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Study of ABT-267 in Treatment Naive Hepatitis C Virus (HCV) Genotype 1 Infected Subjects

A Blinded, Randomized, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety, Pharmacokinetics, and Antiviral Activity of ABT-267 in Combination With Peginterferon Alpha-2a and Ribavirin (pegIFN/RBV) in Treatment-Naïve Subjects With Genotype 1 Chronic Hepatitis C Virus (HCV) Infection

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01314261
Enrollment
37
Registered
2011-03-14
Start date
2011-03-31
Completion date
2013-02-28
Last updated
2018-07-02

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

Conditions

Chronic Hepatitis C, Hepatitis C Virus (HCV) Infection

Brief summary

The purpose of this study was to assess the safety, pharmacokinetics, and 4-week rapid virologic response (RVR) of 3 different doses of ABT-267 (also known as ombitasvir) in combination with pegylated interferon/ribavirin (pegIFN/RBV) compared with pegIFN/RBV alone (ABT-267 placebo) in treatment naïve, hepatitis C virus (HCV), genotype 1-infected participants.

Detailed description

The study was a randomized, double blind, placebo controlled study consisting of 2 substudies. In substudy 1, participants received 1 of 3 doses of ABT-267 or placebo + pegIFN/RBV for 12 weeks. In substudy 2, participants received pegIFN/RBV for 36 weeks. Participants were followed for 48 weeks post ABT-267 treatment for evaluation of efficacy and safety.

Interventions

5 mg or 25 mg tablets

DRUGPegylated interferon (pegIFN)

Syringe, 180 µg/0.5 mL for subcutaneous injections administered weekly

DRUGRibavirin (RBV)

200 mg tablet dosed at 1000 or 1200 mg daily divided twice a day

OTHERPlacebo for ABT-267

Participants received matching placebo tablet at each dose level for ABT-267.

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

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

Inclusion criteria

* Treatment naïve participants * Females must be either postmenopausal for at least 2 years or surgically sterile * Males must be surgically sterile or practicing specific forms of birth control * Chronic hepatitis C virus (HCV), genotype-1 infected participants * Documented FibroTest score in combination with an Aspartate Aminotransferase to Platelet Ratio Index (APRI), or a liver biopsy within the last 12 months to document absence of cirrhosis

Exclusion criteria

* Pregnant or breastfeeding female * Use of any medications contraindicated for use with pegylated interferon(pegIFN) or ribavirin (RBV) 2 weeks prior to study drug administration or 10 half-lives, whichever is longer * Clinically significant cardiac, respiratory (except mild asthma), renal, gastrointestinal, hematologic, neurologic disease, or any uncontrolled medical illness or psychiatric disease or disorder * Current or past clinical evidence of cirrhosis or bridging fibrosis * Abnormal screening laboratory results

Design outcomes

Primary

MeasureTime frameDescription
Serum Concentrations of Pegylated Interferon (pegIFN)At each study visit from Week 1 to Week 12Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of pegIFN (measured in ng/mL) using validated analytical methods and pegIFN concentrations in serum were summarized at each visit. Data are reported as the median (range).
Percentage of Participants With 4-week Rapid Virologic Response (RVR)Week 4Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Rapid virologic response was defined as HCV RNA levels \< the lower limit of detection (\< 15 IU/mL) at Week 4. Data are reported as percentage of participants with RVR.
Maximum Plasma Concentration (Cmax) of ABT-267Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The maximum plasma concentration (Cmax; measured in ng/mL) is the highest concentration that a drug achieves in the plasma after administration in a dosing interval. The Cmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.
Time to Maximum Plasma Concentration (Tmax) of ABT-267Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in hours) is the time it takes for a drug to achieve Cmax. The Tmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.
Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit up to Week 12Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit. The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The area under the plasma concentration -time curve (AUC; measured in ng\*hr/mL) is a method of measurement of the total exposure of a drug in blood plasma. The AUC24 of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.
Plasma Concentrations of Ribavirin (RBV)At each study visit from Week 1 to Week 12Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of RBV (measured in ng/mL) using validated analytical methods and RBV concentrations in plasma were summarized at each visit. Data are reported as the median (range).

Secondary

MeasureTime frameDescription
Percentage of Participants With Partial Early Virologic Response (pEVR)Baseline and Week 12Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Partial EVR was defined as HCV RNA levels that decreased \> 2 log10 IU/mL at Week 12 as compared to baseline HCV RNA levels. Data are reported as the percentage of participants with pEVR.
Percentage of Participants With Complete Early Virologic Response (cEVR)Week 12Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Complete EVR was defined as HCV RNA \< the lower limit of quantification (\< 25 IU/mL) at Week 12. Data are reported as the percentage of participants with cEVR.
Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing12 weeks after the last dose of pegIFN/RBVPlasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Sustained virologic response was defined as HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL) 12 weeks after the last dose of pegIFN/RBV. Data are reported as the percentage of participants with SVR12.
Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing24 weeks after the last dose of pegIFN/RBVPlasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Sustained virologic response was defined as HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL) 24 weeks after the last dose of pegIFN/RBV. Data are reported as the percentage of participants with SVR24.
Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)Approximately 12 weeksPlasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Time to suppression was defined as the time (measured in days) to HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL). Data are reported as the median number of days.
Percentage of Participants With Extended Rapid Virologic Response (eRVR)Week 4 through Week 12Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Extended RVR was defined as HCV RNA levels \< the lower level of quantification (\< 25 IU/mL) at Weeks 4 through 12. Data are reported as the percentage of participants with eRVR.

Countries

Puerto Rico, United States

Participant flow

Participants by arm

ArmCount
ABT-267 (5 mg) Once Daily + pegIFN/RBV
Participants were given 5 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
9
ABT-267 (50 mg) Once Daily + pegIFN/RBV
Participants were given 50 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
9
ABT-267 (200 mg) Once Daily + pegIFN/RBV
Participants were given 200 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
10
Placebo + pegIFN/RBV
Participants were given matching placebo to ABT-267 once daily in combination with pegIFN/RBV for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
9
Total37

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1000
Overall StudyLost to Follow-up1022
Overall StudyVirologic Failure0101
Overall StudyWithdrawal by Subject0310

Baseline characteristics

CharacteristicABT-267 (5 mg) Once Daily + pegIFN/RBVABT-267 (50 mg) Once Daily + pegIFN/RBVABT-267 (200 mg) Once Daily + pegIFN/RBVTotalPlacebo + pegIFN/RBV
Age, Continuous50.1 years
STANDARD_DEVIATION 11.32
49.2 years
STANDARD_DEVIATION 9.55
46.0 years
STANDARD_DEVIATION 10.26
48.3 years
STANDARD_DEVIATION 10.55
48.1 years
STANDARD_DEVIATION 12.32
Sex: Female, Male
Female
5 Participants2 Participants4 Participants15 Participants4 Participants
Sex: Female, Male
Male
4 Participants7 Participants6 Participants22 Participants5 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
9 / 99 / 98 / 109 / 9
serious
Total, serious adverse events
0 / 90 / 90 / 100 / 9

Outcome results

Primary

Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit. The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The area under the plasma concentration -time curve (AUC; measured in ng\*hr/mL) is a method of measurement of the total exposure of a drug in blood plasma. The AUC24 of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Time frame: Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit up to Week 12

Population: Participants received at least 1 dose of study drug and had sufficient concentrations to characterize the pharmacokinetic parameters.

ArmMeasureValue (MEAN)Dispersion
ABT-267 (5 mg) Once Daily + pegIFN/RBVArea Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267115 ng*hr/mLStandard Deviation 35.5
ABT-267 (50 mg) Once Daily + pegIFN/RBVArea Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-2672200 ng*hr/mLStandard Deviation 1090
ABT-267 (200 mg) Once Daily + pegIFN/RBVArea Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-2676130 ng*hr/mLStandard Deviation 675
Primary

Maximum Plasma Concentration (Cmax) of ABT-267

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The maximum plasma concentration (Cmax; measured in ng/mL) is the highest concentration that a drug achieves in the plasma after administration in a dosing interval. The Cmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Time frame: Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)

Population: Participants received at least 1 dose of study drug and had sufficient concentrations to characterize the pharmacokinetic parameters.

ArmMeasureValue (MEAN)Dispersion
ABT-267 (5 mg) Once Daily + pegIFN/RBVMaximum Plasma Concentration (Cmax) of ABT-26710.7 ng/mLStandard Deviation 3.73
ABT-267 (50 mg) Once Daily + pegIFN/RBVMaximum Plasma Concentration (Cmax) of ABT-267148 ng/mLStandard Deviation 80.8
ABT-267 (200 mg) Once Daily + pegIFN/RBVMaximum Plasma Concentration (Cmax) of ABT-267535 ng/mLStandard Deviation 160
Primary

Percentage of Participants With 4-week Rapid Virologic Response (RVR)

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Rapid virologic response was defined as HCV RNA levels \< the lower limit of detection (\< 15 IU/mL) at Week 4. Data are reported as percentage of participants with RVR.

Time frame: Week 4

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy and safety analyses.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With 4-week Rapid Virologic Response (RVR)33.3 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With 4-week Rapid Virologic Response (RVR)55.6 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With 4-week Rapid Virologic Response (RVR)70.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With 4-week Rapid Virologic Response (RVR)22.2 percentage of participants
Comparison: Ten participants in an ABT-267 arm and nine participants in the placebo arm would provide 84% power using Fisher's exact test with two-sided significance level of 0.05 to detect a difference of approximately 70% between the two arms.p-value: 0.336Regression, Logistic
Comparison: Ten participants in an ABT-267 arm and nine participants in the placebo arm would provide 84% power using Fisher's exact test with two-sided significance level of 0.05 to detect a difference of approximately 70% between the two arms.p-value: 0.171Regression, Logistic
Comparison: Ten participants in an ABT-267 arm and nine participants in the placebo arm would provide 84% power using Fisher's exact test with two-sided significance level of 0.05 to detect a difference of approximately 70% between the two arms.p-value: 0.03Regression, Logistic
Primary

Plasma Concentrations of Ribavirin (RBV)

Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of RBV (measured in ng/mL) using validated analytical methods and RBV concentrations in plasma were summarized at each visit. Data are reported as the median (range).

Time frame: At each study visit from Week 1 to Week 12

Population: Participants received at least 1 dose of study drug and had sufficient concentrations to characterize the pharmacokinetic parameters. When a different number of participants at a specific time point was used to analyze the data in the outcome measure, the n (number of participants) for each arm is denoted in the Category Title.

ArmMeasureGroupValue (MEDIAN)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 11330 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 21890 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 4 (n=8, 8, 10, 9)1900 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 6 (n=8, 9, 9, 9)2000 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 8 (n=8, 9, 9, 9)2080 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 12 (n=8, 9, 9, 9)2510 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 12 (n=8, 9, 9, 9)1740 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 6 (n=8, 9, 9, 9)1510 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 11470 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 4 (n=8, 8, 10, 9)1680 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 21640 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 8 (n=8, 9, 9, 9)1710 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 21420 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 4 (n=8, 8, 10, 9)1580 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 6 (n=8, 9, 9, 9)1780 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 12 (n=8, 9, 9, 9)1800 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 8 (n=8, 9, 9, 9)1650 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 11060 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 8 (n=8, 9, 9, 9)2280 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 12 (n=8, 9, 9, 9)1940 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 21360 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 6 (n=8, 9, 9, 9)1900 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 11190 ng/mL
Placebo + pegIFN/RBVPlasma Concentrations of Ribavirin (RBV)Week 4 (n=8, 8, 10, 9)1950 ng/mL
Primary

Serum Concentrations of Pegylated Interferon (pegIFN)

Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of pegIFN (measured in ng/mL) using validated analytical methods and pegIFN concentrations in serum were summarized at each visit. Data are reported as the median (range).

Time frame: At each study visit from Week 1 to Week 12

Population: Participants received at least 1 dose of study drug and had sufficient concentrations to characterize the pharmacokinetic parameters. When a different number of participants at a specific time point was used to analyze the data in the outcome measure, the n (number of participants) for each arm is denoted in the Category Title.

ArmMeasureGroupValue (MEDIAN)
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 17.50 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 28.75 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 4 (n=9, 9, 10, 9)11.8 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 6 (n=8, 9, 9, 9)10.9 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 8 (n=8, 9, 9, 9)9.91 ng/mL
ABT-267 (5 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 12 (n=8, 9, 9, 9)14.4 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 12 (n=8, 9, 9, 9)6.16 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 6 (n=8, 9, 9, 9)9.35 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 16.12 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 4 (n=9, 9, 10, 9)7.72 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 29.22 ng/mL
ABT-267 (50 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 8 (n=8, 9, 9, 9)10.1 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 27.52 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 4 (n=9, 9, 10, 9)8.23 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 6 (n=8, 9, 9, 9)14.6 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 12 (n=8, 9, 9, 9)15.2 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 8 (n=8, 9, 9, 9)12.1 ng/mL
ABT-267 (200 mg) Once Daily + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 14.30 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 8 (n=8, 9, 9, 9)11.0 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 12 (n=8, 9, 9, 9)8.91 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 26.87 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 6 (n=8, 9, 9, 9)10.9 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 14.83 ng/mL
Placebo + pegIFN/RBVSerum Concentrations of Pegylated Interferon (pegIFN)Week 4 (n=9, 9, 10, 9)8.76 ng/mL
Primary

Time to Maximum Plasma Concentration (Tmax) of ABT-267

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in hours) is the time it takes for a drug to achieve Cmax. The Tmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Time frame: Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)

Population: Participants received at least 1 dose of study drug and had sufficient concentrations to characterize the pharmacokinetic parameters.

ArmMeasureValue (MEAN)Dispersion
ABT-267 (5 mg) Once Daily + pegIFN/RBVTime to Maximum Plasma Concentration (Tmax) of ABT-2673.3 HoursStandard Deviation 1
ABT-267 (50 mg) Once Daily + pegIFN/RBVTime to Maximum Plasma Concentration (Tmax) of ABT-2673.8 HoursStandard Deviation 1.6
ABT-267 (200 mg) Once Daily + pegIFN/RBVTime to Maximum Plasma Concentration (Tmax) of ABT-2674.2 HoursStandard Deviation 1.6
Secondary

Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Time to suppression was defined as the time (measured in days) to HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL). Data are reported as the median number of days.

Time frame: Approximately 12 weeks

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analyses.

ArmMeasureValue (MEDIAN)
ABT-267 (5 mg) Once Daily + pegIFN/RBVMedian Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)27.0 Days
ABT-267 (50 mg) Once Daily + pegIFN/RBVMedian Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)16.0 Days
ABT-267 (200 mg) Once Daily + pegIFN/RBVMedian Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)21.5 Days
Placebo + pegIFN/RBVMedian Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA)84.0 Days
p-value: 0.007Log Rank
p-value: 0.029Log Rank
p-value: 0.105Log Rank
Secondary

Percentage of Participants With Complete Early Virologic Response (cEVR)

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Complete EVR was defined as HCV RNA \< the lower limit of quantification (\< 25 IU/mL) at Week 12. Data are reported as the percentage of participants with cEVR.

Time frame: Week 12

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analysis.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With Complete Early Virologic Response (cEVR)100.0 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With Complete Early Virologic Response (cEVR)88.9 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With Complete Early Virologic Response (cEVR)80.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With Complete Early Virologic Response (cEVR)66.7 percentage of participants
p-value: 0.083Cochran-Mantel-Haenszel
p-value: 0.515Cochran-Mantel-Haenszel
p-value: 0.221Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Extended Rapid Virologic Response (eRVR)

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Extended RVR was defined as HCV RNA levels \< the lower level of quantification (\< 25 IU/mL) at Weeks 4 through 12. Data are reported as the percentage of participants with eRVR.

Time frame: Week 4 through Week 12

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analyses.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With Extended Rapid Virologic Response (eRVR)77.8 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With Extended Rapid Virologic Response (eRVR)77.8 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With Extended Rapid Virologic Response (eRVR)80.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With Extended Rapid Virologic Response (eRVR)22.2 percentage of participants
p-value: 0.028Regression, Logistic
p-value: 0.051Regression, Logistic
p-value: 0.021Regression, Logistic
Secondary

Percentage of Participants With Partial Early Virologic Response (pEVR)

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Partial EVR was defined as HCV RNA levels that decreased \> 2 log10 IU/mL at Week 12 as compared to baseline HCV RNA levels. Data are reported as the percentage of participants with pEVR.

Time frame: Baseline and Week 12

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analyses.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With Partial Early Virologic Response (pEVR)100.0 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With Partial Early Virologic Response (pEVR)88.9 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With Partial Early Virologic Response (pEVR)90.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With Partial Early Virologic Response (pEVR)77.8 percentage of participants
p-value: 0.102Cochran-Mantel-Haenszel
p-value: 0.362Cochran-Mantel-Haenszel
p-value: 0.079Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Sustained virologic response was defined as HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL) 12 weeks after the last dose of pegIFN/RBV. Data are reported as the percentage of participants with SVR12.

Time frame: 12 weeks after the last dose of pegIFN/RBV

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analyses.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing66.7 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing66.7 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing60.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing33.3 percentage of participants
p-value: 0.155Regression, Logistic
p-value: 0.214Regression, Logistic
p-value: 0.231Regression, Logistic
Secondary

Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Sustained virologic response was defined as HCV RNA levels \< the lower limit of quantification (\< 25 IU/mL) 24 weeks after the last dose of pegIFN/RBV. Data are reported as the percentage of participants with SVR24.

Time frame: 24 weeks after the last dose of pegIFN/RBV

Population: All 37 participants enrolled in the study received at least 1 dose of study drug and were included in the intent-to-treat population for efficacy analyses.

ArmMeasureValue (NUMBER)
ABT-267 (5 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing55.6 percentage of participants
ABT-267 (50 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing44.4 percentage of participants
ABT-267 (200 mg) Once Daily + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing50.0 percentage of participants
Placebo + pegIFN/RBVPercentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing22.2 percentage of participants
p-value: 0.127Regression, Logistic
p-value: 0.328Regression, Logistic
p-value: 0.166Regression, Logistic

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