Chronic Hepatitis C, Hepatitis C Virus (HCV) Infection
Conditions
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
Syringe, 180 µg/0.5 mL for subcutaneous injections administered weekly
200 mg tablet dosed at 1000 or 1200 mg daily divided twice a day
Participants received matching placebo tablet at each dose level for ABT-267.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Serum Concentrations of Pegylated Interferon (pegIFN) | At each study visit from Week 1 to Week 12 | 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). |
| Percentage of Participants With 4-week Rapid Virologic Response (RVR) | Week 4 | 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. |
| Maximum Plasma Concentration (Cmax) of ABT-267 | 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) | 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-267 | 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) | 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-267 | 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 | 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. |
| Plasma Concentrations of Ribavirin (RBV) | At each study visit from Week 1 to Week 12 | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Partial Early Virologic Response (pEVR) | Baseline and Week 12 | 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. |
| Percentage of Participants With Complete Early Virologic Response (cEVR) | Week 12 | 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. |
| Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 12 weeks after the last dose of pegIFN/RBV | 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. |
| Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 24 weeks after the last dose of pegIFN/RBV | 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. |
| Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA) | Approximately 12 weeks | 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. |
| Percentage of Participants With Extended Rapid Virologic Response (eRVR) | Week 4 through Week 12 | 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. |
Countries
Puerto Rico, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 37 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 1 | 0 | 0 | 0 |
| Overall Study | Lost to Follow-up | 1 | 0 | 2 | 2 |
| Overall Study | Virologic Failure | 0 | 1 | 0 | 1 |
| Overall Study | Withdrawal by Subject | 0 | 3 | 1 | 0 |
Baseline characteristics
| Characteristic | ABT-267 (5 mg) Once Daily + pegIFN/RBV | ABT-267 (50 mg) Once Daily + pegIFN/RBV | ABT-267 (200 mg) Once Daily + pegIFN/RBV | Total | Placebo + pegIFN/RBV |
|---|---|---|---|---|---|
| Age, Continuous | 50.1 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 Participants | 2 Participants | 4 Participants | 15 Participants | 4 Participants |
| Sex: Female, Male Male | 4 Participants | 7 Participants | 6 Participants | 22 Participants | 5 Participants |
Adverse events
| Event type | EG000 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 / 9 | 9 / 9 | 8 / 10 | 9 / 9 |
| serious Total, serious adverse events | 0 / 9 | 0 / 9 | 0 / 10 | 0 / 9 |
Outcome results
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267 | 115 ng*hr/mL | Standard Deviation 35.5 |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267 | 2200 ng*hr/mL | Standard Deviation 1090 |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267 | 6130 ng*hr/mL | Standard Deviation 675 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Maximum Plasma Concentration (Cmax) of ABT-267 | 10.7 ng/mL | Standard Deviation 3.73 |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Maximum Plasma Concentration (Cmax) of ABT-267 | 148 ng/mL | Standard Deviation 80.8 |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Maximum Plasma Concentration (Cmax) of ABT-267 | 535 ng/mL | Standard Deviation 160 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With 4-week Rapid Virologic Response (RVR) | 33.3 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With 4-week Rapid Virologic Response (RVR) | 55.6 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With 4-week Rapid Virologic Response (RVR) | 70.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With 4-week Rapid Virologic Response (RVR) | 22.2 percentage of participants |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 1 | 1330 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 2 | 1890 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 4 (n=8, 8, 10, 9) | 1900 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 6 (n=8, 9, 9, 9) | 2000 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 8 (n=8, 9, 9, 9) | 2080 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 12 (n=8, 9, 9, 9) | 2510 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 12 (n=8, 9, 9, 9) | 1740 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 6 (n=8, 9, 9, 9) | 1510 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 1 | 1470 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 4 (n=8, 8, 10, 9) | 1680 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 2 | 1640 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 8 (n=8, 9, 9, 9) | 1710 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 2 | 1420 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 4 (n=8, 8, 10, 9) | 1580 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 6 (n=8, 9, 9, 9) | 1780 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 12 (n=8, 9, 9, 9) | 1800 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 8 (n=8, 9, 9, 9) | 1650 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 1 | 1060 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 8 (n=8, 9, 9, 9) | 2280 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 12 (n=8, 9, 9, 9) | 1940 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 2 | 1360 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 6 (n=8, 9, 9, 9) | 1900 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 1 | 1190 ng/mL |
| Placebo + pegIFN/RBV | Plasma Concentrations of Ribavirin (RBV) | Week 4 (n=8, 8, 10, 9) | 1950 ng/mL |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 1 | 7.50 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 2 | 8.75 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 4 (n=9, 9, 10, 9) | 11.8 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 6 (n=8, 9, 9, 9) | 10.9 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 8 (n=8, 9, 9, 9) | 9.91 ng/mL |
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 12 (n=8, 9, 9, 9) | 14.4 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 12 (n=8, 9, 9, 9) | 6.16 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 6 (n=8, 9, 9, 9) | 9.35 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 1 | 6.12 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 4 (n=9, 9, 10, 9) | 7.72 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 2 | 9.22 ng/mL |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 8 (n=8, 9, 9, 9) | 10.1 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 2 | 7.52 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 4 (n=9, 9, 10, 9) | 8.23 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 6 (n=8, 9, 9, 9) | 14.6 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 12 (n=8, 9, 9, 9) | 15.2 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 8 (n=8, 9, 9, 9) | 12.1 ng/mL |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 1 | 4.30 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 8 (n=8, 9, 9, 9) | 11.0 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 12 (n=8, 9, 9, 9) | 8.91 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 2 | 6.87 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 6 (n=8, 9, 9, 9) | 10.9 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 1 | 4.83 ng/mL |
| Placebo + pegIFN/RBV | Serum Concentrations of Pegylated Interferon (pegIFN) | Week 4 (n=9, 9, 10, 9) | 8.76 ng/mL |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Time to Maximum Plasma Concentration (Tmax) of ABT-267 | 3.3 Hours | Standard Deviation 1 |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Time to Maximum Plasma Concentration (Tmax) of ABT-267 | 3.8 Hours | Standard Deviation 1.6 |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Time to Maximum Plasma Concentration (Tmax) of ABT-267 | 4.2 Hours | Standard Deviation 1.6 |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA) | 27.0 Days |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA) | 16.0 Days |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA) | 21.5 Days |
| Placebo + pegIFN/RBV | Median Time to Suppression of Hepatitis C Virus Ribonucleic Acid (HCV RNA) | 84.0 Days |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Complete Early Virologic Response (cEVR) | 100.0 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Complete Early Virologic Response (cEVR) | 88.9 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Complete Early Virologic Response (cEVR) | 80.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With Complete Early Virologic Response (cEVR) | 66.7 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Extended Rapid Virologic Response (eRVR) | 77.8 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Extended Rapid Virologic Response (eRVR) | 77.8 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Extended Rapid Virologic Response (eRVR) | 80.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With Extended Rapid Virologic Response (eRVR) | 22.2 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Partial Early Virologic Response (pEVR) | 100.0 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Partial Early Virologic Response (pEVR) | 88.9 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Partial Early Virologic Response (pEVR) | 90.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With Partial Early Virologic Response (pEVR) | 77.8 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 66.7 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 66.7 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 60.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 33.3 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| ABT-267 (5 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 55.6 percentage of participants |
| ABT-267 (50 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 44.4 percentage of participants |
| ABT-267 (200 mg) Once Daily + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 50.0 percentage of participants |
| Placebo + pegIFN/RBV | Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) Post-pegylated Interferon/Ribavirin (pegIFN/RBV) Dosing | 22.2 percentage of participants |