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A Study to Evaluate the Safety and Efficacy of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir With Ribavirin in Adults With Genotype 1 and Ombitasvir/Paritaprevir/Ritonavir With Ribavirin in Adults With Genotype 4 Chronic Hepatitis C Virus Infection and Decompensated Cirrhosis

An Open-Label Study to Evaluate the Safety and Efficacy of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir With Ribavirin in Adults With Genotype 1 and Ombitasvir/Paritaprevir/Ritonavir With Ribavirin in Adults With Genotype 4 Chronic Hepatitis C Virus Infection and Decompensated Cirrhosis (TURQUOISE-CPB)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02219477
Acronym
TURQUOISE-CPB
Enrollment
36
Registered
2014-08-19
Start date
2014-11-24
Completion date
2017-03-03
Last updated
2017-07-11

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

Conditions

Chronic Hepatitis C, Decompensated Cirrhosis, Hepatitis C Virus

Keywords

Cirrhosis, Hepatitis C, Child-Pugh B, Hepatitis C Genotype 4, Interferon-Free, Hepatitis C Genotype 1, Chronic Hepatitis C, Decompensated Cirrhosis, Hepatitis C Virus

Brief summary

The primary objectives of this study are to assess the safety and the SVR12 rate of ombitasvir/paritaprevir/ritonavir and dasabuvir with RBV in GT1-infected participants with decompensated cirrhosis.

Interventions

tablet; paritaprevir co-formulated with ritonavir and ombitasvir

tablet

DRUGribavirin

tablet

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

1. HCV GT1- or GT4-infection defined as: positive for anti-HCV Ab, HCV RNA \> 1,000 IU/mL and laboratory result indicating HCV GT1 or GT4 infection at Screening. 2. Evidence of cirrhosis by prior liver biopsy, FibroScan or by radiograph (i.e., computed tomography \[CT\] scan or magnetic resonance imaging \[MRI\]). 3. Child-Pugh Score of 7 - 9, inclusive, at time of Screening.

Exclusion criteria

1. Women who are pregnant or breastfeeding. 2. Positive test result for Hepatitis B surface antigen (HbsAg) or anti-HIV antibodies (HIV Ab). 3. Prior or current use of any other investigational or commercially available anti-HCV agents other than interferon/RBV and/or pegylated interferon (pegIFN)/RBV (including but not limited to telaprevir, boceprevir, sofosbuvir and simeprevir). 4. Confirmed presence of hepatocellular carcinoma indicated on imaging techniques such as CT scan or MRI within 3 months prior to Screening or on an ultrasound performed at Screening (a positive ultrasound result will be confirmed with CT scan or MRI). 5. Any current or past evidence of Child-Pugh C classification.

Design outcomes

Primary

MeasureTime frameDescription
Percentages of Participants With Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 212 weeks after the last actual dose of study drugSVR12, defined as HCV RNA \< lower limit of quantification (LLOQ) in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, participants with missing data were counted as failures. The 95% confidence interval was calculated using the Wilson score method.

Secondary

MeasureTime frameDescription
Percentage of Participants With SVR12 Non-Response Due to Experiencing On-Treatment Virologic FailureUp to 24 weeks during treatmentOn-treatment virologic failure was defined as: confirmed HCV RNA ≥ LLOQ after HCV RNA \< LLOQ during treatment; confirmed increase from nadir in HCV RNA (two consecutive HCV RNA measurements \> 1 log˅10 IU/mL above nadir) at any time point during treatment; or HCV RNA ≥ LLOQ persistently during treatment with at least 6 weeks (≥ 36 days) of treatment. The 95% confidence interval was calculated using Wilson score method. SVR12 was defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window.
Percentage of Participants With SVR12 Non-Response Due to Experiencing Relapse˅12Up to 12 weeks after the last actual dose of study drugRelapse˅12 was defined as confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of active study drug (up to and including the SVR12 window) for a participant with HCV RNA \< LLOQ at final treatment visit who completes treatment and has post-treatment HCV RNA data. Completion of treatment was defined as a study drug duration ≥ 77 days for participants assigned to 12 weeks of treatment or ≥ 154 days for participants assigned to 24 weeks of treatment. SVR12 was defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval was calculated using the Wilson score method.
Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsUp to post-treatment Week 12Improvement was defined as: * increase of more than 0.2 g/L from baseline to post-treatment Week 12 in albumin * decrease of more than 0.3 µmol/L from baseline to post-treatment Week 12 in bilirubin * decrease of more than 5 ng/mL from baseline to post-treatment Week 12 in alpha-fetoprotein * increase of more than 15\*10\^9/L from baseline to post-treatment Week 12 in platelet count * decrease of more than 0.2 from baseline to post-treatment Week 12 in international normalized ratio.
Percentage of Participants With SVR12 in Group 312 weeks after the last actual dose of study drugSVR12, defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit, who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, participants with missing data were counted as failures.
Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Chld-Pugh ScoreUp to post-treatment Week 12The The Child-Pugh score uses five clinical measures of liver disease (3 laboratory parameters and 2 clinical assessments) to measure severity of cirrhosis. Scores range from 5 to 15, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.
Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) ScoreUp to post-treatment Week 12MELD is a scoring system for assessing the severity of chronic liver disease. Scores range from 6 to 40, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.
Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in FibroTestUp to post-treatment Week 12The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Improvement was defined as a decrease of more than 0.2 from baseline to post-treatment Week 12.

Participant flow

Participants by arm

ArmCount
Group 1: GT1B
ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 12 weeks in HCV GT1b-infected participants
9
Group 2: GT1 Non-B
ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 24 weeks in HCV GT1non-b (including GT1a)-infected participants
24
Group 3: GT4
ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + RBV for 24 weeks in HCV GT4-infected participants
3
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event011
Overall StudyWithdrawal by Subject010

Baseline characteristics

CharacteristicGroup 1: GT1BGroup 2: GT1 Non-BGroup 3: GT4Total
Age, Customized
< 65 years
7 Participants20 Participants2 Participants29 Participants
Age, Customized
>= 65 years
2 Participants4 Participants1 Participants7 Participants
Sex: Female, Male
Female
2 Participants7 Participants1 Participants10 Participants
Sex: Female, Male
Male
7 Participants17 Participants2 Participants26 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
8 / 924 / 243 / 3
serious
Total, serious adverse events
1 / 910 / 241 / 3

Outcome results

Primary

Percentages of Participants With Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 2

SVR12, defined as HCV RNA \< lower limit of quantification (LLOQ) in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, participants with missing data were counted as failures. The 95% confidence interval was calculated using the Wilson score method.

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

Population: Intent to treat population: all participants who received at least 1 dose of study drug; participants missing data = non-responders. See imputation details in the outcome measure description.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentages of Participants With Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 2100 percentage of participants
Group 2: GT1 Non-BPercentages of Participants With Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 295.8 percentage of participants
Secondary

Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Chld-Pugh Score

The The Child-Pugh score uses five clinical measures of liver disease (3 laboratory parameters and 2 clinical assessments) to measure severity of cirrhosis. Scores range from 5 to 15, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.

Time frame: Up to post-treatment Week 12

Population: Intent to treat population: all participants who received at least 1 dose of study drug with values at both baseline and post-treatment Week 12.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Chld-Pugh Score66.7 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Chld-Pugh Score54.5 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Chld-Pugh Score50.0 percentage of participants
Secondary

Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in FibroTest

The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Improvement was defined as a decrease of more than 0.2 from baseline to post-treatment Week 12.

Time frame: Up to post-treatment Week 12

Population: Intent to treat population: all participants who received at least 1 dose of study drug with values at both baseline and post-treatment Week 12.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in FibroTest0 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in FibroTest9.1 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in FibroTest50.0 percentage of participants
Secondary

Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function Tests

Improvement was defined as: * increase of more than 0.2 g/L from baseline to post-treatment Week 12 in albumin * decrease of more than 0.3 µmol/L from baseline to post-treatment Week 12 in bilirubin * decrease of more than 5 ng/mL from baseline to post-treatment Week 12 in alpha-fetoprotein * increase of more than 15\*10\^9/L from baseline to post-treatment Week 12 in platelet count * decrease of more than 0.2 from baseline to post-treatment Week 12 in international normalized ratio.

Time frame: Up to post-treatment Week 12

Population: Intent to treat population: all participants who received at least 1 dose of study drug with values at both baseline and post-treatment Week 12 for the respective parameter.

ArmMeasureGroupValue (NUMBER)
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsPlatelet count22.2 percentage of participants
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsAlpha-fetoprotein33.3 percentage of participants
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsInternational normalized ratio0 percentage of participants
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsBilirubin66.7 percentage of participants
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsAlbumin77.8 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsAlbumin77.3 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsBilirubin72.7 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsPlatelet count14.3 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsInternational normalized ratio0 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsPlatelet count0 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsAlbumin50.0 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsBilirubin100 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function TestsInternational normalized ratio0 percentage of participants
Secondary

Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score

MELD is a scoring system for assessing the severity of chronic liver disease. Scores range from 6 to 40, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.

Time frame: Up to post-treatment Week 12

Population: Intent to treat population: all participants who received at least 1 dose of study drug with values at both baseline and post-treatment Week 12.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score87.5 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score61.9 percentage of participants
Group 3: GT4Percentage of Participants With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score100 percentage of participants
Secondary

Percentage of Participants With SVR12 in Group 3

SVR12, defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit, who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, participants with missing data were counted as failures.

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

Population: Intent to treat population: all participants who received at least 1 dose of study drug; participants missing data = non-responders. See imputation details in the outcome measure description.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With SVR12 in Group 366.7 percentage of participants
Secondary

Percentage of Participants With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure

On-treatment virologic failure was defined as: confirmed HCV RNA ≥ LLOQ after HCV RNA \< LLOQ during treatment; confirmed increase from nadir in HCV RNA (two consecutive HCV RNA measurements \> 1 log˅10 IU/mL above nadir) at any time point during treatment; or HCV RNA ≥ LLOQ persistently during treatment with at least 6 weeks (≥ 36 days) of treatment. The 95% confidence interval was calculated using Wilson score method. SVR12 was defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window.

Time frame: Up to 24 weeks during treatment

Population: Intent to treat population: all participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure0 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure0 percentage of participants
Group 3: GT4Percentage of Participants With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure0 percentage of participants
Secondary

Percentage of Participants With SVR12 Non-Response Due to Experiencing Relapse˅12

Relapse˅12 was defined as confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of active study drug (up to and including the SVR12 window) for a participant with HCV RNA \< LLOQ at final treatment visit who completes treatment and has post-treatment HCV RNA data. Completion of treatment was defined as a study drug duration ≥ 77 days for participants assigned to 12 weeks of treatment or ≥ 154 days for participants assigned to 24 weeks of treatment. SVR12 was defined as HCV RNA \< LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval was calculated using the Wilson score method.

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

Population: Intent to treat population: all participants who received at least 1 dose of study drug and who had an assessment.

ArmMeasureValue (NUMBER)
Group 1: GT1BPercentage of Participants With SVR12 Non-Response Due to Experiencing Relapse˅120 percentage of participants
Group 2: GT1 Non-BPercentage of Participants With SVR12 Non-Response Due to Experiencing Relapse˅120 percentage of participants
Group 3: GT4Percentage of Participants With SVR12 Non-Response Due to Experiencing Relapse˅120 percentage of participants

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