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    Summary
    EudraCT Number:2014-001022-14
    Sponsor's Protocol Code Number:M14-423
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2014-10-20
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2014-001022-14
    A.3Full title of the trial
    An Open-Label, Multicenter Study to Evaluate Long-Term Outcomes 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
    Studio multicentrico in aperto finalizzato alla valutazione degli esiti a lungo termine della terapia con ABT-450/ritonavir/ABT-267 (ABT-450/r/ABT-267) e ABT-333 con o senza ribavirina (RBV) negli adulti con infezione cronica da virus dell’epatite C (HCV) di genotipo 1 (TOPAZ-I)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    An Open-Label, Multicenter Study to Evaluate Long-Term Outcomes 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
    Studio multicentrico in aperto finalizzato alla valutazione degli esiti a lungo termine della terapia con ABT-450/ritonavir/ABT-267 (ABT-450/r/ABT-267) e ABT-333 con o senza ribavirina (RBV) negli adulti con infezione cronica da virus dell’epatite C (HCV) di genotipo 1 (TOPAZ-I)
    A.4.1Sponsor's protocol code numberM14-423
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAbbVie Deutschland GmbH & Co. KG
    B.1.3.4CountryGermany
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportAbbVie Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAbbVie Ltd.
    B.5.2Functional name of contact pointEU Clinical Trials Helpdesk
    B.5.3 Address:
    B.5.3.1Street AddressAbbott House, Vanwall Business Park, Vanwall Road,
    B.5.3.2Town/ cityMaidenhead, Berkshire
    B.5.3.3Post codeSL6 4XE
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number+441628773355
    B.5.5Fax number+441628672566
    B.5.6E-maileu-clinical-trials@abbvie.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameABT-450/r/ABT-267
    D.3.2Product code ABT-450/r/ABT-267
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNABT-450
    D.3.9.2Current sponsor codeABT-450
    D.3.9.3Other descriptive nameA-1043422.0
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number75
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRITONAVIR
    D.3.9.2Current sponsor codeRITONAVIR
    D.3.9.4EV Substance CodeSUB10342MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNABT-267
    D.3.9.2Current sponsor codeABT-267
    D.3.9.3Other descriptive nameA-1233617.0, Ombitasvir
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number12.5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameABT-333
    D.3.2Product code ABT-333
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNABT-333
    D.3.9.2Current sponsor codeABT-333
    D.3.9.3Other descriptive nameA-998821.5, Dasabuvir
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number250
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRibavirin
    D.3.2Product code Ribavirin
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRIBAVIRIN
    D.3.9.2Current sponsor codeRIBAVIRIN
    D.3.9.3Other descriptive nameRIBAVIRIN
    D.3.9.4EV Substance CodeSUB10297MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic Hepatitis C Infection
    Infezione cronica da Epatite C
    E.1.1.1Medical condition in easily understood language
    Chronic Hepatitis C Infection
    Infezione cronica da Epatite C
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 17.0
    E.1.2Level PT
    E.1.2Classification code 10008912
    E.1.2Term Chronic hepatitis C
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of this study is to evaluate the effect of response to treatment (assessed by SVR12 status) on the long-term progression of liver disease in adults with chronic HCV GT1 infection who received treatment with ABT-450/r/ABT-267 and ABT-333 with or without ribavirin, as measured by all-cause death, liver-related death, liver decompensation, liver transplantation, and hepatocellular carcinoma.

    L’obiettivo primario di questo studio è valutare gli effetti della risposta al trattamento (definita in base alla risposta virologica sostenuta [sustained virological response, SVR12]) sulla progressione a lungo termine dell’epatopatia negli adulti con infezione cronica da HCV GT1 già sottoposti a trattamento con ABT-450/r/ABT-267 e ABT-333 con o senza ribavirina, in base all’incidenza di decessi per tutte le cause o correlati al fegato, decompensazione epatica, trapianti di fegato e carcinomi epatocellulari.
    E.2.2Secondary objectives of the trial
    To evaluate the long-term progression of fibrosis by baseline fibrosis stage and sustained virologic response, as measured by change from baseline in liver stiffness measured by transient elastography (FibroScan®) when available, in adults with genotype 1 (GT1) chronic HCV infection who received treatment with ABT-450/r/ABT-267 and ABT-333 with or without ribavirin.

    To evaluate the percentage of subjects achieving SVR12 with ABT-450/r/ABT-267 and
    ABT-333 with or without ribavirin in adults with GT1 chronic HCV infection
    Valutare la progressione a lungo termine della fibrosi in base allo stadio della patologia al basale e alla risposta virologica sostenuta, alla luce delle variazioni rispetto al basale del grado di rigidità del fegato, misurate tramite elastografia a impulsi (FibroScan®) laddove disponibile, negli adulti con infezione cronica da HCV di genotipo 1 (GT1) precedentemente trattati con ABT-450/r/ABT-267 e ABT-333 con o senza ribavirina. Valutare la percentuale di soggetti che raggiungono la SVR12 in seguito al trattamento con ABT-450/r/ABT-267 e ABT-333 con o senza ribavirina negli adulti con infezione cronica da HCV GT1.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Males and females at least 18 years old at screening
    2. Females must be post-menopausal for more than 2 years or surgically sterile or practicing acceptable forms of birth control
    3. Males must be surgically sterile or agree to practice acceptable forms of birth control
    4. Chronic HCV infection prior to study enrollment.
    5. Screening laboratory result indicating HCV genotype 1 infection.
    1. Pazienti di ambo i sessi di età uguale o superiore ai 18 anni al momento dello screening; 2. I soggetti di sesso femminile devono essere in fase post-menopausale da almeno 2 anni, chirurgicamente sterili oppure devono utilizzare metodi di contraccezione accettabili; 3. I soggetti di sesso maschile devono essere chirurgicamente sterili oppure devono accettare di utilizzare metodi di contraccezione accettabili; 4. Infezione cronica da HCV precedente l’arruolamento nello studio; 5. Risultati di laboratorio allo screening indicanti infezione da HCV di genotipo 1.
    E.4Principal exclusion criteria
    1. Use of contraindicated medication within 2 weeks of dosing
    2. Abnormal laboratory tests
    3. Current or past clinical evidence of Child-Pugh B or C classification or history of liver decompensation
    4. Confirmed presence of hepatocellular carcinoma
    5. History of solid organ transplant
    1. Uso di farmaci controindicati nelle 2 settimane precedenti alla somministrazione; 2. Valori anomali alle analisi di laboratorio; 3. Attuale o pregressa evidenza di classificazione B o C di Child-Pugh o storia di decompensazione epatica; 4. Presenza confermata di carcinoma epatocellulare; 5. Storia di trapianto di organo solido
    E.5 End points
    E.5.1Primary end point(s)
    The primary endpoint is the incidence of all-cause death, liver-related death, liver decompensation, liver transplantation, hepatocellular carcinoma, and the composite of any of the above outcomes observed during the post-treatment period.
    L’endpoint primario è l’incidenza di decessi per tutte le cause o correlati al fegato, decompensazione epatica, trapianti di fegato, carcinomi epatocellulari e la combinazione di qualsiasi degli esiti sopra indicati osservata durante il periodo di post-trattamento.
    E.5.1.1Timepoint(s) of evaluation of this end point
    12 weeks after last dose of study drugs
    12 settimane dopo l’ultima dose dei farmaci in studio
    E.5.2Secondary end point(s)
    1. The effect of sustained virologic response and baseline fibrosis stage on longitudinal change from baseline in Fibroscan score (assessed at the end of treatment and/or post-treatment visits) will be evaluated by comparing mean change between subjects who achieve SVR12 and those who do not. Point estimates and 95% confidence intervals will be provided.
    2. The percentage of subjects achieving SVR12 (HCV RNA < LLOQ 12 weeks after the last actual dose of study drug). The simple percentage of subjects achieving SVR12 will be calculated and a two-sided 95% confidence interval of the percentage will be computed based on Wilson's score method.
    1. Saranno valutati l’effetto della risposta virologica sostenuta e lo stadio della fibrosi al basale con variazione longitudinale con il punteggio Fibroscan (valutazione alle visite di fine trattamento e/o post-trattamento) facendo un confronto tra i soggetti che ottengono SVR12 e quelli che non raggiungono questo obiettivo. Saranno forniti gli intervalli di confidenza (IC) al 95% e le stime dei punti. 2. La percentuale dei soggetti che ottengono SVR12 (HCV RNA < LLOQ 12 settimane dopo l’ultima effettiva dose del farmaco in studio). Sarà calcolata la semplice percentuale di soggetti che ottengono SVR12 e l’intervallo di confidenza bilaterale al 95% della percentuale sarà determinato sulla base del punteggio di Wilson.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1) 12 weeks after the last dose of study drug.
    2) 260 weeks after the last dose of study drug.
    1) 12 settimane dopo l’ultima dose del farmaco in studio. 2) 260 settimane dopo l’ultima dose del farmaco in studio.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    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.8.4.1Number of sites anticipated in Member State concerned28
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA120
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Algeria
    Australia
    Austria
    Belgium
    Bulgaria
    Canada
    Denmark
    European Union
    Finland
    France
    Germany
    Greece
    Israel
    Mexico
    Netherlands
    Norway
    Poland
    Portugal
    Qatar
    Romania
    Russian Federation
    Saudi Arabia
    Spain
    Sweden
    Switzerland
    Turkey
    United Arab Emirates
    United Kingdom
    E.8.7Trial 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
    260 weeks following the last dose
    260 settimane dopo l’ultima dose.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years7
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years7
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 1470
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 180
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state168
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 1065
    F.4.2.2In the whole clinical trial 1650
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Following discontinuation of study drug, the subject will be treated in accordance with the treating physician's best clinical judgment.
    In seguito all’interruzione del farmaco in studio, il soggetto sarà trattato in base al giudizio clinico del medico curante.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2014-12-09
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2014-11-11
    P. End of Trial
    P.End of Trial StatusCompleted
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
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