Hepatitis C
Conditions
Keywords
Chronic Hepatitis C, Hepatitis C virus, Direct Acting Antiviral, Sustained Virologic Response, Hepatitis C, Persistence of treatment-emergent substitutions
Brief summary
A follow-up study to assess resistance and durability of response to 3 experimental drugs ABT-450/r, ABT-267, and ABT-333 in participants who have participated in AbbVie Phase 2 or 3 clinical studies with these agents for the treatment of chronic hepatitis C virus (HCV). Studies include: M11-646 (NCT01716585), M11-652 (NCT01464827), M12-746 (NCT01306617), M12-998 (NCT01458535), M13-098 (NCT01715415), M13-099 (NCT01704755), M13-386 (NCT01563536), M13-389 (NCT01674725)' M13-393 (NCT01685203), M13-961 (NCT01767116), M14-002 (NCT01833533), and M14-103 (NCT01911845).
Interventions
ABT-450 coformulated with ritonavir. Drug is not administered -- this study is follow-up for participants previously receiving the drug.
Drug is not administered -- this study is follow-up for participants previously receiving the drug.
Drug is not administered -- this study is follow-up for participants previously receiving the drug.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject has received at least one dose of ABT-450, ABT-333 or ABT-267 in a prior AbbVie HCV Phase 2 or 3 study which is being submitted as a US IND. * The interval between the last dose of the AbbVie DAA therapy from the previous clinical study and enrollment in Study M13-102 must be no longer than 2 years. * The subject must voluntarily sign and date the informed consent form. * Subject completed the post-treatment period of an eligible prior study.
Exclusion criteria
* The investigator considers the subject unsuitable for the study for any reasons. * Receipt of any investigational product from Day 1 and while enrolled in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Experienced Relapse12overall With and Without New HCV Infection | Up to 3 years post-treatment | Relapse is defined as a confirmed HCV ribonucleic acid (RNA) ≥ the lower limit of quantitation (LLOQ) at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse12overall is defined as a confirmed HCV RNA ≥ LLOQ at any time after the sustained virologic response at Week 12 post-dosing (SVR12) assessment time point for a participant who achieved SVR12 and had post-SVR12 HCV RNA data available. SVR12 is defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. New HCV infection is defined as re-infection with a different HCV isolate. |
| Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | from the last dose of study drug in the previous study up to 3 years post-treatment | The persistence of specific hepatitis C amino acid variants (treatment-emergent substitutions) associated with drug resistance in NS3, NS5A, or NS5B was evaluated in participants who had not achieved SVR12. Post-baseline time points were calculated relative to the last dose of study drug in the previous study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Experienced Relapse12 Without and With New HCV Infection | From the end of treatment through 12 weeks post-treatment | Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse12 is defined as a confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of study drug (up to and including the SVR12 assessment time point) for a participant with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment. |
| Percentage of Participants Who Experienced Relapse24 Without and With New HCV Infection | From the end of treatment through 24 weeks post-treatment | Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse24 is defined as a confirmed HCV RNA ≥ LLOQ within the sustained virologic response at Week 24 post-dosing (SVR24) window for a participant who achieved SVR12 and had HCV RNA data available in the SVR24 window. |
| Percentage of Participants Who Experienced Relapse˅Overall Without and With New HCV Infection | Up to 3 years post-treatment | Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse˅overall was defined as a confirmed HCV RNA ≥ LLOQ between end of treatment and up to and including the last HCV RNA measurement collected in the post-treatment Period for a participant with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment. |
Participant flow
Recruitment details
This follow-up study was open to participants from AbbVie studies M11-646 (NCT01716585), M11-652 (NCT01464827), M12-746 (NCT01306617), M12-998 (NCT01458535), M13-098 (NCT01715415), M13-099 (NCT01704755), M13-386 (NCT01563536), M13-389 (NCT01674725)' M13-393 (NCT01685203), M13-961 (NCT01767116), M14-002 (NCT01833533), and M14-103 (NCT01911845).
Participants by arm
| Arm | Count |
|---|---|
| All Participants Participants who received ABT-450, ABT-333 or ABT-267 at any dose level in an eligible prior AbbVie Phase 2 or 3 study for the treatment of chronic HCV, followed for up to 3 years post-treatment. | 478 |
| Total | 478 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death (unrelated to study procedures) | 3 |
| Overall Study | Lost to Follow-up | 39 |
| Overall Study | Other | 15 |
| Overall Study | Withdrawal by Subject | 24 |
Baseline characteristics
| Characteristic | All Participants |
|---|---|
| Age, Continuous | 53.0 years STANDARD_DEVIATION 9.85 |
| Sex: Female, Male Female | 227 Participants |
| Sex: Female, Male Male | 251 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 3 / 478 |
| other Total, other adverse events | 0 / 478 |
| serious Total, serious adverse events | 0 / 478 |
Outcome results
Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B
The persistence of specific hepatitis C amino acid variants (treatment-emergent substitutions) associated with drug resistance in NS3, NS5A, or NS5B was evaluated in participants who had not achieved SVR12. Post-baseline time points were calculated relative to the last dose of study drug in the previous study.
Time frame: from the last dose of study drug in the previous study up to 3 years post-treatment
Population: GT1a-infected participants who experienced virologic failure after receiving ABT-450, ABT-333 or ABT-267, and had not achieved SVR12 and had post-baseline sequencing data for NS3, NS5A, or NS5B at given time point.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5B: time of failure | 7 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS3: time of failure | 7 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS3: post-treatment week 48 | 0 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5A: time of failure | 13 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5A: post-treatment week 48 | 10 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5A: post-treatment week 96 | 6 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5A: post-treatment week 132 | 4 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5B: post-treatment week 24 | 3 Participants |
| All Participants | Number of HCV Genotype (GT)1a-Infected Participants With Persistence of Treatment-Emergent Substitutions in NS3, NS5A, or NS5B | NS5B: post-treatment week 96 | 1 Participants |
Percentage of Participants Who Experienced Relapse12overall With and Without New HCV Infection
Relapse is defined as a confirmed HCV ribonucleic acid (RNA) ≥ the lower limit of quantitation (LLOQ) at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse12overall is defined as a confirmed HCV RNA ≥ LLOQ at any time after the sustained virologic response at Week 12 post-dosing (SVR12) assessment time point for a participant who achieved SVR12 and had post-SVR12 HCV RNA data available. SVR12 is defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. New HCV infection is defined as re-infection with a different HCV isolate.
Time frame: Up to 3 years post-treatment
Population: Participants who achieved SVR12 and had post-SVR12 HCV RNA data available. Participants who did not have any post-treatment HCV RNA values were excluded from the relapse analyses.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Participants | Percentage of Participants Who Experienced Relapse12overall With and Without New HCV Infection | Relapse12overall With New HCV Infection | 0.2 percentage of participants |
| All Participants | Percentage of Participants Who Experienced Relapse12overall With and Without New HCV Infection | Relapse12overall Without New HCV Infection | 0.2 percentage of participants |
Percentage of Participants Who Experienced Relapse12 Without and With New HCV Infection
Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse12 is defined as a confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of study drug (up to and including the SVR12 assessment time point) for a participant with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment.
Time frame: From the end of treatment through 12 weeks post-treatment
Population: Participants with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment. Participants who did not have any post-treatment HCV RNA values were excluded from the relapse analyses.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Participants | Percentage of Participants Who Experienced Relapse12 Without and With New HCV Infection | Relapse12 Without New HCV Infection | 2.0 percentage of participants |
| All Participants | Percentage of Participants Who Experienced Relapse12 Without and With New HCV Infection | Relapse12 With New HCV Infection | 0 percentage of participants |
Percentage of Participants Who Experienced Relapse24 Without and With New HCV Infection
Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse24 is defined as a confirmed HCV RNA ≥ LLOQ within the sustained virologic response at Week 24 post-dosing (SVR24) window for a participant who achieved SVR12 and had HCV RNA data available in the SVR24 window.
Time frame: From the end of treatment through 24 weeks post-treatment
Population: Participants who achieved SVR12 and had HCV RNA data available in the SVR24 window. Participants who did not have any post-treatment HCV RNA values were excluded from the relapse analyses.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Participants | Percentage of Participants Who Experienced Relapse24 Without and With New HCV Infection | Relapse24 With New HCV Infection | 0 percentage of participants |
| All Participants | Percentage of Participants Who Experienced Relapse24 Without and With New HCV Infection | Relapse24 Without New HCV Infection | 0.2 percentage of participants |
Percentage of Participants Who Experienced Relapse˅Overall Without and With New HCV Infection
Relapse is defined as a confirmed HCV RNA ≥ LLOQ at any time during the post-treatment period for a participant who had HCV RNA \< LLOQ at the end of treatment. Relapse˅overall was defined as a confirmed HCV RNA ≥ LLOQ between end of treatment and up to and including the last HCV RNA measurement collected in the post-treatment Period for a participant with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment.
Time frame: Up to 3 years post-treatment
Population: Participants with HCV RNA \< LLOQ at Final Treatment Visit who completed treatment. Participants who did not have any post-treatment HCV RNA values were excluded from the relapse analyses.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| All Participants | Percentage of Participants Who Experienced Relapse˅Overall Without and With New HCV Infection | Relapse˅overall Without New HCV Infection | 2.2 percentage of participants |
| All Participants | Percentage of Participants Who Experienced Relapse˅Overall Without and With New HCV Infection | Relapse˅overall With New HCV Infection | 0.2 percentage of participants |