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A Pilot Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of ABT-450 With Ritonavir (ABT-450/r) Dosed in Combination With ABT-072 and Ribavirin (RBV)

An Open-Label Pilot Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of ABT-450 With Ritonavir (ABT-450/r) Dosed in Combination With ABT-072 and Ribavirin (RBV) in Treatment-Naive Subjects With Genotype 1 Chronic Hepatitis C Virus (HCV) Infection

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01221298
Enrollment
11
Registered
2010-10-15
Start date
2010-10-31
Completion date
2012-04-30
Last updated
2015-01-08

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

Conditions

Hepatitis C, HCV, Chronic Hepatitis C Infection, Hepatitis C Genotype 1

Brief summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, and antiviral activity of ABT-450 with ritonavir (ABT-450/r) dosed in combination with ABT-072 and ribavirin (RBV) in treatment-naïve participants with genotype 1 chronic hepatitis C virus (HCV) infection.

Detailed description

This was a Phase 2a multicenter, open-label, single arm, combination treatment study of a regimen of ABT-450/r/ABT-072, and ribavirin (RBV) in hepatitis C virus (HCV) genotype 1-(1a or 1b) infected treatment-naïve participants.

Interventions

tablets

tablets

DRUGRibavirin

tablets

DRUGRitonavir

capsules

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Chronic hepatitis C, genotype 1 infection with interleukin 28B (IL28B) rs12979860 genotype C/C. * Liver biopsy within 3 years with histology consistent with hepatitis C virus (HCV) - induced liver damage, with no evidence of cirrhosis or liver pathology due to any cause other than chronic HCV. * Treatment naïve male or female between the ages of 18 and 65. * Females must be postmenopausal for at least 2 years or surgically sterile. * Be in a condition of general good health, as perceived by the investigator, other than hepatitis C virus infection. * Body mass index 18 to \< 35 kg/m\^2 .

Exclusion criteria

* Significant sensitivity to any drug. * Use of herbal supplements within 2 weeks prior to study drug dosing. * Positive screen for certain drugs or alcohol. * Positive hepatitis B surface antigen or anti-human immunodeficiency virus (HIV) antibody. * Use of strong cytochrome P450 3A (CYP3A), cytochrome P450 2C8 (CYP2C8), and organic anion transporting polypeptide 1B1 (OATP1B1) enzyme inducers or inhibitors within 1 month of dosing. * Prior treatment with any investigational or commercially available anti-hepatitis C virus agents. * Abnormal laboratory tests. * Cirrhosis or extensive bridging fibrosis. * History of cardiac disease.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Suppressed Below the Lower Limit of Quantitation (LLOQ) From Week 4 Through Week 12Week 4 through Week 12Analysis of the percentage of participants with hepatitis C virus ribonucleic acid less than the lower limit of quantitation (\< 25 IU/mL).

Secondary

MeasureTime frameDescription
Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Below the Lower Limit of Quantitation (LLOQ) at Week 4Week 4Analysis of percentage of participants with hepatitis C virus ribonucleic acid less than the lower limit of quantitation (\< 25 IU/mL).
Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatmentPost-treatment Day 1 to Post-treatment Week 12Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ; \< 25 IU/mL) 12 weeks after the last dose of study drug.
Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < 1000 International Units Per Milliliter (IU/mL)Week 2Analysis of participants with HCV RNA levels below 1000 IU/mL at Week 2.
Time to Failure to Suppress or Rebound During TreatmentDay 1 through Week 12The time to failure to suppress was defined as first day a participant met any virologic stopping criteria during treatment. The virologic stopping criteria also includes failure to achieve a 2 log10 IU/mL decrease in HCV RNA by Week 1, failure to achieve HCV RNA \<LLOQ by Week 6, or rebound, defined as first day of 2 consecutive increases of at least 0.5 log10 IU/mL above nadir (local minimum value) or confirmed HCV RNA \> lower limit of detection (LLOD) for participants who previously achieved HCV RNA \< LLOD.
Time to Virologic Relapse Through 24 Weeks Post-treatmentPost-treatment Day 1 to Post-treatment Week 24Time to confirmed hepatitis C virus (HCV) ribonucleic acid (RNA) ≥ lower limit of quantitation (LLOQ) (2 consecutive measurements ≥ LLOQ) at any point in the post-treatment period among participants with HCV RNA \< LLOQ at the end of treatment.
Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-TreatmentPost-treatment Day 1 to Post-treatment Week 24Sustained Virologic Response 24 (SVR24) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ; \< 25 IU/mL) 24 weeks after the last dose of study drug.

Countries

United States

Participant flow

Participants by arm

ArmCount
ABT-450/r and ABT-072, Plus Ribavirin (RBV)
ABT-450/r (150/100 mg) once daily (QD) and ABT-072 (400 mg) QD plus weight-based RBV divided twice daily (BID) for 12 weeks.
11
Total11

Baseline characteristics

CharacteristicABT-450/r and ABT-072, Plus Ribavirin (RBV)
Age, Continuous56.4 years
STANDARD_DEVIATION 7.35
Hepatitis C Virus (HCV) Genotype/ Subtype
1A
8 participants
Hepatitis C Virus (HCV) Genotype/ Subtype
1B
3 participants
Interleukin 28B (IL28B) Genotype
CC
11 participants
Interleukin 28B (IL28B) Genotype
CT
0 participants
Interleukin 28B (IL28B) Genotype
Missing
0 participants
Interleukin 28B (IL28B) Genotype
TT
0 participants
Sex: Female, Male
Female
3 Participants
Sex: Female, Male
Male
8 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
11 / 11
serious
Total, serious adverse events
0 / 11

Outcome results

Primary

Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Suppressed Below the Lower Limit of Quantitation (LLOQ) From Week 4 Through Week 12

Analysis of the percentage of participants with hepatitis C virus ribonucleic acid less than the lower limit of quantitation (\< 25 IU/mL).

Time frame: Week 4 through Week 12

Population: For the percentage of subjects with HCV RNA suppressed below the LLOQ from Week 4 through Week 12 out of all subjects dosed, it was assumed that if 60% of subjects were successfully suppressed from Week 4 through Week 12 then 20 subjects would give a 95% two-sided confidence interval of (36.1%, 80.9%) using binomial exact methods.

ArmMeasureValue (NUMBER)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Suppressed Below the Lower Limit of Quantitation (LLOQ) From Week 4 Through Week 12100 percentage of participants
Secondary

Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < 1000 International Units Per Milliliter (IU/mL)

Analysis of participants with HCV RNA levels below 1000 IU/mL at Week 2.

Time frame: Week 2

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). Participants with missing data were imputed as failures.

ArmMeasureValue (NUMBER)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < 1000 International Units Per Milliliter (IU/mL)100 percentage of participants
Secondary

Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Below the Lower Limit of Quantitation (LLOQ) at Week 4

Analysis of percentage of participants with hepatitis C virus ribonucleic acid less than the lower limit of quantitation (\< 25 IU/mL).

Time frame: Week 4

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). Participants with missing data were imputed as failures.

ArmMeasureValue (NUMBER)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Below the Lower Limit of Quantitation (LLOQ) at Week 4100 percentage of participants
Secondary

Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment

Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ; \< 25 IU/mL) 12 weeks after the last dose of study drug.

Time frame: Post-treatment Day 1 to Post-treatment Week 12

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). Participants with missing data were imputed as failures.

ArmMeasureValue (NUMBER)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment90.9 percentage of participants
Secondary

Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-Treatment

Sustained Virologic Response 24 (SVR24) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ; \< 25 IU/mL) 24 weeks after the last dose of study drug.

Time frame: Post-treatment Day 1 to Post-treatment Week 24

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT). Participants with missing data were imputed as failures.

ArmMeasureValue (NUMBER)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-Treatment90.9 percentage of participants
Secondary

Time to Failure to Suppress or Rebound During Treatment

The time to failure to suppress was defined as first day a participant met any virologic stopping criteria during treatment. The virologic stopping criteria also includes failure to achieve a 2 log10 IU/mL decrease in HCV RNA by Week 1, failure to achieve HCV RNA \<LLOQ by Week 6, or rebound, defined as first day of 2 consecutive increases of at least 0.5 log10 IU/mL above nadir (local minimum value) or confirmed HCV RNA \> lower limit of detection (LLOD) for participants who previously achieved HCV RNA \< LLOD.

Time frame: Day 1 through Week 12

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT).

ArmMeasureValue (MEAN)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Time to Failure to Suppress or Rebound During TreatmentNA Days
Secondary

Time to Virologic Relapse Through 24 Weeks Post-treatment

Time to confirmed hepatitis C virus (HCV) ribonucleic acid (RNA) ≥ lower limit of quantitation (LLOQ) (2 consecutive measurements ≥ LLOQ) at any point in the post-treatment period among participants with HCV RNA \< LLOQ at the end of treatment.

Time frame: Post-treatment Day 1 to Post-treatment Week 24

Population: Efficacy analyses included all participants who received at least 1 dose of study drug (ITT) with hepatitis C virus (HCV) ribonucleic acid (RNA) \< lower limit of quantitation (LLOQ) at the final treatment visit who completed treatment.

ArmMeasureValue (MEAN)
ABT-450/r and ABT-072, Plus Ribavirin (RBV)Time to Virologic Relapse Through 24 Weeks Post-treatment84 Days

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