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Efficacy and Safety of Uprifosbuvir (MK-3682) With Ruzasvir (MK-8408) in Adults With Chronic Hepatitis C Genotype 1, 2, 3, 4, 5 or 6 Infection (MK-3682-035)

A Phase II, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-3682 + MK-8408 in Subjects With Chronic HCV Genotype 1, 2, 3, 4, 5 or 6 Infection

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02759315
Enrollment
160
Registered
2016-05-03
Start date
2016-05-03
Completion date
2017-11-16
Last updated
2019-06-26

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

Conditions

Hepatitis C, Chronic

Brief summary

This study is an open-label, multi-center trial to evaluate the novel 2-drug regimen of uprifosbuvir (MK-3682) 450 mg and ruzasvir (MK-8408) 60 mg in participants with chronic hepatitis C virus (HCV) genotype (GT)1, GT2, GT3, GT4, GT5, or GT6 infection. The impact of the study treatment regimen on the percentage of participants with undetectable HCV ribonucleic acid \[RNA\] 12 weeks after completing study treatment (SVR12) will be evaluated.

Interventions

DRUGUprifosbuvir 450 mg

450 mg administered as 3 x 150 mg oral tablets

DRUGRuzasvir 60 mg

60 mg administered as 6 x 10 mg oral capsules

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Has hepatitis C virus (HCV) ribonucleic acid (RNA) at the time of screening * Has documented chronic HCV genotype (GT)1, GT2, GT3, GT4, GT5, or GT6 with no evidence of non-typeable or mixed GT infection * Is otherwise healthy as determined by the medical history, physical examination, electrocardiogram (ECG), and clinical laboratory measurements performed at the time of screening * Has absence of cirrhosis or has compensated cirrhosis * Is HCV treatment-naïve or has experienced virologic failure after completing a prior interferon-containing regimen * Is of non-childbearing potential or agrees to avoid becoming pregnant or impregnating a partner beginning at least 2 weeks prior to administration of the initial dose of study drug and for 14 days after the last dose of study drug * For human immunodeficiency virus (HIV) co-infected participants: is not currently on antiretroviral therapy (ART) and has no plans to initiate ART treatment while participating in this study Or has well-controlled HIV on ART

Exclusion criteria

* Is mentally or legally incapacitated, has significant emotional problems (at screening or expected during the study) or has a history of a clinically significant psychiatric disorder that would interfere with the study procedures. * Has evidence of decompensated liver disease manifested by the presence of or history of ascites, esophageal or gastric variceal bleeding, hepatic encephalopathy or other signs or symptoms of advanced liver disease * Is Child-Pugh Class B or C or has a Pugh-Turcotte (CPT) score \>6 if cirrhotic * Is co-infected with Hepatitis B Virus * Has a history of opportunistic infection in the preceding 6 months prior to screening if co-infected with HIV * Has a history of malignancy ≤5 years prior to study start (except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer or carcinoma in situ) or is under evaluation for other active or suspected malignancy * Has cirrhosis and liver imaging within 6 months prior to study start showing evidence of hepatocellular carcinoma (HCC) or is under evaluation for HCC * Is taking any medications or herbal supplements restricted by the study entry criteria in the period from ≤2 weeks prior to study start through 2 weeks after the last dose of study drug * Has clinically-relevant drug or alcohol abuse within 12 months of study start * Has participated in any clinical study of an investigational product within 30 days prior to the first dose of study drug * Is female and is pregnant or breastfeeding, or expecting to conceive or donate eggs from at least 2 weeks prior to study start and 14 days after the last dose of study drug * Is male and is expecting to donate sperm from at least 2 weeks prior to Day 1 until 14 days after the last dose of study drug * Has or has had any of the following: organ transplants (including hematopoietic stem cell transplants) other than cornea and hair; poor venous access; history of gastric surgery; or history of malabsorption disorders * Has any cardiac abnormalities/dysfunction including but not limited to: unstable angina; unstable congestive heart failure; or unstable arrhythmia * Has a history of a medical/surgical condition that resulted in hospitalization within 3 months prior to study start, other than for minor elective procedures * Has any medical condition requiring, or likely to require, chronic systemic administration of corticosteroids, tumor necrosis factor (TNF) antagonists, or other immunosuppressant drugs during the study * Has evidence of history of chronic hepatitis not caused by HCV

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)Week 24 (12 weeks after completing study therapy)The percentage of participants in each arm achieving SVR12 was determined. SVR12 was defined as HCV ribonucleic acid (RNA) levels in plasma \< lower limit of quantification (LLOQ) 12 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.
Percentage of Participants With ≥1 Adverse Events (AEs)Up to Week 14 (up to 2 weeks after completing study therapy)The percentage of participants experiencing an AE during the treatment period and first 2 weeks of follow-up was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants Withdrawing From Study Therapy Due to an AEUp to Week 12The percentage of participants discontinuing from study therapy during the treatment period was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants With ≥1 Events of Clinical Interest (ECIs)Up to Week 14 (up to 2 weeks after completing study therapy)The percentage of participants with ECIs was determined. ECIs were defined as the following: 1) an overdose of study drug; 2) first instance of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>500 IU/L; 3) first instance of ALT or AST \>3x nadir and \>3x upper limit of normal (ULN); 4) first instance of estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m\^2; or 4) first instance of serum creatinine \>1.3x ULN and elevated from baseline.

Secondary

MeasureTime frameDescription
Percentage of Participants With Virologic Failure (VF)12 weeks after the end of all study therapy (24 weeks)The percentage of participants in each arm experiencing VF was determined. VF was defined as: 1) non-response (HCV RNA detected at end of treatment without HCV RNA \< LLOQ while on treatment); 2) rebound (\>1 log 10 IU/mL increase in HCV RNA from nadir while on treatment); 3) virologic breakthrough (HCV RNA ≥LLOQ after being \<LLOQ on treatment); or 4) relapse (HCV RNA ≥LLOQ after end of all study therapy after being undetectable at end of treatment); virologic failure could occur either on-treatment or relapse post-treatment. For VF, participants with GT1 infection were separated into GT1a or GT1b infection
Percentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR1212 weeks after the end of all study therapy (24 weeks)The percentage of participants in each arm with baseline RAS achieving SVR12 was determined. Analysis of RAS in NS5A or NS5B at baseline was determined. SVR12 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.
Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)Week 36 (24 weeks after completing study therapy)The percentage of participants in each arm achieving SVR24 was determined. SVR24 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL. For SVR24, participants with GT1 infection were separated into GT1a or GT1b infection.

Participant flow

Recruitment details

Adult participants with hepatitis C virus (HCV) genotype (GT) 1, 2, 3, 4, or 6 infection were enrolled at 5 study centers in the United States. Participants with HCV GT5 infection were initially intended for inclusion but none were enrolled.

Participants by arm

ArmCount
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Participants with HCV GT1 infection took uprifosbuvir 450 mg ruzasvir 60 mg once daily for 12 weeks. Study drug was taken after an overnight fast and at least 1 hour before a meal.
69
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Participants with HCV GT2 infection took uprifosbuvir 450 mg ruzasvir 60 mg once daily for 12 weeks. Study drug was taken after an overnight fast and at least 1 hour before a meal.
29
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Participants with HCV GT3 infection took uprifosbuvir 450 mg ruzasvir 60 mg once daily for 12 weeks. Study drug was taken after an overnight fast and at least 1 hour before a meal.
39
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Participants with HCV GT4 infection took uprifosbuvir 450 mg ruzasvir 60 mg once daily for 12 weeks. Study drug was taken after an overnight fast and at least 1 hour before a meal.
20
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Participants with HCV GT6 infection took uprifosbuvir 450 mg ruzasvir 60 mg once daily for 12 weeks. Study drug was taken after an overnight fast and at least 1 hour before a meal.
3
Total160

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event00010
Overall StudyDeath00100
Overall StudyLost to Follow-up20400
Overall StudyProtocol Violation01000
Overall StudyStudy terminated prior to completion20501

Baseline characteristics

CharacteristicGT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgTotalGT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgGT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgGT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgGT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Age, Continuous49.8 Years
STANDARD_DEVIATION 10.7
51.9 Years
STANDARD_DEVIATION 10.3
61.3 Years
STANDARD_DEVIATION 1.5
56.5 Years
STANDARD_DEVIATION 8.5
48.7 Years
STANDARD_DEVIATION 10.3
57.2 Years
STANDARD_DEVIATION 6.8
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants3 Participants3 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
4 Participants7 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
64 Participants149 Participants0 Participants19 Participants39 Participants27 Participants
Sex: Female, Male
Female
33 Participants67 Participants1 Participants5 Participants18 Participants10 Participants
Sex: Female, Male
Male
36 Participants93 Participants2 Participants15 Participants21 Participants19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 690 / 291 / 390 / 200 / 3
other
Total, other adverse events
25 / 698 / 2913 / 396 / 202 / 3
serious
Total, serious adverse events
4 / 690 / 291 / 392 / 200 / 3

Outcome results

Primary

Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)

The percentage of participants in each arm achieving SVR12 was determined. SVR12 was defined as HCV ribonucleic acid (RNA) levels in plasma \< lower limit of quantification (LLOQ) 12 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.

Time frame: Week 24 (12 weeks after completing study therapy)

Population: All participants who received ≥1 dose of study treatment, have data available, who do not have protocol deviations that could substantially affect the results of the endpoint, and who did not discontinue from the study for non-treatment-related reasons, are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)97.1 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)100.0 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)76.9 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)90.0 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)66.7 Percentage of Participants
Primary

Percentage of Participants With ≥1 Adverse Events (AEs)

The percentage of participants experiencing an AE during the treatment period and first 2 weeks of follow-up was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time frame: Up to Week 14 (up to 2 weeks after completing study therapy)

Population: All participants who received ≥1 dose of study drug are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Adverse Events (AEs)52.2 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Adverse Events (AEs)44.8 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Adverse Events (AEs)43.6 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Adverse Events (AEs)55.0 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Adverse Events (AEs)66.7 Percentage of Participants
Primary

Percentage of Participants With ≥1 Events of Clinical Interest (ECIs)

The percentage of participants with ECIs was determined. ECIs were defined as the following: 1) an overdose of study drug; 2) first instance of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>500 IU/L; 3) first instance of ALT or AST \>3x nadir and \>3x upper limit of normal (ULN); 4) first instance of estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m\^2; or 4) first instance of serum creatinine \>1.3x ULN and elevated from baseline.

Time frame: Up to Week 14 (up to 2 weeks after completing study therapy)

Population: All participants who received ≥1 dose of study drug are included.

ArmMeasureGroupValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Events of Clinical Interest (ECIs)Overdose4.3 Percentage of Participants
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Events of Clinical Interest (ECIs)Non-overdose ECI2.8 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Events of Clinical Interest (ECIs)Overdose3.4 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Events of Clinical Interest (ECIs)Overdose5.1 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With ≥1 Events of Clinical Interest (ECIs)Non-overdose ECI2.5 Percentage of Participants
Primary

Percentage of Participants Withdrawing From Study Therapy Due to an AE

The percentage of participants discontinuing from study therapy during the treatment period was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time frame: Up to Week 12

Population: All participants who received ≥1 dose of study drug are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Withdrawing From Study Therapy Due to an AE0.0 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Withdrawing From Study Therapy Due to an AE3.4 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Withdrawing From Study Therapy Due to an AE0.0 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Withdrawing From Study Therapy Due to an AE5.0 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Withdrawing From Study Therapy Due to an AE0.0 Percentage of Participants
Secondary

Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)

The percentage of participants in each arm achieving SVR24 was determined. SVR24 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL. For SVR24, participants with GT1 infection were separated into GT1a or GT1b infection.

Time frame: Week 36 (24 weeks after completing study therapy)

Population: All participants who received ≥1 dose of study treatment, have data available, who do not have protocol deviations that could substantially affect the results of the endpoint, and who did not discontinue from the study for non-treatment-related reasons, are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)96.2 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)100.0 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)75.0 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)90.0 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)66.7 Percentage of Participants
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)100.0 Percentage of Participants
Secondary

Percentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR12

The percentage of participants in each arm with baseline RAS achieving SVR12 was determined. Analysis of RAS in NS5A or NS5B at baseline was determined. SVR12 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.

Time frame: 12 weeks after the end of all study therapy (24 weeks)

Population: All participants who received ≥1 dose of study treatment, and who do not have protocol deviations that could substantially affect the results of the endpoint, and who did not discontinue from the study for non-treatment-related reasons, and who had baseline sequencing data available, are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR1297.1 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR12100.0 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR1297.4 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR1294.7 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR1266.6 Percentage of Participants
Secondary

Percentage of Participants With Virologic Failure (VF)

The percentage of participants in each arm experiencing VF was determined. VF was defined as: 1) non-response (HCV RNA detected at end of treatment without HCV RNA \< LLOQ while on treatment); 2) rebound (\>1 log 10 IU/mL increase in HCV RNA from nadir while on treatment); 3) virologic breakthrough (HCV RNA ≥LLOQ after being \<LLOQ on treatment); or 4) relapse (HCV RNA ≥LLOQ after end of all study therapy after being undetectable at end of treatment); virologic failure could occur either on-treatment or relapse post-treatment. For VF, participants with GT1 infection were separated into GT1a or GT1b infection

Time frame: 12 weeks after the end of all study therapy (24 weeks)

Population: All participants who received ≥1 dose of study treatment, have data available, who do not have protocol deviations that could substantially affect the results of the endpoint, and who did not discontinue from the study for non-treatment-related reasons, are included.

ArmMeasureValue (NUMBER)
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)3.7 Percentage of Participants
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)0.0 Percentage of Participants
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)23.1 Percentage of Participants
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)5.0 Percentage of Participants
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)33.3 Percentage of Participants
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mgPercentage of Participants With Virologic Failure (VF)0.0 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026