Efficacy and Safety of Glecaprevir (ABT-493)/Pibrentasvir (ABT 530) (GLE/PIB) in Combination With Sofosbuvir and Ribavirin in Participants With Hepatitis C Virus Who Did Not Respond to Treatment in a Previous AbbVie Clinical Study

NCT ID: NCT02939989

Last Updated: 2022-05-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-21

Study Completion Date

2021-07-30

Brief Summary

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The purpose of this study was to evaluate the efficacy and safety of co-administration of glecaprevir (ABT-493)/pibrentasvir (ABT 530) plus sofosbuvir (SOF) plus ribavirin (RBV) in hepatitis C virus (HCV) genotype (GT) 1 - 6-infected participants (including non-cirrhotic, or cirrhotic with compensated cirrhosis participants) who had experienced virologic failure in an AbbVie parent clinical study.

Detailed Description

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This study enrolled HCV infected adults who had experienced virologic failure following treatment with glecaprevir/pibrentasvir or paritaprevir/ritonavir/ombitasvir + dasabuvir (DSV) (3D) or paritaprevir/ritonavir/ombitasvir (2D) regimens in one of the following AbbVie hepatitis C virus parent studies:

* M13-594 (NCT02640157)
* M13-596 (NCT02692703)
* M14-172 (NCT02642432)
* M14-242 (NCT02493855)
* M14-868 (NCT02243293)
* M15-410 (NCT02446717)
* M15-592 (NCT03222583)
* M16-126 (NCT02966795)
* M16-135 (NCT03089944)

Conditions

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Hepatitis C Virus Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Glecaprevir/Pibrentasvir + SOF + RBV for 12 weeks

Participants without cirrhosis who had non-genotype 3 infection and were naïve to protease inhibitor (PI) and/or nonstructural viral protein 5A inhibitor (NS5Ai) prior to participation in AbbVie HCV parent study received daily treatment with glecaprevir/pibrentasvir (GLE/PIB) 300 mg/120 mg plus sofosbuvir (SOF) 400 mg plus twice-daily weight-based ribavirin (RBV) 600 mg - 1200 mg daily total for 12 weeks.

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

Tablet for oral administration

Glecaprevir/Pibrentasvir

Intervention Type DRUG

Coformulated tablet for oral administration

Ribavirin

Intervention Type DRUG

Tablet for oral administration

Glecaprevir/Pibrentasvir + SOF + RBV for 16 weeks

Participants with genotype 3, and/or compensated cirrhosis, and/or experience with PI and/or NS5Ai prior to participation in Abbvie HCV parent study received daily treatment with GLE/PIB 300 mg/120 mg plus SOF 400 mg plus twice-daily weight-based RBV 600 mg - 1200 mg daily total for 16 weeks.

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

Tablet for oral administration

Glecaprevir/Pibrentasvir

Intervention Type DRUG

Coformulated tablet for oral administration

Ribavirin

Intervention Type DRUG

Tablet for oral administration

Interventions

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Sofosbuvir

Tablet for oral administration

Intervention Type DRUG

Glecaprevir/Pibrentasvir

Coformulated tablet for oral administration

Intervention Type DRUG

Ribavirin

Tablet for oral administration

Intervention Type DRUG

Other Intervention Names

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SOVALDI ABT-493/ABT-530 MAVYRET MAVIRET

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects must be adults (18 years of age or older) or adolescents (12 to less than 18 years of age weighing at least 35 kg).
* Subject must have experienced virologic failure during or after treatment with ABT-493/ABT-530 in an AbbVie HCV parent study. Subjects who have experienced virologic failure during or after receiving ombitasvir/paritaprevir/r + dasabuvir (3D), or ombitasvir/paritaprevir/r (2D) in an AbbVie HCV parent study may be enrolled at AbbVie's discretion. Treatment in the parent study must have been completed or discontinued at least 1 month prior to the Screening Visit.
* Subjects must be able to understand and adhere to the study visit schedule and all other protocol requirements.
* Cirrhotic subjects must have compensated cirrhosis, (Child-Pugh score of ≤ 6) at Screening and no current or past evidence of Child-Pugh B or C Classification or no clinical history of liver decompensation, including ascites noted on physical exam, hepatic encephalopathy or esophageal variceal bleeding.
* Cirrhotic subjects must have absence of hepatocellular carcinoma (HCC) as indicated by a negative ultrasound (US), computed tomography (CT) scan or magnetic resonance imaging (MRI) within 3 months prior to Screening or a negative US at Screening.

Exclusion Criteria

* History of severe, life-threatening or other clinically significant sensitivity to any study drug or drug component.
* Female subject who is pregnant, breastfeeding or is considering becoming pregnant during the study or for 4 months after the last dose of study drug, or as directed per the local RBV label, whichever is more restrictive.
* Recent (within 6 months prior to study drug administration) history of drug or alcohol abuse that could preclude adherence to the protocol in the opinion of the investigator.
* Positive test result at Screening for hepatitis B surface antigen (HBsAg).
* Screening laboratory analyses showing calculated creatinine clearance \< 30 mL/min.
* Discontinuation from the AbbVie HCV parent study for reasons other than virologic failure (e.g., non-adherence, lost to follow-up, and/or the occurrence of an adverse event).
* Receipt of any HCV treatment after failing the treatment regimen in the AbbVie HCV parent study.
Minimum Eligible Age

12 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Digestive Health Specialists of the Southeast /ID# 155719

Dothan, Alabama, United States

Site Status

Ruane Clinical Research Group /ID# 155714

Los Angeles, California, United States

Site Status

Digestive Disease Associates - Baltimore /ID# 155713

Baltimore, Maryland, United States

Site Status

Henry Ford Health System /ID# 155720

Detroit, Michigan, United States

Site Status

University of Buffalo /ID# 155721

Buffalo, New York, United States

Site Status

Carolinas Center For Liver Dis /ID# 155731

Statesville, North Carolina, United States

Site Status

Gastro One /ID# 155729

Germantown, Tennessee, United States

Site Status

TX Liver Inst, Americ Res Corp /ID# 157881

San Antonio, Texas, United States

Site Status

Royal Brisbane and Women's Hospital /ID# 200944

Herston, Queensland, Australia

Site Status

The Royal Melbourne Hospital /ID# 155727

Parkville, Victoria, Australia

Site Status

University of Calgary /ID# 155726

Calgary, Alberta, Canada

Site Status

Beijing Di Tan Hospital, Capital Medical University /ID# 218496

Beijing, , China

Site Status

West China Hospital, Sichuan University /ID# 217613

Chengdu, , China

Site Status

The First Hospital Affiliated to AMU (Southwest Hospital) /ID# 218494

Chongqing, , China

Site Status

Mengchao Hepatobiliary Hospital of Fujian Medical University /ID# 218495

Fuzhou, , China

Site Status

Zentru fur HIV und Heaptogastroenterologie /ID# 155592

Düsseldorf, North Rhine-Westphalia, Germany

Site Status

Asklepios Klinik St. Georg /ID# 155733

Hamburg, , Germany

Site Status

Auckland City Hospital /ID# 200945

Grafton, Auckland, New Zealand

Site Status

Dunedin Hospital /ID# 155591

Otago, Otago, New Zealand

Site Status

Waikato Hospital /ID# 155728

Hamilton, Waikato Region, New Zealand

Site Status

Medical Company Hepatolog /ID# 214314

Samara, Samara Oblast, Russia

Site Status

Samsung Medical Center /ID# 214844

Seoul, , South Korea

Site Status

Hospital Universitario Puerta de Hierro, Majadahonda /ID# 155734

Majadahonda, Madrid, Spain

Site Status

Duplicate_Karolinska Univ Sjukhuset /ID# 155735

Solna, , Sweden

Site Status

Inselspital, Universitätsspital Bern /ID# 155716

Bern, , Switzerland

Site Status

Duplicate_Imperial College Healthcare NHS Trust /ID# 155718

London, , United Kingdom

Site Status

Countries

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United States Australia Canada China Germany New Zealand Russia South Korea Spain Sweden Switzerland United Kingdom

References

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Wyles D, Weiland O, Yao B, Weilert F, Dufour JF, Gordon SC, Stoehr A, Brown A, Mauss S, Zhang Z, Pilot-Matias T, Rodrigues L Jr, Mensa FJ, Poordad F. Retreatment of patients who failed glecaprevir/pibrentasvir treatment for hepatitis C virus infection. J Hepatol. 2019 May;70(5):1019-1023. doi: 10.1016/j.jhep.2019.01.031. Epub 2019 Mar 8. No abstract available.

Reference Type BACKGROUND
PMID: 30857780 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-002491-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M15-942

Identifier Type: -

Identifier Source: org_study_id

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