Grazoprevir (MK-5172) and Elbasvir (MK-8742) Combination for Chronic Hepatitis C Virus (HCV) Genotypes 1, 4, and 6 (MK-5172-065)

NCT ID: NCT02252016

Last Updated: 2018-10-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-22

Study Completion Date

2016-06-14

Brief Summary

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This is a randomized, multi-site, placebo-controlled trial of a fixed dose combination (FDC) of grazoprevir (MK-5172) 100 mg + elbasvir (MK-8742) 50 mg in participants with chronic Hepatitis C Virus (HCV) genotype (GT) 1, GT4 or GT6 with inherited blood disorders. The primary hypothesis is that the proportion of participants treated with grazoprevir+elbasvir achieving Sustained Virologic Response (SVR) 12 weeks after the end of all study therapy (SVR12) will be greater than the reference rate of 40%.

Detailed Description

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Conditions

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Hepatitis C

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Immediate Treatment

Participants will take grazoprevir 100 mg + elbasvir 50 mg once daily during the 12-week treatment period and then will be monitored for safety during a 24-week follow-up period.

Group Type EXPERIMENTAL

Grazoprevir + Elbasvir

Intervention Type DRUG

FDC tablet containing grazoprevir 100 mg + elbasvir 50 mg taken once daily by mouth.

Deferred Treatment

Participants will take placebo tablets once daily during the 12-week treatment period and will then be monitored for safety during a 4-week follow-up period. Participants will then begin open-label treatment with grazoprevir 100 mg + elbasvir 50 mg for a 12-week treatment period and will then be monitored for safety during a 24-week follow-up period.

Group Type PLACEBO_COMPARATOR

Grazoprevir + Elbasvir

Intervention Type DRUG

FDC tablet containing grazoprevir 100 mg + elbasvir 50 mg taken once daily by mouth.

Placebo

Intervention Type DRUG

Placebo tablets matching grazoprevir + elbasvir FDC tablets taken once daily by mouth.

Interventions

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Grazoprevir + Elbasvir

FDC tablet containing grazoprevir 100 mg + elbasvir 50 mg taken once daily by mouth.

Intervention Type DRUG

Placebo

Placebo tablets matching grazoprevir + elbasvir FDC tablets taken once daily by mouth.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* has HCV GT1, GT4, or GT6 with sickle cell anemia, thalassemia, or hemophilia/von Willebrand disease
* has cirrhosis or is non-cirrhotic
* is human immunodeficiency virus (HIV) coinfected or not infected with HIV
* is a female of non childbearing potential, or is male or female and uses an acceptable method(s) of contraception

Exclusion Criteria

* has evidence of decompensated liver disease
* is coinfected with hepatitis B
* has had a malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
* has hepatocellular carcinoma (HCC) or is under evaluation for HCC
* has clinically-relevant drug or alcohol abuse within 12 months of screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

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Hezode C, Colombo M, Bourliere M, Spengler U, Ben-Ari Z, Strasser SI, Lee WM, Morgan L, Qiu J, Hwang P, Robertson M, Nguyen BY, Barr E, Wahl J, Haber B, Chase R, Talwani R, Marco VD; C-EDGE IBLD Study Investigators. Elbasvir/Grazoprevir for Patients With Hepatitis C Virus Infection and Inherited Blood Disorders: A Phase III Study. Hepatology. 2017 Sep;66(3):736-745. doi: 10.1002/hep.29139. Epub 2017 Jul 20.

Reference Type RESULT
PMID: 28256747 (View on PubMed)

Asselah T, Reesink H, Gerstoft J, de Ledinghen V, Pockros PJ, Robertson M, Hwang P, Asante-Appiah E, Wahl J, Nguyen BY, Barr E, Talwani R, Serfaty L. Efficacy of elbasvir and grazoprevir in participants with hepatitis C virus genotype 4 infection: A pooled analysis. Liver Int. 2018 Sep;38(9):1583-1591. doi: 10.1111/liv.13727. Epub 2018 Mar 31.

Reference Type DERIVED
PMID: 29461687 (View on PubMed)

Other Identifiers

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2014-002356-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

5172-065

Identifier Type: -

Identifier Source: org_study_id

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