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A Study to Evaluate Paritaprevir With Ritonavir (ABT-450/r) When Given Together With Ombitasvir and With and Without Ribavirin (RBV) in Treatment-Naïve Participants With Genotype 1, 2 or 3 Chronic Hepatitis C Virus (HCV) (Navigator)

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AbbVie

Status and phase

Completed
Phase 2

Conditions

Hepatitis C Virus

Treatments

Drug: ABT-450
Drug: ABT-267
Drug: ritonavir
Drug: ribavirin

Study type

Interventional

Funder types

Industry

Identifiers

NCT01458535
M12-998

Details and patient eligibility

About

The purpose of this study was to evaluate the efficacy, safety and pharmacokinetics of ABT-450/r when given together with ABT-267 and with and without RBV in treatment-naïve participants with genotype 1, 2 or 3 chronic HCV infection.

Full description

This was a 2 sequential arm, combination treatment study where each arm contained 3 cohorts: one each for HCV genotype 1, 2, and 3. The study consisted of 2 phases, a treatment phase and a post-treatment phase. The treatment phase was designed to explore the antiviral activity, safety and pharmacokinetics of ABT-450/r dosed in combination with ABT-267 with and without RBV for up to 12 weeks. The post-treatment phase was designed to monitor and evaluate Sustained Virologic Response (SVR) 12, SVR 24, and the evolution and persistence of viral resistance to ABT-267 and ABT-450 in HCV genotype 1-, 2-, and 3-infected participants who have been exposed to ABT-267 and ABT-450/r. Arms 1 and 2 were enrolled sequentially.

Enrollment

61 patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Participants who had a body mass index 18 to < 35 kg/m^2.
  • Females were either postmenopausal for at least 2 years, surgically sterile, or willing to use at least 2 effective forms of birth control.
  • Males must have been surgically sterile or agreed to use at least 2 effective forms of birth control throughout the course of the study.
  • Participants were in a condition of general good health, other than the HCV infection.
  • Participants had a chronic HCV genotype 1, 2, or 3 infection for at least 6 months, a plasma HCV RNA > 50,000 IU/mL, and FibroTest score <= 0.72 and aspartate aminotransferase (AST) to platelet ratio index <= 2, Fibroscan® result of < 9.6 kilopascal (kPa), or absence of cirrhosis based on a liver biopsy.

Exclusion criteria

  • Positive drug screen
  • Previous use of anti-HCV agents
  • History of cardiac disease
  • History of uncontrolled diabetes or diabetes requiring insulin
  • Abnormal laboratory results
  • Females who were pregnant or planned to become pregnant within 6 months after their last dose of study drug/RBV or were breastfeeding; males whose partners were pregnant or would become pregnant within 6 months after their last dose of study drug/RBV
  • Positive test result for hepatitis B surface antigen (HBsAg) or anti-human immunodeficiency virus (HIV) antibody (Ab). Negative HIV status was to be confirmed at screening.

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

61 participants in 6 patient groups

ABT-450/r and ABT-267 plus RBV in genotype 1 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD plus weight-based ribavirin (RBV) divided twice daily (BID) in treatment-naïve participants with HCV genotype 1 infection.
Treatment:
Drug: ribavirin
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450
ABT-450/r and ABT-267 plus RBV in genotype 2 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD plus weight-based ribavirin (RBV) divided BID in treatment-naïve participants with HCV genotype 2 infection.
Treatment:
Drug: ribavirin
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450
ABT-450/r and ABT-267 plus RBV in genotype 3 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD plus weight-based ribavirin (RBV) divided BID in treatment-naïve participants with HCV genotype 3 infection.
Treatment:
Drug: ribavirin
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450
ABT-450/r and ABT-267 in genotype 1 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD in treatment-naïve participants with HCV genotype 1 infection.
Treatment:
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450
ABT-450/r and ABT-267 in genotype 2 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD in treatment-naïve participants with HCV genotype 2 infection.
Treatment:
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450
ABT-450/r and ABT-267 in genotype 3 participants
Experimental group
Description:
ABT-450/r (200/100 mg) once daily (QD) and ABT-267 (25 mg) QD in treatment-naïve participants with HCV genotype 3 infection.
Treatment:
Drug: ritonavir
Drug: ABT-267
Drug: ABT-450

Trial contacts and locations

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Data sourced from clinicaltrials.gov

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