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 (VOYAGE-1)
Hepatitis C Virus (HCV)
About this trial
This is an interventional treatment trial for Hepatitis C Virus (HCV) focused on measuring Chronic Hepatitis C Virus (HCV), Genotype 1 to 6, Asian, non-cirrhotic, Human Immunodeficiency Virus, co-infection, Treatment-naïve, Treatment-experienced, interferon
Eligibility Criteria
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
Additional Exclusion Criteria for participants with HCV/HIV Co-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.
Sites / Locations
- Peking University Peoples Hospit /ID# 156846
- Guangzhou Eighth People's Hosp /ID# 156859
- Guangdong General Hospital /ID# 156822
- Nanfang Hospital of Southern Medical University /ID# 156860
- The Third Affiliated Hospital Of Sun Yat-Sen University /ID# 156900
- Xiangya Hospital Central South University /ID# 156901
- The Second Hospital of Nanjing /ID# 156863
- Jiangsu Province People's Hospital /ID# 156861
- The First Hosp of Jilin Univ /ID# 156820
- The Sixth People's Hospital of Shenyang /ID# 156849
- Shanghai Changzheng Hospital /ID# 158072
- Ruijin Hospital, Shanghai Jiaotong /ID# 157336
- Huashan Hospital of Fudan University /ID# 156904
- Shanghai Public Health Cli Ctr /ID# 156832
- West China Hospital /ID# 156830
- Beijing Di Tan Hospital, Capital Medical University /ID# 156847
- 1st Hospital of Peking Uni /ID# 156845
- 302 Military Hospital Of China /ID# 156841
- Beijing Friendship Hospital /ID# 156840
- Beijing Youan Hosp, Cap Med Un /ID# 163430
- 1st Affiliated Hosp 3rd Milita /ID# 156831
- Dalian Sixth Peoples Hospital /ID# 163433
- Mengchao Hepatobiliary Hospita /ID# 156902
- Hainan General Hospital /ID# 156839
- Jinan Infectious Diseases Hosp /ID# 156886
- Chinese People's Liberation Army 81 Hospital /ID# 156862
- Shengjing Hospital of China Medical University /ID# 156824
- Tianjin Third Central Hospital /ID# 156816
- 1st Aff Hosp Xinjiang Med Uni /ID# 156887
- Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 156884
- Tongji Hosp Tongji Med College /ID# 156885
- Fourth Military Medical University Tangdu Hospital, PLA /ID# 156765
- First Affiliated Hospital of Medical College of Xi'an Jiaotong University /ID# 163432
- Henan Provincial Peoples Hosp /ID# 157197
- Pusan National University Hosp /ID# 163371
- Seoul National Univ Bundang ho /ID# 163367
- Inje University Busan Paik Hospital /ID# 163329
- Pusan Nat Univ Yangsan Hosp /ID# 163334
- Inha University Hospital /ID# 163320
- Yonsei University Health System, Severance Hospital /ID# 163339
- Samsung Medical Center /ID# 163364
- Cath Univ Seoul St Mary's Hosp /ID# 163341
- Korea Universtiy Guro Hospital /ID# 163380
- Seoul National University Hospital /ID# 163348
- Asan Medical Center /ID# 163336
- National University Hospital ( /ID# 163272
- Singapore General Hospital /ID# 163271
- Changi General Hospital /ID# 163270
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Glecaprevir/Pibrentasvir
Placebo / 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.
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.