A Study to Evaluate the Efficacy and Safety of Glecaprevir/Pibrentasvir (ABT-493/ABT-530) in Treatment-Naive and Treatment-Experienced, Non-Cirrhotic Asian Adults With Chronic Hepatitis C Virus Genotype (GT) 1 to GT6 Infection With or Without Human Immunodeficiency Virus Co-Infection

NCT ID: NCT03222583

Last Updated: 2019-12-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

546 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-04

Study Completion Date

2019-02-15

Brief Summary

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This study will evaluate the efficacy and safety of glecaprevir/pibrentasvir (ABT-493/ABT-530) in non-cirrhotic chronic hepatitis C virus (HCV) genotype (GT)1 to GT6-infected Asian participants with or without human immunodeficiency virus (HIV) co-infection who are HCV treatment-naïve or treatment-experienced with interferon (IFN) with or without ribavirin (RBV), OR sofosbuvir with RBV with or without IFN.

Detailed Description

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Randomization was stratified by geographic region (China, South Korea, Singapore), genotype (GT1, GT2, combined GT3 - 6), and HCV/HIV co-infection status (co-infected, not co-infected). In China, eligible participants were randomized to Arm A or Arm B (defined below) in the following ratios: 2:1 for GT1, 2:1 for GT2, and 2:1 for combined GT3-6. In South Korea and Singapore, eligible participants were randomized to Arm A or Arm B in the following ratios: 2:1 for GT1 and 2:1 for GT2.

All Primary and Secondary Outcome Measures were pre-specified to be analyzed only in Arm A.

Conditions

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Hepatitis C Virus (HCV)

Keywords

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Chronic Hepatitis C Virus (HCV) Genotype 1 to 6 Asian non-cirrhotic Human Immunodeficiency Virus co-infection Treatment-naïve Treatment-experienced interferon

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Glecaprevir/Pibrentasvir

Participants received oral glecaprevir/pibrentasvir (300 mg/120 mg) once daily with food for 8 or 16 weeks during the double-blind (DB) treatment period.

Participants received treatment for 8 weeks with the exception of treatment-experienced, genotype 3-infected participants who received treatment for 16 weeks.

Group Type EXPERIMENTAL

Glecaprevir/Pibrentasvir

Intervention Type DRUG

Coformulated tablet for oral administration

Placebo / Glecaprevir/Pibrentasvir

Participants received placebo to glecaprevir/pibrentasvir for 8 or 16 weeks during the DB treatment period followed by glecaprevir/pibrentasvir (300 mg/120 mg) once daily for 8 or 16 weeks during the open-label (OL) treatment period.

In each period participants received treatment for 8 weeks with the exception of treatment-experienced, genotype 3-infected participants who received treatment for 16 weeks.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Matching placebo tablet for oral administration

Glecaprevir/Pibrentasvir

Intervention Type DRUG

Coformulated tablet for oral administration

Interventions

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Placebo

Matching placebo tablet for oral administration

Intervention Type DRUG

Glecaprevir/Pibrentasvir

Coformulated tablet for oral administration

Intervention Type DRUG

Other Intervention Names

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ABT-493/ABT-530 MAVYRET™

Eligibility Criteria

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Inclusion Criteria

* Must be of Asian descent
* Screening laboratory result indicating hepatitis C virus (HCV) genotype (GT) 1, 2, 3, 4, 5 or 6 infection.
* Positive anti-HCV antibody (Ab) and HCV ribonucleic acid (RNA) viral load ≥ 1000 IU/ mL at Screening Visit.
* Chronic HCV infection defined as one of the following:

* Positive for anti-HCV Ab or HCV RNA at least 6 months before Screening; or
* A liver biopsy consistent with chronic HCV infection
* HCV treatment-naïve to any approved or investigational HCV treatment or treatment-experienced with interferon (IFN) (alpha, beta or pegylated interferon\[pegIFN\] with or without ribavirin, OR sofosbuvir with RBV with or without IFN. Previous treatment must have been completed ≥ 8 weeks prior to screening.
* Participant must be documented as non-cirrhotic.
* Participants enrolled with human immunodeficiency virus (HIV)-1 and HCV co-infection must also meet the following criteria:

* Positive test result for human immunodeficiency virus antibody (HIV Ab) at Screening
* Naïve to treatment with any antiretroviral therapy (ART) with a cluster of differentiation (CD)4+ count greater than or equal to 500 cells/mm³ (or CD4+ percent ≥ 29%)
* On a stable, qualifying HIV-1 ART regimen with CD4+ count ≥ 200 cells/mm³ (or CD4+ % ≥ 14%) at Screening and plasma HIV-1 RNA below lower limit of quantification (LLOQ) by an approved plasma HIV-1 RNA quantitative assay at Screening and at least once during the 12 months prior to Screening.

Exclusion Criteria

* Positive test result for Hepatitis B surface antigen (HbsAg) or positive test result for hepatitis B virus (HBV) deoxyribonucleic acid (DNA) if HBsAg is negative.
* Any cause of liver disease other than chronic HCV-infection.
* HCV genotype performed during screening indicating co-infection with more than one HCV genotype
* Clinically significant abnormalities, other than HCV infection or HCV/HIV co-infection
* Chronic human immunodeficiency virus, type 2 (HIV-2) infection


* For participants on stable ART, taking anti-retroviral agent(s) other than those permitted
* Treatment for an acquired immunodeficiency syndrome (AIDS)-associated opportunistic infection within 12 months of Screening or prophylaxis for an AIDS-associated opportunistic infection within 6 months of screening
* Diagnosis of any clinical AIDS-defining event within 12 months prior to Screening.
Minimum Eligible Age

18 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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Peking University Peoples Hospit /ID# 156846

Beijing, Beijing Municipality, China

Site Status

Guangzhou Eighth People's Hosp /ID# 156859

Guangzhou, Guangdong, China

Site Status

Guangdong General Hospital /ID# 156822

Guangzhou, Guangdong, China

Site Status

Nanfang Hospital of Southern Medical University /ID# 156860

Guangzhou, Guangdong, China

Site Status

The Third Affiliated Hospital Of Sun Yat-Sen University /ID# 156900

Guangzhou, Guangdong, China

Site Status

Xiangya Hospital Central South University /ID# 156901

Changsha, Hunan, China

Site Status

The Second Hospital of Nanjing /ID# 156863

Nanjing, Jiangsu, China

Site Status

Jiangsu Province People's Hospital /ID# 156861

Nanjing, Jiangsu, China

Site Status

The First Hosp of Jilin Univ /ID# 156820

Changchun, Jilin, China

Site Status

The Sixth People's Hospital of Shenyang /ID# 156849

Shenyang, Liaoning, China

Site Status

Shanghai Changzheng Hospital /ID# 158072

Shanghai, Shanghai Municipality, China

Site Status

Ruijin Hospital, Shanghai Jiaotong /ID# 157336

Shanghai, Shanghai Municipality, China

Site Status

Huashan Hospital of Fudan University /ID# 156904

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Public Health Cli Ctr /ID# 156832

Shanghai, Shanghai Municipality, China

Site Status

West China Hospital /ID# 156830

Chengdu, Sichuan, China

Site Status

Beijing Di Tan Hospital, Capital Medical University /ID# 156847

Beijing, , China

Site Status

1st Hospital of Peking Uni /ID# 156845

Beijing, , China

Site Status

302 Military Hospital Of China /ID# 156841

Beijing, , China

Site Status

Beijing Friendship Hospital /ID# 156840

Beijing, , China

Site Status

Beijing Youan Hosp, Cap Med Un /ID# 163430

Beijing, , China

Site Status

1st Affiliated Hosp 3rd Milita /ID# 156831

Chongqing, , China

Site Status

Dalian Sixth Peoples Hospital /ID# 163433

Dalian, , China

Site Status

Mengchao Hepatobiliary Hospita /ID# 156902

Fuzhou, , China

Site Status

Hainan General Hospital /ID# 156839

Haikou, Hainan, , China

Site Status

Jinan Infectious Diseases Hosp /ID# 156886

Jinan, Shandong, , China

Site Status

Chinese People's Liberation Army 81 Hospital /ID# 156862

Nanjing, , China

Site Status

Shengjing Hospital of China Medical University /ID# 156824

Shenyang, , China

Site Status

Tianjin Third Central Hospital /ID# 156816

Tianjin, , China

Site Status

1st Aff Hosp Xinjiang Med Uni /ID# 156887

Ürümqi, , China

Site Status

Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 156884

Wuhan, , China

Site Status

Tongji Hosp Tongji Med College /ID# 156885

Wuhan, , China

Site Status

Fourth Military Medical University Tangdu Hospital, PLA /ID# 156765

Xi'an, , China

Site Status

First Affiliated Hospital of Medical College of Xi'an Jiaotong University /ID# 163432

Xi'an, , China

Site Status

Henan Provincial Peoples Hosp /ID# 157197

Zhengzhou, Henan, , China

Site Status

National University Hospital ( /ID# 163272

Singapore, , Singapore

Site Status

Singapore General Hospital /ID# 163271

Singapore, , Singapore

Site Status

Changi General Hospital /ID# 163270

Singapore, , Singapore

Site Status

Pusan National University Hosp /ID# 163371

Busan, Busan Gwang Yeogsi, South Korea

Site Status

Seoul National Univ Bundang ho /ID# 163367

Seongnam, Gyeonggido, South Korea

Site Status

Inje University Busan Paik Hospital /ID# 163329

Pusan, Gyeongsangbuk-do, South Korea

Site Status

Pusan Nat Univ Yangsan Hosp /ID# 163334

Yangsan, Gyeongsangnam-do, South Korea

Site Status

Inha University Hospital /ID# 163320

Junggu, Incheon Gwang Yeogsi, South Korea

Site Status

Yonsei University Health System, Severance Hospital /ID# 163339

Seodaemun-gu, Seoul Teugbyeolsi, South Korea

Site Status

Samsung Medical Center /ID# 163364

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Cath Univ Seoul St Mary's Hosp /ID# 163341

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Korea Universtiy Guro Hospital /ID# 163380

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Seoul National University Hospital /ID# 163348

Seoul, , South Korea

Site Status

Asan Medical Center /ID# 163336

Seoul, , South Korea

Site Status

Countries

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China Singapore South Korea

References

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Wei L, Wang G, Alami NN, Xie W, Heo J, Xie Q, Zhang M, Kim YJ, Lim SG, Fredrick LM, Lu W, Liu W, Kalluri HV, Krishnan P, Tripathi R, Mobashery N, Burroughs M, Asatryan A, Jia J, Hou J. Glecaprevir-pibrentasvir to treat chronic hepatitis C virus infection in Asia: two multicentre, phase 3 studies- a randomised, double-blind study (VOYAGE-1) and an open-label, single-arm study (VOYAGE-2). Lancet Gastroenterol Hepatol. 2020 Sep;5(9):839-849. doi: 10.1016/S2468-1253(20)30086-8. Epub 2020 Jul 16.

Reference Type DERIVED
PMID: 32682494 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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M15-592

Identifier Type: -

Identifier Source: org_study_id