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

Real World Evidence (RWE) of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Poland (HCV RWE PMOS)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02640547
Enrollment
394
Registered
2015-12-29
Start date
2015-11-26
Completion date
2017-03-29
Last updated
2018-10-17

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

Conditions

Chronic Hepatitis C

Keywords

Chronic Hepatitis C, Dasabuvir, Paritaprevir/r/Ombitasvir, Observational Study, Quality of Life, Fibrosis, Cirrhosis, Work Ability

Brief summary

This study seeks to provide evidence of the effectiveness and obtain patient reported outcomes (PRO) and work productivity data of the interferon-free regimen of paritaprevir (PTV)/ritonavir (r) + ombitasvir (OBV), +/- dasabuvir (DSV), +/- ribavirin (RBV) in chronic hepatitis C virus infected patients.

Interventions

None listed

Sponsors

IST GmbH, Germany
CollaboratorINDUSTRY
AbbVie
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
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 patients with confirmed CHC, genotype 1 or 4, receiving combination therapy with the interferon-free ABBVIE REGIMEN ± RBV according to standard of care and in line with the current local label. * If RBV is co-administered with the ABBVIE REGIMEN, it has been prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy). * Patients must voluntarily sign and date a patient authorization to use and/or disclose his/her anonymized health data prior to inclusion into the study. * Patient must not be participating or intending to participate in a concurrent interventional therapeutic trial

Exclusion criteria

-None

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 12 weeks after the last dose of study drug.

Secondary

MeasureTime frameDescription
Percentage of Participants With RelapseEnd of treatment (week 12 or 24 depending on the treatment regimen) and up to 24 weeks after the end of treatment.Relapse was defined as participants with a virologic response (VR; HCV RNA \< 50 IU/mL) at end of treatment (EOT) followed by HCV RNA ≥ 50 IU/mL at any time after the end of treatment.
Percentage of Participants With Breakthrough12 or 24 weeks (depending on the treatment regimen)Breakthrough was defined as at least one documented HCV RNA \< 50 IU/mL followed by HCV RNA ≥ 50 IU/mL during treatment.
Percentage of Participants With a Rapid Virological Response at Week 4Week 4Rapid virological response at week 4 (RVR4) was defined as participants with HCV RNA \< 50 IU/mL at week 4. Due to the non-interventional character of the study, many participants did not have an HCV RNA assessed at treatment week 4 since this is not generally recommended in the label. Participants with missing data at the RVR4 time point were considered as virological failures.
Percentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)24 weeks after the last dose of study drug (week 36 or 48 depending on the treatment regimen)Sustained virologic response is defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 24 weeks after the last dose of study drug.
Percentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 12 weeks after the last dose of study drug. The core population with sufficient follow-up data regarding SVR12 included all core population participants who * had evaluable HCV RNA data ≥ 70 days after the last actual dose of the ABBVIE regimen, * or a HCV RNA value ≥ 50 IU/mL at the last measurement post-baseline * or had 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 adverse event) or virologic failure.
Percentage of Participants in Each Non-response Category 12 Weeks Post-treatment12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)SVR12 non-response was categorized according to the following: * Relapse, defined as HCV RNA \< 50 IU/mL at EOT followed by HCV RNA ≥ 50 IU/mL post-treatment in patients who completed treatment (not more than 7 days shortened); * Death; * Premature treatment discontinuation with no on-treatment virological failure; * Missing SVR12 data and/or none of the above criteria.
Assigned Treatment RegimenBaselineTreatment regimen was assigned by the physician according to local practice and label. Participants could receive two direct-acting antiviral (DAA) drugs (paritaprevir/ritonavir and ombitasvir) plus ribavirin (RBV) for either 12 or 24 weeks, or three DAAs (paritaprevir/ritonavir, ombitasvir, and dasabuvir) with or without RBV for 12 or 24 weeks.
Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAAFrom first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimenAdherence to study treatment was calculated as: Cumulative dose taken / (initial prescribed dose \* planned duration)
Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBVFrom first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimenAdherence to study treatment was calculated as: Cumulative dose taken / (initial prescribed dose \* planned duration)
Percentage of Participants Achieving Virological Response at End of TreatmentEnd of treatment (week 12 or 24 depending on the treatment regimen)Virologic response is defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL.
Number of Participants Who Received Concomitant MedicationsFrom first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimenConcomitant medication other than for chromic hepatitis C used from the time when the decision was made to initiate treatment with the ABBVIE REGIMEN until after the last dose.
Number of Participants With Adverse Events, Serious Adverse Events, or PregnanciesFrom first dose of study drug through 30 days after last dose. The median duration of treatment was 84 days.
Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index ScoreBaseline, end of treatment, and at 12 and 24 weeks after end of treatmentThe EQ-5D-5L is a health state utility instrument that evaluates preference for health status. The 5 items in the EQ-5D-5L comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which are rated on 5 levels of severity (1: indicating no problem, 2: indicating slight problems, 3: indicating moderate problems, 4: indicating severe problems, 5: indicating extreme problems), and a separate visual analog scale (VAS). Responses to the 5 dimension scores were combined and converted into a single preference-weighted health utility index score by applying country-specific weights.The range for EQ-5D-5L index score is 0 to 1 where '0' is defined as a health state equivalent to being dead and '1' is full health.The higher the score the better the health status.
Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS ScoreBaseline, end of treatment, and at 12 and 24 weeks after end of treatmentThe EQ-5D-5L is a health state utility instrument that evaluates preference for health status. with a separate visual analog scale (VAS). The VAS assesses overall health on a scale from 0 (worst health imaginable) to 100 (best health imaginable).
Change From Baseline in Work Productivity and Activity Impairment (WPAI): AbsenteeismBaseline, end of treatment, and at 12 and 24 weeks post treatmentThe WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Absenteeism indicates the percentage of work time missed due to health problems.
Change From Baseline in Work Productivity and Activity Impairment (WPAI): PresenteeismBaseline, end of treatment, and at 12 and 24 weeks after end of treatmentThe WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Presenteeism indicates the percentage of impairment while working due to health problems.
Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)Baseline, end of treatment, and at 12 and 24 weeks after end of treatmentThe WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total work productivity impairment (TWP) indicates the percentage of overall work impairment due to health problems.
Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity ImpairmentBaseline, end of treatment, and at 12 and 24 weeks after end of treatmentThe WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total activity impairment (TAI) indicates the percentage of general (non-work) activity impairment due to health problems.
Number of Participants With ComorbiditiesBaseline

Participant flow

Recruitment details

In this prospective, multi-center observational study a total of 394 adult patients chronically infected with hepatitis C virus (HCV) were enrolled at 17 centers in Poland.

Pre-assignment details

Effectiveness analyses of clinical outcomes are reported by HCV genotype. Safety variables were analyzed by treatment regimen.

Participants by arm

ArmCount
Paritaprevir/Ritonavir + Ombitasvir ± Dasabuvir ± Ribavirin
Participants in this observational study received treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir ± ribavirin (RBV) for 12 or 24 weeks for the treatment of chronic hepatitis C (CHC), according to hepatitis C virus (HCV) genotype/subtype and stage of liver disease. The prescription of 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 patient the opportunity to participate in this study.
394
Total394

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath6
Overall StudyFailure to Return1
Overall StudyMiscellaneous3
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicParitaprevir/Ritonavir + Ombitasvir ± Dasabuvir ± Ribavirin
Age, Continuous54 years
STANDARD_DEVIATION 14.3
Age, Customized
18 to 65 years
316 Participants
Age, Customized
66 to 84 years
78 Participants
Cirrhosis Status
Cirrhosis
125 Participants
Cirrhosis Status
No cirrhosis
211 Participants
Cirrhosis Status
Transition to cirrhosis
58 Participants
HCV Genotype
Genotype 1a
24 Participants
HCV Genotype
Genotype 1a/1b
1 Participants
HCV Genotype
Genotype 1b
349 Participants
HCV Genotype
Genotype 4
20 Participants
Race/Ethnicity, Customized
White
394 Participants
Sex: Female, Male
Female
196 Participants
Sex: Female, Male
Male
198 Participants
Years Since Diagnosis of HCV Infection6.6 years
STANDARD_DEVIATION 5.94

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 2292 / 146
other
Total, other adverse events
8 / 192 / 22926 / 146
serious
Total, serious adverse events
3 / 193 / 2298 / 146

Outcome results

Primary

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

Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 12 weeks after the last dose of study drug.

Time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)96.8 percentage of participants
Genotype 1aPercentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Genotype 1bPercentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)96.6 percentage of participants
Genotype 4Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)95.0 percentage of participants
Secondary

Assigned Treatment Regimen

Treatment regimen was assigned by the physician according to local practice and label. Participants could receive two direct-acting antiviral (DAA) drugs (paritaprevir/ritonavir and ombitasvir) plus ribavirin (RBV) for either 12 or 24 weeks, or three DAAs (paritaprevir/ritonavir, ombitasvir, and dasabuvir) with or without RBV for 12 or 24 weeks.

Time frame: Baseline

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Assigned Treatment Regimen3 DAA + RBV (12 weeks)141 Participants
Genotype 1 (Total)Assigned Treatment Regimen3 DAA without RBV (12 weeks)229 Participants
Genotype 1 (Total)Assigned Treatment Regimen3 DAA + RBV (24 weeks)4 Participants
Genotype 1 (Total)Assigned Treatment Regimen2 DAA + RBV (24 weeks)0 Participants
Genotype 1 (Total)Assigned Treatment Regimen2 DAA + RBV (12 weeks)0 Participants
Genotype 1aAssigned Treatment Regimen2 DAA + RBV (24 weeks)0 Participants
Genotype 1aAssigned Treatment Regimen3 DAA + RBV (12 weeks)22 Participants
Genotype 1aAssigned Treatment Regimen3 DAA without RBV (12 weeks)0 Participants
Genotype 1aAssigned Treatment Regimen2 DAA + RBV (12 weeks)0 Participants
Genotype 1aAssigned Treatment Regimen3 DAA + RBV (24 weeks)3 Participants
Genotype 1bAssigned Treatment Regimen3 DAA + RBV (12 weeks)119 Participants
Genotype 1bAssigned Treatment Regimen2 DAA + RBV (12 weeks)0 Participants
Genotype 1bAssigned Treatment Regimen2 DAA + RBV (24 weeks)0 Participants
Genotype 1bAssigned Treatment Regimen3 DAA without RBV (12 weeks)229 Participants
Genotype 1bAssigned Treatment Regimen3 DAA + RBV (24 weeks)1 Participants
Genotype 4Assigned Treatment Regimen2 DAA + RBV (24 weeks)11 Participants
Genotype 4Assigned Treatment Regimen2 DAA + RBV (12 weeks)8 Participants
Genotype 4Assigned Treatment Regimen3 DAA + RBV (12 weeks)1 Participants
Genotype 4Assigned Treatment Regimen3 DAA + RBV (24 weeks)0 Participants
Genotype 4Assigned Treatment Regimen3 DAA without RBV (12 weeks)0 Participants
Secondary

Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score

The EQ-5D-5L is a health state utility instrument that evaluates preference for health status. The 5 items in the EQ-5D-5L comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which are rated on 5 levels of severity (1: indicating no problem, 2: indicating slight problems, 3: indicating moderate problems, 4: indicating severe problems, 5: indicating extreme problems), and a separate visual analog scale (VAS). Responses to the 5 dimension scores were combined and converted into a single preference-weighted health utility index score by applying country-specific weights.The range for EQ-5D-5L index score is 0 to 1 where '0' is defined as a health state equivalent to being dead and '1' is full health.The higher the score the better the health status.

Time frame: Baseline, end of treatment, and at 12 and 24 weeks after end of treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics. Participants with available data at baseline and each time point are included.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score24 weeks post treatment0.05 units on a scale
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index ScoreEnd of treatment0.06 units on a scale
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score12 weeks post treatment0.07 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index ScoreEnd of treatment0.04 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score12 weeks post treatment0.05 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score24 weeks post treatment0.07 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score24 weeks post treatment0.04 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score12 weeks post treatment0.04 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index ScoreEnd of treatment0.04 units on a scale
Secondary

Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score

The EQ-5D-5L is a health state utility instrument that evaluates preference for health status. with a separate visual analog scale (VAS). The VAS assesses overall health on a scale from 0 (worst health imaginable) to 100 (best health imaginable).

Time frame: Baseline, end of treatment, and at 12 and 24 weeks after end of treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and within local label recommendations for their specific disease characteristics. Participants with available data at baseline and each time point are included.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score12 weeks post treatment7.93 units on a scale
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS ScoreEnd of treatment4.10 units on a scale
Genotype 1 (Total)Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score24 weeks post treatment6.54 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score12 weeks post treatment9.11 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS ScoreEnd of treatment7.41 units on a scale
Genotype 1aChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score24 weeks post treatment11.8 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS ScoreEnd of treatment5.13 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score24 weeks post treatment9.20 units on a scale
Genotype 1bChange From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score12 weeks post treatment7.01 units on a scale
Secondary

Change From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism

The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Absenteeism indicates the percentage of work time missed due to health problems.

Time frame: Baseline, end of treatment, and at 12 and 24 weeks post treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and within local label recommendations for their specific disease characteristics. Participants who were employed with available data at baseline and each time point are included.

ArmMeasureGroupValue (MEDIAN)
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism24 weeks post treatment0.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism12 weeks post treatment0.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): AbsenteeismEnd of treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism24 weeks post treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism12 weeks post treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): AbsenteeismEnd of treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism24 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): AbsenteeismEnd of treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism12 weeks post treatment0.0 percent impairment
Secondary

Change From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism

The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Presenteeism indicates the percentage of impairment while working due to health problems.

Time frame: Baseline, end of treatment, and at 12 and 24 weeks after end of treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and within local label recommendations for their specific disease characteristics. Participants who were employed with available data at baseline and each time point are included.

ArmMeasureGroupValue (MEDIAN)
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): PresenteeismEnd of treatment-5.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism24 weeks post treatment-10.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism12 weeks post treatment-5.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): PresenteeismEnd of treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism24 weeks post treatment-10.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism12 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism24 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism12 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): PresenteeismEnd of treatment0.0 percent impairment
Secondary

Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment

The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total activity impairment (TAI) indicates the percentage of general (non-work) activity impairment due to health problems.

Time frame: Baseline, end of treatment, and at 12 and 24 weeks after end of treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and within local label recommendations for their specific disease characteristics. Participants with available data at baseline and each time point are included.

ArmMeasureGroupValue (MEDIAN)
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment12 weeks post treatment0.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity ImpairmentEnd of treatment0.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment24 weeks post treatment-5.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment12 weeks post treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity ImpairmentEnd of treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment24 weeks post treatment-10.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity ImpairmentEnd of treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment24 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment12 weeks post treatment0.0 percent impairment
Secondary

Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)

The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity. Total work productivity impairment (TWP) indicates the percentage of overall work impairment due to health problems.

Time frame: Baseline, end of treatment, and at 12 and 24 weeks after end of treatment

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV according to standard of care and within local label recommendations for their specific disease characteristics. Participants who were employed with available data at baseline and each time point are included.

ArmMeasureGroupValue (MEDIAN)
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)12 weeks post treatment-5.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)24 weeks post treatment-10.0 percent impairment
Genotype 1 (Total)Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)End of treatment-5.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)12 weeks post treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)End of treatment0.0 percent impairment
Genotype 1aChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)24 weeks post treatment-10.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)End of treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)24 weeks post treatment0.0 percent impairment
Genotype 1bChange From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)12 weeks post treatment0.0 percent impairment
Secondary

Number of Participants Who Received Concomitant Medications

Concomitant medication other than for chromic hepatitis C used from the time when the decision was made to initiate treatment with the ABBVIE REGIMEN until after the last dose.

Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen

Population: All enrolled participants who received at least one dose of the ABBVIE REGIMEN.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Number of Participants Who Received Concomitant Medications10 Participants
Genotype 1aNumber of Participants Who Received Concomitant Medications103 Participants
Genotype 1bNumber of Participants Who Received Concomitant Medications64 Participants
Secondary

Number of Participants With Adverse Events, Serious Adverse Events, or Pregnancies

Time frame: From first dose of study drug through 30 days after last dose. The median duration of treatment was 84 days.

Population: All enrolled participants who received at least one dose of the ABBVIE REGIMEN.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Number of Participants With Adverse Events, Serious Adverse Events, or PregnanciesSerious adverse events3 Participants
Genotype 1 (Total)Number of Participants With Adverse Events, Serious Adverse Events, or PregnanciesAny adverse event8 Participants
Genotype 1 (Total)Number of Participants With Adverse Events, Serious Adverse Events, or PregnanciesPregnancies0 Participants
Genotype 1aNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesSerious adverse events3 Participants
Genotype 1aNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesAny adverse event19 Participants
Genotype 1aNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesPregnancies0 Participants
Genotype 1bNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesAny adverse event42 Participants
Genotype 1bNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesPregnancies0 Participants
Genotype 1bNumber of Participants With Adverse Events, Serious Adverse Events, or PregnanciesSerious adverse events8 Participants
Secondary

Number of Participants With Comorbidities

Time frame: Baseline

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Number of Participants With ComorbiditiesAny coinfection15 Participants
Genotype 1 (Total)Number of Participants With ComorbiditiesAny comorbidity or coinfection224 Participants
Genotype 1 (Total)Number of Participants With ComorbiditiesCoinfection with hepatitis B virus8 Participants
Genotype 1 (Total)Number of Participants With ComorbiditiesCoinfection with human immunodeficiency virus (HIV8 Participants
Genotype 1aNumber of Participants With ComorbiditiesCoinfection with human immunodeficiency virus (HIV2 Participants
Genotype 1aNumber of Participants With ComorbiditiesAny comorbidity or coinfection10 Participants
Genotype 1aNumber of Participants With ComorbiditiesAny coinfection2 Participants
Genotype 1aNumber of Participants With ComorbiditiesCoinfection with hepatitis B virus0 Participants
Genotype 1bNumber of Participants With ComorbiditiesCoinfection with human immunodeficiency virus (HIV6 Participants
Genotype 1bNumber of Participants With ComorbiditiesAny coinfection13 Participants
Genotype 1bNumber of Participants With ComorbiditiesAny comorbidity or coinfection214 Participants
Genotype 1bNumber of Participants With ComorbiditiesCoinfection with hepatitis B virus8 Participants
Genotype 4Number of Participants With ComorbiditiesAny coinfection4 Participants
Genotype 4Number of Participants With ComorbiditiesCoinfection with human immunodeficiency virus (HIV4 Participants
Genotype 4Number of Participants With ComorbiditiesCoinfection with hepatitis B virus0 Participants
Genotype 4Number of Participants With ComorbiditiesAny comorbidity or coinfection16 Participants
Secondary

Percentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)

Sustained virologic response is defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 24 weeks after the last dose of study drug.

Time frame: 24 weeks after the last dose of study drug (week 36 or 48 depending on the treatment regimen)

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)96.3 percentage of participants
Genotype 1aPercentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)100.0 percentage of participants
Genotype 1bPercentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)96.0 percentage of participants
Genotype 4Percentage of Participants Achieving Sustained Virological Response 24 Weeks Post-treatment (SVR24)95.0 percentage of participants
Secondary

Percentage of Participants Achieving Virological Response at End of Treatment

Virologic response is defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL.

Time frame: End of treatment (week 12 or 24 depending on the treatment regimen)

Population: Enrolled participants who received adequate treatment with paritaprevir/r and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants Achieving Virological Response at End of Treatment95.5 percentage of participants
Genotype 1aPercentage of Participants Achieving Virological Response at End of Treatment100.0 percentage of participants
Genotype 1bPercentage of Participants Achieving Virological Response at End of Treatment95.1 percentage of participants
Genotype 4Percentage of Participants Achieving Virological Response at End of Treatment100.0 percentage of participants
Secondary

Percentage of Participants in Each Non-response Category 12 Weeks Post-treatment

SVR12 non-response was categorized according to the following: * Relapse, defined as HCV RNA \< 50 IU/mL at EOT followed by HCV RNA ≥ 50 IU/mL post-treatment in patients who completed treatment (not more than 7 days shortened); * Death; * Premature treatment discontinuation with no on-treatment virological failure; * Missing SVR12 data and/or none of the above criteria.

Time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureGroupValue (NUMBER)
Genotype 1 (Total)Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentRelapse0.5 percentage of participants
Genotype 1 (Total)Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentDeath1.6 percentage of participants
Genotype 1 (Total)Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentPremature treatment discontinuation0.3 percentage of participants
Genotype 1 (Total)Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentMissing SVR12 data/None of the above0.8 percentage of participants
Genotype 1aPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentRelapse0.0 percentage of participants
Genotype 1aPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentPremature treatment discontinuation0.0 percentage of participants
Genotype 1aPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentDeath0.0 percentage of participants
Genotype 1aPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentMissing SVR12 data/None of the above0.0 percentage of participants
Genotype 1bPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentMissing SVR12 data/None of the above0.9 percentage of participants
Genotype 1bPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentRelapse0.6 percentage of participants
Genotype 1bPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentPremature treatment discontinuation0.3 percentage of participants
Genotype 1bPercentage of Participants in Each Non-response Category 12 Weeks Post-treatmentDeath1.7 percentage of participants
Genotype 4Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentRelapse0.0 percentage of participants
Genotype 4Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentDeath0.0 percentage of participants
Genotype 4Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentPremature treatment discontinuation5.0 percentage of participants
Genotype 4Percentage of Participants in Each Non-response Category 12 Weeks Post-treatmentMissing SVR12 data/None of the above0.0 percentage of participants
Secondary

Percentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)

Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 12 weeks after the last dose of study drug. The core population with sufficient follow-up data regarding SVR12 included all core population participants who * had evaluable HCV RNA data ≥ 70 days after the last actual dose of the ABBVIE regimen, * or a HCV RNA value ≥ 50 IU/mL at the last measurement post-baseline * or had 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 adverse event) or virologic failure.

Time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)

Population: The core population with sufficient follow-up data regarding SVR12

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)97.6 percentage of participants
Genotype 1aPercentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Genotype 1bPercentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)97.4 percentage of participants
Genotype 4Percentage of Participants in the Core Population With Sufficient Follow-up Data for SVR12 Who Achieved Sustained Virological Response 12 Weeks Post-treatment (SVR12)95.0 percentage of participants
Secondary

Percentage of Participants With a Rapid Virological Response at Week 4

Rapid virological response at week 4 (RVR4) was defined as participants with HCV RNA \< 50 IU/mL at week 4. Due to the non-interventional character of the study, many participants did not have an HCV RNA assessed at treatment week 4 since this is not generally recommended in the label. Participants with missing data at the RVR4 time point were considered as virological failures.

Time frame: Week 4

Population: Enrolled participants who received adequate treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) according to standard of care and within local label recommendations for their specific disease characteristics.

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants With a Rapid Virological Response at Week 43.7 percentage of participants
Genotype 1aPercentage of Participants With a Rapid Virological Response at Week 40.0 percentage of participants
Genotype 1bPercentage of Participants With a Rapid Virological Response at Week 44.0 percentage of participants
Genotype 4Percentage of Participants With a Rapid Virological Response at Week 45.0 percentage of participants
Secondary

Percentage of Participants With Breakthrough

Breakthrough was defined as at least one documented HCV RNA \< 50 IU/mL followed by HCV RNA ≥ 50 IU/mL during treatment.

Time frame: 12 or 24 weeks (depending on the treatment regimen)

Population: Participants who received adequate treatment with the ABBVIE REGIMEN ± RBV according to standard of care and within local label recommendations for their specific disease characteristics, who had at least one undetectable HCV RNA measurement on-treatment and at least one measurement on-treatment thereafter

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants With Breakthrough0.0 percentage of participants
Genotype 1aPercentage of Participants With Breakthrough0.0 percentage of participants
Genotype 1bPercentage of Participants With Breakthrough0.0 percentage of participants
Genotype 4Percentage of Participants With Breakthrough0.0 percentage of participants
Secondary

Percentage of Participants With Relapse

Relapse was defined as participants with a virologic response (VR; HCV RNA \< 50 IU/mL) at end of treatment (EOT) followed by HCV RNA ≥ 50 IU/mL at any time after the end of treatment.

Time frame: End of treatment (week 12 or 24 depending on the treatment regimen) and up to 24 weeks after the end of treatment.

Population: Participants who received adequate treatment with the ABBVIE REGIMEN ± RBV according to standard of care and within local label recommendations for their specific disease characteristics, and with VR at actual EOT and who completed treatment, and had ≥ 1 HCV RNA measurement ≥ 70 days post-treatment or were a treatment failure between EOT and day 70

ArmMeasureValue (NUMBER)
Genotype 1 (Total)Percentage of Participants With Relapse0.6 percentage of participants
Genotype 1aPercentage of Participants With Relapse0.0 percentage of participants
Genotype 1bPercentage of Participants With Relapse0.6 percentage of participants
Genotype 4Percentage of Participants With Relapse0.0 percentage of participants
Secondary

Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA

Adherence to study treatment was calculated as: Cumulative dose taken / (initial prescribed dose \* planned duration)

Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen

Population: All enrolled participants who received at least one dose of the ABBVIE REGIMEN.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 95%18 Participants
Genotype 1 (Total)Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 80 % to ≤ 95%0 Participants
Genotype 1 (Total)Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 50% to ≤ 80%0 Participants
Genotype 1 (Total)Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA≤ 50%1 Participants
Genotype 1aPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA≤ 50%1 Participants
Genotype 1aPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 95%227 Participants
Genotype 1aPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 50% to ≤ 80%1 Participants
Genotype 1aPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 80 % to ≤ 95%0 Participants
Genotype 1bPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA≤ 50%2 Participants
Genotype 1bPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 80 % to ≤ 95%1 Participants
Genotype 1bPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 50% to ≤ 80%2 Participants
Genotype 1bPercentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 95%141 Participants
Secondary

Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV

Adherence to study treatment was calculated as: Cumulative dose taken / (initial prescribed dose \* planned duration)

Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen

Population: All enrolled participants who received at least one dose of the ABBVIE REGIMEN that included ribavirin

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Genotype 1 (Total)Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 95%14 Participants
Genotype 1 (Total)Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 80% to ≤ 95%1 Participants
Genotype 1 (Total)Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 50% to ≤ 80%0 Participants
Genotype 1 (Total)Percentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV≤ 50%4 Participants
Genotype 1bPercentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV≤ 50%14 Participants
Genotype 1bPercentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 95%105 Participants
Genotype 1bPercentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 50% to ≤ 80%19 Participants
Genotype 1bPercentage of the Ribavirin (RBV) Dose Taken in Relation to the Target Dose of RBV> 80% to ≤ 95%8 Participants

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