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A Study to Evaluate Chronic Hepatitis C Virus (HCV) Infection in Cirrhotic Adults With Genotype 1b (GT1b) Infection (Turquoise-IV)

Primary Purpose

Chronic Hepatitis C Virus (HCV) Infection

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Ombitasvir/Paritaprevir/Ritonavir
Dasabuvir
Ribavirin (RBV)
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis C Virus (HCV) Infection focused on measuring Chronic Hepatitis C, Hepatitis C, Hepatitis C Virus, Hepatitis C Genotype 1b, Interferon-Free

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Chronic hepatitis C, genotype 1b-infection (HCV RNA level greater than 1,000 IU/mL at Screening)
  • Evidence of liver cirrhosis as confirmed by liver biopsy or Fibroscan with Child-Pugh score less than or equal to 6 at Screening
  • Participant had never received antiviral treatment (including pegIFN/RBV) for hepatitis C infection (treatment-naïve participant) or had documentation of meeting one of the defined categories of a treatment-experienced participants
  • Absence of hepatocellular carcinoma (HCC) as indicated by a negative ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI) performed within 3 months prior to screening or a negative ultrasound at screening.
  • Females must be post-menopausal, of non-child bearing potential or practicing specific forms of birth control
  • Males must have been surgically sterile, or agreed to practice 2 effective methods of birth control throughout the course of the study.

Exclusion Criteria:

  • Positive screen for hepatitis B Surface antigen or anti-Human Immunodeficiency virus antibody
  • Evidence of current or past Child-Pugh B or C classification
  • Confirmed presence of hepatocellular carcinoma
  • Abnormal laboratory tests
  • Participant who self-reported on average drinking more than 2 drinks per day for current drinkers
  • Previous treatment with a direct acting antiviral agent (DAA) containing regimen
  • History of solid organ transplant.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Ombitasvir/Paritaprevir/Ritonavir plus Dasabuvir with RBV

    Arm Description

    Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) co-administered with weight-based Ribavirin (RBV; twice daily) for 12 weeks

    Outcomes

    Primary Outcome Measures

    Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment
    Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (< LLOQ; < 25 IU/mL) 12 weeks after the last dose of study drug. Participants with missing data were imputed as failures.

    Secondary Outcome Measures

    Percentage of Participants With On-Treatment Virologic Failure
    On-Treatment Virologic Failure is defined as confirmed HCV RNA >= LLOQ after HCV RNA < LLOQ during treatment, or confirmed increase from nadir (local minimum value) in HCV RNA [2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir] at any time point during treatment, or failure to suppress during treatment [all on-treatment values of HCV RNA >= LLOQ] with at least 6 weeks [defined as active study drug duration ≥ 36 days] of treatment.
    Percentage of Participants With Post-Treatment Relapse
    Post- Treatment Relapse is defined as confirmed HCV RNA >= LLOQ between end of treatment and 12 weeks after last actual dose of active study drug [up to and including the SVR12 assessment time point] for a participant with HCV RNA < LLOQ at Final Treatment Visit who completes treatment.

    Full Information

    First Posted
    August 12, 2014
    Last Updated
    May 23, 2016
    Sponsor
    AbbVie
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02216422
    Brief Title
    A Study to Evaluate Chronic Hepatitis C Virus (HCV) Infection in Cirrhotic Adults With Genotype 1b (GT1b) Infection
    Acronym
    Turquoise-IV
    Official Title
    An Open-Label, Single-Arm Study to Evaluate the Safety and Efficacy of ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) and ABT-333 Co-administered With Ribavirin (RBV) in Adults With Genotype 1b Chronic Hepatitis C Virus (HCV) Infection and Cirrhosis (Turquoise-IV)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2014 (undefined)
    Primary Completion Date
    December 2015 (Actual)
    Study Completion Date
    December 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    AbbVie

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This was a multicenter study evaluating the efficacy and safety of ombitasvir/paritaprevir/ritonavir and dasabuvir co-administered with ribavirin (RBV) for 12 weeks in treatment naïve and pegylated-interferon alfa-2a or alfa-2b (pegIFN)/RBV treatment-experienced, cirrhotic HCV genotype 1b-infected adults.
    Detailed Description
    The primary objective of this study was to assess the safety and efficacy (the percentage of participants achieving a 12-week sustained virologic response (SVR12), [HCV ribonucleic acid (RNA) < lower limit of quantification (LLOQ) 12 weeks following treatment]) of co-formulated ombitasvir, paritaprevir, and ritonavir (ombitasvir/paritaprevir/r) and dasabuvir co-administered with RBV for 12 weeks in HCV genotype 1b-infected adult participants with compensated cirrhosis. The secondary objectives of this study were to assess the number and percentage of participants with virologic failure during treatment and the percentage of participants with relapse post-treatment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Hepatitis C Virus (HCV) Infection
    Keywords
    Chronic Hepatitis C, Hepatitis C, Hepatitis C Virus, Hepatitis C Genotype 1b, Interferon-Free

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    36 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Ombitasvir/Paritaprevir/Ritonavir plus Dasabuvir with RBV
    Arm Type
    Experimental
    Arm Description
    Ombitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) co-administered with weight-based Ribavirin (RBV; twice daily) for 12 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Ombitasvir/Paritaprevir/Ritonavir
    Other Intervention Name(s)
    ABT-267 also known as ombitasvir, ABT-450 also known as paritaprevir, Ritonavir also known as norvir
    Intervention Description
    Tablet; paritaprevir co-formulated with ritonavir and ombitasvir
    Intervention Type
    Drug
    Intervention Name(s)
    Dasabuvir
    Other Intervention Name(s)
    ABT-333
    Intervention Description
    Tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Ribavirin (RBV)
    Intervention Description
    Tablet
    Primary Outcome Measure Information:
    Title
    Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment
    Description
    Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (< LLOQ; < 25 IU/mL) 12 weeks after the last dose of study drug. Participants with missing data were imputed as failures.
    Time Frame
    Post-treatment Day 1 to Post-treatment Week 12
    Secondary Outcome Measure Information:
    Title
    Percentage of Participants With On-Treatment Virologic Failure
    Description
    On-Treatment Virologic Failure is defined as confirmed HCV RNA >= LLOQ after HCV RNA < LLOQ during treatment, or confirmed increase from nadir (local minimum value) in HCV RNA [2 consecutive HCV RNA measurements > 1 log10 IU/mL above nadir] at any time point during treatment, or failure to suppress during treatment [all on-treatment values of HCV RNA >= LLOQ] with at least 6 weeks [defined as active study drug duration ≥ 36 days] of treatment.
    Time Frame
    Day 1 through Week 12
    Title
    Percentage of Participants With Post-Treatment Relapse
    Description
    Post- Treatment Relapse is defined as confirmed HCV RNA >= LLOQ between end of treatment and 12 weeks after last actual dose of active study drug [up to and including the SVR12 assessment time point] for a participant with HCV RNA < LLOQ at Final Treatment Visit who completes treatment.
    Time Frame
    Post-treatment Day 1 to Post-treatment Week 12

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Chronic hepatitis C, genotype 1b-infection (HCV RNA level greater than 1,000 IU/mL at Screening) Evidence of liver cirrhosis as confirmed by liver biopsy or Fibroscan with Child-Pugh score less than or equal to 6 at Screening Participant had never received antiviral treatment (including pegIFN/RBV) for hepatitis C infection (treatment-naïve participant) or had documentation of meeting one of the defined categories of a treatment-experienced participants Absence of hepatocellular carcinoma (HCC) as indicated by a negative ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI) performed within 3 months prior to screening or a negative ultrasound at screening. Females must be post-menopausal, of non-child bearing potential or practicing specific forms of birth control Males must have been surgically sterile, or agreed to practice 2 effective methods of birth control throughout the course of the study. Exclusion Criteria: Positive screen for hepatitis B Surface antigen or anti-Human Immunodeficiency virus antibody Evidence of current or past Child-Pugh B or C classification Confirmed presence of hepatocellular carcinoma Abnormal laboratory tests Participant who self-reported on average drinking more than 2 drinks per day for current drinkers Previous treatment with a direct acting antiviral agent (DAA) containing regimen History of solid organ transplant.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Rolando M Viani, MD
    Organizational Affiliation
    AbbVie
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Links:
    URL
    http://www.rxabbvie.com/
    Description
    Related Info

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    A Study to Evaluate Chronic Hepatitis C Virus (HCV) Infection in Cirrhotic Adults With Genotype 1b (GT1b) Infection

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