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    Clinical Trial Results:
    An Open-Label Study to Evaluate the Safety and Efficacy of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir with Ribavirin in Adults with Genotype 1 and Ombitasvir/Paritaprevir/Ritonavir with Ribavirin in Adults with Genotype 4 Chronic Hepatitis C Virus Infection and Decompensated Cirrhosis (TURQUOISE-CPB)

    Summary
    EudraCT number
    2014-001477-13
    Trial protocol
    DE  
    Global end of trial date
    03 Mar 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    25 Jun 2017
    First version publication date
    25 Jun 2017
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    M14-227
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02219477
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Abbvie Deutschland GmbH & Co.KG
    Sponsor organisation address
    AbbVie House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, United Kingdom, SL6-4UB
    Public contact
    Krystal Gibbons, BS, AbbVie, krystal.gibbons@abbvie.com
    Scientific contact
    Eric Cohen, MD, AbbVie, eric.cohen@abbvie.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
    03 Mar 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    03 Mar 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objectives of this study were to assess the safety and the SVR12 rate of ombitasvir/paritaprevir/ritonavir and dasabuvir with RBV in GT1-infected subjects with decompensated cirrhosis.
    Protection of trial subjects
    Participant and/or legal guardian read and understood the information provided about the study and gave written permission.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    17 Nov 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Canada: 9
    Country: Number of subjects enrolled
    Germany: 5
    Country: Number of subjects enrolled
    United States: 22
    Worldwide total number of subjects
    36
    EEA total number of subjects
    5
    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)
    29
    From 65 to 84 years
    7
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Eligible subjects had up to 42 days following the Screening Visit to enroll into the study.

    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
    Group 1: GT1B
    Arm description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg once daily (QD) + dasabuvir 250 mg twice daily (BID) + ribavirin (RBV) for 12 weeks in hepatitis C virus (HCV) genotype (GT) 1b-infected participants
    Arm type
    Experimental

    Investigational medicinal product name
    ombitsavir/ritonavir/paritaprevir
    Investigational medicinal product code
    ABT-450/r/ABT-267
    Other name
    ABT-267 also known as ombitasvir, ABT-450 also known as paritaprevir, ritonavir also known as norvir
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Paritaprevir co-formulated with ritonavir and ombitasvir. Ombitasvir/paritaprevir/ritonavir was taken orally as 2 tablets QD which corresponds to a 25 mg ombitasvir/150 mg paritaprevir/100 mg ritonavir dose QD.

    Investigational medicinal product name
    dasabuvir
    Investigational medicinal product code
    ABT-333
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dasabuvir was provided by AbbVie as 250 mg tablets. For GT1-infected subjects, dasabuvir was also taken orally as 1 tablet BID, which corresponds to a 250 mg dose BID.

    Investigational medicinal product name
    ribavirin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    RBV was provided as 200 mg tablets and was taken orally. It is understood that RBV typically has weight-based dosing for subjects, 1000 to 1200 mg divided twice daily, per local label.

    Arm title
    Group 2: GT1 non-B
    Arm description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 24 weeks in HCV GT1non-b (including GT1a)-infected participants
    Arm type
    Experimental

    Investigational medicinal product name
    ombitsavir/ritonavir/paritaprevir
    Investigational medicinal product code
    ABT-450/r/ABT-267
    Other name
    ABT-267 also known as ombitasvir, ABT-450 also known as paritaprevir, ritonavir also known as norvir
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Paritaprevir co-formulated with ritonavir and ombitasvir. Ombitasvir/paritaprevir/ritonavir was taken orally as 2 tablets QD which corresponds to a 25 mg ombitasvir/150 mg paritaprevir/100 mg ritonavir dose QD.

    Investigational medicinal product name
    dasabuvir
    Investigational medicinal product code
    ABT-333
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Dasabuvir was provided by AbbVie as 250 mg tablets. For GT1-infected subjects, dasabuvir was also taken orally as 1 tablet BID, which corresponds to a 250 mg dose BID.

    Investigational medicinal product name
    ribavirin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    RBV was provided as 200 mg tablets and was taken orally. It is understood that RBV typically has weight-based dosing for subjects, 1000 to 1200 mg divided twice daily, per local label.

    Arm title
    Group 3: GT4
    Arm description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + RBV for 24 weeks in HCV GT4-infected participants
    Arm type
    Experimental

    Investigational medicinal product name
    ombitsavir/ritonavir/paritaprevir
    Investigational medicinal product code
    ABT-450/r/ABT-267
    Other name
    ABT-267 also known as ombitasvir, ABT-450 also known as paritaprevir, ritonavir also known as norvir
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Paritaprevir co-formulated with ritonavir and ombitasvir. Ombitasvir/paritaprevir/ritonavir was taken orally as 2 tablets QD which corresponds to a 25 mg ombitasvir/150 mg paritaprevir/100 mg ritonavir dose QD.

    Investigational medicinal product name
    ribavirin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Film-coated tablet
    Routes of administration
    Oral use
    Dosage and administration details
    RBV was provided as 200 mg tablets and was taken orally. It is understood that RBV typically has weight-based dosing for subjects, 1000 to 1200 mg divided twice daily, per local label.

    Number of subjects in period 1
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Started
    9
    24
    3
    Completed
    9
    22
    2
    Not completed
    0
    2
    1
         Consent withdrawn by subject
    -
    1
    -
         Adverse event
    -
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Group 1: GT1B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg once daily (QD) + dasabuvir 250 mg twice daily (BID) + ribavirin (RBV) for 12 weeks in hepatitis C virus (HCV) genotype (GT) 1b-infected participants

    Reporting group title
    Group 2: GT1 non-B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 24 weeks in HCV GT1non-b (including GT1a)-infected participants

    Reporting group title
    Group 3: GT4
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + RBV for 24 weeks in HCV GT4-infected participants

    Reporting group values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4 Total
    Number of subjects
    9 24 3 36
    Age categorical
    Units: Subjects
        < 65 years
    7 20 2 29
        >= 65 years
    2 4 1 7
    Gender categorical
    Units: Subjects
        Female
    2 7 1 10
        Male
    7 17 2 26

    End points

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    End points reporting groups
    Reporting group title
    Group 1: GT1B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg once daily (QD) + dasabuvir 250 mg twice daily (BID) + ribavirin (RBV) for 12 weeks in hepatitis C virus (HCV) genotype (GT) 1b-infected participants

    Reporting group title
    Group 2: GT1 non-B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 24 weeks in HCV GT1non-b (including GT1a)-infected participants

    Reporting group title
    Group 3: GT4
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + RBV for 24 weeks in HCV GT4-infected participants

    Primary: Percentages of Subjects with Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 2

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    End point title
    Percentages of Subjects with Sustained Virologic Response 12 Weeks Post-Treatment (SVR12) in Group 1 and in Group 2 [1] [2]
    End point description
    SVR12, defined as HCV RNA < lower limit of quantification (LLOQ) in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, subjects with missing data were counted as failures. The 95% confidence interval was calculated using the Wilson score method.
    End point type
    Primary
    End point timeframe
    12 weeks after the last actual dose of study drug
    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 statistics are presented, per protocol.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The primary endpoint was analyzed in Groups 1 and 2 only, per protocol.
    End point values
    Group 1: GT1B Group 2: GT1 non-B
    Number of subjects analysed
    9 [3]
    24 [4]
    Units: percentage of subjects
        number (confidence interval 95%)
    100 (70.1 to 100)
    95.8 (79.8 to 99.3)
    Notes
    [3] - ITT population: subjects who received ≥1 dose of study drug; subjects missing data = non-responders.
    [4] - ITT population: subjects who received ≥1 dose of study drug; subjects missing data = non-responders.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With SVR12 in Group 3

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    End point title
    Percentage of Subjects With SVR12 in Group 3 [5]
    End point description
    SVR12, defined as HCV RNA < LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. Flanking imputation: for participants with missing HCV RNA at a visit, who have an undetectable HCV RNA or unquantifiable HCV RNA at the preceding visit and the succeeding visit, the missing value was imputed as undetectable or unquantifiable. For SVR analyses, if there was no value in the window after the flanking imputation but there was an HCV RNA value after the window, then it was imputed into the SVR window. After above imputations were applied, if there was still no value in the window but there was an HCV RNA value from a local laboratory present, then it was imputed into the SVR window. Otherwise, subjects with missing data were counted as failures.
    End point type
    Secondary
    End point timeframe
    12 weeks after the last actual dose of study drug
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This secondary endpoint was analyzed in Group 3 only, per protocol.
    End point values
    Group 3: GT4
    Number of subjects analysed
    3 [6]
    Units: percentage of subjects
        number (not applicable)
    66.7
    Notes
    [6] - ITT population: subjects who received ≥1 dose of study drug; subjects missing data = non-responders.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure

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    End point title
    Percentage of Subjects With SVR12 Non-Response Due to Experiencing On-Treatment Virologic Failure
    End point description
    On-treatment virologic failure was defined as: confirmed HCV RNA ≥ LLOQ after HCV RNA < LLOQ during treatment; confirmed increase from nadir in HCV RNA (two consecutive HCV RNA measurements > 1 log˅10 IU/mL above nadir) at any time point during treatment; or HCV RNA ≥ LLOQ persistently during treatment with at least 6 weeks (≥ 36 days) of treatment. The 95% confidence interval was calculated using Wilson score method. SVR12 was defined as HCV RNA < LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. +/-99999=not applicable; 95% confidence interval was not calculated for Group 3.
    End point type
    Secondary
    End point timeframe
    Up to 24 weeks during treatment
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    9 [7]
    24 [8]
    3 [9]
    Units: percentage of subjects
        number (confidence interval 95%)
    0 (0 to 29.9)
    0 (0 to 13.8)
    0 (-99999 to 99999)
    Notes
    [7] - Intent-to-treat population: subjects who received ≥1 dose of study drug.
    [8] - Intent-to-treat population: subjects who received ≥1 dose of study drug.
    [9] - Intent-to-treat population: subjects who received ≥1 dose of study drug.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With SVR12 Non-Response Due to Experiencing Relapse˅12

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    End point title
    Percentage of Subjects With SVR12 Non-Response Due to Experiencing Relapse˅12
    End point description
    Relapse˅12 was defined as confirmed HCV RNA ≥ LLOQ between end of treatment and 12 weeks after last actual dose of active study drug (up to and including the SVR12 window) for a subject with HCV RNA < LLOQ at final treatment visit who completes treatment and has post-treatment HCV RNA data. Completion of treatment was defined as a study drug duration ≥ 77 days for subjects assigned to 12 weeks of treatment or ≥ 154 days for subjects assigned to 24 weeks of treatment. SVR12 was defined as HCV RNA < LLOQ in the SVR12 window (12 weeks after the last actual dose of study drug) without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval was calculated using the Wilson score method. +/-99999=not applicable; 95% confidence interval was not calculated for Group 3.
    End point type
    Secondary
    End point timeframe
    Up to 12 weeks after the last actual dose of study drug
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    7 [10]
    19 [11]
    2 [12]
    Units: percentage of subjects
        number (confidence interval 95%)
    0 (0 to 35.4)
    0 (0 to 16.8)
    0 (-99999 to 99999)
    Notes
    [10] - Intent-to-treat population: subjects who received ≥1 dose of study drug and who had an assessment.
    [11] - Intent-to-treat population: subjects who received ≥1 dose of study drug and who had an assessment.
    [12] - Intent-to-treat population: subjects who received ≥1 dose of study drug and who had an assessment.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function Tests

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    End point title
    Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Hepatic Function Tests
    End point description
    Improvement was defined as: • increase of more than 0.2 g/L from baseline to post-treatment Week 12 in albumin • decrease of more than 0.3 µmol/L from baseline to post-treatment Week 12 in bilirubin • decrease of more than 5 ng/mL from baseline to post-treatment Week 12 in alpha-fetoprotein • increase of more than 15*10^9/L from baseline to post-treatment Week 12 in platelet count • decrease of more than 0.2 from baseline to post-treatment Week 12 in international normalized ratio. 99999=not applicable, since number of subjects=0.
    End point type
    Secondary
    End point timeframe
    Up to post-treatment Week 12
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    9 [13]
    22 [14]
    2 [15]
    Units: percentage of subjects
    number (not applicable)
        Albumin; n=9, 22, 2
    77.8
    77.3
    50
        Bilirubin; n=9, 22, 2
    66.7
    72.7
    100
        Alpha-fetoprotein; n=9, 0, 0
    33.3
    99999
    99999
        Platelet count; n=9, 21, 2
    22.2
    14.3
    0
        International normalized ratio; n=9, 21, 2
    0
    0
    0
    Notes
    [13] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [14] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [15] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in FibroTest

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    End point title
    Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in FibroTest
    End point description
    The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Improvement was defined as a decrease of more than 0.2 from baseline (BL) to post-treatment (PT) Week 12 (WK12).
    End point type
    Secondary
    End point timeframe
    Up to post-treatment Week 12
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    9 [16]
    22 [17]
    2 [18]
    Units: percentage of subjects
        number (not applicable)
    0
    9.1
    50
    Notes
    [16] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [17] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [18] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Child-Pugh Score

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    End point title
    Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Child-Pugh Score
    End point description
    The Child-Pugh score uses five clinical measures of liver disease (3 laboratory parameters and 2 clinical assessments) to measure severity of cirrhosis. Scores range from 5 to 15, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.
    End point type
    Secondary
    End point timeframe
    Up to post-treatment Week 12
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    9 [19]
    22 [20]
    2 [21]
    Units: percentage of subjects
        number (not applicable)
    66.7
    54.5
    50
    Notes
    [19] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [20] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [21] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score

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    End point title
    Percentage of Subjects With Improvement From Baseline to Post-Treatment Week 12 in Model for End-Stage Liver Disease (MELD) Score
    End point description
    MELD is a scoring system for assessing the severity of chronic liver disease. Scores range from 6 to 40, with higher scores indicating more severity. Improvement was defined as a decrease of 1 or more from baseline to post-treatment Week 12.
    End point type
    Secondary
    End point timeframe
    Up to post-treatment Week 12
    End point values
    Group 1: GT1B Group 2: GT1 non-B Group 3: GT4
    Number of subjects analysed
    8 [22]
    21 [23]
    2 [24]
    Units: percentage of subjects
        number (not applicable)
    87.5
    61.9
    100
    Notes
    [22] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [23] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    [24] - ITT population: subjects who received ≥1 dose of study drug and who had assessments at BL & PT WK12.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Protocol-related treatment-emergent adverse events and treatment-emergent serious adverse events were collected from the first dose of study drug until post treatment Day 30; treatment was up to Week 12 for Group 1, and up to Week 24 for Groups 2 and 3.
    Adverse event reporting additional description
    A protocol-related event is defined as any event with onset or worsening reported by a subject from the first dose of study drug until 30 days have elapsed following discontinuation of study drug administration. Events were collected whether elicited or spontaneously reported by the subject.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    Group 1: GT1B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 12 weeks in HCV GT1b-infected participants

    Reporting group title
    Group 2: GT1 Non-B
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + dasabuvir 250 mg BID + RBV for 24 weeks in HCV GT1non-b (including GT1a)-infected participants

    Reporting group title
    Group 3: GT4
    Reporting group description
    ombitasvir/paritaprevir/ritonavir 25/150/100 mg QD + RBV for 24 weeks in HCV GT4-infected participants

    Serious adverse events
    Group 1: GT1B Group 2: GT1 Non-B Group 3: GT4
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 9 (11.11%)
    10 / 24 (41.67%)
    1 / 3 (33.33%)
         number of deaths (all causes)
    0
    1
    1
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    HEPATOCELLULAR CARCINOMA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    ACCIDENTAL OVERDOSE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    POST PROCEDURAL COMPLICATION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    HAEMORRHAGE INTRACRANIAL
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HEPATIC ENCEPHALOPATHY
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    SYNCOPE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    PANCYTOPENIA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    GENERAL PHYSICAL HEALTH DETERIORATION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ASCITES
         subjects affected / exposed
    1 / 9 (11.11%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    DIARRHOEA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HAEMATEMESIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HAEMATOCHEZIA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    OESOPHAGEAL VARICES HAEMORRHAGE
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    VOMITING
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    HEPATIC FAILURE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
    HYPERBILIRUBINAEMIA
         subjects affected / exposed
    1 / 9 (11.11%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    RENAL FAILURE
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    PERITONITIS BACTERIAL
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    DEHYDRATION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    ELECTROLYTE IMBALANCE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    HYPONATRAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group 1: GT1B Group 2: GT1 Non-B Group 3: GT4
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    8 / 9 (88.89%)
    24 / 24 (100.00%)
    3 / 3 (100.00%)
    Vascular disorders
    HYPERTENSION
         subjects affected / exposed
    1 / 9 (11.11%)
    0 / 24 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    HYPOTENSION
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    0
    General disorders and administration site conditions
    ASTHENIA
         subjects affected / exposed
    0 / 9 (0.00%)
    4 / 24 (16.67%)
    1 / 3 (33.33%)
         occurrences all number
    0
    4
    1
    CHILLS
         subjects affected / exposed
    1 / 9 (11.11%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    2
    0
    FATIGUE
         subjects affected / exposed
    3 / 9 (33.33%)
    11 / 24 (45.83%)
    2 / 3 (66.67%)
         occurrences all number
    3
    11
    3
    OEDEMA PERIPHERAL
         subjects affected / exposed
    0 / 9 (0.00%)
    6 / 24 (25.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    6
    2
    PYREXIA
         subjects affected / exposed
    1 / 9 (11.11%)
    3 / 24 (12.50%)
    0 / 3 (0.00%)
         occurrences all number
    1
    4
    0
    Reproductive system and breast disorders
    BREAST PAIN
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    EJACULATION FAILURE
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    2
    ERECTILE DYSFUNCTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    Respiratory, thoracic and mediastinal disorders
    COUGH
         subjects affected / exposed
    3 / 9 (33.33%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences all number
    3
    1
    0
    DYSPNOEA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    1
    PRODUCTIVE COUGH
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    Psychiatric disorders
    ANXIETY
         subjects affected / exposed
    1 / 9 (11.11%)
    1 / 24 (4.17%)
    0 / 3 (0.00%)
         occurrences all number
    1
    1
    0
    DEPRESSED MOOD
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    INSOMNIA
         subjects affected / exposed
    0 / 9 (0.00%)
    6 / 24 (25.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    6
    3
    IRRITABILITY
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    MOOD SWINGS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    3
    PANIC ATTACK
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    2 / 3 (66.67%)
         occurrences all number
    0
    0
    2
    Investigations
    BLOOD CREATININE INCREASED
         subjects affected / exposed
    1 / 9 (11.11%)
    0 / 24 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    CREATININE RENAL CLEARANCE DECREASED
         subjects affected / exposed
    1 / 9 (11.11%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    4
    0
    HAEMOGLOBIN DECREASED
         subjects affected / exposed
    1 / 9 (11.11%)
    3 / 24 (12.50%)
    1 / 3 (33.33%)
         occurrences all number
    1
    4
    1
    WEIGHT INCREASED
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    Injury, poisoning and procedural complications
    CONTUSION
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    0
    FALL
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    0
    Cardiac disorders
    TACHYCARDIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    Nervous system disorders
    DIZZINESS
         subjects affected / exposed
    1 / 9 (11.11%)
    7 / 24 (29.17%)
    2 / 3 (66.67%)
         occurrences all number
    1
    10
    2
    HEADACHE
         subjects affected / exposed
    1 / 9 (11.11%)
    5 / 24 (20.83%)
    0 / 3 (0.00%)
         occurrences all number
    1
    5
    0
    HEPATIC ENCEPHALOPATHY
         subjects affected / exposed
    1 / 9 (11.11%)
    4 / 24 (16.67%)
    1 / 3 (33.33%)
         occurrences all number
    1
    5
    1
    HYPERAESTHESIA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    HYPOTONIA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    2
    PARAESTHESIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    3
    0
    RADIAL NERVE PALSY
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    SYNCOPE
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    TREMOR
         subjects affected / exposed
    1 / 9 (11.11%)
    3 / 24 (12.50%)
    0 / 3 (0.00%)
         occurrences all number
    1
    3
    0
    Blood and lymphatic system disorders
    ANAEMIA
         subjects affected / exposed
    2 / 9 (22.22%)
    6 / 24 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    4
    6
    0
    LEUKOCYTOSIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    PANCYTOPENIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    Gastrointestinal disorders
    ABDOMINAL PAIN
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    3 / 3 (100.00%)
         occurrences all number
    0
    3
    4
    ABDOMINAL PAIN UPPER
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    1 / 3 (33.33%)
         occurrences all number
    0
    4
    1
    ASCITES
         subjects affected / exposed
    0 / 9 (0.00%)
    8 / 24 (33.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    8
    1
    CONSTIPATION
         subjects affected / exposed
    0 / 9 (0.00%)
    5 / 24 (20.83%)
    0 / 3 (0.00%)
         occurrences all number
    0
    6
    0
    DIARRHOEA
         subjects affected / exposed
    3 / 9 (33.33%)
    10 / 24 (41.67%)
    1 / 3 (33.33%)
         occurrences all number
    4
    14
    1
    FLATULENCE
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    1
    NAUSEA
         subjects affected / exposed
    2 / 9 (22.22%)
    13 / 24 (54.17%)
    2 / 3 (66.67%)
         occurrences all number
    2
    19
    3
    VARICES OESOPHAGEAL
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    VOMITING
         subjects affected / exposed
    1 / 9 (11.11%)
    6 / 24 (25.00%)
    1 / 3 (33.33%)
         occurrences all number
    1
    7
    1
    Hepatobiliary disorders
    BILE DUCT STENOSIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    HYPERBILIRUBINAEMIA
         subjects affected / exposed
    2 / 9 (22.22%)
    3 / 24 (12.50%)
    1 / 3 (33.33%)
         occurrences all number
    2
    3
    1
    JAUNDICE
         subjects affected / exposed
    2 / 9 (22.22%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences all number
    2
    2
    1
    OCULAR ICTERUS
         subjects affected / exposed
    2 / 9 (22.22%)
    5 / 24 (20.83%)
    0 / 3 (0.00%)
         occurrences all number
    2
    5
    0
    Skin and subcutaneous tissue disorders
    PRURITUS
         subjects affected / exposed
    1 / 9 (11.11%)
    7 / 24 (29.17%)
    1 / 3 (33.33%)
         occurrences all number
    1
    12
    1
    PRURITUS GENERALISED
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    RASH
         subjects affected / exposed
    0 / 9 (0.00%)
    7 / 24 (29.17%)
    1 / 3 (33.33%)
         occurrences all number
    0
    9
    1
    RASH GENERALISED
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    Musculoskeletal and connective tissue disorders
    ARTHRALGIA
         subjects affected / exposed
    1 / 9 (11.11%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    2
    0
    BACK PAIN
         subjects affected / exposed
    1 / 9 (11.11%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    1
    4
    0
    FISTULA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    MUSCLE SPASMS
         subjects affected / exposed
    0 / 9 (0.00%)
    6 / 24 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    6
    0
    MUSCULOSKELETAL CHEST PAIN
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    Infections and infestations
    CYSTITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    DIVERTICULITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    FUNGAL INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    GASTROENTERITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    NASOPHARYNGITIS
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    0 / 3 (0.00%)
         occurrences all number
    0
    2
    0
    SOFT TISSUE INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    STAPHYLOCOCCAL INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    1 / 24 (4.17%)
    1 / 3 (33.33%)
         occurrences all number
    0
    1
    1
    URINARY TRACT INFECTION
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    1
    Metabolism and nutrition disorders
    DECREASED APPETITE
         subjects affected / exposed
    0 / 9 (0.00%)
    5 / 24 (20.83%)
    0 / 3 (0.00%)
         occurrences all number
    0
    5
    0
    HYPERKALAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    2 / 24 (8.33%)
    1 / 3 (33.33%)
         occurrences all number
    0
    2
    3
    HYPERURICAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    0 / 24 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    1
    HYPOKALAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    1 / 3 (33.33%)
         occurrences all number
    0
    6
    2
    HYPOMAGNESAEMIA
         subjects affected / exposed
    0 / 9 (0.00%)
    3 / 24 (12.50%)
    0 / 3 (0.00%)
         occurrences all number
    0
    4
    0
    HYPONATRAEMIA
         subjects affected / exposed
    1 / 9 (11.11%)
    7 / 24 (29.17%)
    1 / 3 (33.33%)
         occurrences all number
    1
    7
    1

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Jun 2014
    The purpose of the amendment was to incorporate the changes summarized in the following text: ● Amended the study title by adding the branded name of "TURQUOISE-CPB." ● Amended inclusion criterion number 2 to specify that estrogen-containing contraceptives were not permitted. ● Amended the prohibited meds table in Exclusion criterion 4 to include estrogen containing medications for systemic use. ● Amended exclusion criterion number 10 for abnormal laboratory value for calculated creatinine clearance (by Cockcroft-Gault formula) to be ≤ 50 mL/min. ● Amended exclusion criterion number 15 to clarify that subjects were to be excluded in the event subjects had a confirmed presence of HCC at Screening. ● Modified the treatment period study activities table by adding the following: Child-Pugh Assessment and Score at Premature Discontinuation; liver ultrasound to be performed at Treatment Week 24; and removed the assessment of clinical outcomes at Treatment Day 1. ● Removed the reference to creatinine clearance values for RBV dosing. ● Updated the reference section for ombitasvir, paritaprevir, and dasabuvir Investigator Brochures.
    10 Oct 2014
    The purpose of the amendment was to incorporate the changes summarized in the following text: ● Updated the study title by removing the word “randomized”. ● Updated the Introduction. ● Amended the study design and treatment based on regulatory feedback. ● Updated sections impacted by the change in study design. ● Updated the number of subjects in the sentinel cohort. ● Revised the amount and format of data to be reviewed from the sentinel cohort. ● Revised rescreening text. ● Amended the RBV total daily dose to reflect that a subject may be initiated at a lower total daily dose upon approval. ● Amended inclusion criterion number 2 to remove the example of "topical" estrogen-containing hormonal contraceptive. ● Amended exclusion criterion number 3 to remove the method used to confirm human immunodeficiency virus (HIV)-1 and HIV-2 infections. ● Amended exclusion criterion number 9 to reflect exclusion of subjects with MELD > 18 at time of screening. ● Amended the Study Activities Table for the Treatment Period to provide additional visits for subjects receiving 24 weeks of treatment; to amend protocol procedures; to update the table footnotes. ● Amended the Study Activities Table for the Post-Treatment Period to include clinical laboratory testing at Post-Treatment Weeks 2 and 8; and to update footnotes. ● Amended the Informed Consent and RBV Information language in Study Procedures to remove the requirement to provide male subjects with an additional RBV Medication Guide and Partner Risk Fact Sheet for female partners. ● Amended the pregnancy testing requirements to only include women of childbearing potential. ● Updated treatment adjustment criteria to align with study design change. ● Amended the ALT Toxicity Management section. ● Added Subsection 6.7.6 "Increase in Child-Pugh Score." ● Updated the "AE Reporting" section to reflect the central back-up number when the SDP was unavailable. ● Updated the Reference section.
    03 Mar 2015
    ● Updated the study title and add central backup contact information, and updated the information. ● Updated the synopsis. ● Updated the list of abbreviations. ● Allowed inclusion of HCV genotype 4 (GT4) population and make appropriate updates through the protocol to reflect this addition. ● Updated the introduction (Section 1.0), differences statement, and benefits/risks. ● Expanded the primary and secondary objectives. ● Revised inclusion criterion number 4. ● Revised exclusion criterion number 4. ● Revised exclusion criterion number 10. ● Amended the study design and treatment. ● Updated the study sample size. ● Updated the list of prohibited therapy. ● Revised the efficacy, pharmacokinetic, pharmacogenetic, and safety assessments/variables. ● Updated the sentinel cohort data review. ● Updated the treatments administered and specific dosing. ● Updated the method of assigning subjects to treatment and randomization methods. ● Amended study drug accountability documentation and study drug return requirements. ● Amended management of creatinine clearance and decreases in hemoglobin. ● Updated contacts for protocol deviations reporting. ● Updated statistical methods and sample size. ● Updated additional efficacy endpoints. ● Updated references. ● Minor clerical updates made throughout the document.

    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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