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A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Co-Administration of ABT-493 and ABT-530 With and Without RBV in Subjects With Chronic Hepatitis C Virus (HCV) Genotypes 2, 3, 4, 5 or 6 Infection

A Randomized, Open-Label, Multicenter Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Co-Administration of ABT-493 and ABT-530 With and Without RBV in Subjects With Chronic Hepatitis C Virus (HCV) Genotypes 2, 3, 4, 5 or 6 Infection (SURVEYOR-II)

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02243293
Enrollment
694
Registered
2014-09-17
Start date
2014-09-19
Completion date
2017-02-23
Last updated
2021-07-30

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

Conditions

Chronic Hepatitis C, Hepatitis C Virus

Keywords

Hepatitis C Virus (HCV), Hepatitis C, Chronic Hepatitis C, interferon free, Hepatitis C Genotype 2, Hepatitis C Genotype 3, Hepatitis C Genotype 4, Hepatitis C Genotype 5, Hepatitis C Genotype 6

Brief summary

The purpose of this phase 2/3, open-label, multipart, multicenter study was to evaluate the efficacy, and safety of co-administration of ABT-493 and ABT-530 with and without ribavirin (RBV) in chronic HCV genotype 2 (GT2-), genotype 3 (GT3-), genotype 4 (GT4), genotype 5 (GT5-), or genotype 6 (GT6-) infected participants with or without cirrhosis.

Detailed description

The study consisted of four independent parts with treatment and post-treatment periods of enrollment. Parts 1 and 2 were the supportive/ exploratory parts (phase 2) of the study and part 3 and 4 were the confirmatory/ registrational parts (phase 3) of the study. In parts 1 and 2 of the study, ABT-493 and ABT-530 were co-administered as separate tablets. However, in parts 3 and 4 of the study, the ABT-493/ABT-530 co-formulated tablets were administered.

Interventions

Tablet

Tablet

DRUGribavirin (RBV)

Tablet

Tablet; ABT-493 co-formulated ABT-530

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Screening laboratory result indicating HCV Genotype 2, 3, 4, 5, or 6 infection. * Chronic HCV infection. * Participant had to be either HCV treatment-naïve or treatment-experienced. * Participant had to be documented as non-cirrhotic or as having compensated cirrhosis (GT3 only).

Exclusion criteria

* History of severe, life-threatening or other significant sensitivity to any drug. * Female who was pregnant, planning to become pregnant during the study, or breastfeeding; or male whose partner was pregnant or planning to become pregnant during the study. * Recent (within 6 months prior to study drug administration) history of drug or alcohol abuse that could preclude adherence to the protocol in the opinion of the investigator. * Positive test result at Screening for hepatitis B surface antigen (HBsAg) or anti-human immunodeficiency virus antibody (HIV Ab). * HCV genotype performed during screening indicating co-infection with more than one HCV genotype.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)12 weeks after the last actual dose of study drugSVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.
Percentage of Genotype 2 (GT2) Direct-acting Antiviral Agents (DAA)-Naive Participants (in Part 4, Arm S1) With Sustained Virologic Response 12 Weeks Post-treatment (SVR12) as Compared to Historical Control12 weeks after the last actual dose of study drugSVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.

Secondary

MeasureTime frameDescription
Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)4 weeks after the last actual dose of study drugSVR4 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 4 weeks after the last dose of study drug.
Percentage of Participants With On-treatment Virologic FailureUp to end of treatment (treatment week 8, 12 or 16 depending on arm) or premature discontinuation from treatmentOn-treatment virologic failure was defined as confirmed HCV RNA ≥ LLOQ after HCV RNA \< LLOQ during treatment; confirmed increase of \> 1 log(subscript)10(subscript) IU/mL above the lowest value post-baseline in HCV RNA during treatment; or HCV RNA ≥ LLOQ at end of treatment with at least 6 weeks of treatment.
Percentage of Participants With Post-treatment RelapseFrom the end of treatment through 12 weeks after the last dose of study drugPost-treatment relapse was defined as confirmed HCV RNA ≥ LLOQ between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment with HCV RNA levels \< LLOQ at the end of treatment, excluding reinfection.

Participant flow

Recruitment details

Enrollment into arms H, I, K, M and N was not opened by AbbVie.

Pre-assignment details

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

Participants by arm

ArmCount
Arm A
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 12 weeks in HCV genotype 2 (GT2) -infected treatment naïve and treatment experienced participants without cirrhosis.
25
Arm B
ABT-493 (200 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 12 weeks in HCV GT2 -infected treatment naïve and treatment experienced participants without cirrhosis.
24
Arm C
ABT-493 (200 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD and weight-based ribavirin (RBV) divided twice daily (BID) for 12 weeks in HCV GT2 -infected treatment naïve and treatment experienced participants without cirrhosis.
25
Arm D
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 12 weeks in HCV genotype 3 (GT3) -infected treatment naïve and treatment experienced participants without cirrhosis.
30
Arm E
ABT-493 (200 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 12 weeks in HCV GT3 -infected treatment naïve and treatment experienced participants without cirrhosis.
30
Arm F
ABT-493 (200 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD and weight-based ribavirin (RBV) divided BID for 12 weeks in HCV GT3 -infected treatment naïve and treatment experienced participants without cirrhosis.
31
Arm G
ABT-493 (200 mg) once daily (QD) co-administered with ABT-530 (40 mg) QD for 12 weeks in HCV GT3 -infected treatment naïve and treatment experienced participants without cirrhosis.
30
Arm J
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 8 weeks in HCV GT2 -infected treatment naïve and treatment experienced participants without cirrhosis.
54
Arm L
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 8 weeks in HCV GT3 -infected treatment naïve and for 12 weeks in HCV GT3 -infected treatment experienced participants without cirrhosis.
53
Arm O
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 12 weeks in HCV GT3 -infected treatment naïve participants with compensated cirrhosis and for 16 weeks in HCV GT3 -infected treatment-experienced participants with compensated cirrhosis.
28
Arm P
ABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD and RBV (800 mg) QD for 12 weeks in HCV GT3-infected treatment naïve and treatment-experienced participants with compensated cirrhosis.
27
Arm Q1
ABT-493/ ABT-530 (300 mg/ 120mg ) once daily (QD) for 12 weeks in HCV GT3 -infected treatment naïve participants with cirrhosis.
40
Arm Q2
ABT-493/ ABT-530 (300 mg/ 120mg ) once daily (QD) for 12 weeks in HCV GT3 -infected treatment experienced participants without cirrhosis.
22
Arm R1
ABT-493/ ABT-530 (300 mg/ 120 mg) QD for 16 weeks in HCV GT3 -infected treatment experienced participants without cirrhosis.
22
Arm R2
ABT-493/ ABT-530 (300 mg/ 120 mg) QD for 16 weeks in HCV GT3 -infected treatment experienced participants with cirrhosis.
47
Arm S1
ABT-493/ ABT-530 (300 mg/ 120 mg) QD for 8 weeks in HCV GT2 infected treatment naïve and treatment experienced participants without cirrhosis.
145
Arm S2
ABT-493/ ABT-530 (300 mg/ 120 mg) QD for 8 weeks in HCV GT4-6 infected treatment naïve and treatment experienced participants without cirrhosis.
58
Total691

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017FG018FG019FG020FG021
Overall StudyAdverse Event1000000000000001000010
Overall StudyEnrolled into a Re-treatment Study0000000000000010000000
Overall StudyLost to Follow-up0111003000020000310012
Overall StudyRandomized but did'nt receive study drug0000100001000000000100
Overall StudyWithdrawal by Subject1000000001010000000001

Baseline characteristics

CharacteristicArm Q2Arm R1Arm R2Arm S1Arm ATotalArm S2Arm BArm CArm DArm EArm FArm GArm JArm LArm OArm PArm Q1
Age, Customized
< 65 years
18 participants19 participants39 participants128 participants21 participants616 participants49 participants21 participants22 participants28 participants29 participants30 participants28 participants44 participants52 participants26 participants24 participants38 participants
Age, Customized
>= 65 years
4 participants3 participants8 participants17 participants4 participants75 participants9 participants3 participants3 participants2 participants1 participants1 participants2 participants10 participants1 participants2 participants3 participants2 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants0 Participants4 Participants11 Participants1 Participants65 Participants2 Participants2 Participants4 Participants4 Participants3 Participants5 Participants5 Participants6 Participants2 Participants4 Participants2 Participants9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants22 Participants43 Participants134 Participants24 Participants626 Participants56 Participants22 Participants21 Participants26 Participants27 Participants26 Participants25 Participants48 Participants51 Participants24 Participants25 Participants31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
8 Participants8 Participants11 Participants84 Participants9 Participants293 Participants21 Participants11 Participants7 Participants11 Participants16 Participants12 Participants15 Participants21 Participants21 Participants13 Participants9 Participants16 Participants
Sex: Female, Male
Male
14 Participants14 Participants36 Participants61 Participants16 Participants398 Participants37 Participants13 Participants18 Participants19 Participants14 Participants19 Participants15 Participants33 Participants32 Participants15 Participants18 Participants24 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
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
deaths
Total, all-cause mortality
1 / 250 / 240 / 250 / 300 / 300 / 310 / 300 / 540 / 530 / 281 / 270 / 400 / 220 / 220 / 471 / 1450 / 58
other
Total, other adverse events
12 / 2511 / 2422 / 2519 / 3020 / 3023 / 3118 / 3026 / 5440 / 5320 / 2821 / 2730 / 4012 / 2213 / 2231 / 4778 / 14532 / 58
serious
Total, serious adverse events
0 / 250 / 241 / 250 / 300 / 302 / 310 / 301 / 541 / 532 / 282 / 271 / 401 / 221 / 223 / 471 / 1451 / 58

Outcome results

Primary

Percentage of Genotype 2 (GT2) Direct-acting Antiviral Agents (DAA)-Naive Participants (in Part 4, Arm S1) With Sustained Virologic Response 12 Weeks Post-treatment (SVR12) as Compared to Historical Control

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.

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

Population: All participants who received at least 1 dose of study drug (ITT population) with evaluable data; participants with missing data after backwards imputation were imputed as nonresponders.

ArmMeasureValue (NUMBER)
Arm APercentage of Genotype 2 (GT2) Direct-acting Antiviral Agents (DAA)-Naive Participants (in Part 4, Arm S1) With Sustained Virologic Response 12 Weeks Post-treatment (SVR12) as Compared to Historical Control98.5 percentage of participants
95% CI: [96.5, 100]
Primary

Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.

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

Population: All participants who received at least 1 dose of study drug (ITT population) with evaluable data; participants with missing data after backwards imputation were imputed as nonresponders.

ArmMeasureValue (NUMBER)
Arm APercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)96.0 percentage of participants
Arm BPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Arm CPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Arm DPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)93.3 percentage of participants
Arm EPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)93.3 percentage of participants
Arm FPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)93.5 percentage of participants
Arm GPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)83.3 percentage of participants
Arm JPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)98.1 percentage of participants
Arm LPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)94.3 percentage of participants
Arm OPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)96.4 percentage of participants
Arm PPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Arm Q1Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)97.5 percentage of participants
Arm Q2Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)90.9 percentage of participants
Arm R1Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)95.5 percentage of participants
Arm R2Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)95.7 percentage of participants
Arm S1Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)97.9 percentage of participants
Arm S2Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)93.1 percentage of participants
Secondary

Percentage of Participants With On-treatment Virologic Failure

On-treatment virologic failure was defined as confirmed HCV RNA ≥ LLOQ after HCV RNA \< LLOQ during treatment; confirmed increase of \> 1 log(subscript)10(subscript) IU/mL above the lowest value post-baseline in HCV RNA during treatment; or HCV RNA ≥ LLOQ at end of treatment with at least 6 weeks of treatment.

Time frame: Up to end of treatment (treatment week 8, 12 or 16 depending on arm) or premature discontinuation from treatment

Population: All participants who received at least 1 dose of study drug (ITT population) with evaluable data.

ArmMeasureValue (NUMBER)
Arm APercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm BPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm CPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm DPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm EPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm FPercentage of Participants With On-treatment Virologic Failure3.2 percentage of participants
Arm GPercentage of Participants With On-treatment Virologic Failure3.3 percentage of participants
Arm JPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm LPercentage of Participants With On-treatment Virologic Failure1.9 percentage of participants
Arm OPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm PPercentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm Q1Percentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm Q2Percentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm R1Percentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm R2Percentage of Participants With On-treatment Virologic Failure2.1 percentage of participants
Arm S1Percentage of Participants With On-treatment Virologic Failure0 percentage of participants
Arm S2Percentage of Participants With On-treatment Virologic Failure0 percentage of participants
Secondary

Percentage of Participants With Post-treatment Relapse

Post-treatment relapse was defined as confirmed HCV RNA ≥ LLOQ between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment with HCV RNA levels \< LLOQ at the end of treatment, excluding reinfection.

Time frame: From the end of treatment through 12 weeks after the last dose of study drug

Population: All participants who received at least 1 dose of study drug (ITT population) with evaluable data, completed treatment, and had HCV RNA \<LLOQ at the final treatment visit.

ArmMeasureValue (NUMBER)
Arm APercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm BPercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm CPercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm DPercentage of Participants With Post-treatment Relapse3.4 percentage of participants
Arm EPercentage of Participants With Post-treatment Relapse6.7 percentage of participants
Arm FPercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm GPercentage of Participants With Post-treatment Relapse7.1 percentage of participants
Arm JPercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm LPercentage of Participants With Post-treatment Relapse2.0 percentage of participants
Arm OPercentage of Participants With Post-treatment Relapse3.6 percentage of participants
Arm PPercentage of Participants With Post-treatment Relapse0.0 percentage of participants
Arm Q1Percentage of Participants With Post-treatment Relapse0 percentage of participants
Arm Q2Percentage of Participants With Post-treatment Relapse9.1 percentage of participants
Arm R1Percentage of Participants With Post-treatment Relapse4.5 percentage of participants
Arm R2Percentage of Participants With Post-treatment Relapse2.2 percentage of participants
Arm S1Percentage of Participants With Post-treatment Relapse1.4 percentage of participants
Arm S2Percentage of Participants With Post-treatment Relapse0 percentage of participants
Secondary

Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)

SVR4 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 4 weeks after the last dose of study drug.

Time frame: 4 weeks after the last actual dose of study drug

Population: All participants who received at least 1 dose of study drug (ITT population) with evaluable data; participants with missing data after backwards imputation were imputed as nonresponders.

ArmMeasureValue (NUMBER)
Arm APercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)96.0 percentage of participants
Arm BPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)100.0 percentage of participants
Arm CPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)100.0 percentage of participants
Arm DPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)93.3 percentage of participants
Arm EPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)93.3 percentage of participants
Arm FPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)93.5 percentage of participants
Arm GPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)93.3 percentage of participants
Arm JPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)98.1 percentage of participants
Arm LPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)96.2 percentage of participants
Arm OPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)96.4 percentage of participants
Arm PPercentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)100.0 percentage of participants
Arm Q1Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)97.5 percentage of participants
Arm Q2Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)95.5 percentage of participants
Arm R1Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)95.5 percentage of participants
Arm R2Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)95.7 percentage of participants
Arm S1Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)97.9 percentage of participants
Arm S2Percentage of Participants With Sustained Virologic Response 4 Weeks Post-treatment (SVR4)98.3 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 12, 2026