.1
    (8.39)
    99.8
    (3.91)
    RBV
    95.4
    (17.55)
    94.1
    (19.72)
    95.3
    (17.68)
    83.5
    (30.68)
    99.8
    (3.91)
    12. Secondary Outcome
    Title Change From Baseline in FACIT-F Scale Over Time
    Description The FACIT-F Scale is a 13-item questionnaire that assesses self-reported fatigue during the past 7 days and its impact upon daily activities and function. Scores range from 0 - 100, with higher scores indicating a lesser degree of fatigue.
    Time Frame Baseline, EoT (treatment period was 12 or 24 weeks), 12 and 48 weeks after EoT

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known). Participants with a measurement at given time point.
    Arm/Group Title 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 29 213 112
    EoT
    4.17
    6.45
    4.49
    12 Weeks EoT
    12.5
    9.92
    10.2
    48 Weeks EoT
    13.3
    9.68
    10.3
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments EOT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5751
    Comments Between group change comparison: overall. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5176
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 2.29
    Confidence Interval (2-Sided) 95%
    -4.66 to 9.23
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9308
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 0.324
    Confidence Interval (2-Sided) 95%
    -7.00 to 7.64
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3462
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -1.96
    Confidence Interval (2-Sided) 95%
    -6.06 to 2.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments 12 Weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7016
    Comments Between group change comparison: overall. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments 12 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4002
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -2.61
    Confidence Interval (2-Sided) 95%
    -8.71 to 3.49
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments 12 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4750
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -2.33
    Confidence Interval (2-Sided) 95%
    -8.74 to 4.08
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments 12 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8740
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 0.282
    Confidence Interval (2-Sided) 95%
    -3.21 to 3.77
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments 48 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7211
    Comments Between group change comparison: overall. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments 48 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4256
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -3.67
    Confidence Interval (2-Sided) 95%
    -12.7 to 5.39
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments 48 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5347
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -3.01
    Confidence Interval (2-Sided) 95%
    -12.6 to 6.54
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments 48 weeks after EoT
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7920
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable in the change of FACIT-F [0-100] from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value 0.654
    Confidence Interval (2-Sided) 95%
    -4.23 to 5.54
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Baseline to EOT across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments
    Method paired t-test
    Comments paired t-test of mean difference from 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.64
    Confidence Interval (2-Sided) 95%
    3.355 to 7.935
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Baseline vs 12 weeks after EOT across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments
    Method paired t-test
    Comments paired t-test of mean difference versus 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 10.21
    Confidence Interval (2-Sided) 95%
    8.113 to 12.299
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments baseline vs 48 weeks after EOT across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments
    Method paired t-test
    Comments paired t-test of mean difference versus 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 10.13
    Confidence Interval (2-Sided) 95%
    7.259 to 12.992
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    13. Secondary Outcome
    Title Change From Baseline to EoT in PAM-13 Questionnaire
    Description The PAM-13 item scale is a measure used to assess the patient knowledge, skill, and confidence for self-management. Scores range from 0 to 100. Higher scores indicate a higher level of knowledge, skill and confidence.
    Time Frame Baseline, EoT (treatment period was 12 or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype; the prescribed ABBVIE REGIMEN was known). Participants with a measurement at given time point.
    Arm/Group Title 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 23 150 93
    Least Squares Mean (95% Confidence Interval) [score on a scale]
    1.91
    0.01
    -0.74
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3869
    Comments Between group change comparison: overall. The dependent variable in the change of PAM-13 from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3125
    Comments Between group change comparison: 3DAA - 2DAA+RBV. The dependent variable in the change of PAM-13 from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -1.89
    Confidence Interval (2-Sided) 95%
    -5.57 to 1.79
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection All Participants, Genotype 1a Participants
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1741
    Comments Between group change comparison: 3DAA+RBV - 2DAA+RBV. The dependent variable in the change of PAM-13 from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -2.65
    Confidence Interval (2-Sided) 95%
    -6.48 to 1.18
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection All Genotype 1 Participants, Genotype 1a Participants
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4941
    Comments Between group change comparison: 3DAA+RBV - 3DAA. The dependent variable in the change of PAM-13 from Baseline (Visit-Baseline). The analysis is adjusted for Baseline.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter difference in LS means
    Estimated Value -0.76
    Confidence Interval (2-Sided) 95%
    -2.94 to 1.42
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection All Participants, All Genotype 1 Participants, Genotype 1a Participants
    Comments Change from Baseline to Final visit across all participants
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.8842
    Comments
    Method paired t-test
    Comments paired t-test of mean difference vs 0
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.09
    Confidence Interval (2-Sided) 95%
    -1.271 to 1.096
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    14. Secondary Outcome
    Title Change From Baseline Over Time in WPAI: Total Work Productivity Impairment
    Description The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total work productivity impairment indicates the percentage of overall work impairment due to health problems.
    Time Frame Baseline, EoT (treatment period was 12 or 24 weeks),12 and 24 weeks after EoT

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (the prescribed ABBVIE REGIMEN was known). Overall: participants with a measurement at Baseline; data rows = participants with a measurement at Baseline and given time point.
    Arm/Group Title Total 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir [ABBVIE REGIMEN]) or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) + RBV 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 185 22 105 58
    EoT
    5.5
    (31.4)
    5.0
    (36.4)
    4.4
    (27.1)
    7.5
    (36.3)
    12 Weeks EoT
    -4.3
    (23.4)
    -4.2
    (11.9)
    -3.8
    (21.5)
    -5.4
    (29.6)
    24 Weeks EoT
    -7.4
    (22.1)
    -3.2
    (33.6)
    -7.2
    (22.1)
    -9.7
    (15.6)
    15. Secondary Outcome
    Title Change From Baseline Over Time in WPAI: Total Activity Impairment
    Description The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total activity impairment indicates the percentage of general (non-work) activity impairment due to health problems.
    Time Frame Baseline, EoT (treatment period was 12 or 24 weeks),12 and 24 weeks after EoT

    Outcome Measure Data

    Analysis Population Description
    Core Population: Participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (the prescribed ABBVIE REGIMEN was known). Overall: participants with a measurement at Baseline; data rows = participants with a measurement at Baseline and given time point.
    Arm/Group Title Total 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir [ABBVIE REGIMEN]) or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) + RBV 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    Measure Participants 432 43 242 147
    EoT
    -2.1
    (30.9)
    7.0
    (25.2)
    -3.0
    (28.9)
    -2.8
    (35.5)
    12 Weeks EoT
    -11.9
    (27.0)
    -7.7
    (22.0)
    -13.3
    (24.8)
    -10.5
    (31.6)
    24 Weeks EoT
    -13.4
    (25.9)
    -11.3
    (22.8)
    -12.3
    (24.0)
    -16.3
    (30.3)
    16. Secondary Outcome
    Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and/or Pregnancies
    Description An adverse event (AE) is defined as any untoward medical occurrence. If an AE meets any of the following criteria, it is considered serious: results in death, is life threatening, results in hospitalization or prolongation of hospitalization, is a congenital anomaly, results in significant disability/incapacity, or is an important medical event. TEAEs are defined as any reported event that begins or worsens in severity after initiation of study drug through 30 days post-study drug dosing.
    Time Frame up to 30 days post treatment (treatment period was 12 weeks or 24 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all enrolled participants who received at least one dose of the ABBVIE REGIMEN (the prescribed ABBVIE REGIMEN was known). Pregnancy data presented for female participants only.
    Arm/Group Title Total 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir [ABBVIE REGIMEN]) or 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) + RBV Two direct-acting antivirals (2DAA): paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV Three direct-acting antivirals (3DAA): paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) + RBV
    Measure Participants 470 45 266 159
    ≥ 1 TEAE
    124
    275.6%
    16
    6%
    65
    40.9%
    43
    9.1%
    ≥ 1 Serious TEAE
    13
    28.9%
    1
    0.4%
    7
    4.4%
    5
    1.1%
    Pregnancy
    0
    0%
    0
    0%
    0
    0%
    0
    0%

    Adverse Events

    Time Frame up to 30 days post treatment (treatment period was 12 weeks or 24 weeks)
    Adverse Event Reporting Description Treatment-emergent AEs are presented. Treatment-emergent AEs are defined as any reported AE that begins or worsens in severity after initiation of study drug through 30 days after last study drug intake. Treatment duration was not a factor for assignment to reporting groups.
    Arm/Group Title 2 DAA+RBV 3DAA 3DAA+RBV
    Arm/Group Description 2DAA: paritaprevir/ritonavir - ombitasvir (ABBVIE REGIMEN) plus RBV 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) 3DAA: paritaprevir/ritonavir - ombitasvir + dasabuvir (ABBVIE REGIMEN) plus RBV
    All Cause Mortality
    2 DAA+RBV 3DAA 3DAA+RBV
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/45 (0%) 4/266 (1.5%) 1/159 (0.6%)
    Serious Adverse Events
    2 DAA+RBV 3DAA 3DAA+RBV
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/45 (2.2%) 7/266 (2.6%) 5/159 (3.1%)
    Blood and lymphatic system disorders
    ANAEMIA 0/45 (0%) 0 0/266 (0%) 0 2/159 (1.3%) 2
    Gastrointestinal disorders
    GASTRIC PERFORATION 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    General disorders
    DEATH 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    Hepatobiliary disorders
    HEPATIC CIRRHOSIS 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    Infections and infestations
    OROPHARYNGEAL CANDIDIASIS 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    SEPTIC SHOCK 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    Injury, poisoning and procedural complications
    OVERDOSE 0/45 (0%) 0 0/266 (0%) 0 1/159 (0.6%) 1
    TOXICITY TO VARIOUS AGENTS 1/45 (2.2%) 1 0/266 (0%) 0 0/159 (0%) 0
    Investigations
    BLOOD POTASSIUM DECREASED 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    Musculoskeletal and connective tissue disorders
    PSEUDARTHROSIS 0/45 (0%) 0 0/266 (0%) 0 1/159 (0.6%) 1
    Nervous system disorders
    CEREBROVASCULAR ACCIDENT 0/45 (0%) 0 1/266 (0.4%) 1 0/159 (0%) 0
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 0/45 (0%) 0 0/266 (0%) 0 1/159 (0.6%) 1
    Other (Not Including Serious) Adverse Events
    2 DAA+RBV 3DAA 3DAA+RBV
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 7/45 (15.6%) 33/266 (12.4%) 23/159 (14.5%)
    Blood and lymphatic system disorders
    ANAEMIA 2/45 (4.4%) 2 0/266 (0%) 0 8/159 (5%) 8
    General disorders
    FATIGUE 2/45 (4.4%) 2 21/266 (7.9%) 21 9/159 (5.7%) 9
    Nervous system disorders
    HEADACHE 0/45 (0%) 0 15/266 (5.6%) 15 4/159 (2.5%) 4
    Skin and subcutaneous tissue disorders
    RASH 4/45 (8.9%) 4 2/266 (0.8%) 2 4/159 (2.5%) 4

    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 abbvieclinicaltrials@abbvie.com
    Responsible Party:
    AbbVie
    ClinicalTrials.gov Identifier:
    NCT02615145
    Other Study ID Numbers:
    • P15-398
    First Posted:
    Nov 26, 2015
    Last Update Posted:
    Oct 7, 2019
    Last Verified:
    Jan 1, 2019