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A Multipart, Open-label Study to Evaluate the Safety and Efficacy of ABT-450/r/ABT-267 With and Without ABT-333 Coadministered With and Without Ribavirin in Adult With Genotype 1 or 4 Hepatitis C Virus (HCV) Infection and Human Immunodeficiency Virus, Type 1 Coinfection

A Multipart, Open-label Study to Evaluate the Safety and Efficacy of Ombitasvir/Paritaprevir/Ritonavir With and Without Dasabuvir Coadministered With and Without Ribavirin in Adults With Genotype 1 or 4 Chronic Hepatitis C Virus Infection and Human Immunodeficiency Virus, Type 1 Coinfection (TURQUOISE-I)

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01939197
Acronym
TURQUOISE-I
Enrollment
318
Registered
2013-09-11
Start date
2013-08-30
Completion date
2016-10-25
Last updated
2021-07-12

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

Conditions

Hepatitis C Virus Infection, Human Immunodeficiency Virus Infection, Chronic Hepatitis C, Compensated Cirrhosis and Non-cirrhotics

Keywords

HCV Genotype 4, Interferon-Free, Hepatitis C Genotype 1, Compensated Cirrhosis, Hepatitis C Genotype 4, HCV / HIV coinfection, Cirrhotic, Hepatitis C, HIV-1, HCV Genotype 1

Brief summary

The primary objectives of this study are to assess the safety of ABT-450/r/ABT-267 with and without ABT-333 coadministered with and without ribavirin (RBV) for 12 and 24 weeks in HCV GT1- or 4-infected participants with HIV-1 coinfection and to evaluate the percentage of subjects achieving HCV ribonucleic acid (RNA) \< lower limit of quantification (LLOQ) 12 weeks following treatment.

Interventions

tablet

DRUGribavirin

tablet

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Chronic HCV infection at screening defined as: positive anti-HCV antibodies (Ab) at screening and HCV RNA \> 1,000 IU/mL at screening. * Plasma HIV-1 RNA \< 40 copies/mL during screening using Abbott RealTime HIV-1 assay. * On a stable qualifying HIV-1 antiretroviral therapy regimen.

Exclusion criteria

* Positive test result at screening for hepatitis B surface antigen. * Evidence of HCV genotype other than genotype 1 or genotype 4 during screening. * Receipt of any other investigational or commercially available anti-HCV agents (for example, telaprevir, boceprevir, simeprevir, daclatasvir and ledipasvir) with the exception of interferon (including pegylated-interferon alfa-2a or alfa-2b), sofosbuvir and ribavirin. * Consideration by the investigator, for any reason, that the subject is an unsuitable candidate to receive ABT-450, ABT-267, ABT-333, ritonavir or ribavirin. * Chronic human immunodeficiency virus, type 2 (HIV-2) infection.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants in GT1 Analysis Group 1 in Part 2 Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12)12 weeks after the last actual dose of study drugSVR12 is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ) 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval (CI) is calculated using the Wilson score method for binomial distribution. The primary efficacy endpoint was the non-inferiority of the percentage of participants in the GT1 Analysis Group in Part 2 achieving SVR12 compared to the historical SVR12 rate for sofosbuvir plus ribavirin (a non-inferiority threshold of the lower bound of the 95% CI of 74%).

Secondary

MeasureTime frameDescription
Percentage of Participants in Part 1b Achieving SVR1212 weeks after last dose of study drugSVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.
Percentage of Participants in Arm F and Arm G of Part 2 Achieving SVR1212 weeks after last dose of study drugSVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.
Percentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall12 weeks after last dose of study drugSVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.
Percentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Periodup to 12 or 24 weeks, based on treatment durationPercentage of participants with on-treatment HCV virologic failure during the treatment period for each arm in Part 1a. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.
Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Periodup to 12 weeksPercentage of participants with on-treatment HCV virologic failure during the treatment period for each arm and overall in Part 1b. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.
Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Periodup to 12 or 24 weeks, based on treatment durationPercentage of participants with on-treatment HCV virologic failure during the treatment period for arms in Part 2. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.
Percentage of Participants in Part 1a Achieving SVR1212 weeks after last dose of study drugSVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.
Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overallup to 12 weeks after the last actual dose of study drugPercentage of participants who experienced Relapse12 among participants who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value. Relapse12 is defined as 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 and had post-treatment data. Completion of treatment is defined as study drug duration ≥ 77 days for Arm C and Arm D. The 95% CI is calculated using Wilson score method for the binomial distribution.
Percentage of Participants in Part 2 With Relapse12up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drugPercentage of participants who experienced Relapse12 among those who completed treatment with HCV RNA \< LLOQ at final treatment visit and had ≥1 post-treatment HCV RNA value. Relapse12=confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of study drug (up to and including the SVR12 window) for a participant with HCV RNA \< LLOQ at final treatment visit who completed treatment and had post-treatment data, excluding reinfection. Completion of treatment=study drug duration ≥ 77 days for participants who received 12 weeks of treatment and ≥154 days for participants who received 24 weeks of treatment. HCV reinfection=confirmed HCV RNA ≥ LLOQ after the end of treatment in a subject who had HCV RNA \< LLOQ at final treatment visit, along with the post-treatment detection of a different HCV genotype, subtype, or clade compared with baseline, as determined by phylogenetic analysis. The 95% CI is calculated using Wilson score method for the binomial distribution.
Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of treatment: HIV Week 12 window for 12-weeks of treatment (Treatment Day 71 - 98) or HIV Week 24 window (Treatment Day 155 - 182) for 24-weeks of treatment. Post-Treatment Week 12 (PTW12): HIV PTW12 window (Post-Treatment Day 57 - 126)HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).
Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of treatment: HIV Week 12 window (Treatment Day 78 - 98). PTW12: HIV PTW12 window (Post-Treatment Day 57 - 126)HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).
Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of treatment: HIV Week 12 window for 12-weeks of treatment (Treatment Day 71 - 98) or HIV Week 24 window (Treatment Day 155 - 182) for 24-weeks of treatment. PTW12: HIV PTW12 window (Post-Treatment Day 57 - 126)HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).
Percentage of Participants in Part 1a With Relapse12up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drugPercentage of participants who experienced Relapse12 among participants who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value. Relapse12 is defined as 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 and had post-treatment data. Completion of treatment is defined as study drug duration ≥ 77 days for Arm A and ≥ 154 days for Arm B. The 95% CI is calculated using Wilson score method for the binomial distribution.

Participant flow

Recruitment details

Part 2 was not designed to test different treatments on the same subject population. Rather, the arms in Part 2 represent subpopulations with different baseline characteristics (hepatitis C virus \[HCV\] genotype \[GT\], cirrhotic status, prior HCV therapy experience). Arms F and G were randomized to regimens without and with ribavirin, respectively.

Pre-assignment details

In Part 2, participants in Arms E, F, H, I, J all had GT1 infection and received 1 consistent treatment regimen based on label recommendations; they were therefore combined and named the GT1 Analysis Group.

Participants by arm

ArmCount
Part 1a: Arm A
ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving atazanavir once-daily or raltegravir twice-daily
31
Part 1a: Arm B
ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 24 weeks for participants receiving atazanavir once-daily or raltegravir twice-daily
32
Part 1b: Arm C
ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving darunavir once-daily
10
Part 1b: Arm D
ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving darunavir twice-daily
12
Part 2: GT1 Analysis Group
Participants with HCV GT1a or GT1b at screening in Arms E, F, H, I, J (no participants enrolled in Arm H) Arm E: ABT-450/r/ABT-267 and ABT-333 for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily Arm F: ABT-450/r/ABT-267 and ABT-333 for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily Arm I: ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily Arm J: ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 24 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
200
Part 2: Arm G
ABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
5
Part 2: GT4 Analysis Group
Arm K: ABT-450/r/ABT-267 coadministered with RBV for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily, dolutegravir once-daily or twice-daily, darunavir once-daily Arm L: no participants enrolled
28
Total318

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Overall StudyLost to Follow-up0101312
Overall StudyWithdrawal by Subject1000100

Baseline characteristics

CharacteristicPart 1a: Arm APart 1a: Arm BPart 1b: Arm CPart 1b: Arm DPart 2: GT1 Analysis GroupPart 2: Arm GPart 2: GT4 Analysis GroupTotal
Age, Customized
Age Group
< 55 years
23 Participants20 Participants5 Participants8 Participants145 Participants2 Participants24 Participants227 Participants
Age, Customized
Age Group
≥ 55 years
8 Participants12 Participants5 Participants4 Participants55 Participants3 Participants4 Participants91 Participants
Sex: Female, Male
Female
2 Participants3 Participants2 Participants3 Participants44 Participants1 Participants2 Participants57 Participants
Sex: Female, Male
Male
29 Participants29 Participants8 Participants9 Participants156 Participants4 Participants26 Participants261 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
28 / 3127 / 3210 / 1010 / 1223 / 423 / 44 / 5109 / 13518 / 1923 / 28
serious
Total, serious adverse events
0 / 310 / 320 / 101 / 121 / 420 / 40 / 56 / 1352 / 191 / 28

Outcome results

Primary

Percentage of Participants in GT1 Analysis Group 1 in Part 2 Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12)

SVR12 is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ) 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval (CI) is calculated using the Wilson score method for binomial distribution. The primary efficacy endpoint was the non-inferiority of the percentage of participants in the GT1 Analysis Group in Part 2 achieving SVR12 compared to the historical SVR12 rate for sofosbuvir plus ribavirin (a non-inferiority threshold of the lower bound of the 95% CI of 74%).

Time frame: 12 weeks after the last actual dose of study drug

Population: Intent-to-treat population: Part 2 randomized or enrolled participants who received at least 1 dose of study drug. Imputation applied; participants with missing HCV RNA data after imputation were counted as failures. The primary efficacy endpoint analysis was based on subjects in the GT 1 Analysis Group in Part 2 containing Arms E, F, H, I, and J.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in GT1 Analysis Group 1 in Part 2 Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12)97.0 percentage of participants
Secondary

Percentage of Participants in Arm F and Arm G of Part 2 Achieving SVR12

SVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.

Time frame: 12 weeks after last dose of study drug

Population: Intent-to-treat population: Part 2 randomized or enrolled participants who received at least 1 dose of study drug. Imputation applied; participants with missing HCV RNA data after imputation were counted as failures.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Arm F and Arm G of Part 2 Achieving SVR1275.0 percentage of participants
Part 1a: Arm BPercentage of Participants in Arm F and Arm G of Part 2 Achieving SVR1280.0 percentage of participants
Secondary

Percentage of Participants in Part 1a Achieving SVR12

SVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.

Time frame: 12 weeks after last dose of study drug

Population: Intent-to-treat population: Part 1a randomized participants who received at least 1 dose of study drug. Imputation applied; participants with missing HCV RNA data after imputation were counted as failures.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1a Achieving SVR1293.5 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1a Achieving SVR1290.6 percentage of participants
p-value: 1Fisher Exact
Secondary

Percentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period

Percentage of participants with on-treatment HCV virologic failure during the treatment period for each arm in Part 1a. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.

Time frame: up to 12 or 24 weeks, based on treatment duration

Population: Intent-to-treat population: Part 1a randomized participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period3.1 percentage of participants
Secondary

Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment

HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).

Time frame: End of treatment: HIV Week 12 window for 12-weeks of treatment (Treatment Day 71 - 98) or HIV Week 24 window (Treatment Day 155 - 182) for 24-weeks of treatment. Post-Treatment Week 12 (PTW12): HIV PTW12 window (Post-Treatment Day 57 - 126)

Population: Intent-to-treat population: Part 1a randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment93.5 percentage of participants
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1296.8 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment90.6 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1293.8 percentage of participants
Secondary

Percentage of Participants in Part 1a With Relapse12

Percentage of participants who experienced Relapse12 among participants who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value. Relapse12 is defined as 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 and had post-treatment data. Completion of treatment is defined as study drug duration ≥ 77 days for Arm A and ≥ 154 days for Arm B. The 95% CI is calculated using Wilson score method for the binomial distribution.

Time frame: up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drug

Population: Intent-to-treat population: Part 1a randomized participants who received at least 1 dose of study drug and who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1a With Relapse123.3 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1a With Relapse120 percentage of participants
Secondary

Percentage of Participants in Part 1b Achieving SVR12

SVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.

Time frame: 12 weeks after last dose of study drug

Population: Intent-to-treat population: Part 1b randomized participants who received at least 1 dose of study drug. Imputation applied; participants with missing HCV RNA data after imputation were counted as failures.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1b Achieving SVR12100 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1b Achieving SVR12100 percentage of participants
Part 1b: TotalPercentage of Participants in Part 1b Achieving SVR12100 percentage of participants
Secondary

Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period

Percentage of participants with on-treatment HCV virologic failure during the treatment period for each arm and overall in Part 1b. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.

Time frame: up to 12 weeks

Population: Intent-to-treat population: Part 1b randomized participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 1b: TotalPercentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Secondary

Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment

HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).

Time frame: End of treatment: HIV Week 12 window (Treatment Day 78 - 98). PTW12: HIV PTW12 window (Post-Treatment Day 57 - 126)

Population: Intent-to-treat population: Part 1b randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment100 percentage of participants
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 12100 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment83.3 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1275.0 percentage of participants
Part 1b: TotalPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment90.9 percentage of participants
Part 1b: TotalPercentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1286.4 percentage of participants
Secondary

Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overall

Percentage of participants who experienced Relapse12 among participants who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value. Relapse12 is defined as 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 and had post-treatment data. Completion of treatment is defined as study drug duration ≥ 77 days for Arm C and Arm D. The 95% CI is calculated using Wilson score method for the binomial distribution.

Time frame: up to 12 weeks after the last actual dose of study drug

Population: Intent-to-treat population: all Part 1b randomized participants who received at least 1 dose of study drug and who completed treatment with HCV RNA \< LLOQ at final treatment visit and had at least one post-treatment HCV RNA value.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 1b With Relapse12 for Each Arm and Overall0 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 1b With Relapse12 for Each Arm and Overall0 percentage of participants
Part 1b: TotalPercentage of Participants in Part 1b With Relapse12 for Each Arm and Overall0 percentage of participants
Secondary

Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period

Percentage of participants with on-treatment HCV virologic failure during the treatment period for arms in Part 2. Virologic failure is defined as confirmed quantifiable HCV RNA among participants with previously unquantifiable HCV RNA during treatment.

Time frame: up to 12 or 24 weeks, based on treatment duration

Population: Intent-to-treat population: Part 2 randomized or enrolled participants in the GT1 analysis group (and its composing arms) and GT4 analysis group who received at least 1 dose of study drug. Due to a label change after study start that no longer recommended the Arm G treatment regimen to GT1b cirrhotic subjects, Arm G data was not analyzed.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0.5 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 1b: TotalPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period25.0 percentage of participants
Part 2: Arm IPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 2: Arm JPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Part 2: GT4 Analysis GroupPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Group 2: Arm KPercentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period0 percentage of participants
Secondary

Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment

HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL).

Time frame: End of treatment: HIV Week 12 window for 12-weeks of treatment (Treatment Day 71 - 98) or HIV Week 24 window (Treatment Day 155 - 182) for 24-weeks of treatment. PTW12: HIV PTW12 window (Post-Treatment Day 57 - 126)

Population: Intent-to-treat population: Part 2 randomized or enrolled participants in the GT1 analysis group (and its composing arms) and GT4 analysis group who received at least 1 dose of study drug. Due to a label change after study start that no longer recommended the Arm G treatment regimen to GT1b cirrhotic subjects, Arm G data was not analyzed.

ArmMeasureGroupValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment89 percentage of participants
Part 2: GT1 Analysis GroupPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1293 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1297.6 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment90.5 percentage of participants
Part 1b: TotalPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment100 percentage of participants
Part 1b: TotalPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 12100 percentage of participants
Part 2: Arm IPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment89.6 percentage of participants
Part 2: Arm IPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1291.9 percentage of participants
Part 2: Arm JPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1289.5 percentage of participants
Part 2: Arm JPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment78.9 percentage of participants
Part 2: GT4 Analysis GroupPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment85.7 percentage of participants
Part 2: GT4 Analysis GroupPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1292.9 percentage of participants
Group 2: Arm KPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentPost-Treatment Week 1292.9 percentage of participants
Group 2: Arm KPercentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-TreatmentEnd of Treatment85.7 percentage of participants
Secondary

Percentage of Participants in Part 2 With Relapse12

Percentage of participants who experienced Relapse12 among those who completed treatment with HCV RNA \< LLOQ at final treatment visit and had ≥1 post-treatment HCV RNA value. Relapse12=confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of study drug (up to and including the SVR12 window) for a participant with HCV RNA \< LLOQ at final treatment visit who completed treatment and had post-treatment data, excluding reinfection. Completion of treatment=study drug duration ≥ 77 days for participants who received 12 weeks of treatment and ≥154 days for participants who received 24 weeks of treatment. HCV reinfection=confirmed HCV RNA ≥ LLOQ after the end of treatment in a subject who had HCV RNA \< LLOQ at final treatment visit, along with the post-treatment detection of a different HCV genotype, subtype, or clade compared with baseline, as determined by phylogenetic analysis. The 95% CI is calculated using Wilson score method for the binomial distribution.

Time frame: up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drug

Population: Intent-to-treat population: Part 2 randomized or enrolled participants in the GT1 analysis group (and its composing arms) and GT4 analysis group who received ≥1 dose of study drug, who completed treatment with HCV RNA \< LLOQ at final treatment visit, and had ≥1 post-treatment HCV RNA value. Arm G data was not analyzed (see Outcome Measure 8).

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants in Part 2 With Relapse120.5 percentage of participants
Part 1a: Arm BPercentage of Participants in Part 2 With Relapse120 percentage of participants
Part 1b: TotalPercentage of Participants in Part 2 With Relapse120 percentage of participants
Part 2: Arm IPercentage of Participants in Part 2 With Relapse120.8 percentage of participants
Part 2: Arm JPercentage of Participants in Part 2 With Relapse120 percentage of participants
Part 2: GT4 Analysis GroupPercentage of Participants in Part 2 With Relapse120 percentage of participants
Group 2: Arm KPercentage of Participants in Part 2 With Relapse120 percentage of participants
Secondary

Percentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall

SVR12 is defined as plasma HCV RNA \< LLOQ 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% CI is calculated using the Wilson score method for binomial distribution.

Time frame: 12 weeks after last dose of study drug

Population: Intent-to-treat population: Part 2 randomized or enrolled participants who received at least 1 dose of study drug. Imputation applied; participants with missing HCV RNA data after imputation were counted as failures.

ArmMeasureValue (NUMBER)
Part 2: GT1 Analysis GroupPercentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall96.4 percentage of participants
Part 1a: Arm BPercentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall96.4 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 14, 2026