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

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

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02798315
Enrollment
40
Registered
2016-06-14
Start date
2016-05-25
Completion date
2017-06-12
Last updated
2018-12-31

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

Conditions

Chronic Hepatitis C

Keywords

Paritaprevir/r - Ombitasvir, ± Dasabuvir, Sustained Virological Response, Chronic Hepatitis C genotype 4, Observational Study, Chronic Hepatitis C genotype 1, Chronic Hepatitis C

Brief summary

The interferon-free combination regimen of paritaprevir/r - ombitasvir 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 is the first effectiveness research examining the ABBVIE REGIMEN ± RBV, used according to local label, under real world conditions in Kuwait in a clinical practice patient population.

Interventions

None listed

Sponsors

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 participants 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). * Participant must not be participating or intending to participate in a concurrent interventional therapeutic trial.

Exclusion criteria

* Participant must not be participating or attending in a concurrent interventional therapeutic trial.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)12 weeks (i.e. at least 70 days) after the last dose of study drugSVR12 defined as the HCV ribonucleic acid (RNA) level less than 50 IU/mL 12 weeks after the last dose of study drug

Secondary

MeasureTime frameDescription
Percentage of Participants With Relapse at EoTUp to EoT, maximum of 24 weeksRelapse defined as HCV RNA less than 50 IU/mL at EoT followed by HCV RNA greater than or equal to 50 IU/mL.
Percentage of Participants With Breakthrough.Up to EoT, maximum of 24 weeksBreakthrough defined as at least 1 documented HCV RNA less than 50 IU/mL followed by HCV RNA greater than or equal to 50 IU/mL during treatment.
Percentage of Participants Meeting the SVR Non-response Categories of On-treatment Virologic Failure or Relapse12 weeks (i.e. at least 70 days) after the last dose of study drugOn-treatment virologic failure defined as breakthrough (at least 1 documented 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). Relapse (defined as HCV RNA \<50 IU/mL at EoT or at the last on-treatment HCV RNA measurement followed by HCV RNA ≥50 IU/mL post-treatment).
Percentage of Participants Meeting the SVR Non-response Categories of Premature Study Drug Discontinuation or Missing SVR12 Data and/or None of the Above Criteria12 weeks (i.e. at least 70 days) after the last dose of study drugPremature study drug discontinuation category is defined as participants who prematurely discontinued study drug and who experienced no on-treatment virologic failure. The final SVR non-response category was defined as missing SVR12 data and/or none of the above criteria.
Percentage of Participants With Virological Response at End of Treatment (EoT)Up to EoT, maximum of 24 weeksVirological response defined as HCV RNA level less than 50 IU/mL.
Adherence to RBV: Percentage of RBV Dose Taken in Relation to the Target Dose of RBVUp to 48 weeksPercentage of the RBV dose taken in relation to the target dose of RBV (cumulative dose taken divided by target dose in percent), presented as the number of participants taking \> 95% to ≤ 105% of the target dose and those taking \> 80% to ≤ 95% of the target dose.
Adherence: Percentage of Planned Duration of RBV Taken by ParticipantUp to 48 weeks
Change From Baseline in the PAM-13 QuestionnaireUp to 48 weeksThe PAM-13 item scale is a measure used to assess the patient knowledge, skill, and confidence for self-management. Each of the 13 items can be answered with one of four possible response options, which are disagree strongly (1), disagree (2), agree (3), agree strongly (4). Based on responses to the 13-item measure, the score is calculated by adding up the raw scores (range of the sum: 13 - 52) and mapping up the value onto a scale of 0-100 indicating strength of agreement with the 13 items. A higher score indicates that the patient is likely to participate more actively in health care processes and takes more responsibility for his or her health.
Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsUp to EoT, maximum of 24 weeksPercentage of participants using each component of the PSP, including personal support, educational and information material (printed, online) and additional digital and mobile resources (web-portal, app, and reminders).
Adherence to ABBVIE Regimen: Percentage of the Direct-acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAAUp to 48 weeksPercentage of the DAA dose taken in relation to the target dose of DAA (cumulative dose taken divided by target dose in percent), presented as the number of participants taking \> 95% to ≤ 105% of the target dose and those taking \> 80% to ≤ 95% of the target dose.

Participant flow

Participants by arm

ArmCount
Participants With HCV Genotype 1 or 4
Participants with HCV genotype 1 or 4 receiving paritaprevir/r - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± RBV.
40
Total40

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyFailure to return1

Baseline characteristics

CharacteristicParticipants With HCV Genotype 1 or 4
Age, Continuous49 years
STANDARD_DEVIATION 13.9
Patient Activation Measure 13 (PAM-13)55.0 units on a scale
Race/Ethnicity, Customized
Other (Not Specified)
40 Participants
Sex: Female, Male
Female
20 Participants
Sex: Female, Male
Male
20 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 40
other
Total, other adverse events
4 / 40
serious
Total, serious adverse events
0 / 40

Outcome results

Primary

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

SVR12 defined as the HCV ribonucleic acid (RNA) level less than 50 IU/mL 12 weeks after the last dose of study drug

Time frame: 12 weeks (i.e. at least 70 days) after the last dose of study drug

Population: Core population: all participants 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 Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)100 percentage of participants
Secondary

Adherence: Percentage of Planned Duration of RBV Taken by Participant

Time frame: Up to 48 weeks

Population: Core population: all participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype) and were prescribed RBV.

ArmMeasureValue (MEAN)Dispersion
Participants With HCV Genotype 1 or 4Adherence: Percentage of Planned Duration of RBV Taken by Participant101.0 percentage of planned duration of RBVStandard Deviation 2
Secondary

Adherence to ABBVIE Regimen: Percentage of the Direct-acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA

Percentage of the DAA dose taken in relation to the target dose of DAA (cumulative dose taken divided by target dose in percent), presented as the number of participants taking \> 95% to ≤ 105% of the target dose and those taking \> 80% to ≤ 95% of the target dose.

Time frame: Up to 48 weeks

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants With HCV Genotype 1 or 4Adherence to ABBVIE Regimen: Percentage of the Direct-acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 95% to ≤ 105% of target dose38 Participants
Participants With HCV Genotype 1 or 4Adherence to ABBVIE Regimen: Percentage of the Direct-acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA> 80% to ≤ 95% of target dose1 Participants
Secondary

Adherence to RBV: Percentage of RBV Dose Taken in Relation to the Target Dose of RBV

Percentage of the RBV dose taken in relation to the target dose of RBV (cumulative dose taken divided by target dose in percent), presented as the number of participants taking \> 95% to ≤ 105% of the target dose and those taking \> 80% to ≤ 95% of the target dose.

Time frame: Up to 48 weeks

Population: Core population: all participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype) and were prescribed RBV.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants With HCV Genotype 1 or 4Adherence to RBV: Percentage of RBV Dose Taken in Relation to the Target Dose of RBV> 95% to ≤ 105% of target dose32 Participants
Participants With HCV Genotype 1 or 4Adherence to RBV: Percentage of RBV Dose Taken in Relation to the Target Dose of RBV> 80% to ≤ 95% of target dose1 Participants
Secondary

Change From Baseline in the PAM-13 Questionnaire

The PAM-13 item scale is a measure used to assess the patient knowledge, skill, and confidence for self-management. Each of the 13 items can be answered with one of four possible response options, which are disagree strongly (1), disagree (2), agree (3), agree strongly (4). Based on responses to the 13-item measure, the score is calculated by adding up the raw scores (range of the sum: 13 - 52) and mapping up the value onto a scale of 0-100 indicating strength of agreement with the 13 items. A higher score indicates that the patient is likely to participate more actively in health care processes and takes more responsibility for his or her health.

Time frame: Up to 48 weeks

Population: Core population: all participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype) and contributed to the PAM-13.

ArmMeasureValue (MEDIAN)
Participants With HCV Genotype 1 or 4Change From Baseline in the PAM-13 Questionnaire7.60 units on a scale
Secondary

Patient Support Program (PSP) Questionnaire: Utilization of PSP Components

Percentage of participants using each component of the PSP, including personal support, educational and information material (printed, online) and additional digital and mobile resources (web-portal, app, and reminders).

Time frame: Up to EoT, maximum of 24 weeks

Population: Core population: all participants who were adequately treated according to the standard of care and within local label recommendations for their specific disease characteristics (cirrhotic status, genotype) and who participated int he PSP.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsAdditional resources - app6 Participants
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsAdditional resources - reminders2 Participants
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsPersonal support28 Participants
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsEducational/information material - printed24 Participants
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsEducational/information material - online6 Participants
Participants With HCV Genotype 1 or 4Patient Support Program (PSP) Questionnaire: Utilization of PSP ComponentsAdditional resources - web portal3 Participants
Secondary

Percentage of Participants Meeting the SVR Non-response Categories of On-treatment Virologic Failure or Relapse

On-treatment virologic failure defined as breakthrough (at least 1 documented 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). Relapse (defined as HCV RNA \<50 IU/mL at EoT or at the last on-treatment HCV RNA measurement followed by HCV RNA ≥50 IU/mL post-treatment).

Time frame: 12 weeks (i.e. at least 70 days) after the last dose of study drug

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

ArmMeasureGroupValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting the SVR Non-response Categories of On-treatment Virologic Failure or RelapseOn-treatment virologic failure0 percentage of participants
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting the SVR Non-response Categories of On-treatment Virologic Failure or RelapseRelapse0 percentage of participants
Secondary

Percentage of Participants Meeting the SVR Non-response Categories of Premature Study Drug Discontinuation or Missing SVR12 Data and/or None of the Above Criteria

Premature study drug discontinuation category is defined as participants who prematurely discontinued study drug and who experienced no on-treatment virologic failure. The final SVR non-response category was defined as missing SVR12 data and/or none of the above criteria.

Time frame: 12 weeks (i.e. at least 70 days) after the last dose of study drug

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

ArmMeasureGroupValue (NUMBER)
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting the SVR Non-response Categories of Premature Study Drug Discontinuation or Missing SVR12 Data and/or None of the Above CriteriaPremature study drug discontinuation0 percentage of participants
Participants With HCV Genotype 1 or 4Percentage of Participants Meeting the SVR Non-response Categories of Premature Study Drug Discontinuation or Missing SVR12 Data and/or None of the Above CriteriaMissing SVR12 data / other0 percentage of participants
Secondary

Percentage of Participants With Breakthrough.

Breakthrough defined as at least 1 documented HCV RNA less than 50 IU/mL followed by HCV RNA greater than or equal to 50 IU/mL during treatment.

Time frame: Up to EoT, maximum of 24 weeks

Population: Core population: all participants 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 Breakthrough.0 percentage of participants
Secondary

Percentage of Participants With Relapse at EoT

Relapse defined as HCV RNA less than 50 IU/mL at EoT followed by HCV RNA greater than or equal to 50 IU/mL.

Time frame: Up to EoT, maximum of 24 weeks

Population: Core population: all participants 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 Relapse at EoT0 percentage of participants
Secondary

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

Virological response defined as HCV RNA level less than 50 IU/mL.

Time frame: Up to EoT, maximum of 24 weeks

Population: Core population: all participants 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 Virological Response at End of Treatment (EoT)100 percentage of participants

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