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Durability of Virologic Response and/or Viral Resistance Patterns in Participants With Chronic Hepatitis C Who Have Been Previously Treated With Grazoprevir (MK-5172) (MK-5172-017)

A Long-Term Follow-Up Study to Evaluate the Durability of Virologic Response and/or Viral Resistance Patterns of Subjects With Chronic Hepatitis C Who Have Been Previously Treated With MK-5172 in a Prior Clinical Trial

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01667081
Enrollment
2438
Registered
2012-08-17
Start date
2012-10-17
Completion date
2021-03-31
Last updated
2022-06-06

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

Conditions

Hepatitis C

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

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
3 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Time to Viral RelapseUp to ~60 months after enrollment in this studyViral 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 InfectionsUp to ~60 months after enrollment in this studyIn 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 InfectionsUp to ~60 months after enrollment in this studyIn 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 InfectionsUp to ~60 months after enrollment in this studyIn 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-UpUp to ~ 60 months after enrollment in this studyAn 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-UpUp to ~60 months after enrollment in this studyA 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-UpUp to ~60 months after enrollment in this studyAn 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

ArmCount
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
Total2,435

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath433
Overall StudyLost to Follow-up9948
Overall StudyParticipants were discontinued due to amendment 3 which modified the study discontinuation criteria1,529269
Overall StudyPhysician Decision162
Overall StudyWithdrawal by Subject9035

Baseline characteristics

CharacteristicOther GZR RegimenTotalGZR 100 mg + EBR 50 mg +/- RBV
Age, Continuous49.7 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 Participants203 Participants135 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
444 Participants2174 Participants1730 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
14 Participants58 Participants44 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants7 Participants5 Participants
Race (NIH/OMB)
Asian
12 Participants295 Participants283 Participants
Race (NIH/OMB)
Black or African American
35 Participants288 Participants253 Participants
Race (NIH/OMB)
More than one race
6 Participants27 Participants21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants2 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
White
470 Participants1815 Participants1345 Participants
Sex: Female, Male
Female
238 Participants1023 Participants785 Participants
Sex: Female, Male
Male
288 Participants1412 Participants1124 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
44 / 1,9093 / 5270 / 2
other
Total, other adverse events
0 / 1,9090 / 5260 / 0
serious
Total, serious adverse events
100 / 1,9094 / 5260 / 0

Outcome results

Primary

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).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVNumber of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up1 Participants
Other GZR RegimenNumber of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up1 Participants
Primary

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).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVNumber of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up1 Participants
Other GZR RegimenNumber of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up1 Participants
Primary

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).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVNumber of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up98 Participants
Other GZR RegimenNumber of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up4 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections96 weeks post failure4 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections24 weeks post failure10 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections≥144 weeks post failure2 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections48 weeks post failure6 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a InfectionsFailure22 Participants
Other GZR RegimenPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections48 weeks post failure22 Participants
Other GZR RegimenPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections96 weeks post failure15 Participants
Other GZR RegimenPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections≥144 weeks post failure11 Participants
Other GZR RegimenPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections24 weeks post failure25 Participants
Other GZR RegimenPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a InfectionsFailure25 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections48 weeks post failure4 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a InfectionsFailure18 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections24 weeks post failure8 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections96 weeks post failure3 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections≥144 weeks post failure1 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections96 weeks post failure1 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections24 weeks post failure2 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a InfectionsFailure11 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections48 weeks post failure2 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections≥144 weeks post failure1 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections96 weeks post failure1 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections48 weeks post failure1 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 InfectionsFailure2 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections24 weeks post failure1 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections≥144 weeks post failure1 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections48 weeks post failure2 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 InfectionsFailure4 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections24 weeks post failure3 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections96 weeks post failure2 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections≥144 weeks post failure2 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections≥144 weeks post failure1 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections96 weeks post failure1 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 InfectionsFailure2 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections48 weeks post failure1 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections24 weeks post failure1 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections96 weeks post failure1 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections24 weeks post failure2 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections≥144 weeks post failure0 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections48 weeks post failure1 Participants
GZR 100 mg + EBR 50 mg +/- RBVPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b InfectionsFailure4 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections48 weeks post failure5 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections96 weeks post failure3 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections≥144 weeks post failure3 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections24 weeks post failure7 Participants
Other GZR RegimenPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b InfectionsFailure7 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections48 weeks post failure0 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b InfectionsFailure2 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections24 weeks post failure0 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections96 weeks post failure0 Participants
EBR/GZR +/-RBV: Both NS3 and NS5A RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections≥144 weeks post failure0 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections96 weeks post failure1 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections24 weeks post failure1 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b InfectionsFailure3 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections48 weeks post failure1 Participants
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASsPersistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections≥144 weeks post failure1 Participants
Primary

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

ArmMeasureValue (MEDIAN)
GZR 100 mg + EBR 50 mg +/- RBVTime to Viral RelapseNA Months
Other GZR RegimenTime to Viral RelapseNA Months

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