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Efficacy and Safety of Adding Alisporivir (DEB025) to Peginterferon (IFN) Alfa-2a (Peg-IFN Alfa-2a) and Ribavirin in Chronic HCV Genotype 1 Patients Who Relapsed or Did Not Respond to Previous Treatment

A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Phase II Study on Efficacy and Safety of DEB025 Combined With Peg-IFN Alfa-2a and Ribavirin in Chronic Hepatitis C Genotype 1 Relapsers and Non-responders to Previous Peg-IFN Alfa-2 Plus Ribavirin Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01183169
Enrollment
459
Registered
2010-08-17
Start date
2010-08-31
Completion date
2013-05-31
Last updated
2016-08-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C

Keywords

Chronic hepatitis C, Cyclophilin inhibitor

Brief summary

The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and RBV.

Interventions

ALV 200 mg soft gel capsules administered orally

DRUGPeginterferon alfa-2a

PEG 180 μg administered via subcutaneous (s.c.) injection once weekly

DRUGRibavirin

RBV 200 mg tablets (weight-based dose: \< 75 mg = 1000 mg/day; ≥ 75 kg = 1200 mg/day) administered orally in a divided daily dose

DRUGPlacebo

ALV placebo soft gel capsules administered orally

Sponsors

Debiopharm International SA
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Chronic HCV genotype 1 viral infection * HCV RNA ≥ 1,000 IU/ml assessed by quantitative polymerase chain reaction (qPCR) or equivalent at screening * Previous non-responders/relapsers to PEG and RBV after treatment for at least 12 weeks

Exclusion criteria

* Treatment with any anti-HCV drug (whether approved or investigational) within 3 months prior to screening * Women of child-bearing potential unless using highly effective * Any other cause of relevant liver disease other than HCV * Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)after 12 weeks of treatmentcEVR-LOQ was defined as serum HCV RNA below the limit of quantification (\< LOQ; i.e., 25 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LOD12 weeks after treatmentSVR12-LOQ and SVR12-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD 12 weeks after treatment, respectively.
Percentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LOD24 weeks after treatmentSVR24-LOQ and SVR24-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD 24 weeks after treatment, respectively.
Percentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODafter 4 weeks of treatmentRVR-LOQ and RVR-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD after 4 weeks of treatment, respectively. Post-switch groups were assessed 4 weeks after the switch.
Percentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODafter 12 weeks of treatmentpEVR-LOQ and pEVR-LOD were defined as a ≥ 2 log10 decrease in HCV RNA and still detectable (≥ LOQ and ≥ LOD, respectively) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
Percentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)after 12 weeks of treatmentcEVR-LOD was defined as serum HCV RNA below the limit of detection (\< LOD; i.e., 10 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
Percentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndUp to 48 weeks
Percentage of Participants With On-treatment Viral Breakthroughwithin 48 weeksOn-treatment viral breakthrough was defined as either: * Confirmed increase of HCV RNA ≥1 log10 above nadir (nadir = lowest HCV RNA value during treatment), or * HCV RNA becoming ≥ 100 IU/mL after previously being undetectable (\< LOQ) during treatment
Percentage of Participants With Viral Relapsewithin 24 weeks after treatmentViral relapse was defined as reappearance of detectable HCV RNA after previously being undetectable (\< LOQ) during treatment.
Percentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODwithin 48 weeksETR-LOQ and ETR-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD at treatment end (completed or prematurely discontinued), respectively.

Countries

Australia, Belgium, France, Germany, Hungary, Italy, Poland, Puerto Rico, Romania, Spain, Taiwan, Turkey (Türkiye), United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Treatment A
ALV 600 mg QD with PEG and RBV for up to 48 weeks.
121
Treatment B
ALV 800 mg QD with PEG and RBV for up to 48 weeks.
115
Treatment C
Treatment C1 + Treatment C2. ALV placebo with PEG and RBV for up to 48 weeks; participants not achieving cEVR could switch to active ALV.
114
Treatment D
ALV 400 mg BID with PEG and RBV for up to 48 weeks.
109
Total459

Baseline characteristics

CharacteristicTreatment ATreatment BTreatment CTreatment DTotal
Age, Continuous50.2 years
STANDARD_DEVIATION 9.24
50.9 years
STANDARD_DEVIATION 10.11
50.5 years
STANDARD_DEVIATION 10.5
51.0 years
STANDARD_DEVIATION 9.68
50.6 years
STANDARD_DEVIATION 9.86
Sex: Female, Male
Female
58 Participants47 Participants36 Participants40 Participants181 Participants
Sex: Female, Male
Male
63 Participants68 Participants78 Participants69 Participants278 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
116 / 120108 / 11558 / 5954 / 55106 / 10822 / 12021 / 11513 / 5910 / 5519 / 108
serious
Total, serious adverse events
7 / 12011 / 1155 / 591 / 5518 / 1082 / 1204 / 1150 / 590 / 550 / 108

Outcome results

Primary

Percentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)

cEVR-LOQ was defined as serum HCV RNA below the limit of quantification (\< LOQ; i.e., 25 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

Time frame: after 12 weeks of treatment

Population: Full Analysis Set (FAS) For Efficacy, defined as all randomized participants who were randomized after the 2nd protocol amendment

ArmMeasureValue (NUMBER)
Treatment APercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)48.2 percentage of participants
Treatment BPercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)61.1 percentage of participants
Treatment CPercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)35.5 percentage of participants
Treatment DPercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)74.3 percentage of participants
Treatment C1APercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)45.5 percentage of participants
Treatment C2APercentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)80.0 percentage of participants
Secondary

Percentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LOD

SVR12-LOQ and SVR12-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD 12 weeks after treatment, respectively.

Time frame: 12 weeks after treatment

Population: FAS For Efficacy

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ42.7 percentage of participants
Treatment APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD40.9 percentage of participants
Treatment BPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ51.9 percentage of participants
Treatment BPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD50.9 percentage of participants
Treatment CPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ14.5 percentage of participants
Treatment CPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD14.5 percentage of participants
Treatment DPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ65.1 percentage of participants
Treatment DPercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD63.3 percentage of participants
Treatment C1APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ18.2 percentage of participants
Treatment C1APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD18.2 percentage of participants
Treatment C2APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOQ53.3 percentage of participants
Treatment C2APercentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LODSVR12-LOD53.3 percentage of participants
Secondary

Percentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LOD

SVR24-LOQ and SVR24-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD 24 weeks after treatment, respectively.

Time frame: 24 weeks after treatment

Population: FAS For Efficacy

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ41.8 percentage of participants
Treatment APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD40.0 percentage of participants
Treatment BPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ51.9 percentage of participants
Treatment BPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD50.0 percentage of participants
Treatment CPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ14.5 percentage of participants
Treatment CPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD14.5 percentage of participants
Treatment DPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ65.1 percentage of participants
Treatment DPercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD63.3 percentage of participants
Treatment C1APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ18.2 percentage of participants
Treatment C1APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD18.2 percentage of participants
Treatment C2APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOQ53.3 percentage of participants
Treatment C2APercentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LODSVR24-LOD53.3 percentage of participants
Secondary

Percentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study End

Time frame: Up to 48 weeks

Population: Participants in the FAS For Efficacy with abnormal ALT at baseline and available data at the respective time point

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)77.4 percentage of participants
Treatment APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)54.7 percentage of participants
Treatment BPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)77.6 percentage of participants
Treatment BPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)61.2 percentage of participants
Treatment CPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)59.0 percentage of participants
Treatment CPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)18.0 percentage of participants
Treatment DPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)83.0 percentage of participants
Treatment DPercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)67.9 percentage of participants
Treatment C1APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)35.7 percentage of participants
Treatment C1APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)21.4 percentage of participants
Treatment C2APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Treatment (n = 53,49,60,53,14,7)28.6 percentage of participants
Treatment C2APercentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study EndEnd of Study (n = 49,42,18,46,13,6)28.6 percentage of participants
Secondary

Percentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)

cEVR-LOD was defined as serum HCV RNA below the limit of detection (\< LOD; i.e., 10 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

Time frame: after 12 weeks of treatment

Population: FAS For Efficacy

ArmMeasureValue (NUMBER)
Treatment APercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)39.1 percentage of participants
Treatment BPercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)41.7 percentage of participants
Treatment CPercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)20.9 percentage of participants
Treatment DPercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)58.7 percentage of participants
Treatment C1APercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)39.4 percentage of participants
Treatment C2APercentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)73.3 percentage of participants
Secondary

Percentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LOD

ETR-LOQ and ETR-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD at treatment end (completed or prematurely discontinued), respectively.

Time frame: within 48 weeks

Population: FAS For Efficacy

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD61.8 percentage of participants
Treatment APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ68.2 percentage of participants
Treatment BPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ74.1 percentage of participants
Treatment BPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD70.4 percentage of participants
Treatment CPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ33.6 percentage of participants
Treatment CPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD31.8 percentage of participants
Treatment DPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ82.6 percentage of participants
Treatment DPercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD78.9 percentage of participants
Treatment C1APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ51.5 percentage of participants
Treatment C1APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD36.4 percentage of participants
Treatment C2APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOD66.7 percentage of participants
Treatment C2APercentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LODETR-LOQ73.3 percentage of participants
Secondary

Percentage of Participants With On-treatment Viral Breakthrough

On-treatment viral breakthrough was defined as either: * Confirmed increase of HCV RNA ≥1 log10 above nadir (nadir = lowest HCV RNA value during treatment), or * HCV RNA becoming ≥ 100 IU/mL after previously being undetectable (\< LOQ) during treatment

Time frame: within 48 weeks

Population: FAS For Efficacy

ArmMeasureValue (NUMBER)
Treatment APercentage of Participants With On-treatment Viral Breakthrough12.7 percentage of participants
Treatment BPercentage of Participants With On-treatment Viral Breakthrough9.3 percentage of participants
Treatment CPercentage of Participants With On-treatment Viral Breakthrough5.5 percentage of participants
Treatment DPercentage of Participants With On-treatment Viral Breakthrough2.8 percentage of participants
Treatment C1APercentage of Participants With On-treatment Viral Breakthrough6.1 percentage of participants
Treatment C2APercentage of Participants With On-treatment Viral Breakthrough10.0 percentage of participants
Secondary

Percentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LOD

pEVR-LOQ and pEVR-LOD were defined as a ≥ 2 log10 decrease in HCV RNA and still detectable (≥ LOQ and ≥ LOD, respectively) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.

Time frame: after 12 weeks of treatment

Population: FAS For Efficacy

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ38.2 percentage of participants
Treatment APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD47.3 percentage of participants
Treatment BPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ28.7 percentage of participants
Treatment BPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD48.1 percentage of participants
Treatment CPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ31.8 percentage of participants
Treatment CPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD46.4 percentage of participants
Treatment DPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ11.9 percentage of participants
Treatment DPercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD27.5 percentage of participants
Treatment C1APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ3.0 percentage of participants
Treatment C1APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD9.1 percentage of participants
Treatment C2APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOQ6.7 percentage of participants
Treatment C2APercentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LODpEVR-LOD13.3 percentage of participants
Secondary

Percentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LOD

RVR-LOQ and RVR-LOD were defined as serum HCV RNA \< LOQ and serum HCV RNA \< LOD after 4 weeks of treatment, respectively. Post-switch groups were assessed 4 weeks after the switch.

Time frame: after 4 weeks of treatment

Population: FAS For Efficacy

ArmMeasureGroupValue (NUMBER)
Treatment APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD9.1 percentage of participants
Treatment APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ20.9 percentage of participants
Treatment BPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ25.0 percentage of participants
Treatment BPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD8.3 percentage of participants
Treatment CPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ7.3 percentage of participants
Treatment CPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD2.7 percentage of participants
Treatment DPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ41.3 percentage of participants
Treatment DPercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD22.9 percentage of participants
Treatment C1APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ39.4 percentage of participants
Treatment C1APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD18.2 percentage of participants
Treatment C2APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOQ56.7 percentage of participants
Treatment C2APercentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LODRVR-LOD50.0 percentage of participants
Secondary

Percentage of Participants With Viral Relapse

Viral relapse was defined as reappearance of detectable HCV RNA after previously being undetectable (\< LOQ) during treatment.

Time frame: within 24 weeks after treatment

Population: FAS For Efficacy

ArmMeasureValue (NUMBER)
Treatment APercentage of Participants With Viral Relapse19.1 percentage of participants
Treatment BPercentage of Participants With Viral Relapse18.5 percentage of participants
Treatment CPercentage of Participants With Viral Relapse17.3 percentage of participants
Treatment DPercentage of Participants With Viral Relapse12.8 percentage of participants
Treatment C1APercentage of Participants With Viral Relapse30.3 percentage of participants
Treatment C2APercentage of Participants With Viral Relapse13.3 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026