Hepatitis C
Conditions
Brief summary
This is a three-year (except for participants with chronic kidney disease \[CKD\] or cirrhosis) multicenter study to follow participants who received at least one dose of grazoprevir (MK-5172) in a previous study to determine whether they remain hepatitis C virus (HCV)-Ribonucleic acid (RNA) negative over time, and to determine if they have developed antiviral resistance. The study will also evaluate long-term adverse events in this population. Participants from MK-5172-052 (NCT02092350) with CKD or cirrhosis will be followed for five years.
Detailed description
As of Amendment 03, the study design is revised such that continued enrollment will only be for participants who failed prior therapy with a grazoprevir regimen. Participants with CKD enrolled from MK-5172-052 (NCT02092350) will continue enrollment regardless of prior treatment-response and remain in this study for five years, while participants enrolled from all other studies with HCV RNA less than the lower limit of quantitation (LLOQ) will be discontinued and end their participation after the next scheduled visit. In addition, participants who receive other HCV treatments concurrent with this follow-up study or received other HCV treatments prior to this study will be discontinued and their data excluded from analysis. As of Amendment 04, the protocol has been updated to include enrollment of pediatric participants from protocol MK-5172-079 (NCT03379506). Enrollment is limited to participants who experienced virologic failure associated with 1 or more treatment-emergent resistant associated substitutions (RASs) present at 12 weeks after receiving grazoprevir treatment in prior treatment study MK-5172-079 (NCT03379506).
Interventions
Participants previously received study treatment with grazoprevir at the dose and frequency specified in the study protocol. Grazoprevir was not administered to participants in the course of this follow-up study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Previously participated in a HCV treatment protocol that included grazoprevir in the treatment regimen * Must enroll in the present study within three months of the last study visit of their previous protocol in which they received a grazoprevir-containing regimen * For Amendment 03: Adult participants must have received a grazoprevir-containing regimen in a prior trial and have been identified as having failed therapy in that study * For Amendment 04: Pediatric participants must have received at least 1 dose of a grazoprevir-containing regimen and experienced virologic failure with 1 or more associated treatment-emergent RASs at Follow-up Week 12 in MK-5172-079 (NCT03379506)
Exclusion criteria
* Has received HCV therapy after completion of the protocol-defined grazoprevir treatment trial regimen and before or after entry into this follow-up study * For Amendment 03: Has failed therapy due to re-infection, defined as an HCV RNA sample with a different genotype than the baseline genotype in the prior treatment study, or an HCV RNA sample determined to be reinfection by phylogenetic analysis with comparison to the baseline sequence in the prior treatment study * For Amendment 03: Has failed therapy and received retreatment with HCV therapy, except in the case where they were re-treated in a Merck-sponsored protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Viral Relapse | Up to ~60 months after enrollment in this study | Viral relapse is defined as any participant who has confirmed HCV Ribonucleic acid (RNA) ≥ Lower limit of quantification (LLoQ) of 15 IU/mL and had achieved sustained virologic response (SVR) in the follow up in the prior treatment study. Time to relapse is defined as the time from last dose of study therapy taken in the prior treatment study until the date where HCV RNA is ≥LLoQ. |
| Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | Up to ~60 months after enrollment in this study | In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. |
| Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | Up to ~60 months after enrollment in this study | In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. |
| Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | Up to ~60 months after enrollment in this study | In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. |
| Number of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up | Up to ~ 60 months after enrollment in this study | An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The study investigator determined whether the adverse event was drug-related. |
| Number of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up | Up to ~60 months after enrollment in this study | A serious adverse event (SAE) is any adverse experience occurring at any dose that either results in death, is life threatening, results in a persistent or significant disability/incapacity, results in or prolongs an existing inpatient hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose (whether accidental or intentional), or other important medical events that may not result in death, not be life threatening, or not require hospitalization may be considered a serious adverse experience when, based upon appropriate medical judgment, the event may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed previously. The study investigator determined whether the adverse event was drug-related. |
| Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up | Up to ~60 months after enrollment in this study | An ECI includes spontaneous bacterial peritonitis, variceal bleeding, ascites, encephalopathy, hepatorenal syndrome, hepatocellular carcinoma, liver transplant, cardiovascular disease limited to angina and myocardial infarction, neurologic disorders limited to transient ischemic attack (TIA) or stroke, graft rejection in participants who have undergone liver or kidney transplant, or one of the following in participants from the MK-5172-052 (NCT02092350) base study: kidney transplant, decreased estimated glomerular filtration rate (eGFR), new onset diabetes, cryoglobulinemia, or post transplantation glomerulonephritis. |
Participant flow
Recruitment details
A total of 2438 adult Hepatitis C Virus (HCV)-infected participants who were previously treated in 18 prior clinical trials, enrolled in this study.
Pre-assignment details
Of the 2438 participants, three participants were excluded from all analyses. Two participants enrolled in error failed to receive at least 1 dose of Grazoprevir (GZR) in a prior study (each received a comparator regimen in a prior base study) and 1 participant had insufficient long-term follow-up data (participant withdrew consent on Day 27).
Participants by arm
| Arm | Count |
|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV Participants previously received GZR 100mg +EBR 50mg with or without RBV in a prior study. | 1,909 |
| Other GZR Regimen Participants previously received at least one dose of GZR in a prior study | 526 |
| Total | 2,435 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 43 | 3 |
| Overall Study | Lost to Follow-up | 99 | 48 |
| Overall Study | Participants were discontinued due to amendment 3 which modified the study discontinuation criteria | 1,529 | 269 |
| Overall Study | Physician Decision | 16 | 2 |
| Overall Study | Withdrawal by Subject | 90 | 35 |
Baseline characteristics
| Characteristic | Other GZR Regimen | Total | GZR 100 mg + EBR 50 mg +/- RBV |
|---|---|---|---|
| Age, Continuous | 49.7 Years STANDARD_DEVIATION 11.4 | 51.4 Years STANDARD_DEVIATION 11.1 | 51.9 Years STANDARD_DEVIATION 11 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 68 Participants | 203 Participants | 135 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 444 Participants | 2174 Participants | 1730 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 14 Participants | 58 Participants | 44 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 7 Participants | 5 Participants |
| Race (NIH/OMB) Asian | 12 Participants | 295 Participants | 283 Participants |
| Race (NIH/OMB) Black or African American | 35 Participants | 288 Participants | 253 Participants |
| Race (NIH/OMB) More than one race | 6 Participants | 27 Participants | 21 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) White | 470 Participants | 1815 Participants | 1345 Participants |
| Sex: Female, Male Female | 238 Participants | 1023 Participants | 785 Participants |
| Sex: Female, Male Male | 288 Participants | 1412 Participants | 1124 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 44 / 1,909 | 3 / 527 | 0 / 2 |
| other Total, other adverse events | 0 / 1,909 | 0 / 526 | 0 / 0 |
| serious Total, serious adverse events | 100 / 1,909 | 4 / 526 | 0 / 0 |
Outcome results
Number of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The study investigator determined whether the adverse event was drug-related.
Time frame: Up to ~ 60 months after enrollment in this study
Population: All participants treated with GZR in a prior study. Three participants were excluded from analysis; two participants enrolled in error failed to receive at least one dose of GZR in a prior study (each received a comparator regimen in a prior base study) and one participant had insufficient long-term follow-up data (participant withdrew consent on Day 27).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Number of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up | 1 Participants |
| Other GZR Regimen | Number of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up | 1 Participants |
Number of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up
A serious adverse event (SAE) is any adverse experience occurring at any dose that either results in death, is life threatening, results in a persistent or significant disability/incapacity, results in or prolongs an existing inpatient hospitalization, is a congenital anomaly/birth defect, is a cancer, is an overdose (whether accidental or intentional), or other important medical events that may not result in death, not be life threatening, or not require hospitalization may be considered a serious adverse experience when, based upon appropriate medical judgment, the event may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed previously. The study investigator determined whether the adverse event was drug-related.
Time frame: Up to ~60 months after enrollment in this study
Population: All participants treated with GZR in a prior study. Three participants were excluded from analysis; two participants enrolled in error failed to receive at least one dose of GZR in a prior study (each received a comparator regimen in a prior base study) and one participant had insufficient long-term follow-up data (participant withdrew consent on Day 27).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Number of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up | 1 Participants |
| Other GZR Regimen | Number of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up | 1 Participants |
Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up
An ECI includes spontaneous bacterial peritonitis, variceal bleeding, ascites, encephalopathy, hepatorenal syndrome, hepatocellular carcinoma, liver transplant, cardiovascular disease limited to angina and myocardial infarction, neurologic disorders limited to transient ischemic attack (TIA) or stroke, graft rejection in participants who have undergone liver or kidney transplant, or one of the following in participants from the MK-5172-052 (NCT02092350) base study: kidney transplant, decreased estimated glomerular filtration rate (eGFR), new onset diabetes, cryoglobulinemia, or post transplantation glomerulonephritis.
Time frame: Up to ~60 months after enrollment in this study
Population: All participants treated with GZR in a prior study. Three participants were excluded from analysis; two participants enrolled in error failed to receive at least one dose of GZR in a prior study (each received a comparator regimen in a prior base study) and one participant had insufficient long-term follow-up data (participant withdrew consent on Day 27).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up | 98 Participants |
| Other GZR Regimen | Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up | 4 Participants |
Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections
In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time.
Time frame: Up to ~60 months after enrollment in this study
Population: Participants met the criteria of virologic failure either in the prior base study or had HCV RNA Target detected, quantifiable \[TD(q)\] at entry in current study. Participants did not receive new HCV therapy between the end of the prior base study and entry into this study. Only HCV genotype infections that had adequate reference information were included.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 96 weeks post failure | 4 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 24 weeks post failure | 10 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | ≥144 weeks post failure | 2 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 48 weeks post failure | 6 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | Failure | 22 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 48 weeks post failure | 22 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 96 weeks post failure | 15 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | ≥144 weeks post failure | 11 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 24 weeks post failure | 25 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | Failure | 25 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 48 weeks post failure | 4 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | Failure | 18 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 24 weeks post failure | 8 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 96 weeks post failure | 3 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | ≥144 weeks post failure | 1 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 96 weeks post failure | 1 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 24 weeks post failure | 2 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | Failure | 11 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | 48 weeks post failure | 2 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections | ≥144 weeks post failure | 1 Participants |
Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections
In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time.
Time frame: Up to ~60 months after enrollment in this study
Population: Participants met the criteria of virologic failure either in the prior base study or had HCV RNA TD(q) at entry in current study. Participants did not receive new HCV therapy between the end of the prior base study and entry into this study. Only HCV genotype infections that had adequate reference information were included.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 96 weeks post failure | 1 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 48 weeks post failure | 1 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | Failure | 2 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 24 weeks post failure | 1 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | ≥144 weeks post failure | 1 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 48 weeks post failure | 2 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | Failure | 4 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 24 weeks post failure | 3 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 96 weeks post failure | 2 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | ≥144 weeks post failure | 2 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | ≥144 weeks post failure | 1 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 96 weeks post failure | 1 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | Failure | 2 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 48 weeks post failure | 1 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections | 24 weeks post failure | 1 Participants |
Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections
In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time.
Time frame: Up to ~60 months after enrollment in this study
Population: Participants met the criteria of virologic failure either in the prior base study or had HCV RNA TD(q) at entry in current study. Participants did not receive new HCV therapy between the end of the prior base study and entry into this study. Only HCV genotype infections that had adequate reference information were included.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 96 weeks post failure | 1 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 24 weeks post failure | 2 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | ≥144 weeks post failure | 0 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 48 weeks post failure | 1 Participants |
| GZR 100 mg + EBR 50 mg +/- RBV | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | Failure | 4 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 48 weeks post failure | 5 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 96 weeks post failure | 3 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | ≥144 weeks post failure | 3 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 24 weeks post failure | 7 Participants |
| Other GZR Regimen | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | Failure | 7 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 48 weeks post failure | 0 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | Failure | 2 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 24 weeks post failure | 0 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 96 weeks post failure | 0 Participants |
| EBR/GZR +/-RBV: Both NS3 and NS5A RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | ≥144 weeks post failure | 0 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 96 weeks post failure | 1 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 24 weeks post failure | 1 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | Failure | 3 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | 48 weeks post failure | 1 Participants |
| GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs | Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections | ≥144 weeks post failure | 1 Participants |
Time to Viral Relapse
Viral relapse is defined as any participant who has confirmed HCV Ribonucleic acid (RNA) ≥ Lower limit of quantification (LLoQ) of 15 IU/mL and had achieved sustained virologic response (SVR) in the follow up in the prior treatment study. Time to relapse is defined as the time from last dose of study therapy taken in the prior treatment study until the date where HCV RNA is ≥LLoQ.
Time frame: Up to ~60 months after enrollment in this study
Population: All participants who achieved SVR during the follow-up period of the prior treatment study and did not start any new HCV therapy between the end of the prior treatment study and entry in this study
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| GZR 100 mg + EBR 50 mg +/- RBV | Time to Viral Relapse | NA Months |
| Other GZR Regimen | Time to Viral Relapse | NA Months |