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    Clinical Trial Results:
    A Phase II Clinical Trial to Evaluate the Efficacy and Safety of a Combination Regimen of MK-5172 with/without MK-8742 and/or Ribavirin (RBV) in Treatment-naive Subjects with Chronic Hepatitis C Genotype 2, 4, 5 and 6 Infection

    Due to the EudraCT – Results system being out of service between 31 July 2015 and 12 January 2016, these results have been published in compliance with revised timelines.
    Summary
    EudraCT number
    2013-002169-21
    Trial protocol
    GB   ES   BE  
    Global end of trial date
    04 Dec 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Jan 2016
    First version publication date
    30 Jan 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    5172-047
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01932762
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Merck Registration: MK-5172-047
    Sponsors
    Sponsor organisation name
    Merck Sharp & Dohme Corp.
    Sponsor organisation address
    2000 Galloping Hill Road, Kenilworth, NJ, United States, 07033
    Public contact
    Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
    Scientific contact
    Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Dec 2014
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 Dec 2014
    Global end of trial reached?
    Yes
    Global end of trial date
    04 Dec 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    This is a multi-site, open-label trial evaluating the safety and efficacy of 100 mg of grazoprevir (MK-5172) used in combination with or without 50 mg of elbasvir (MK-8742) and/or RBV in treating non-cirrhotic treatment-naïve participants with chronic genotype (GT) 2, 4, 5, and 6 hepatitis C infection. In Part A there is no randomization or stratification; all GT2 participants will be assigned to arm A1. In Part B, all GT2 participants will be assigned to Arm B1 and all participants with GT4, GT5 and GT6 will be randomized in a 1:1 ratio to either Arm 3 or Arm 4 with stratification by genotype.
    Protection of trial subjects
    This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2013
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    3 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 13
    Country: Number of subjects enrolled
    Belgium: 4
    Country: Number of subjects enrolled
    France: 20
    Country: Number of subjects enrolled
    Israel: 21
    Country: Number of subjects enrolled
    Spain: 6
    Country: Number of subjects enrolled
    United Kingdom: 10
    Country: Number of subjects enrolled
    United States: 24
    Worldwide total number of subjects
    98
    EEA total number of subjects
    40
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    86
    From 65 to 84 years
    12
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    98 participants were assigned to treatment at 28 sites worldwide and all enrolled participants received ≥1 dose of study therapy. 30 participants enrolled in Part A and 68 were enrolled and randomized in Part B of the study. Enrollment in Part C, an evaluation of a fixed-dose combination of grazoprevir and elbasvir, was never initiated.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1)
    Arm description
    During Part A of the study, GT2 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of ribavirin (RBV) for 12 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Grazoprevir
    Investigational medicinal product code
    Other name
    MK-5172
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg every day (QD) orally

    Investigational medicinal product name
    Ribavirin
    Investigational medicinal product code
    Other name
    Rebetol®, Copegus®, Ribasphere®
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered twice daily (BID) orally at a total daily dose of 800 mg to 1400 mg based on participant weight on Day 1

    Investigational medicinal product name
    Elbasvir
    Investigational medicinal product code
    Other name
    MK-8742
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    50 mg QD orally

    Arm title
    GT2: Grazoprevir + RBV (Arm B1)
    Arm description
    During Part B of the study, GT2 participants received 100 mg grazoprevir plus standard weight-based dosing of RBV for 12 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Ribavirin
    Investigational medicinal product code
    Other name
    Rebetol®, Copegus®, Ribasphere®
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered twice daily (BID) orally at a total daily dose of 800 mg to 1400 mg based on participant weight on Day 1

    Investigational medicinal product name
    Grazoprevir
    Investigational medicinal product code
    Other name
    MK-5172
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg every day (QD) orally

    Arm title
    GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)
    Arm description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of RBV for 12 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Grazoprevir
    Investigational medicinal product code
    Other name
    MK-5172
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg every day (QD) orally

    Investigational medicinal product name
    Elbasvir
    Investigational medicinal product code
    Other name
    MK-8742
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    50 mg QD orally

    Investigational medicinal product name
    Ribavirin
    Investigational medicinal product code
    Other name
    Rebetol®, Copegus®, Ribasphere®
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Administered twice daily (BID) orally at a total daily dose of 800 mg to 1400 mg based on participant weight on Day 1

    Arm title
    GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Arm description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir for 12 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Elbasvir
    Investigational medicinal product code
    Other name
    MK-8742
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    50 mg QD orally

    Investigational medicinal product name
    Grazoprevir
    Investigational medicinal product code
    Other name
    MK-5172
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    100 mg every day (QD) orally

    Number of subjects in period 1
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Started
    30
    30
    19
    19
    Completed
    24
    28
    19
    18
    Not completed
    6
    2
    0
    1
         Consent withdrawn by subject
    1
    2
    -
    -
         Physician decision
    1
    -
    -
    -
         Lost to follow-up
    4
    -
    -
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1)
    Reporting group description
    During Part A of the study, GT2 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of ribavirin (RBV) for 12 weeks.

    Reporting group title
    GT2: Grazoprevir + RBV (Arm B1)
    Reporting group description
    During Part B of the study, GT2 participants received 100 mg grazoprevir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir for 12 weeks.

    Reporting group values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3) Total
    Number of subjects
    30 30 19 19 68
    Age categorical
    Units: Subjects
    Age Continuous |
    Units: years
        arithmetic mean (standard deviation)
    47.3 ± 13.6 48.3 ± 14.6 52.2 ± 9.3 52.8 ± 12.3 -
    Gender, Male/Female
    Units: participants
        Female
    11 13 11 7 42
        Male
    19 17 8 12 56

    End points

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    End points reporting groups
    Reporting group title
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1)
    Reporting group description
    During Part A of the study, GT2 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of ribavirin (RBV) for 12 weeks.

    Reporting group title
    GT2: Grazoprevir + RBV (Arm B1)
    Reporting group description
    During Part B of the study, GT2 participants received 100 mg grazoprevir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir for 12 weeks.

    Primary: Percentage of Participants with Sustained Virologic Response 12 Weeks After The End of Study Therapy (SVR12)

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    End point title
    Percentage of Participants with Sustained Virologic Response 12 Weeks After The End of Study Therapy (SVR12) [1]
    End point description
    SVR12 was defined as Hepatitis C Virus ribonucleic acid (HCV RNA) <25 IU/mL, either target detected but unquantifiable (TD[u]) or target not detected (TND), at 12 weeks after the end of all study therapy. The percentage of participants with SVR12 and accompanying 95% confidence intervals (CIs) were reported for each treatment arm in the Per-Protocol (PP) Population, which was composed of all randomized participants receiving ≥1 dose of study therapy with no important protocol deviations.
    End point type
    Primary
    End point timeframe
    12 weeks after end of all therapy (Study Week 24)
    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: There was no formal efficacy hypothesis testing planned for this endpoint, and there were no between-group statistical comparisons performed.
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    27 [2]
    24 [3]
    17 [4]
    13 [5]
    Units: percentage of participants
        number (confidence interval 95%)
    85.2 (66.3 to 95.8)
    75 (53.3 to 90.2)
    94.1 (71.3 to 99.9)
    76.9 (46.2 to 95)
    Notes
    [2] - All participants in the PP Population with available data.
    [3] - All participants in the PP Population with available data.
    [4] - All participants in the PP Population with available data.
    [5] - All participants in the PP Population with available data.
    No statistical analyses for this end point

    Primary: Percentage of Participants with Adverse Events (AEs), Serious AEs (SAEs), Drug-Related AEs, Drug-Related SAEs, or Discontinuation of Study Treatment Due to AE

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    End point title
    Percentage of Participants with Adverse Events (AEs), Serious AEs (SAEs), Drug-Related AEs, Drug-Related SAEs, or Discontinuation of Study Treatment Due to AE [6]
    End point description
    AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product/protocol-specified procedure, whether or not considered related to the medicinal product/protocol-specified procedure. Any worsening of a preexisting condition temporally associated with the use of the product was also an AE. An SAE was an AE that resulted in death, was life threatening, resulted in persistent or significant disability/incapacity, resulted in or prolonged an existing inpatient hospitalization, was a congenital anomaly/birth defect, was a cancer, was associated with an overdose, was another important medical event. Drug-related AEs were those determined by the investigator to be possibly, probably, or definitely related to the treatment
    End point type
    Primary
    End point timeframe
    Treatment period plus the first 14 days of follow-up (up to 14 weeks)
    Notes
    [6] - 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: There was no formal safety hypothesis testing planned for this endpoint, and there were no between-group statistical comparisons performed.
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    30
    30
    19
    19
    Units: percentage of participants
    number (confidence interval 95%)
        AEs
    86.7 (69.3 to 96.2)
    86.7 (69.3 to 96.2)
    94.7 (74 to 99.9)
    78.9 (54.4 to 93.9)
        SAEs
    3.3 (0.1 to 17.2)
    3.3 (0.1 to 17.2)
    0 (0 to 17.6)
    0 (0 to 17.6)
        Drug-related AE
    63.3 (43.9 to 80.1)
    63.3 (43.9 to 80.1)
    57.9 (33.5 to 79.7)
    36.8 (16.3 to 61.6)
        Drug-related SAE
    0 (0 to 11.6)
    3.3 (0.1 to 17.2)
    0 (0 to 17.6)
    0 (0 to 17.6)
        Discontinuation due to AE
    0 (0 to 11.6)
    0 (0 to 11.6)
    0 (0 to 17.6)
    5.3 (0.1 to 26)
    No statistical analyses for this end point

    Secondary: Mean Time to First Achievement of Undetectable HCV RNA During Treatment

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    End point title
    Mean Time to First Achievement of Undetectable HCV RNA During Treatment
    End point description
    HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. Undetectable HCV RNA (or TND) was defined as below the 9.3 IU/ml limit of detection. Kaplan Meier summary statistics were calculated for each treatment arm in the Full Analysis Set (FAS).
    End point type
    Secondary
    End point timeframe
    From TW1 until first achievement of undetectable HCV RNA (up to 12 weeks)
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    30 [7]
    26 [8]
    19 [9]
    18 [10]
    Units: days
        arithmetic mean (standard error)
    25.2 ± 2.8
    26.9 ± 3
    27.4 ± 4.5
    21.3 ± 1.7
    Notes
    [7] - Participants in the FAS not achieving TND were censored from the analysis.
    [8] - Participants in the FAS not achieving TND were censored from the analysis.
    [9] - Participants in the FAS not achieving TND were censored from the analysis.
    [10] - Participants in the FAS not achieving TND were censored from the analysis.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Achieving Undetectable HCV RNA During Treatment By Timepoint

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    End point title
    Percentage of Participants Achieving Undetectable HCV RNA During Treatment By Timepoint
    End point description
    HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. Undetectable HCV RNA (or TND) was defined as below the 9.3 IU/ml limit of detection. The percentage of participants achieving undetectable HCV RNA and accompanying 95% CIs were reported at TW2, TW4, and TW12 for each treatment arm of the PP Population.
    End point type
    Secondary
    End point timeframe
    From TW 2 through TW 12 (up to 12 weeks)
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    28 [11]
    24 [12]
    17 [13]
    15 [14]
    Units: percentage of participants
    number (confidence interval 95%)
        Week 2 (n=28, 24, 16, 15)
    42.9 (24.5 to 62.8)
    50 (29.1 to 70.9)
    50 (24.7 to 75.3)
    53.3 (26.6 to 78.7)
        Week 4 (n=28, 24, 17, 15)
    85.7 (67.3 to 96)
    79.2 (57.8 to 92.9)
    88.2 (63.6 to 98.5)
    80 (51.9 to 95.7)
        Week 12 (n=28, 24, 17, 14)
    96.4 (81.7 to 99.9)
    83.3 (62.6 to 95.3)
    100 (80.5 to 100)
    78.6 (49.2 to 95.3)
    Notes
    [11] - All participants in the PP Population with available data.
    [12] - All participants in the PP Population with available data.
    [13] - All participants in the PP Population with available data.
    [14] - All participants in the PP Population with available data.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment By Timepoint

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    End point title
    Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment By Timepoint
    End point description
    HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. The Roche COBAS™ Taqman™ HCV Test (v.2.0) has a lower limit of quantification (LLoQ) of 25 IU/ml and a limit of detection of 9.3 IU/ml. The percentage of participants with HCV RNA levels <25 IU/ml (either TD[u] or TND) and accompanying 95% CIs were reported at TW2, TW4, and TW12 for each treatment arm of the PP Population.
    End point type
    Secondary
    End point timeframe
    From TW 2 through TW 12 (up to 12 weeks)
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    28 [15]
    24 [16]
    17 [17]
    15 [18]
    Units: percentage of participants
    number (confidence interval 95%)
        Week 2 (n=28, 24, 16, 15)
    96.4 (81.7 to 99.9)
    79.2 (57.8 to 92.9)
    87.5 (61.7 to 98.4)
    93.3 (68.1 to 99.8)
        Week 4 (n=28, 24, 17, 15)
    100 (87.7 to 100)
    91.7 (73 to 99)
    100 (80.5 to 100)
    93.3 (68.1 to 99.8)
        Week 12 (n=28, 24, 17, 14)
    96.4 (81.7 to 99.9)
    87.5 (67.6 to 97.3)
    100 (80.5 to 100)
    85.7 (57.2 to 98.2)
    Notes
    [15] - All participants in the PP Population with available data.
    [16] - All participants in the PP Population with available data.
    [17] - All participants in the PP Population with available data.
    [18] - All participants in the PP Population with available data.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Achieving SVR4

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    End point title
    Percentage of Participants Achieving SVR4
    End point description
    SVR4 was defined as HCV RNA <25 IU/mL, either TD(u) or TND, at 4 weeks after the end of all study therapy. The percentage of participants with SVR4 and accompanying 95% CIs were reported for each treatment arm of the PP Population.
    End point type
    Secondary
    End point timeframe
    4 weeks after end of all therapy (Study Week 16)
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    27 [19]
    24 [20]
    17 [21]
    14 [22]
    Units: percentage of participants
        number (confidence interval 95%)
    88.9 (70.8 to 97.6)
    83.3 (62.6 to 95.3)
    94.1 (71.3 to 99.9)
    78.6 (49.2 to 95.3)
    Notes
    [19] - All participants in the PP Population with available data.
    [20] - All participants in the PP Population with available data.
    [21] - All participants in the PP Population with available data.
    [22] - All participants in the PP Population with available data.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Achieving SVR24

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    End point title
    Percentage of Participants Achieving SVR24
    End point description
    SVR24 was defined as HCV RNA <25 IU/mL, either TD(u) or TND, at 24 weeks after the end of all study therapy. The percentage of participants with SVR24 and accompanying 95% CIs were reported for each treatment arm of the PP Population.
    End point type
    Secondary
    End point timeframe
    24 weeks after end of all therapy (Study Week 36)
    End point values
    GT2: Grazoprevir + Elbasvir + RBV (Arm A1) GT2: Grazoprevir + RBV (Arm B1) GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2) GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)
    Number of subjects analysed
    26 [23]
    24 [24]
    17 [25]
    13 [26]
    Units: percentage of participants
        number (confidence interval 95%)
    84.6 (65.1 to 95.6)
    75 (53.3 to 90.2)
    94.1 (71.3 to 99.9)
    76.9 (46.2 to 95)
    Notes
    [23] - All participants in the PP Population with available data.
    [24] - All participants in the PP Population with available data.
    [25] - All participants in the PP Population with available data.
    [26] - All participants in the PP Population with available data.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From Treatment Week (TW) 1 through Follow-Up Week (FW) 24 (up to 36 weeks)
    Adverse event reporting additional description
    AEs were reported for the ASAT Population (all randomized participants who received ≥ 1 dose of study therapy) for both the treatment and follow-up periods.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    GT2: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm A1)
    Reporting group description
    During Part A of the study, GT2 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT4,5,6: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm B2)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir plus standard weight-based dosing of RBV for 12 weeks.

    Reporting group title
    GT4,5,6: MK-5172 100 mg + MK-8742 50 mg (Arm B3)
    Reporting group description
    During Part B of the study, GT4/GT5/GT6 participants received 100 mg grazoprevir plus 50 mg elbasvir for 12 weeks.

    Reporting group title
    GT2: MK-5172 100 mg + RBV (Arm B1)
    Reporting group description
    During Part B of the study, GT2 participants received 100 mg grazoprevir plus standard weight-based dosing of RBV for 12 weeks.

    Serious adverse events
    GT2: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm A1) GT4,5,6: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm B2) GT4,5,6: MK-5172 100 mg + MK-8742 50 mg (Arm B3) GT2: MK-5172 100 mg + RBV (Arm B1)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         number of deaths (all causes)
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    Vascular disorders
    Flushing
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Renal failure acute
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    GT2: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm A1) GT4,5,6: MK-5172 100 mg + MK-8742 50 mg + RBV (Arm B2) GT4,5,6: MK-5172 100 mg + MK-8742 50 mg (Arm B3) GT2: MK-5172 100 mg + RBV (Arm B1)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    26 / 30 (86.67%)
    18 / 19 (94.74%)
    15 / 19 (78.95%)
    25 / 30 (83.33%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenoma benign
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Hypotension
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    5 / 30 (16.67%)
    3 / 19 (15.79%)
    4 / 19 (21.05%)
    6 / 30 (20.00%)
         occurrences all number
    5
    3
    4
    6
    Chest pain
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    1
    1
    0
    1
    Fatigue
         subjects affected / exposed
    12 / 30 (40.00%)
    5 / 19 (26.32%)
    3 / 19 (15.79%)
    6 / 30 (20.00%)
         occurrences all number
    13
    5
    3
    7
    Feeling cold
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    0
    1
    Influenza like illness
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Pyrexia
         subjects affected / exposed
    2 / 30 (6.67%)
    0 / 19 (0.00%)
    2 / 19 (10.53%)
    1 / 30 (3.33%)
         occurrences all number
    2
    0
    2
    1
    Thirst
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    0
    0
    2
    Reproductive system and breast disorders
    Genital tract inflammation
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    5 / 30 (16.67%)
    4 / 19 (21.05%)
    4 / 19 (21.05%)
    1 / 30 (3.33%)
         occurrences all number
    5
    4
    5
    1
    Dyspnoea
         subjects affected / exposed
    4 / 30 (13.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    4
    1
    0
    1
    Dyspnoea exertional
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Oropharyngeal pain
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    3 / 19 (15.79%)
    1 / 30 (3.33%)
         occurrences all number
    1
    0
    3
    2
    Rhinorrhoea
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Psychiatric disorders
    Depressed mood
         subjects affected / exposed
    2 / 30 (6.67%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    2
    0
    1
    0
    Depression
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Insomnia
         subjects affected / exposed
    2 / 30 (6.67%)
    3 / 19 (15.79%)
    2 / 19 (10.53%)
    1 / 30 (3.33%)
         occurrences all number
    3
    3
    3
    1
    Irritability
         subjects affected / exposed
    3 / 30 (10.00%)
    1 / 19 (5.26%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    3
    1
    1
    1
    Sleep disorder
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    0
    0
    2
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    2 / 19 (10.53%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Blood bilirubin increased
         subjects affected / exposed
    2 / 30 (6.67%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Injury, poisoning and procedural complications
    Accidental overdose
         subjects affected / exposed
    4 / 30 (13.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    4 / 30 (13.33%)
         occurrences all number
    7
    1
    0
    6
    Foot fracture
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    0
    0
    1
    1
    Inflammation of wound
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Nervous system disorders
    Disturbance in attention
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Dizziness
         subjects affected / exposed
    7 / 30 (23.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    8
    0
    2
    2
    Dysgeusia
         subjects affected / exposed
    2 / 30 (6.67%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    2
    0
    0
    0
    Headache
         subjects affected / exposed
    6 / 30 (20.00%)
    6 / 19 (31.58%)
    5 / 19 (26.32%)
    4 / 30 (13.33%)
         occurrences all number
    8
    8
    20
    5
    Hypoaesthesia
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Lethargy
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Memory impairment
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Poor quality sleep
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Somnolence
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    4 / 30 (13.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    5
    1
    0
    2
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Abdominal pain
         subjects affected / exposed
    1 / 30 (3.33%)
    2 / 19 (10.53%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    1
    2
    0
    1
    Abdominal pain upper
         subjects affected / exposed
    2 / 30 (6.67%)
    0 / 19 (0.00%)
    2 / 19 (10.53%)
    0 / 30 (0.00%)
         occurrences all number
    3
    0
    2
    0
    Abdominal tenderness
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    0
    0
    1
    1
    Constipation
         subjects affected / exposed
    3 / 30 (10.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    3
    0
    1
    0
    Diarrhoea
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    4 / 19 (21.05%)
    1 / 30 (3.33%)
         occurrences all number
    1
    1
    4
    2
    Dry mouth
         subjects affected / exposed
    2 / 30 (6.67%)
    3 / 19 (15.79%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    2
    3
    1
    1
    Dyspepsia
         subjects affected / exposed
    2 / 30 (6.67%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    2
    1
    0
    2
    Enteritis
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Faeces pale
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    1 / 19 (5.26%)
    2 / 30 (6.67%)
         occurrences all number
    0
    1
    1
    2
    Haemorrhoids
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    2 / 19 (10.53%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    2
    0
    Lip dry
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Mouth ulceration
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Nausea
         subjects affected / exposed
    5 / 30 (16.67%)
    2 / 19 (10.53%)
    1 / 19 (5.26%)
    4 / 30 (13.33%)
         occurrences all number
    5
    3
    1
    6
    Stomatitis
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    3
    0
    Vomiting
         subjects affected / exposed
    5 / 30 (16.67%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    2 / 30 (6.67%)
         occurrences all number
    6
    0
    1
    3
    Hepatobiliary disorders
    Hepatomegaly
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    3 / 30 (10.00%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    3
    0
    0
    0
    Dry skin
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    1
    1
    0
    1
    Eczema
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    0
    0
    2
    1
    Pruritus
         subjects affected / exposed
    2 / 30 (6.67%)
    2 / 19 (10.53%)
    1 / 19 (5.26%)
    1 / 30 (3.33%)
         occurrences all number
    3
    3
    2
    1
    Rash
         subjects affected / exposed
    2 / 30 (6.67%)
    3 / 19 (15.79%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    2
    5
    0
    2
    Renal and urinary disorders
    Dysuria
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    3 / 19 (15.79%)
    3 / 30 (10.00%)
         occurrences all number
    1
    1
    9
    4
    Back pain
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    2 / 19 (10.53%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    3
    0
    Bone pain
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Flank pain
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Joint swelling
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    1
    1
    0
    0
    Muscle contracture
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Musculoskeletal pain
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Myalgia
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Neck pain
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    2 / 19 (10.53%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    2
    0
    Pain in extremity
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    0
    1
    0
    1
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Influenza
         subjects affected / exposed
    3 / 30 (10.00%)
    0 / 19 (0.00%)
    0 / 19 (0.00%)
    1 / 30 (3.33%)
         occurrences all number
    3
    0
    0
    1
    Laryngitis
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    0
    1
    0
    2
    Oral herpes
         subjects affected / exposed
    1 / 30 (3.33%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    1
    0
    1
    0
    Rhinitis
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    2 / 30 (6.67%)
         occurrences all number
    0
    0
    1
    2
    Sinusitis
         subjects affected / exposed
    0 / 30 (0.00%)
    0 / 19 (0.00%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    0
    1
    0
    Skin infection
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Urinary tract infection
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    1 / 19 (5.26%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    1
    0
    Viral infection
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 30 (3.33%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    2 / 30 (6.67%)
         occurrences all number
    1
    1
    0
    2
    Dyslipidaemia
         subjects affected / exposed
    0 / 30 (0.00%)
    1 / 19 (5.26%)
    0 / 19 (0.00%)
    0 / 30 (0.00%)
         occurrences all number
    0
    1
    0
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    13 Sep 2013
    Protocol amendment 1 (AM1) included changes to the inclusion and exclusion criteria, added electrocardiographs to TW 4 and TW12 visits, and added collection of vital signs to every visit.
    14 Oct 2013
    AM2 revised the study design to add Part B (included 3 additional arms for treating participants with genotypes 4, 5, and 6 infection), revised the study objectives, hypotheses, and statistical analysis plan to include Part B, and added Part B-specific eligibility and early trial termination criteria.
    08 May 2014
    AM3 revised the study design to add Part C, revised the study objectives, hypotheses, and statistical analysis plan to include Part C and added a primary hypothesis for Part C, added Part C-specific eligibility criteria and added new early trial termination criteria for Part B.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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