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Efficacy and Safety of 8-weeks of Glecaprevir/Pibrentasvir in Treatment-Naïve Adults With HCV Genotype 1-6 and Aspartate Aminotransferase to Platelet Ratio Index (APRI) ≤1

A Single Arm, Open Label, Multicenter Study to Evaluate the Efficacy and Safety of Glecaprevir (GLE)/Pibrentasvir (PIB) in Treatment Naïve Adults With Chronic Hepatitis C Virus (HCV) Genotypes 1 - 6 Infection and Aspartate Aminotransferase to Platelet Ratio Index (APRI) ≤ 1

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03212521
Enrollment
230
Registered
2017-07-11
Start date
2017-08-07
Completion date
2018-08-13
Last updated
2019-09-04

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

Conditions

Hepatitis C Virus (HCV)

Keywords

chronic hepatitis C virus (HCV), Hepatitis, HCV genotype, aspartate aminotransferase, platelet, Aspartate aminotransferase to Platelet Ratio Index (APRI), glecaprevir, pibrentasvir, Sustained Virologic Response 12 weeks post dosing (SVR12)

Brief summary

A study to evaluate the efficacy and safety of glecaprevir(GLE)/pibrentasvir(PIB) in treatment-naïve participants with chronic hepatitis C virus (HCV) genotypes 1-6 infection and with an aspartate aminotransferase to platelet ratio index (APRI) of less than or equal to 1.

Interventions

Glecaprevir/pibrentasvir 100 mg/40 mg co-formulated tablets taken orally as 3 tablets once a day.

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Hepatitis C virus (HCV) genotype (GT) 1, 2, 3, 4, 5, or 6 infection. Mixed GT and indeterminate GT may be acceptable. * Aspartate aminotransferase (AST) to platelet ratio index (APRI) score of less than or equal to 1, at time of screening. * Does not have current active hepatitis B virus infection defined as: * positive hepatitis B surface antigen (HBsAg), OR * hepatitis B virus (HBV) deoxyribonucleic acid (DNA) \> lower limit of quantification (LLOQ) in subjects with isolated positive anti-hepatitis B core (HBc) (i.e., negative HBsAg and anti-hepatitis B surface\[HBs\]) * Platelets ≥ 150,000 cells/mm³ * Albumin ≥ lower limit of normal (LLN) * Positive anti-HCV antibody (Ab) AND plasma HCV ribonucleic acid (RNA) viral load ≥ 1,000 IU/mL at Screening and for at least 6 months before Screening. * No past history/evidence of cirrhosis. * No history of hepatocellular carcinoma. * Hepatitis C virus treatment-naïve (had not received a single dose of any approved or investigational anti-HCV medication). * If female, the subject must not be pregnant, breastfeeding, or considering becoming pregnant during the study and for 30 days after the last dose of study drug.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants in the Modified Intention-to-Treat Population With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)12 weeks after the last actual dose of study drug, Week 20SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification (LLOQ; 15 IU/mL) 12 weeks after the last dose of study drug. The 95% confidence interval (95%CI) was calculated using the Wilson's score method. Efficacy was to be established if the lower bound of the 95%CI was greater than the threshold of 92.4%, based on the historical rate observed in glecaprevir/pibrentasvir registrational studies in treatment-naïve, non-cirrhotic patients (98.4%) minus a margin of 6%.

Secondary

MeasureTime frameDescription
Percentage of Participants in the Intention-to-Treat Population With SVR1212 weeks after the last actual dose of study drug, Week 20SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the LLOQ (15 IU/mL) 12 weeks after the last dose of study drug. The 95% confidence interval was calculated using the normal approximation to the binomial distribution. Efficacy was to be established if the lower bound of the 95%CI was greater than the threshold of 91.4%, based on the mITT threshold minus an expected 1% rate of non-virological SVR failures.
Percentage of Participants With On-treatment Virologic FailureUp to 8 weeksOn-treatment virologic failure was defined as one of the following conditions: * confirmed HCV RNA ≥ 100 IU/mL after HCV RNA \< 15 IU/mL during the Treatment Period; or * confirmed increase from nadir in HCV RNA (two consecutive HCV RNA measurements \> 1 log₁₀ IU/mL above nadir) at any time point during the Treatment Period; or * HCV RNA ≥ 15 IU/mL at end of treatment with at least 6 weeks of treatment, where the HCV RNA value must be collected on or after Study Drug Day 36 and study drug duration ≥ 36 days.
Percentage of Participants With Post-treatment RelapseFrom the end of treatment (Week 8) through 12 weeks after the last dose of study drug (Week 20)Post-treatment relapse was defined as confirmed HCV RNA ≥ LLOQ between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment with HCV RNA levels \< LLOQ at the end of treatment.

Countries

Bulgaria, Canada, France, Germany, Poland, Puerto Rico, Russia, Spain, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at 40 sites in Bulgaria, Canada, France, Germany, Poland, Russian Federation, Spain, United Kingdom, and the United States (including Puerto Rico).

Participants by arm

ArmCount
Glecaprevir/Pibrentasvir
Participants received oral glecaprevir/pibrentasvir (300 mg/120 mg) once daily with food for 8 weeks.
230
Total230

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyLost to Follow-up4
Overall StudyOther1
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicGlecaprevir/Pibrentasvir
Age, Continuous48 years
Aminotransferase/Platelet Ratio Index (APRI)0.41 ratio
Ethnicity (NIH/OMB)
Hispanic or Latino
25 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
205 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
HCV Ribonucleic Acid (RNA) Concentration6.29 Log₁₀ IU/mL
Hepatitis C Virus (HCV) Genotype
Genotype 1
151 Participants
Hepatitis C Virus (HCV) Genotype
Genotype 2
33 Participants
Hepatitis C Virus (HCV) Genotype
Genotype 3
35 Participants
Hepatitis C Virus (HCV) Genotype
Genotype 4
9 Participants
Hepatitis C Virus (HCV) Genotype
Genotype 5
0 Participants
Hepatitis C Virus (HCV) Genotype
Genotype 6
2 Participants
Race/Ethnicity, Customized
Asian
10 Participants
Race/Ethnicity, Customized
Black or African American
13 Participants
Race/Ethnicity, Customized
White
207 Participants
Sex: Female, Male
Female
113 Participants
Sex: Female, Male
Male
117 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 230
other
Total, other adverse events
46 / 230
serious
Total, serious adverse events
4 / 230

Outcome results

Primary

Percentage of Participants in the Modified Intention-to-Treat Population With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification (LLOQ; 15 IU/mL) 12 weeks after the last dose of study drug. The 95% confidence interval (95%CI) was calculated using the Wilson's score method. Efficacy was to be established if the lower bound of the 95%CI was greater than the threshold of 92.4%, based on the historical rate observed in glecaprevir/pibrentasvir registrational studies in treatment-naïve, non-cirrhotic patients (98.4%) minus a margin of 6%.

Time frame: 12 weeks after the last actual dose of study drug, Week 20

Population: The modified intention-to-treat (mITT) population includes all enrolled participants who received at least 1 dose of study drug, excluding participants who did not achieve SVR12 for reasons other than virologic failure, such as missing SVR12 data (5 participants) or premature study drug discontinuation (3 participants).

ArmMeasureValue (NUMBER)
Glecaprevir/PibrentasvirPercentage of Participants in the Modified Intention-to-Treat Population With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)100.0 percentage of participants
Secondary

Percentage of Participants in the Intention-to-Treat Population With SVR12

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the LLOQ (15 IU/mL) 12 weeks after the last dose of study drug. The 95% confidence interval was calculated using the normal approximation to the binomial distribution. Efficacy was to be established if the lower bound of the 95%CI was greater than the threshold of 91.4%, based on the mITT threshold minus an expected 1% rate of non-virological SVR failures.

Time frame: 12 weeks after the last actual dose of study drug, Week 20

Population: The intention-to-treat (ITT) population included all enrolled participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Glecaprevir/PibrentasvirPercentage of Participants in the Intention-to-Treat Population With SVR1296.5 percentage of participants
Secondary

Percentage of Participants With On-treatment Virologic Failure

On-treatment virologic failure was defined as one of the following conditions: * confirmed HCV RNA ≥ 100 IU/mL after HCV RNA \< 15 IU/mL during the Treatment Period; or * confirmed increase from nadir in HCV RNA (two consecutive HCV RNA measurements \> 1 log₁₀ IU/mL above nadir) at any time point during the Treatment Period; or * HCV RNA ≥ 15 IU/mL at end of treatment with at least 6 weeks of treatment, where the HCV RNA value must be collected on or after Study Drug Day 36 and study drug duration ≥ 36 days.

Time frame: Up to 8 weeks

Population: Intention-to-treat population

ArmMeasureValue (NUMBER)
Glecaprevir/PibrentasvirPercentage of Participants With On-treatment Virologic Failure0.0 percentage of participants
Secondary

Percentage of Participants With Post-treatment Relapse

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

Time frame: From the end of treatment (Week 8) through 12 weeks after the last dose of study drug (Week 20)

Population: Intention-to-treat population with HCV RNA \< 15 IU/mL at the end of treatment, at least one post-treatment HCV RNA value, and who completed the assigned treatment.

ArmMeasureValue (NUMBER)
Glecaprevir/PibrentasvirPercentage of Participants With Post-treatment Relapse0.0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026