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Effectiveness of Paritaprevir/Ritonavir - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Belgium

Real World Evidence of the Effectiveness of Paritaprevir/Ritonavir - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Belgium

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02581163
Enrollment
314
Registered
2015-10-20
Start date
2015-10-07
Completion date
2018-02-12
Last updated
2019-05-06

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

Conditions

Chronic Hepatitis C, Genotype 1 or 4

Keywords

Effectiveness, Influence of adherence, Patient reported outcomes, Ombitasvir/paritaprevir/ritonavir ± dasabuvir, Chronic Hepatitis C genotype 1, Chronic Hepatitis C genotype 4

Brief summary

The interferon-free combination regimen of ombitasvir/paritaprevir/ritonavir/ with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) for the treatment of chronic hepatitis C (CHC) has been shown to be safe and effective in randomized controlled clinical trials with strict inclusion and exclusion criteria under well-controlled conditions. This observational study was the first effectiveness research examining the ABBVIE REGIMEN ± RBV, used according to local label, under real world conditions in Belgium in a clinical practice patient population.

Detailed description

This was a prospective, multi-center observational study in participants receiving the interferon-free ABBVIE REGIMEN ± RBV in Belgium. The prescription of a treatment regimen was at the discretion of the physician in accordance with local clinical practice and label, was made independently from this observational study and preceded the decision to offer the participant the opportunity to participate in this study. Adults chronically infected with hepatitis C virus (HCV), receiving the interferon-free ABBVIE REGIMEN, were offered the opportunity to participate in this study during a routine clinical visit at the participating sites.Follow-up visits, treatment, procedures, and diagnostic methods followed physicians' routine clinical practice. Data were collected at the following time windows: baseline, early on-treatment visit, mid-treatment visit (for participants with a treatment duration of 24 weeks), end of treatment (EoT), early post-treatment, and 12 and 24 weeks after the end of treatment (representing sustained virologic response 12 weeks after the end of treatment \[SVR12\] and sustained virologic response 24 weeks after the end of treatment \[SVR24\]).

Interventions

Co-formulated tablet

Tablet

DRUGRibavirin

Tablet

Sponsors

IST GmbH, Germany
CollaboratorINDUSTRY
AbbVie
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Treatment-naïve or -experienced adult male or female participants with confirmed chronic hepatitis C (CHC), genotype 1 or 4, receiving combination therapy with the interferon-free ABBVIE REGIMEN ± ribavirin (RBV) according to standard of care and in line with the current local label * If RBV was co-administered with the ABBVIE REGIMEN, it had to be prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy) * Participants had to voluntarily sign and date an informed consent form prior to inclusion into the study * Participants must not have participated or intended to participate in a concurrent interventional therapeutic trial

Exclusion criteria

• None

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post-treatment (SVR12)12 weeks after the last actual dose of study drugSVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL 12 weeks after the last actual dose of study drug. The core population (CP) consisted of participants who met all inclusion criteria and were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype). The core population with sufficient follow-up data 12 weeks after the last actual dose of study drug (CPSFU12) was defined as all CP participants who fulfilled one of the following criteria: * evaluable HCV RNA data ≥70 days after the last actual dose of the ABBVIE REGIMEN * an HCV RNA value ≥50 IU/mL at the last measurement post-baseline * HCV RNA \<50 IU/mL at the last measurement post-baseline, but no HCV RNA measurement ≥70 days after the last actual dose of the ABBVIE REGIMEN due to reasons related to safety (e.g. dropped out due to AE) or virologic failure

Secondary

MeasureTime frameDescription
Percentage of Participants With RelapseUp to 48 weeks after the last actual dose of study drugRelapse was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL at the end of treatment followed by HCV RNA level greater than or equal to 50 IU/mL.
Percentage of Participants With Viral BreakthroughUp to 24 weeksViral breakthrough was defined as at least 1 documented hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL followed by HCV RNA level greater than or equal to 50 IU/mL during treatment.
Percentage of Participants With On-treatment Virologic Failure12 weeks after the last actual dose of study drugOn-treatment virologic failure was defined as breakthrough (at least 1 documented hepatitis C virus ribonucleic acid (HCV RNA) less than 50 IU/mL followed by HCV RNA greater than or equal to 50 IU/mL during treatment) or failure to suppress (each measured on-treatment HCV RNA value greater than or equal to 50 IU/mL).
Percentage of Participants With Virologic Response at End of Treatment (EoT)Up to 24 weeksVirologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL at the end of treatment.
Percentage of Participants Meeting Premature Study Drug Discontinuation Criteria12 weeks after the last actual dose of study drugPremature study drug discontinuation was defined as participants who prematurely discontinued study drug with no on-treatment virologic failure.
Percentage of Participants With Missing Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) Data and/or Nonresponders Who Did Not Meet Specific SVR12 Nonresponder Criteria12 weeks after the last actual dose of study drugThe number of participants with missing SVR12 data or SVR12 nonresponder participants who did not meet criteria for on-treatment virologic failure, relapse, premature treatment discontinuation, and who did not have an Insufficient virological response reported was documented.
Percentage of Participants Meeting Relapse Criteria12 weeks after the last actual dose of study drugRelapse was defined as hepatitis C virus ribonucleic acid (HCV RNA) less than 50 IU/mL at end of treatment or at the last on-treatment HCV RNA measurement followed by HCV RNA greater than or equal to 50 IU/mL post-treatment.

Participant flow

Pre-assignment details

Safety population: all enrolled participants receiving at least 1 dose of the ABBVIE REGIMEN. The prescribed ABBVIE REGIMEN needed to be known. 314 participants enrolled; treatment start date was missing in 2 participants; 1 withdrew consent and no start of treatment was recorded.

Participants by arm

ArmCount
Participants With HCV Genotype 1 or 4
Ombitasvir/paritaprevir/ritonavir (two 12.5 mg/75 mg/50 mg co-formulated tablets once daily); ± dasabuvir (tablet; 250 mg twice daily); ± weight-based ribavirin (tablet; 1000 or 1200 mg divided twice a day) up to 24 weeks
311
Total311

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath1
Overall StudyFailure to return15
Overall StudyInsufficient virological response3
Overall StudyOther, not specified9
Overall StudyWithdrew consent1

Baseline characteristics

CharacteristicParticipants With HCV Genotype 1 or 4
Age, Continuous61 years
STANDARD_DEVIATION 12
Hepatitis C genotype
Genotype 1a
23 Participants
Hepatitis C genotype
Genotype 1b
225 Participants
Hepatitis C genotype
Genotype 1, unknown subtype
1 Participants
Hepatitis C genotype
Genotype 4
62 Participants
Race/Ethnicity, Customized
Arab, African
1 Participants
Race/Ethnicity, Customized
Arab North Africa
1 Participants
Race/Ethnicity, Customized
Asian/Oriental
7 Participants
Race/Ethnicity, Customized
Black
47 Participants
Race/Ethnicity, Customized
Egyptian
1 Participants
Race/Ethnicity, Customized
Moroccan
1 Participants
Race/Ethnicity, Customized
Native American/American Indian
1 Participants
Race/Ethnicity, Customized
North Africa Maghreb
1 Participants
Race/Ethnicity, Customized
North Africa, Maghreb
1 Participants
Race/Ethnicity, Customized
North African
4 Participants
Race/Ethnicity, Customized
Persian
1 Participants
Race/Ethnicity, Customized
White/Caucasian
245 Participants
Sex: Female, Male
Female
147 Participants
Sex: Female, Male
Male
164 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
1 / 592 / 1950 / 30 / 54
other
Total, other adverse events
30 / 5956 / 1951 / 324 / 54
serious
Total, serious adverse events
6 / 596 / 1950 / 33 / 54

Outcome results

Primary

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

SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL 12 weeks after the last actual dose of study drug. The core population (CP) consisted of participants who met all inclusion criteria and were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype). The core population with sufficient follow-up data 12 weeks after the last actual dose of study drug (CPSFU12) was defined as all CP participants who fulfilled one of the following criteria: * evaluable HCV RNA data ≥70 days after the last actual dose of the ABBVIE REGIMEN * an HCV RNA value ≥50 IU/mL at the last measurement post-baseline * HCV RNA \<50 IU/mL at the last measurement post-baseline, but no HCV RNA measurement ≥70 days after the last actual dose of the ABBVIE REGIMEN due to reasons related to safety (e.g. dropped out due to AE) or virologic failure

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

Population: Core population (CP) and core population with sufficient follow-up data 12 weeks after the last actual dose of study drug (CPSFU12) are defined in the outcome measure description.

ArmMeasureGroupValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post-treatment (SVR12)Core population (CP)87.7 percentage of participants
Participants With HCV Genotype 1 or 4Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post-treatment (SVR12)CPSFU1293.8 percentage of participants
Secondary

Percentage of Participants Meeting Premature Study Drug Discontinuation Criteria

Premature study drug discontinuation was defined as participants who prematurely discontinued study drug with no on-treatment virologic failure.

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

Population: Core population: Participants meeting all inclusion criteria and who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype)

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting Premature Study Drug Discontinuation Criteria1.6 percentage of participants
Secondary

Percentage of Participants Meeting Relapse Criteria

Relapse was defined as hepatitis C virus ribonucleic acid (HCV RNA) less than 50 IU/mL at end of treatment or at the last on-treatment HCV RNA measurement followed by HCV RNA greater than or equal to 50 IU/mL post-treatment.

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

Population: Core population: Participants meeting all inclusion criteria and who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype)

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting Relapse Criteria1.9 percentage of participants
Secondary

Percentage of Participants With Missing Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) Data and/or Nonresponders Who Did Not Meet Specific SVR12 Nonresponder Criteria

The number of participants with missing SVR12 data or SVR12 nonresponder participants who did not meet criteria for on-treatment virologic failure, relapse, premature treatment discontinuation, and who did not have an Insufficient virological response reported was documented.

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

Population: Core population: Participants meeting all inclusion criteria and who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype)

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants With Missing Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) Data and/or Nonresponders Who Did Not Meet Specific SVR12 Nonresponder Criteria5.8 percentage of participants
Secondary

Percentage of Participants With On-treatment Virologic Failure

On-treatment virologic failure was defined as breakthrough (at least 1 documented hepatitis C virus ribonucleic acid (HCV RNA) less than 50 IU/mL followed by HCV RNA greater than or equal to 50 IU/mL during treatment) or failure to suppress (each measured on-treatment HCV RNA value greater than or equal to 50 IU/mL).

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

Population: Core population: Participants meeting all inclusion criteria and who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype)

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants With On-treatment Virologic Failure1.6 percentage of participants
Secondary

Percentage of Participants With Relapse

Relapse was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL at the end of treatment followed by HCV RNA level greater than or equal to 50 IU/mL.

Time frame: Up to 48 weeks after the last actual dose of study drug

Population: Participants meeting inclusion criteria, treated according to standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype), with virologic response at end of treatment (EOT), completing Tx with ≥ 1 HCV RNA measurement ≥ 70 days post Tx or were a Tx failure between EOT and day 70

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants With Relapse2.3 percentage of participants
Secondary

Percentage of Participants With Viral Breakthrough

Viral breakthrough was defined as at least 1 documented hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL followed by HCV RNA level greater than or equal to 50 IU/mL during treatment.

Time frame: Up to 24 weeks

Population: Core population (those meeting inclusion criteria and treated according to the standard of care and w/in local label guidelines for specific disease characteristics \[cirrhotic status, genotype\]) who had at least 1 undetectable or unquantifiable, on-treatment HCV RNA measurement and at least 1 on-treatment or end of treatment measurement thereafter

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants With Viral Breakthrough0.3 percentage of participants
Secondary

Percentage of Participants With Virologic Response at End of Treatment (EoT)

Virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than 50 IU/mL at the end of treatment.

Time frame: Up to 24 weeks

Population: Core population: Participants meeting all inclusion criteria and who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype)

ArmMeasureValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants With Virologic Response at End of Treatment (EoT)92.9 percentage of participants

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