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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02167945
Other study ID # M14-222
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date June 12, 2014
Est. completion date May 13, 2021

Study information

Verified date June 2022
Source AbbVie
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study was to evaluate the effect of treatment with ABT-450 co-formulated with ritonavir and ABT-267 (ABT-450/r/ABT-267) and ABT-333; 3-DAA regimen, with or without ribavirin (RBV) in adults with chronic hepatitis C virus genotype 1 (HCV GT1) infection.


Description:

This study (TOPAZ-II; M14-222), was a Phase 3b, open-label, multicenter study conducted in the United States which, together with its companion study TOPAZ-I (M14-423; NCT02219490) conducted outside of the United States, was designed with the primary objective of assessing the effect of treatment response on long-term clinical outcomes in adults with chronic HCV GT1 infection with or without compensated cirrhosis, who were either treatment-naïve or interferon/ribavirin (IFN/RBV) treatment- experienced. In both studies, participants were treated with the 3-DAA regimen with or without RBV. This study consisted of a screening period of up to 42 days, a treatment period of either 12 weeks for HCV GT1a-infected subjects without cirrhosis and for HCV GT1b-infected subjects without cirrhosis or with compensated cirrhosis or 24 weeks for GT1a-infected participants with compensated cirrhosis, and a 260-week post-treatment period.


Recruitment information / eligibility

Status Completed
Enrollment 615
Est. completion date May 13, 2021
Est. primary completion date May 13, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: 1. Females must be post-menopausal for more than 2 years or surgically sterile or practicing specific forms of birth control 2. Chronic hepatitis C, genotype 1-infection (HCV RNA level greater than 1,000 IU/mL at screening) 3. HCV genotype 1 infection per screening laboratory result Exclusion Criteria: 1. Use of contraindicated medications within 2 weeks of dosing 2. Abnormal laboratory tests 3. Positive hepatitis B surface antigen and anti-Human Immunodeficiency Virus Antibody 4. History of solid organ transplant, clinical evidence of Child-Pugh B or C classification or clinical history of liver decompensation 5. Presence of hepatocellular carcinoma at screening

Study Design


Intervention

Drug:
ABT-450/r/ABT-267
Tablet for oral use
ABT-333
Tablet for oral use
Ribavirin (RBV)
Ribavirin was provided as 200 mg tablets, and dosed based on weight, 1000 to 1200 mg divided twice daily per local label. For example, for participants weighing < 75 kg, RBV may have been taken orally as 2 tablets in the morning and 3 tablets in the evening which corresponds to a 1000 mg total daily dose. For participants weighing = 75 kg, RBV may have been taken orally as 3 tablets in the morning and 3 tablets in the evening which corresponds to a 1200 mg total daily dose.

Locations

Country Name City State
United States University of New Mexico /ID# 128859 Albuquerque New Mexico
United States Atlanta Gastro Assoc /ID# 126571 Atlanta Georgia
United States Univ of Colorado Cancer Center /ID# 126568 Aurora Colorado
United States Franco Felizarta, Md /Id# 126569 Bakersfield California
United States Johns Hopkins University /ID# 127791 Baltimore Maryland
United States Inquest Clinical Research /ID# 126574 Baytown Texas
United States Beth Israel Deaconess Medical Center /ID# 126560 Boston Massachusetts
United States Bach and Godofsky Infec Dis /ID# 128685 Bradenton Florida
United States Digestive Disease Associates - Catonsville /ID# 127624 Catonsville Maryland
United States Atrium Health Carolinas Medical Center /ID# 127632 Charlotte North Carolina
United States Northwestern University Feinberg School of Medicine /ID# 128684 Chicago Illinois
United States The University of Chicago Medical Center /ID# 126576 Chicago Illinois
United States University of Cincinnati Physicians Company, LLC /ID# 127790 Cincinnati Ohio
United States Henry Ford Health System /ID# 127783 Detroit Michigan
United States AGA Clinical Research Associates, LLC /ID# 126578 Egg Harbor Township New Jersey
United States University of Florida - Archer /ID# 127787 Gainesville Florida
United States Gastro One /ID# 127792 Germantown Tennessee
United States Cure C Consortium /ID# 126570 Houston Texas
United States Liver Associates of Texas, P.A /ID# 126563 Houston Texas
United States Duplicate_Indiana University Health /ID# 126573 Indianapolis Indiana
United States Encore Borland-Groover Clinical Research /Id# 127781 Jacksonville Florida
United States Ruane Clinical Research Group /ID# 126577 Los Angeles California
United States Dean Clinic /ID# 126575 Madison Wisconsin
United States University of Miami /ID# 127622 Miami Florida
United States Clinical Research Ctrs America /ID# 127780 Murray Utah
United States North Shore University Hospital /ID# 126565 New Hyde Park New York
United States Tulane University /ID# 127779 New Orleans Louisiana
United States Columbia Univ Medical Center /ID# 126566 New York New York
United States Columbia Univ Medical Center /ID# 127621 New York New York
United States The Mount Sinai Hospital /ID# 128682 New York New York
United States Rutgers New Jersey School of Medicine /ID# 128686 Newark New Jersey
United States Austin Institute for Clinical Research /ID# 126562 Pflugerville Texas
United States St. Josephs Hospital and Med Center /ID# 127800 Phoenix Arizona
United States Minnesota Gastroenterology PA /ID# 126579 Plymouth Minnesota
United States Premier Medical Group - GI Division /ID# 127793 Poughkeepsie New York
United States University Gastroenterology /ID# 127789 Providence Rhode Island
United States Univ Rochester Med Ctr /ID# 127655 Rochester New York
United States St. Louis University /ID# 126564 Saint Louis Missouri
United States TX Liver Inst, Americ Res Corp /ID# 127623 San Antonio Texas
United States California Pacific Medical Center /ID# 128681 San Francisco California
United States Southwest Care Center /ID# 127784 Santa Fe New Mexico
United States University of Washington /ID# 127785 Seattle Washington
United States Virginia Mason - Seattle Orthapedics /ID# 130288 Seattle Washington
United States Louisana Research Center, LLC /ID# 126561 Shreveport Louisiana
United States Carolinas Center For Liver Dis /ID# 127788 Statesville North Carolina
United States Options Health Research, LLC /ID# 127630 Tulsa Oklahoma
United States Medstar Health Research Institute /ID# 128683 Washington District of Columbia
United States South Florida Ctr Gastro, P.A. /ID# 126567 Wellington Florida

Sponsors (1)

Lead Sponsor Collaborator
AbbVie

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary All-Cause Death: Time to Event Time to all-cause death was defined as the number of days from the first day of study drug dosing for the participant to the date of death. All deaths were to be included, regardless of whether the death occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not die, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of all-cause death included pooled data from TOPAZ-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490). At Post-Treatment Weeks 52, 104, 156, 208, and 260
Primary Liver-Related Death: Time to Event Time to liver-related death was defined as number of days from the 1st day of study drug dosing for the participant to date of liver-related death. All liver-related deaths were to be included, regardless of whether the death occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for liver-related death. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver-related death included pooled data from TOPAZ-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490). At Post-Treatment Weeks 52, 104, 156, 208, and 260
Primary Liver Decompensation: Time to Event Time to liver decompensation was defined as number of days from the 1st day of study drug dosing for the participant to the date of liver decompensation. All liver decompensation was to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for liver decompensation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver decompensation included pooled data from TOPAZ-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490). At Post-Treatment Weeks 52, 104, 156, 208, and 260
Primary Liver Transplantation: Time to Event Time to liver transplantation was defined as number of days from the 1st day of study drug dosing for the participant to date of liver transplantation. All liver transplantation was to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for liver transplantation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver transplantation included pooled data from TOPAZ-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490). At Post-Treatment Weeks 52, 104, 156, 208, and 260
Primary Hepatocellular Carcinoma: Time to Event Time to hepatocellular carcinoma was defined as number of days from the 1st day of study drug dosing for the participant to date of hepatocellular carcinoma. All hepatocellular carcinoma was to be included, whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For those with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for hepatocellular carcinoma. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of hepatocellular carcinoma included pooled data from TOPAZ-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490). At Post-Treatment Weeks 52, 104, 156, 208, and 260
Primary All-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event Time to the composite of clinical outcomes is the time to the first occurrence of all-cause death, liver-related death, liver decompensation, liver transplantation, or hepatocellular carcinoma. All first occurrences were to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not experience any of these events, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. Pre-specified analysis included pooled data from this study and from TOPAZ-I; NCT02219490. At Post-Treatment Weeks 52, 104, 156, 208, and 260
Secondary Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12) SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug. 12 weeks after the last actual dose of study drug
Secondary Mean Change From Baseline in Short Form 36 Version 2.0 (SF-36 V2) Physical Component Summary (PCS) Score at Post-Treatment Week 12 and Post-Treatment Week 24 The SF-36v2 is a non-disease specific Health Related Quality of Life (HRQoL) instrument with extensive use in multiple disease states. The SF-36v2 instrument comprises 36 total items (questions) targeting a subject's functional health and well-being in 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) with a recall period of 4 weeks. Domain scores are aggregated into a Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score. SF-36v2 scores for each domain and PCS/MCS range from 0-100: higher scores indicate a better state of health. Positive numbers indicate improvement from baseline. From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
Secondary Mean Change From Baseline in Short Form 36 Version 2.0 (SF-36 V2) Mental Component Summary (MCS) Score at Post-Treatment Week 12 and Post-Treatment Week 24 The SF-36v2 is a non-disease specific Health Related Quality of Life (HRQoL) instrument with extensive use in multiple disease states. The SF-36v2 instrument comprises 36 total items (questions) targeting a subject's functional health and well-being in 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) with a recall period of 4 weeks. Domain scores are aggregated into a Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score. SF-36v2 scores for each domain and PCS/MCS range from 0-100: higher scores indicate a better state of health. Positive numbers indicate improvement from baseline. From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
Secondary Mean Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) Total Score at Post-Treatment Week 12 and Post-Treatment Week 24 The FACIT-F is a symptom specific instrument with a focus on measuring fatigue in a variety of chronic diseases or health conditions. It was originally developed from interviews with oncology patients and clinical experts to assess anemia-associated fatigue. Its 13-item-version assesses peripheral, central, or mixed fatigue with a recall period of 7 days and yields a summed total score ranging between 0 and 52. Higher FACIT-F scores indicate a lesser degree of fatigue. Positive numbers indicate improvement from baseline. From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
Secondary Treatment Compliance: Percentage of Tablets Taken Relative to the Total Tablets Treatment compliance was calculated as the percentage of tablets taken (presumed as [tablets dispensed-tablets returned]) relative to the total tablets, respectively, expected to be taken. Study drug interruptions due to an adverse event or other planned interruptions recorded on the electronic case report form (eCRF) were to be subtracted from the duration. For compliance to ribavirin (RBV), RBV dose modifications due to adverse events, toxicity management, or weight changes as recorded on the RBV Dose Modifications eCRF were to be used to modify the total number of tablets that should have been taken. A participant is considered to be compliant if the percentage is between 80% and 120%. Up to Treatment Week 24
See also
  Status Clinical Trial Phase
Completed NCT02219490 - A Study to Evaluate Long-term Outcomes Following Treatment With ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) and ABT-333 With or Without Ribavirin (RBV) in Adults With Genotype 1 Chronic Hepatitis C Virus (HCV) Infection Phase 3