| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| Chronic hepatitis C patients who failed to achieve sustained virologic  response (SVR24) on alisporivir or direct-acting antivirals (DAA) in  previous Novartis-sponsored studies. |  
| Pazienti con epatite cronica C che non hanno raggiunto la risposta virologica sostenuta  durante gli studi con Alisporivir sponsorizzati da Novartis |  | 
| E.1.1.1 | Medical condition in easily understood language | 
| Chronic hepatitis C patients who fail to achieve sustained virologic  response on alisporivir or direct-acting antivirals in previous Novartissponsored  studies. |  
| Pazienti con epatite cronica che non hanno raggiunto la risposta virologica sostenuta  durante gli studi con Alisporivir sponsorizzati da Novartis |  | 
| E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] | 
| MedDRA Classification | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 14.1 |  
| E.1.2 | Level | PT |  
| E.1.2 | Classification code | 10008909 |  
| E.1.2 | Term | Chronic hepatitis |  
| E.1.2 | System Organ Class | 10019805 - Hepatobiliary disorders |  | 
| E.1.3 | Condition being studied is a rare disease | No | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| To determine the persistence of resistance associated variants  associated with failure to previous alisporivir therapy. |  
| Obiettivo primario: valutare la persistenza delle varianti genotipiche associate alla resistenza e  correlate al fallimento della precedente terapia con alisporivir |  | 
| E.2.2 | Secondary objectives of the trial | 
| -To perform phenotypic analysis of HCV isolates to determine the  patients susceptibility/resistance to alisporivir in vitro  -To monitor the changes in liver function and disease over time  -To assess the development of hepatocellular carcinoma (HCC)  -To assess the safety over time of previous alisporivir exposure |  
| Obiettivi secondari principali:•Determinare la suscettibilita'/resistenza dei pazienti ad alisporivir tramite una analisi  fenotipica in vitro sugli isolati dell’HCV•Valutare nel tempo le modifiche della funzionalita' epatica e della malattia.•Valutare lo sviluppo di carcinoma epatocellulare•Valutare nel tempo la sicurezza della precedente esposizione del paziente ad  alisporivir.Per maggiori dettagli consultare il capitolo 3 del protocollo originale. |  | 
| E.2.3 | Trial contains a sub-study | No | 
| E.3 | Principal inclusion criteria | 
| -Written informed consent must be obtained before any assessment is  performed  -Males or females aged 18 or greater  -Have previously completed a Novartis-sponsored hepatitis C study and  received alisporivir or a direct antiviral agent  -Have not acheived SVR24 |  
| • Donne e uomini maggiorenni che abbiano firmato il consenso informato prima di qualsiasi  valutazione prevista dallo studio  • Pazienti che hanno partecipato ad un precedente studio sponsorizzato Novartis e hanno  ricevuto alisporivir o un farmaco DDA (direct antiviral agent)  • Pazienti che non hanno ottenuto l’SVR24 |  | 
| E.4 | Principal exclusion criteria | 
| -Use of any investigational drugs within 5 half-lives of enrollment, or  within 30 days of that medication, whichever is longer  -Previous use of any course of hepatitis C therapy since the end of the  Novartis-sponsored hepatitis C study |  
| • Pazienti che stanno assumendo altri farmaci sperimentali al momento dell’arruolamento o che  li hanno assunti nei 30 giorni precedenti l’inizio dello studio o in un periodo di tempo pari a 5  emivite del farmaco, considerando il periodo piu' lungo  • Pazienti che hanno iniziato o si prevede che inizieranno un nuovo ciclo di terapia per l’epatite  C nel periodo di tempo successivo alla fine dello studio nell’epatite cronica C sponsorizzato da  Novartis  Per maggiori dettagli consultare i paragrafi 5.1 e 5.2 del protocollo originale. |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Time to reversion to wild-type for subjects who had genotypic change  (resistance associated variants) in the feeder study. |  
| Nella popolazione costituita da soggetti che hanno avuto una modifica genotipica virale (varianti  associate alla resistenza) durante i precedenti studi, il tempo trascorso dalla fine del trattamento dello  studio precedente alla perdita della modifica genotipica (per es. il tempo trascorso per la reversione  alla condizione genotipica wild-type) sara' valutato mediante il metodo di Kaplan-Meier. |  | 
| E.5.1.1 | Timepoint(s) of evaluation of this end point | 
| During 11 scheduled visits within three years according to the  assessment schedule |  
| Durante le 11 visite previste entro tre anni secondo il programma di valutazione |  | 
| E.5.2 | Secondary end point(s) | 
| -HCV RNA viral load  -Liver fibrosis evaluations using Fibrotest and elastography, and to  monitor for any changes over time using ultrasound of the liver and  spleen  -The assessment of safety will be based on the analyses of adverse  events, vital signs and laboratory evaluations |  
| -HCV RNA carico virale  - valutazioni di fibrosi del fegato facendo uso di Fibrotest e dell elastografia e monitoraggio di ogni cambiamento del fegato e della milza col passare del tempo facendo uso dell'ultrasuono  - la valutazione della sicurezza sara' basata sulle analisi degli eventi avversi, delle funzioni vitali e delle valutazioni di laboratorio |  | 
| E.5.2.1 | Timepoint(s) of evaluation of this end point | 
| During 11 scheduled visits within three years according to the  assessment schedule |  
| Durante le 11 visite previste entro tre anni secondo il programma di valutazione |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | No | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | No | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | No | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | Yes | 
| E.6.13.1 | Other scope of the trial description | 
| To assess the viral activity in patients ... |  
| per valutare l'attivita' virale nei pazienti ... |  | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | No | 
| E.7.1.2 | Bioequivalence study | No | 
| E.7.1.3 | Other | No | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | No | 
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | No | 
| E.8.1.1 | Randomised | No | 
| E.8.1.2 | Open | No | 
| E.8.1.3 | Single blind | No | 
| E.8.1.4 | Double blind | No | 
| E.8.1.5 | Parallel group | No | 
| E.8.1.6 | Cross over | No | 
| E.8.1.7 | Other | No | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT | 
| E.8.2.2 | Placebo | Information not present in EudraCT | 
| E.8.2.3 | Other | Information not present in EudraCT | 
| E.8.2.4 | Number of treatment arms in the trial | 0 | 
| E.8.3 | The trial involves single site in the Member State concerned | No | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes | 
| E.8.4.1 | Number of sites anticipated in Member State concerned | 14 | 
| E.8.5 | The trial involves multiple Member States | Yes | 
| E.8.5.1 | Number of sites anticipated in the EEA | 82 | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | No | 
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned | 
| Argentina |  
| Australia |  
| Brazil |  
| Canada |  
| Egypt |  
| Hong Kong |  
| India |  
| Israel |  
| Korea, Republic of |  
| Mexico |  
| Philippines |  
| Russian Federation |  
| Taiwan |  
| Thailand |  
| Turkey |  
| United States |  
| Vietnam |  | 
| E.8.7 | Trial has a data monitoring committee | No | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial | 
| LPLV : 19/JUN/2017 |  
| LPLV : 19/06/2017 |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 0 | 
| E.8.9.1 | In the Member State concerned months | 59 | 
| E.8.9.1 | In the Member State concerned days | 0 | 
| E.8.9.2 | In all countries concerned by the trial years | 0 | 
| E.8.9.2 | In all countries concerned by the trial months | 62 | 
| E.8.9.2 | In all countries concerned by the trial days | 0 |