Hepatitis C, HCV, Chronic Hepatitis C Infection, Hepatitis C Genotype 1
Conditions
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.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Below the Lower Limit of Quantitation (LLOQ) at Week 4 | Week 4 | Analysis 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-treatment | Post-treatment Day 1 to Post-treatment Week 12 | 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. |
| Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < 1000 International Units Per Milliliter (IU/mL) | Week 2 | Analysis of participants with HCV RNA levels below 1000 IU/mL at Week 2. |
| Time to Failure to Suppress or Rebound During Treatment | Day 1 through Week 12 | 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 to Virologic Relapse Through 24 Weeks Post-treatment | Post-treatment Day 1 to Post-treatment Week 24 | 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. |
| Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-Treatment | Post-treatment Day 1 to Post-treatment Week 24 | 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. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 11 |
Baseline characteristics
| Characteristic | ABT-450/r and ABT-072, Plus Ribavirin (RBV) |
|---|---|
| Age, Continuous | 56.4 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 type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 11 / 11 |
| serious Total, serious adverse events | 0 / 11 |
Outcome results
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.
| Arm | Measure | Value (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 12 | 100 percentage of participants |
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.
| Arm | Measure | Value (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 |
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.
| Arm | Measure | Value (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 4 | 100 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-450/r and ABT-072, Plus Ribavirin (RBV) | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment | 90.9 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-450/r and ABT-072, Plus Ribavirin (RBV) | Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-Treatment | 90.9 percentage of participants |
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).
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ABT-450/r and ABT-072, Plus Ribavirin (RBV) | Time to Failure to Suppress or Rebound During Treatment | NA Days |
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.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| ABT-450/r and ABT-072, Plus Ribavirin (RBV) | Time to Virologic Relapse Through 24 Weeks Post-treatment | 84 Days |