Hepatitis C Virus Infection, Human Immunodeficiency Virus Infection, Chronic Hepatitis C, Compensated Cirrhosis and Non-cirrhotics
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 drug | 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%). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants in Part 1b Achieving SVR12 | 12 weeks after last dose of study drug | 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. |
| Percentage of Participants in Arm F and Arm G of Part 2 Achieving SVR12 | 12 weeks after last dose of study drug | 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. |
| Percentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall | 12 weeks after last dose of study drug | 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. |
| Percentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period | up to 12 or 24 weeks, based on treatment duration | 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. |
| Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period | up to 12 weeks | 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. |
| Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | up to 12 or 24 weeks, based on treatment duration | 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. |
| Percentage of Participants in Part 1a Achieving SVR12 | 12 weeks after last dose of study drug | 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. |
| Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overall | up to 12 weeks after the last actual dose of study drug | 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. |
| Percentage of Participants in Part 2 With Relapse12 | up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drug | 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. |
| Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | 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) | 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-Treatment | End 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-Treatment | 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) | HIV virologic success was defined as HIV-1 RNA suppression (HIV-1 RNA value \< 40 copies/mL). |
| Percentage of Participants in Part 1a With Relapse12 | up to 12 or 24 weeks, based on treatment duration, after the last actual dose of study drug | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 318 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 |
|---|---|---|---|---|---|---|---|---|
| Overall Study | Lost to Follow-up | 0 | 1 | 0 | 1 | 3 | 1 | 2 |
| Overall Study | Withdrawal by Subject | 1 | 0 | 0 | 0 | 1 | 0 | 0 |
Baseline characteristics
| Characteristic | Part 1a: Arm A | Part 1a: Arm B | Part 1b: Arm C | Part 1b: Arm D | Part 2: GT1 Analysis Group | Part 2: Arm G | Part 2: GT4 Analysis Group | Total |
|---|---|---|---|---|---|---|---|---|
| Age, Customized Age Group < 55 years | 23 Participants | 20 Participants | 5 Participants | 8 Participants | 145 Participants | 2 Participants | 24 Participants | 227 Participants |
| Age, Customized Age Group ≥ 55 years | 8 Participants | 12 Participants | 5 Participants | 4 Participants | 55 Participants | 3 Participants | 4 Participants | 91 Participants |
| Sex: Female, Male Female | 2 Participants | 3 Participants | 2 Participants | 3 Participants | 44 Participants | 1 Participants | 2 Participants | 57 Participants |
| Sex: Female, Male Male | 29 Participants | 29 Participants | 8 Participants | 9 Participants | 156 Participants | 4 Participants | 26 Participants | 261 Participants |
Adverse events
| Event type | EG000 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 / 31 | 27 / 32 | 10 / 10 | 10 / 12 | 23 / 42 | 3 / 4 | 4 / 5 | 109 / 135 | 18 / 19 | 23 / 28 |
| serious Total, serious adverse events | 0 / 31 | 0 / 32 | 0 / 10 | 1 / 12 | 1 / 42 | 0 / 4 | 0 / 5 | 6 / 135 | 2 / 19 | 1 / 28 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in GT1 Analysis Group 1 in Part 2 Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) | 97.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Arm F and Arm G of Part 2 Achieving SVR12 | 75.0 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Arm F and Arm G of Part 2 Achieving SVR12 | 80.0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1a Achieving SVR12 | 93.5 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1a Achieving SVR12 | 90.6 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1a With On-Treatment HCV Virologic Failure During the Treatment Period | 3.1 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 93.5 percentage of participants |
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 96.8 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 90.6 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1a With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 93.8 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1a With Relapse12 | 3.3 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1a With Relapse12 | 0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1b Achieving SVR12 | 100 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1b Achieving SVR12 | 100 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 1b Achieving SVR12 | 100 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 1b With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 100 percentage of participants |
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 100 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 83.3 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 75.0 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 90.9 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 1b With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 86.4 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overall | 0 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overall | 0 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 1b With Relapse12 for Each Arm and Overall | 0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0.5 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 25.0 percentage of participants |
| Part 2: Arm I | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 2: Arm J | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Part 2: GT4 Analysis Group | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
| Group 2: Arm K | Percentage of Participants in Part 2 With On-Treatment HCV Virologic Failure During the Treatment Period | 0 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 89 percentage of participants |
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 93 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 97.6 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 90.5 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 100 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 100 percentage of participants |
| Part 2: Arm I | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 89.6 percentage of participants |
| Part 2: Arm I | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 91.9 percentage of participants |
| Part 2: Arm J | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 89.5 percentage of participants |
| Part 2: Arm J | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 78.9 percentage of participants |
| Part 2: GT4 Analysis Group | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 85.7 percentage of participants |
| Part 2: GT4 Analysis Group | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 92.9 percentage of participants |
| Group 2: Arm K | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | Post-Treatment Week 12 | 92.9 percentage of participants |
| Group 2: Arm K | Percentage of Participants in Part 2 With Plasma HIV-1 RNA Suppression at End of Treatment and 12 Weeks Post-Treatment | End of Treatment | 85.7 percentage of participants |
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).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants in Part 2 With Relapse12 | 0.5 percentage of participants |
| Part 1a: Arm B | Percentage of Participants in Part 2 With Relapse12 | 0 percentage of participants |
| Part 1b: Total | Percentage of Participants in Part 2 With Relapse12 | 0 percentage of participants |
| Part 2: Arm I | Percentage of Participants in Part 2 With Relapse12 | 0.8 percentage of participants |
| Part 2: Arm J | Percentage of Participants in Part 2 With Relapse12 | 0 percentage of participants |
| Part 2: GT4 Analysis Group | Percentage of Participants in Part 2 With Relapse12 | 0 percentage of participants |
| Group 2: Arm K | Percentage of Participants in Part 2 With Relapse12 | 0 percentage of participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 2: GT1 Analysis Group | Percentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall | 96.4 percentage of participants |
| Part 1a: Arm B | Percentage of Participants With GT4 HCV in Part 2 Achieving SVR12, by Arm and Overall | 96.4 percentage of participants |