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Efficacy and Safety Study of Simeprevir in Combination With Sofosbuvir in Participants With Genotype 1 Chronic Hepatitis C Virus Infection and Cirrhosis

A Phase 3, Multicenter, Open-Label, Single-Arm Study to Investigate the Efficacy and Safety of a 12-Week Regimen of Simeprevir in Combination With Sofosbuvir in Treatment-Naïve or -Experienced Subjects With Chronic Genotype 1 Hepatitis C Virus Infection and Cirrhosis

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02114151
Enrollment
103
Registered
2014-04-15
Start date
2014-04-30
Completion date
2015-04-30
Last updated
2016-04-04

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

Conditions

Hepatitis C Virus Infection

Keywords

Hepatitis C Virus Infection, Simeprevir, Sofosbuvir, HCV, Cirrhosis

Brief summary

The purpose of the study is to investigate the efficacy and safety of 12 weeks of simeprevir (150 mg qd) in combination with sofosbuvir (400 mg qd) in chronic hepatitis C virus (HCV) genotype 1 infected men and women with cirrhosis who are HCV treatment-naïve or treatment-experienced.

Detailed description

This is a open-label (all people know the identity of the intervention), single arm, multicenter study. The study will consist of a screening phase up to 4 weeks, open-label treatment phase of 12 weeks, and post-treatment follow up phase up to 24 weeks after end of treatment. Approximately 100 participants will receive 150 mg simeprevir in combination with 400 mg sofosbuvir once dailyfor 12 weeks. Safety evaluations will include assessment of adverse events, clinical laboratory tests, vital signs, and physical examination. The maximum study duration for each participant will be approximately 40 weeks.

Interventions

DRUGSimeprevir

100 participants will receive 1 capsule of 150 mg orally once daily for 12 weeks.

DRUGSofosbuvir

100 participants will receive 1 tablet of 400 mg sofosbuvir orally once daily for 12 weeks.

Sponsors

Janssen Infectious Diseases BVBA
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Hepatitis C virus (HCV) genotype 1 infection (confirmed at screening). * HCV ribonucleic acid (RNA) greater than 10,000 IU/mL at screening * Treatment-experienced participants must have at least 1 documented previous course of interferon-based regimen with or without ribavirin * Participants must have an hepatic imaging procedure (ultrasound, computerized tomography scan or magnetic resonance imaging scan) within 6 months prior to the screening visit (or between screening and Day 1) with no findings suspicious for hepatocellular carcinoma * Participant must be willing and able to comply with the protocol requirements * Participants with liver cirrhosis

Exclusion criteria

* Evidence of clinical hepatic decompensation (history or current evidence of ascites, bleeding varices or hepatic encephalopathy) * Infection/co-infection with HCV non-genotype 1 * Co-infection with human immunodeficiency virus (HIV) type 1 or type 2 (HIV-1 or HIV-2) (positive HIV-1 or HIV-2 antibodies test at screening) * Co-infection with hepatitis B virus (hepatitis B-surface-antigen positive) * Previously been treated with any direct acting anti-HCV agent (approved or investigational) for chronic HCV infection

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a Sustained Virologic Response (SVR) 12 Weeks After the Actual End of Treatment (EOT)Week 24Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 12 weeks after the actual end of treatment.

Secondary

MeasureTime frameDescription
Percentage of Participants With a Sustained Virologic Response (SVR) 24 Weeks After the Actual End of Treatment (EOT)Week 36Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 24 weeks after the actual end of treatment.
Percentage of Participants With On-treatment Virologic ResponseWeek 2, 4 and End of Treatment (Week 12)On-treatment virologic response was determined by HCV RNA results satisfying a specified threshold. \<LLOQ undetectable was considered as threshold at any time point. The LLOQ value is 25 IU/mL. EOT=End of Treatment.
Percentage of Participants With On-treatment FailureWeek 12On-treatment failure is defined as participants who do not achieve SVR12 and with confirmed detectable HCV RNA at the actual end of study drug treatment.
Percentage of Participants With Viral BreakthroughUp to End of Treatment (Week 12)Viral breakthrough was defined as confirmed greater than (\>) 1 log10 increase in HCV RNA from nadir or confirmed HCV RNA \>100 IU/mL in participants who had previously achieved HCV RNA \< LLOQ (25 IU/mL).
Percentage of Participants With Viral RelapseDuring the Follow-up (Week 24)Viral relapse was defined as participants who did not achieve SVR12 and had HCV RNA \< LLOQ (25 IU/mL) undetectable at EOT and had HCV RNA \>= LLOQ (25 IU/mL) during the follow-up period.
Percentage of Participants With a Sustained Virologic Response (SVR) 4 Weeks After the Actual End of Treatment (EOT)Week 16Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 4 weeks after the actual end of treatment.
Change From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24Baseline, Week 12, Follow-up Week 12 and 24The FSS was a self-administered questionnaire with 9 items developed to assess disabling fatigue that has been used extensively in studies of chronic HCV infection. Item responses were measured on a 7-point Likert scale ranging from strongly disagree (1 point) to strongly agree (7 points). The 9 items were averaged to produce a total score; a lower total score indicates less severe fatigue. FSS scores have a range from 1 to 7 where higher scores indicate more severe fatigue.
Percentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Baseline, Week 12, Follow-up Week 12 and 24The CES-D Scale assessed how often during the past week participants experienced 20 symptoms commonly associated with major depression. The CES-D scores range from 0 (no symptoms) to 60 (all 20 symptoms most or all of the time during the past 5 to 7 days). The CES-D scores between 16 and 23 points indicate mild to moderate depressive illness while CES-D scores \>=23 indicate probable major depressive illness.
Change From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24Baseline, Follow-up Week 12 and 24The EQ-5D questionnaire was a brief, generic health-related quality of life (HRQOL) assessment that could also be used to incorporate participant preferences into health economic evaluations. The EQ-5D questionnaire assessed HRQOL in terms of degree of limitation on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and as overall health using a thermometer visual analog scale with response options ranging from 0 (worst imaginable health) to 100 (best imaginable health).
Number of Participants Not Achieving SVR Showing Emerging Mutation at Time of Failure in HCV NS3/4A Sequence and NS5B up to Follow-up Week 24Baseline, Day 3, Week 1, 2, 3, 4, 8, 12, Follow-up Week 4, 12 and 24Sequencing of the HCV nonstructural protein 3/4A (NS3/4A) and nonstructural protein 5B (NS5B) genes was done to identify pre-existing sequence polymorphisms and characterize emerging HCV viral variants in participants not achieving SVR. Sequencing data is available for 16 participants.
Change From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12Baseline, Week 4, Week 12 and Follow-Up Week 12The HCV-SIQv4 OBSS was a self-administered questionnaire that contained 33 items: 29 questions developed to assess severity or frequency of symptoms associated with HCV or its treatment, 3 questions regarding the impact of symptoms on work/school attendance, and 1 question regarding the impact of symptoms on daily activities. A symptom severity score (the mean of responses to the 29 symptom items); each symptom score was transformed to have a range from 0 to 100 (most severe). Higher HCV SIQv4 scores indicates worse symptom severity, more time missed from work/school, and more impairment in daily activities, respectively.

Countries

Canada, United States

Participant flow

Pre-assignment details

A total of 147 participants from the United States and Canada were Screened and 103 were enrolled into the study. All 103 participants who received at least 1 dose of study drug and so were included in intent to treat (ITT) population.

Participants by arm

ArmCount
Simeprevir Plus Sofosbuvir
Participants received simeprevir 150 milligram (mg) in combination with sofosbuvir 400 mg once daily for 12 weeks.
103
Total103

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath1
Overall StudyLost to Follow-up1
Overall StudyWithdrawal by Subject5

Baseline characteristics

CharacteristicSimeprevir Plus Sofosbuvir
Age, Continuous58 years
Sex: Female, Male
Female
20 Participants
Sex: Female, Male
Male
83 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
47 / 103
serious
Total, serious adverse events
5 / 103

Outcome results

Primary

Percentage of Participants With a Sustained Virologic Response (SVR) 12 Weeks After the Actual End of Treatment (EOT)

Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 12 weeks after the actual end of treatment.

Time frame: Week 24

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With a Sustained Virologic Response (SVR) 12 Weeks After the Actual End of Treatment (EOT)83.5 Percentage of Participants
Secondary

Change From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24

The EQ-5D questionnaire was a brief, generic health-related quality of life (HRQOL) assessment that could also be used to incorporate participant preferences into health economic evaluations. The EQ-5D questionnaire assessed HRQOL in terms of degree of limitation on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) and as overall health using a thermometer visual analog scale with response options ranging from 0 (worst imaginable health) to 100 (best imaginable health).

Time frame: Baseline, Follow-up Week 12 and 24

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure and 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (MEAN)Dispersion
Simeprevir Plus SofosbuvirChange From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24Baseline (n=96)70.1 Units on a ScaleStandard Error 2.17
Simeprevir Plus SofosbuvirChange From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24Change at Follow-up Week 12 (n=92)9.8 Units on a ScaleStandard Error 1.9
Simeprevir Plus SofosbuvirChange From Baseline in EuroQol 5 Dimension Questionnaire (EQ-5D) up to Follow-up Week 24Change at Follow-up Week 24 (n=86)9.5 Units on a ScaleStandard Error 1.75
Secondary

Change From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24

The FSS was a self-administered questionnaire with 9 items developed to assess disabling fatigue that has been used extensively in studies of chronic HCV infection. Item responses were measured on a 7-point Likert scale ranging from strongly disagree (1 point) to strongly agree (7 points). The 9 items were averaged to produce a total score; a lower total score indicates less severe fatigue. FSS scores have a range from 1 to 7 where higher scores indicate more severe fatigue.

Time frame: Baseline, Week 12, Follow-up Week 12 and 24

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure and 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (MEAN)Dispersion
Simeprevir Plus SofosbuvirChange From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24Baseline (n=96)3.4 Units on a ScaleStandard Error 0.18
Simeprevir Plus SofosbuvirChange From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24Change at Week 12 (n=86)-0.4 Units on a ScaleStandard Error 0.18
Simeprevir Plus SofosbuvirChange From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24Change at Follow-up Week 12 (n=92)-0.6 Units on a ScaleStandard Error 0.16
Simeprevir Plus SofosbuvirChange From Baseline in Fatigue Severity Score (FSS) up to Follow-up Week 24Change at Follow-up Week 24 (n=86)-0.8 Units on a ScaleStandard Error 0.18
Secondary

Change From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12

The HCV-SIQv4 OBSS was a self-administered questionnaire that contained 33 items: 29 questions developed to assess severity or frequency of symptoms associated with HCV or its treatment, 3 questions regarding the impact of symptoms on work/school attendance, and 1 question regarding the impact of symptoms on daily activities. A symptom severity score (the mean of responses to the 29 symptom items); each symptom score was transformed to have a range from 0 to 100 (most severe). Higher HCV SIQv4 scores indicates worse symptom severity, more time missed from work/school, and more impairment in daily activities, respectively.

Time frame: Baseline, Week 4, Week 12 and Follow-Up Week 12

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure and 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (MEAN)Dispersion
Simeprevir Plus SofosbuvirChange From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12Baseline (n=98)17.4 Units on a ScaleStandard Error 1.47
Simeprevir Plus SofosbuvirChange From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12Change at Week 4 (n=96)-4.9 Units on a ScaleStandard Error 1.23
Simeprevir Plus SofosbuvirChange From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12Change at Week 12 (n=89)-4.7 Units on a ScaleStandard Error 1.39
Simeprevir Plus SofosbuvirChange From Baseline in Hepatitis C Symptom and Impact Questionnaire Version 4 (HCV-SIQv4) Overall Body System Score (OBSS) up to Follow-up Week 12Change at Follow-up Week 12 (n=94)-5.8 Units on a ScaleStandard Error 1.36
Secondary

Number of Participants Not Achieving SVR Showing Emerging Mutation at Time of Failure in HCV NS3/4A Sequence and NS5B up to Follow-up Week 24

Sequencing of the HCV nonstructural protein 3/4A (NS3/4A) and nonstructural protein 5B (NS5B) genes was done to identify pre-existing sequence polymorphisms and characterize emerging HCV viral variants in participants not achieving SVR. Sequencing data is available for 16 participants.

Time frame: Baseline, Day 3, Week 1, 2, 3, 4, 8, 12, Follow-up Week 4, 12 and 24

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Simeprevir Plus SofosbuvirNumber of Participants Not Achieving SVR Showing Emerging Mutation at Time of Failure in HCV NS3/4A Sequence and NS5B up to Follow-up Week 24HCV NS313 Participants
Simeprevir Plus SofosbuvirNumber of Participants Not Achieving SVR Showing Emerging Mutation at Time of Failure in HCV NS3/4A Sequence and NS5B up to Follow-up Week 24NS5B0 Participants
Secondary

Percentage of Participants With a Sustained Virologic Response (SVR) 24 Weeks After the Actual End of Treatment (EOT)

Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 24 weeks after the actual end of treatment.

Time frame: Week 36

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With a Sustained Virologic Response (SVR) 24 Weeks After the Actual End of Treatment (EOT)82.5 Percentage of Participants
Secondary

Percentage of Participants With a Sustained Virologic Response (SVR) 4 Weeks After the Actual End of Treatment (EOT)

Participants with hepatitis C virus (HCV) ribonucleic acid (RNA) less than (\<) 25 international unit per milliliter (IU/mL) (detectable or undetectable) at 4 weeks after the actual end of treatment.

Time frame: Week 16

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With a Sustained Virologic Response (SVR) 4 Weeks After the Actual End of Treatment (EOT)86.4 Percentage of Participants
Secondary

Percentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)

The CES-D Scale assessed how often during the past week participants experienced 20 symptoms commonly associated with major depression. The CES-D scores range from 0 (no symptoms) to 60 (all 20 symptoms most or all of the time during the past 5 to 7 days). The CES-D scores between 16 and 23 points indicate mild to moderate depressive illness while CES-D scores \>=23 indicate probable major depressive illness.

Time frame: Baseline, Week 12, Follow-up Week 12 and 24

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure and 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Baseline: No Depression (n=96)67.7 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Baseline: Mild to Moderate Depression (n=96)16.7 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Baseline: Severe Depression (n=96)15.6 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Week 12: No Depression (n=88)77.3 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Week 12: Mild to Moderate Depression (n=88)15.9 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Week 12: Severe Depression (n=88)6.8 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week 12: No Depression (n=94)79.8 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week12:Mild to Moderate Depression(n=94)6.4 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week 12: Severe Depression (n=94)13.8 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week 24: No Depression (n=88)79.5 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week24:Mild to Moderate Depression(n=88)10.2 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With Depression by Using Center for Epidemiologic Studies Depression Scale (CES-D)Follow-up Week 24: Severe Depression (n=88)10.2 Percentage of Participants
Secondary

Percentage of Participants With On-treatment Failure

On-treatment failure is defined as participants who do not achieve SVR12 and with confirmed detectable HCV RNA at the actual end of study drug treatment.

Time frame: Week 12

Population: Intent-to-treat (ITT) population included all randomized participants who took at least one dose of investigational drug.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Failure2.9 Percentage of Participants
Secondary

Percentage of Participants With On-treatment Virologic Response

On-treatment virologic response was determined by HCV RNA results satisfying a specified threshold. \<LLOQ undetectable was considered as threshold at any time point. The LLOQ value is 25 IU/mL. EOT=End of Treatment.

Time frame: Week 2, 4 and End of Treatment (Week 12)

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 2: < 25 IU/mL (n=102)68.6 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 2: < 100 IU/mL (n=102)90.2 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 2: < 25 IU/mL Detectable (n=102)44.1 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 2: < 25 IU/mL Undetectable (n=102)24.5 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 4: < 100 IU/mL (n=102)99.0 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 4: < 25 IU/mL (n=102)99.0 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 4: < 25 IU/mL Detectable (n=102)15.7 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseWeek 4: < 25 IU/mL Undetectable (n=102)83.3 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseEOT (Week 12): < 100 IU/mL (n=103)97.1 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseEOT (Week 12): < 25 IU/mL (n=103)97.1 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseEOT (Week 12): < 25 IU/mL Detectable (n=103)0 Percentage of Participants
Simeprevir Plus SofosbuvirPercentage of Participants With On-treatment Virologic ResponseEOT (Week 12): < 25 IU/mL Undetectable (n=103)97.1 Percentage of Participants
Secondary

Percentage of Participants With Viral Breakthrough

Viral breakthrough was defined as confirmed greater than (\>) 1 log10 increase in HCV RNA from nadir or confirmed HCV RNA \>100 IU/mL in participants who had previously achieved HCV RNA \< LLOQ (25 IU/mL).

Time frame: Up to End of Treatment (Week 12)

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With Viral Breakthrough1.9 Percentage of Participants
Secondary

Percentage of Participants With Viral Relapse

Viral relapse was defined as participants who did not achieve SVR12 and had HCV RNA \< LLOQ (25 IU/mL) undetectable at EOT and had HCV RNA \>= LLOQ (25 IU/mL) during the follow-up period.

Time frame: During the Follow-up (Week 24)

Population: Intent-to-treat (ITT) population included all enrolled participants who took at least 1 dose of investigational medication. Here N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (NUMBER)
Simeprevir Plus SofosbuvirPercentage of Participants With Viral Relapse13.1 Percentage of Participants

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