Clinical Trial Results:
An Open-Label Study to Evaluate the Safety, Antiviral Activity and Pharmacokinetics of Direct-Acting Antiviral Agent (DAA) Treatment in Combination with Peginterferon Alpha-2a and Ribavirin (pegIFN/RBV) in Chronic Hepatitis C Virus (HCV) Infected Subjects Who Have Experienced Virologic Failure in a Previous Abbott DAA Combination Study
Summary
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EudraCT number |
2011-005393-32 |
Trial protocol |
GB ES DE BE HU SE AT NL IT CZ IE SK PT |
Global end of trial date |
08 May 2017
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Results information
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Results version number |
v1(current) |
This version publication date |
09 May 2018
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First version publication date |
09 May 2018
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
M13-101
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01609933 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
AbbVie Deutschland GmbH & Co. KG
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Sponsor organisation address |
AbbVie House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, United Kingdom, SL6-4UB
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Public contact |
Global Medical Services, AbbVie, 001 800-633-9110,
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Scientific contact |
Mariem Charafeddine, AbbVie, mariem.charafeddine@abbvie.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
08 May 2017
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
08 May 2017
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
A study to evaluate the safety and effect of treatment with experimental antiviral drugs in combination with peginterferon alpha-2a and ribavirin in people with hepatitis C virus who did not respond to treatment in a previous AbbVie/Abbott combination study.
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Protection of trial subjects |
Subject read and understood the information provided about the study and gave written permission.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
18 Dec 2012
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Poland: 4
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Country: Number of subjects enrolled |
Slovakia: 1
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Country: Number of subjects enrolled |
Spain: 2
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Country: Number of subjects enrolled |
United Kingdom: 1
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Country: Number of subjects enrolled |
Hungary: 3
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Country: Number of subjects enrolled |
Argentina: 1
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Country: Number of subjects enrolled |
Australia: 1
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Country: Number of subjects enrolled |
Romania: 2
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Country: Number of subjects enrolled |
United States: 17
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Worldwide total number of subjects |
32
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EEA total number of subjects |
13
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
32
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
All subjects who received at least 1 dose of study drug were included in the intent-to-treat (ITT) population; the safety population is the same as the ITT population. | ||||||||||||
Pre-assignment
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Screening details |
The study included a 42-day screening period. | ||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||||||||
Arms
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Arm title
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2-DAA + PegIFN/RBV | ||||||||||||
Arm description |
2-direct-acting antiviral (2-DAA: ABT-450 [paritaprevir] 200 mg once daily [QD], ritonavir 100 mg QD, ABT-267 [ombitasvir] 25 mg QD) plus pegylated interferon alpha-2a (pegIFN) 180 mcg once weekly and Ribavirin (RBV) weight-based dosing, 1000 to 1200 mg divided twice daily (BID) for 24 weeks (Substudy 1) and followed by pegIFN and RBV alone for an additional 24 weeks (Substudy 2). | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
ABT-450/r
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Investigational medicinal product code |
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Other name |
ABT-450 also known as paritaprevir and r is also know as ritonavir
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Pharmaceutical forms |
Capsule, Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
ABT-450 (tablets) dosed with ritonavir (capsules or tablets) administered orally
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Investigational medicinal product name |
ABT-267
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Investigational medicinal product code |
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Other name |
ABT-267 also known as ombitasvir
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
ABT-267 (tablets)
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Investigational medicinal product name |
pegylated interferon alpha-2a (pegIFN)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Injection
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
pegIFN alpha-2a (syringe)
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Investigational medicinal product name |
Ribavirin (RBV)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Ribavirin (tablets)
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Baseline characteristics reporting groups
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Reporting group title |
2-DAA + PegIFN/RBV
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Reporting group description |
2-direct-acting antiviral (2-DAA: ABT-450 [paritaprevir] 200 mg once daily [QD], ritonavir 100 mg QD, ABT-267 [ombitasvir] 25 mg QD) plus pegylated interferon alpha-2a (pegIFN) 180 mcg once weekly and Ribavirin (RBV) weight-based dosing, 1000 to 1200 mg divided twice daily (BID) for 24 weeks (Substudy 1) and followed by pegIFN and RBV alone for an additional 24 weeks (Substudy 2). | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
2-DAA + PegIFN/RBV
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Reporting group description |
2-direct-acting antiviral (2-DAA: ABT-450 [paritaprevir] 200 mg once daily [QD], ritonavir 100 mg QD, ABT-267 [ombitasvir] 25 mg QD) plus pegylated interferon alpha-2a (pegIFN) 180 mcg once weekly and Ribavirin (RBV) weight-based dosing, 1000 to 1200 mg divided twice daily (BID) for 24 weeks (Substudy 1) and followed by pegIFN and RBV alone for an additional 24 weeks (Substudy 2). |
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End point title |
Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post Treatment (SVR12) [1] | ||||||||
End point description |
SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than lower limit of quantitation [LLOQ] 12 weeks after the last dose of study drugs (DAAs plus pegIFN alpha-2a and RBV).
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End point type |
Primary
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End point timeframe |
12 weeks after last dose of study drugs (DAAs plus pegIFN alpha-2a and RBV)
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Descriptive data are summarized for this end point per protocol. |
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No statistical analyses for this end point |
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End point title |
Percentage of Participants Achieving Virologic Response 24 Weeks Post Treatment (SVR24) | ||||||||
End point description |
SVR24 was defined as HCV RNA level less than the LLOQ 24 weeks after the last dose of study drugs (DAAs plus pegIFN alpha-2a and RBV).
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End point type |
Secondary
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End point timeframe |
24 weeks after last dose of study drugs (DAAs plus pegIFN alpha-2a and RBV)
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No statistical analyses for this end point |
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End point title |
Percentage of Participants With Extended Rapid Virologic Response (eRVR) | ||||||||
End point description |
eRVR was defined as HCV RNA level < LLOQ at Substudy 1 treatment weeks 4 through 12 without a confirmed HCV RNA >= LLOQ
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End point type |
Secondary
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End point timeframe |
Treatment weeks 4 through 12 of Substudy 1 (DAAs plus pegIFN alpha-2a and RBV)
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No statistical analyses for this end point |
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End point title |
Number of Subjects With Adverse Events | ||||||||||
End point description |
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A serious adverse event (SAE) is an event that results in death, is lifethreatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent events (TEAEs/TESAEs) are defined as any event that began or worsened in severity after initiation of study drug through 30 days post-DAA dosing. For more details on AEs, see the AE section.
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End point type |
Secondary
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End point timeframe |
From first dose of study drug through 30 days after last dose of study drug (DAAs plus pegIFN alpha-2a and RBV) (up to 28 weeks).
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) were collected from first dose of study drug through 30 days after the last dose of DAA (2-DAA + pegIFN alpha-2a and RBV) dosing (up to 28 weeks).
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Adverse event reporting additional description |
TEAEs and TESAEs are defined as any AE with an onset date that is after the first dose of study drug through 30 days after the last dose of DAAs (up to 28 weeks) and were collected whether elicited or spontaneously reported by the participant.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
19.0
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Reporting groups
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Reporting group title |
2-DAA + PegIFN/RBV
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Reporting group description |
2-direct-acting antiviral (2-DAA: ABT-450 [paritaprevir] 200 mg once daily [QD], ritonavir 100 mg QD, ABT-267 [ombitasvir] 25 mg QD) plus pegylated interferon alpha-2a (pegIFN) 180 mcg once weekly and Ribavirin (RBV) weight-based dosing, 1000 to 1200 mg divided twice daily (BID) for 24 weeks and followed by pegIFN and RBV alone for an additional 24 weeks. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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08 Feb 2012 |
The purpose of this amendment included the following: to add text to the benefit and risks section; clarify screening procedures; clarify that that subjects continue into Substudy 2 after completing or discontinuing Substudy 1; clarify that sites may substitute serum pregnancy testing for urine pregnancy testing only if required per local regulations; added clinical laboratory and IP-10 testing to Table 2 at the Discontinuation visit; added subgenotypes to the exploratory analyses text. |
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17 Apr 2012 |
The purpose of this amendment included the following: to exclude subjects with prior null or partial response to PegIFN/RBV in whom resistant variants associated with decreased susceptibility to ABT-450 and/or ABT-267 were detected; increased the enrollment time up to 1 year after virologic failure in the previous study; revised the Screening Visit procedures; clarified inclusion criteria text for woman of child bearing potential and define postmenopausal state; clarified inclusion criteria for male subjects who had partners of childbearing potential; added exclusion criteria to exclude use of herbal supplements and colony stimulating factors; added non-efficacy (futility) criteria; added information for the management of neuropsychiatric complications; added text to provide information on managing complications due to peginterferon therapy; and removed Abbott Realtime HCV testing, as exploratory analysis of HCV RNA results using 2 platforms was no longer planned. |
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26 Jul 2012 |
The purpose of this amendment included the following: added a pre-screening visit to study procedures; updated the number of weeks of treatment with ABT-450 and ABT-267 in active clinical trials to 24 weeks; added inclusion criteria and exclusion criteria text to limit the enrollment to subjects with genotype 1 chronic HCV infection; added inclusion criteria text regarding HCV RNA level at pre-screening; clarified exclusion criteria text to align with how population sequencing was performed; added exclusion criteria related to the gap between the time the subject failed treatment in the previous AbbVie/Abbott DAA combination study and the start of this study; clarified that medical history will only be an update at the Screening Visit and Substudy 1 Day 1 Visit of new information that was not already recorded in the previous Abbott study; added text to clarify what treatment was planned after the subject ended their participation in this study; clarified physical examination procedures; added text regarding clinical laboratory tests to confirm post-menopausal status; corrected centrifuge speed text; added storage condition instructions for ritonavir; clarified text regarding assigning subjects; clarified drug accountability documentation; and updated references to include the newest versions of ABT-450 and ABT-267 Investigator's Brochures.
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22 Mar 2013 |
The purpose of this amendment included the following: revised inclusion/exclusion criteria and study procedures; revised the number of participating subjects in the study from 250 to 150; updated the description of the Treatment Period and the Post-Treatment Period including descriptions of study visits; modified inclusion criteria regarding effective contraceptive methods for female subjects; clarified exclusion criteria text to indicate that pregnancy should be avoided within 7 months after last dose of RBV study drug; added a table of medications contraindicated for use with ABT-450 and ABT-267 to exclusion criteria text; added urine albumin test to Substudy 1 Day 1 visit; deleted comprehensive physical examination from the Post Treatment Period; deleted the 1-year restriction for subjects to enroll into this study from discontinuation of the previous study; added clarifying text to the following sections: Prohibited Therapy, Pregnancy, Discontinuation of Individual Subject, Method of Assigning Subjects to Treatment Groups, Treatment Compliance, Drug Accountability, and Appropriateness of Measurements; updated the Toxicity Management; updated the Statistical Methods and Determination of Sample Size text; updated the Resistance Variables text; incorporated Administrative Changes 2 and 3; and provided clarifying text to address the Sponsor change from Abbott Laboratories (Abbott) to AbbVie.
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09 Apr 2013 |
The purpose of this amendment was to add text that prohibited the use of hormonal contraceptives during study drug administration. |
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17 Jun 2013 |
The purpose of this amendment included the following: updated the Introduction text; updated the discussion text regarding the risk of treatment failure for subjects who previously failed pegIFN/RBV plus telaprevir; updates throughout to include subjects who failed pegIFN/RBV plus telaprevir in the previous AbbVie/Abbott study; clarified the expectations for rescreening procedures and eligibility; updated and clarified eligibility determination for both male and female subjects; amended the eligibility determination for subjects who failed telaprevir plus PegIFN/RBV therapy in the previous AbbVie study; updated the eligibility criterion for contraindicated medications; modified the hemoglobin exclusion criterion text; amended the prohibited therapy text; modified the study activities table and text; amended the treatment compliance and drug accountability text; updated the primary contact information for protocol deviations; and updated the resistance analyses to be performed; and added an appendix with clinical toxicity grade information.
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25 Sep 2013 |
The purpose of this amendment included the following: Amended the Pre-Screening and Screening sections regarding timing of the discontinuation visit from the previous AbbVie/Abbott DAA combination study; revised the assessments not required to be re-tested during the re-screening visit; clarified subjects that would not be permitted to re-screen and were excluded from the study; updated the Post-Treatment follow-up period text to allow subjects the ability to enroll in a follow-up study; amended the post-treatment therapy section; modified the study activities table and text; amended the information provided to the subjects; modified the Medication Event Monitoring System caps distribution text; amended the Non-Efficacy (Futility) Criteria text; updated the type of treatments dispensed in this study to include the possibility of receiving ritonavir tablets; for PegIFN, amended the treatment compliance and drug accountability text; amended the hematologic toxicities table to remove extra management criteria and to add another management criterion; amended the Statistical Methods and Resistance Analyses text; and corrected the protocol signatories in Appendix B.
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11 Jun 2014 |
The purpose of this amendment included the following: amended the number of subjects from approximately 150 to up to 150; updated the Introduction text to ensure that the most current drug development information was included; amended the toxicity management for Grades 1 and 2 laboratory abnormalities and modified instructions regarding the management of total bilirubin and/or hepatic transaminase and creatinine clearance decreases.
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25 Jul 2014 |
The purpose of this amendment included the following: updated the section for hormonal contraception to more clearly define the acceptable approaches to contraception during the study, and updated the information about the medication that is contraindicated for use with the study drug regimen.
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26 Jun 2015 |
The purpose of this amendment included the following: corrected the number of subjects to be enrolled; updated the Study Designated Physician details; updated the collection time point for HCV RNA level at screening and changed the collection time for archive plasma samples; removed the collection of Medication Event Monitoring System caps data; removed interim analyses; clarified in the protocol how and when samples were to be disposed of; corrected RBV dispensing text; updated the SAE section; and added contact information for subject safety concerns or medical emergencies.
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |