ClinicalTrials.gg
CompletedNCT02219490TOPAZ-IUpdated Apr 7, 2023Results posted

A Study to Evaluate Long-term Outcomes Following Treatment 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

A Phase 3 interventional study of ABT-450/r/ABT-267 and ABT-333 in Chronic Hepatitis C Virus (HCV) Infection Genotype 1, sponsored by AbbVie. Completed at 187 sites in 27 countries. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2023-04-07.

Sponsored by AbbVie · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,596
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The purpose of this study was to evaluate the effect of treatment with ABT-450 co-formulated with ritonavir and ABT-267 (ABT-450/r/ABT-267) and ABT-333; 3-DAA regimen, with or without ribavirin (RBV) in adults with chronic hepatitis C virus genotype 1 (HCV GT1) infection.

Read the detailed description

This study (TOPAZ-I; M14-423), was a Phase 3b, open-label, multicenter study conducted outside of the United States which, together with its companion study TOPAZ-II (M14-222; NCT 02167945) conducted in the United States, was designed with the primary objective of assessing the effect of treatment response on long-term clinical outcomes in adults with chronic HCV GT1 infection with or without compensated cirrhosis, who were either treatment-naïve or interferon/ribavirin (IFN/RBV) treatment- experienced. In both studies, participants were treated with the 3-DAA regimen with or without RBV. This study consisted of a screening period of up to 42 days, a treatment period of either 12 weeks for HCV GT1a-infected subjects without cirrhosis and for HCV GT1b-infected subjects without cirrhosis or with compensated cirrhosis or 24 weeks for GT1a-infected participants with compensated cirrhosis, and a 260-week post-treatment period.

02

Conditions studied

  • Chronic Hepatitis C Virus (HCV) Infection Genotype 1

Keywords

  • Hepatitis C Genotype 1
  • Compensated Cirrhosis
  • Cirrhosis
  • Naive
  • Hepatitis C
  • Hepatitis C Virus
  • Treatment-Experienced
  • Relapser
  • Null responder
  • Non responder
03

In context

Hepatitis C, Chronic

950 studies on the registry are indexed under Hepatitis C, Chronic; 8 are open to participants now.

This study's enrollment of 1,596 is above the median of 90 across 696 interventional studies indexed under Hepatitis C, Chronic.

Browse Hepatitis C, Chronic studies →

Lead sponsor

AbbVie is the lead sponsor of 973 studies on the registry; 133 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 214 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Males and females at least 18 years old at screening
  2. Females must be for more than 2 years or surgically sterile or practicing acceptable forms of
  3. Chronic , genotype 1 infection
  4. Males must be surgically sterile or agree to practice acceptable forms of birth control
  5. Screening laboratory result indicating HCV genotype 1 infection

Exclusion criteria

Exclusion Criteria:

  1. Use of medications within 2 weeks of dosing
  2. Abnormal laboratory tests
  3. Current or past clinical evidence of B or C classification or history of liver decompensation
  4. Confirmed presence of hepatocellular carcinoma
  5. History of solid organ transplant
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,596 participants (actual)

Study arms

  • Experimental
    ABT-450/r/ABT-267 plus ABT-333 with or without ribavirin (RBV)

    Participants with HCV GT1b without cirrhosis received the 3-DAA (ABT-450/ritonavir/ABT-267 and ABT-333) regimen: two 75 mg ABT-450/50 mg ritonavir/12.5 mg ABT-267 tablets taken orally every morning (QD) and one ABT-333 250 mg tablet taken orally twice a day (BID) for 12 weeks. Participants with HCV GT1a without cirrhosis and those with HCV GT1b with cirrhosis received the 3-DAA regimen and weight-based ribavirin (RBV; 1000 to 1200 mg divided twice daily per local label) for 12 weeks. Participants with HCV GT1a with cirrhosis received the 3-DAA regimen and weight-based RBV per local label for 24 weeks.

    Drug: ABT-450/r/ABT-267 · Drug: ABT-333 · Drug: Ribavirin (RBV)

Interventions

  • DrugABT-450/r/ABT-267

    Drug pages: Paritaprevir · Ritonavir · Ombitasvir

    Tablet for oral use

    Also known as: ABT-450 also known as paritaprevir, ABT-267 also known as ombitasvir, Paritaprevir/ritonavir/ombitasvir also known as Viekirax

  • Tablet for oral use

    Also known as: ABT-333 also known as dasabuvir, ABT-333 also known as Exviera

  • Ribavirin was provided as 200 mg tablets, and dosed based on weight,1000 to 1200 mg divided twice daily per local label. For example, for participants weighing \< 75 kg, RBV may have been taken orally as 2 tablets in the morning and 3 tablets in the evening which corresponds to a 1000 mg total daily dose. For participants weighing ≥ 75 kg, RBV may have been taken orally as 3 tablets in the morning and 3 tablets in the evening which corresponds to a 1200 mg total daily dose.

06

What researchers measure

Primary outcomes

  1. All-Cause Death: Time to Event

    Time to all-cause death was defined as the number of days from the first day of study drug dosing for the participant to the date of death. All deaths were to be included, regardless of whether the death occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not die, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of all-cause death included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

  2. Liver-Related Death: Time to Event

    Time to liver-related death was defined as days from the 1st day of study drug dosing for the subject to date of liver-related death. All liver-related deaths were to be included, regardless of whether the death occurred while subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience event of interest nor had died (all-cause death), their data was to be censored at date of last available assessment. For those with no post-baseline assessment, data was to be censored on 1st day of study drug dosing. All-cause death was a censoring event for liver-related death. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver-related death included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

  3. Liver Decompensation: Time to Event

    Time to liver decompensation was defined as number of days from the 1st day of study drug dosing for the participant to the date of liver decompensation. All liver decompensation was to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for liver decompensation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver decompensation included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

  4. Liver Transplantation: Time to Event

    Time to liver transplantation was defined as days from 1st day of study drug dosing for subject to date of liver transplantation. All liver transplantation was to be included, whether it occurred while the subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment. For those with no post-baseline assessment, data was to be censored on 1st day of study drug dosing. All-cause death was a censoring event for liver transplantation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver transplantation included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

  5. Hepatocellular Carcinoma: Time to Event

    Time to hepatocellular carcinoma (HCC) was defined as number of days from 1st day of study drug dosing for subject to date of hepatocellular carcinoma. All HCC was to be included, whether it occurred while subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment. For those with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for HCC. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of hepatocellular carcinoma included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

  6. All-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event

    Time to the composite of clinical outcomes is the time to the first occurrence of all-cause death, liver-related death, liver decompensation, liver transplantation, or hepatocellular carcinoma. All first occurrences were to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not experience any of these events, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. Pre-specified analysis included pooled data from this study and from TOPAZ-II; NCT02167945.

    Time frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260

Secondary outcomes

  1. Change From Baseline in FibroScan Score by SVR12 Status

    The FibroScan test is a validated non-invasive test used to assess liver fibrosis in participants with chronic liver disease, and it was performed at study sites where it was available. For participants with Hepatitis C infection, a FibroScan score of 2-7 kPa indicates no liver scarring or mild scarring; a score of 8 or 9 is associated with moderate liver scarring; 9-14 indicates severe liver scarring; and 14 or higher is indicative of advanced liver scarring, cirrhosis. Negative changes from baseline indicate improvement in liver fibrosis.

    Time frame: At the final treatment visit and Post-Treatment Weeks 12, 24, 52, 104, 156, 208, and 260

  2. Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)

    SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug. Flanking imputation, where applicable, was used to impute missing data. After applying flanking imputation, if there was no value in the window but there was an HCV RNA value from a local laboratory present, then it was to be imputed into the SVR window. Otherwise, participants with missing data were counted as failures.

    Time frame: 12 weeks after the last actual dose of study drug

07

Results

Posted Apr 7, 2023

Participant flow

Participant flow — Overall Study
MilestoneABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
Started1596
Completed1258
Not completed338
Withdrew: Adverse event24
Withdrew: Withdrew consent96
Withdrew: Lost to follow-up126
Withdrew: Covid-19 infection2
Withdrew: Covid-19 logistical restrictions33
Withdrew: Other, not specified57

Outcome measures

PrimaryAll-Cause Death: Time to Event

Time to all-cause death was defined as the number of days from the first day of study drug dosing for the participant to the date of death. All deaths were to be included, regardless of whether the death occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not die, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of all-cause death included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
All-Cause Death: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 528.3 (3.1 to 21.2)0.1 (0.1 to 0.4)
Kaplan-Meier estimate at PT Week 1048.3 (3.1 to 21.2)0.7 (0.4 to 1.1)
Kaplan-Meier estimate at PT Week 1568.3 (3.1 to 21.2)1.2 (0.8 to 1.8)
Kaplan-Meier estimate at PT Week 2088.3 (3.1 to 21.2)1.5 (1.1 to 2.2)
Kaplan-Meier estimate at PT Week 2608.3 (3.1 to 21.2)2.0 (1.5 to 2.8)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = <0.001
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = <0.001 · Cox proportional hazard ratio: 0.126 · 95% CI 0.044 to 0.358The estimated value represents the hazard ratio for developing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to the group of participants in studies M14-222 and M14-423 who didn't achieve SVR12.
PrimaryLiver-Related Death: Time to Event

Time to liver-related death was defined as days from the 1st day of study drug dosing for the subject to date of liver-related death. All liver-related deaths were to be included, regardless of whether the death occurred while subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience event of interest nor had died (all-cause death), their data was to be censored at date of last available assessment. For those with no post-baseline assessment, data was to be censored on 1st day of study drug dosing. All-cause death was a censoring event for liver-related death. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver-related death included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
Liver-Related Death: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 521.4 (0.2 to 9.6)0 (NA to NA)
Kaplan-Meier estimate at PT Week 1041.4 (0.2 to 9.6)0 (NA to NA)
Kaplan-Meier estimate at PT Week 1561.4 (0.2 to 9.6)0.1 (0.1 to 0.4)
Kaplan-Meier estimate at PT Week 2081.4 (0.2 to 9.6)0.1 (0.1 to 0.4)
Kaplan-Meier estimate at PT Week 2601.4 (0.2 to 9.6)0.1 (0.1 to 0.4)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = <0.001
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = 0.007 · Cox proportional hazard ratio: 0.031 · 95% CI 0.003 to 0.380The estimated value represents the hazard ratio for developing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to the group of participants in studies M14-222 and M14-423 who didn't achieve SVR12.
PrimaryLiver Decompensation: Time to Event

Time to liver decompensation was defined as number of days from the 1st day of study drug dosing for the participant to the date of liver decompensation. All liver decompensation was to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for liver decompensation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver decompensation included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
Liver Decompensation: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 524.5 (1.5 to 13.4)0.2 (0.1 to 0.5)
Kaplan-Meier estimate at PT Week 1044.5 (1.5 to 13.4)0.2 (0.1 to 0.5)
Kaplan-Meier estimate at PT Week 1564.5 (1.5 to 13.4)0.3 (0.1 to 0.6)
Kaplan-Meier estimate at PT Week 2084.5 (1.5 to 13.4)0.3 (0.2 to 0.7)
Kaplan-Meier estimate at PT Week 2604.5 (1.5 to 13.4)0.5 (0.2 to 0.9)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = <0.001
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = <0.001 · Cox proportional hazard ratio: 0.038 · 95% CI 0.009 to 0.156The estimated value represents the hazard ratio for developing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to the group of participants in studies M14-222 and M14-423 who didn't achieve SVR12.
PrimaryLiver Transplantation: Time to Event

Time to liver transplantation was defined as days from 1st day of study drug dosing for subject to date of liver transplantation. All liver transplantation was to be included, whether it occurred while the subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment. For those with no post-baseline assessment, data was to be censored on 1st day of study drug dosing. All-cause death was a censoring event for liver transplantation. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of liver transplantation included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
Liver Transplantation: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 520 (NA to NA)0 (NA to NA)
Kaplan-Meier estimate at PT Week 1040 (NA to NA)0 (NA to NA)
Kaplan-Meier estimate at PT Week 1560 (NA to NA)0.1 (0.1 to 0.4)
Kaplan-Meier estimate at PT Week 2080 (NA to NA)0.1 (0.1 to 0.4)
Kaplan-Meier estimate at PT Week 2600 (NA to NA)0.2 (0.1 to 0.5)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = 0.860
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = 0.997 (The Hazard Ratio for experiencing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to those who did not achieve SVR12 is infinite and the CI is not bounded due to zero events in one of the groups.)
PrimaryHepatocellular Carcinoma: Time to Event

Time to hepatocellular carcinoma (HCC) was defined as number of days from 1st day of study drug dosing for subject to date of hepatocellular carcinoma. All HCC was to be included, whether it occurred while subject was still taking study drug or had previously discontinued study drug. If the subject didn't experience the event of interest nor had died (all-cause death), their data was to be censored at the date of their last available assessment. For those with no post-baseline assessment, their data was to be censored on the 1st day of study drug dosing. All-cause death was a censoring event for HCC. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. The pre-specified analysis of hepatocellular carcinoma included pooled data from TOPAZ-I (this study) and the companion study TOPAZ-II (M14-222; NCT02167945).

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
Hepatocellular Carcinoma: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 520 (NA to NA)0.2 (0.1 to 0.5)
Kaplan-Meier estimate at PT Week 1040 (NA to NA)0.4 (0.2 to 0.8)
Kaplan-Meier estimate at PT Week 1560 (NA to NA)0.5 (0.3 to 1.0)
Kaplan-Meier estimate at PT Week 2080 (NA to NA)0.6 (0.4 to 1.1)
Kaplan-Meier estimate at PT Week 2600 (NA to NA)0.9 (0.5 to 1.4)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = 0.608
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = 0.992 (The Hazard Ratio for experiencing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to those who did not achieve SVR12 is infinite and the CI is not bounded due to zero events in one of the groups.)
PrimaryAll-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event

Time to the composite of clinical outcomes is the time to the first occurrence of all-cause death, liver-related death, liver decompensation, liver transplantation, or hepatocellular carcinoma. All first occurrences were to be included, regardless of whether it occurred while the participant was still taking study drug or had previously discontinued study drug. If the participant did not experience any of these events, their data was to be censored at the date of their last available assessment of clinical outcomes. For participants with no post-baseline assessment, the participant's data was to be censored on the first day of study drug dosing. The event-free survival rates were estimated using Kaplan-Meier methodology and incidence estimates are presented with 95% confidence intervals. Pre-specified analysis included pooled data from this study and from TOPAZ-II; NCT02167945.

Time frame:
At Post-Treatment Weeks 52, 104, 156, 208, and 260
Reported as:
Number · percentage of participants
All-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event
percentage of participantsParticipants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12Participants in Studies M14-222 and M14-423 Who Achieved SVR12
Kaplan-Meier estimate at PT Week 5211.4 (5.2 to 24.2)0.5 (0.3 to 0.9)
Kaplan-Meier estimate at PT Week 10411.4 (5.2 to 24.2)1.2 (0.8 to 1.8)
Kaplan-Meier estimate at PT Week 15611.4 (5.2 to 24.2)1.9 (1.4 to 2.6)
Kaplan-Meier estimate at PT Week 20811.4 (5.2 to 24.2)2.3 (1.7 to 3.1)
Kaplan-Meier estimate at PT Week 26011.4 (5.2 to 24.2)3.2 (2.5 to 4.1)
Statistical analysis
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Log-rank test · p = <0.001
  • Participants in Studies M14-222 and M14-423 Who Did Not Achieve SVR12 vs Participants in Studies M14-222 and M14-423 Who Achieved SVR12 · Cox proportional hazards model · p = <0.001 · Cox proportional hazard ratio: 0.133 · 95% CI 0.057 to 0.313The estimated value represents the hazard ratio for developing the event in the group of participants in studies M14-222 and M14-423 who achieved SVR12 compared to the group of participants in studies M14-222 and M14-423 who didn't achieve SVR12.
SecondaryChange From Baseline in FibroScan Score by SVR12 Status

The FibroScan test is a validated non-invasive test used to assess liver fibrosis in participants with chronic liver disease, and it was performed at study sites where it was available. For participants with Hepatitis C infection, a FibroScan score of 2-7 kPa indicates no liver scarring or mild scarring; a score of 8 or 9 is associated with moderate liver scarring; 9-14 indicates severe liver scarring; and 14 or higher is indicative of advanced liver scarring, cirrhosis. Negative changes from baseline indicate improvement in liver fibrosis.

Time frame:
At the final treatment visit and Post-Treatment Weeks 12, 24, 52, 104, 156, 208, and 260
Reported as:
Mean · kPa
Change From Baseline in FibroScan Score by SVR12 Status
kPaParticipants in Study M14-423 Who Did Not Achieve SVR12Participants in Study M14-423 Who Achieved SVR12
At the final treatment visit-2.55 ± 3.282-1.41 ± 4.283
Post-Treatment Week 12-1.81 ± 2.624-1.76 ± 4.213
Post-Treatment Week 24-1.26 ± 3.211-1.98 ± 4.363
Post-Treatment Week 52-0.30 ± 1.986-2.46 ± 4.858
Post-Treatment Week 104-0.35 ± 3.306-2.80 ± 5.195
Post-Treatment Week 156-0.37 ± 3.999-2.92 ± 5.249
Post-Treatment Week 208-0.88 ± 2.445-3.08 ± 5.560
Post-Treatment Week 260-1.31 ± 3.706-3.08 ± 5.662
Statistical analysis
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.151 · Ls mean difference: 1 · 95% CI -0.37 to 2.37Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.878 · Ls mean difference: -0.12 · 95% CI -1.64 to 1.4Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = =0.199 · Ls mean difference: -0.92 · 95% CI -2.33 to 0.48Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.021 · Ls mean difference: -2.16 · 95% CI -4 to -0.33Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.006 · Ls mean difference: -2.47 · 95% CI -4.22 to -0.71Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.005 · Ls mean difference: -2.58 · 95% CI -4.38 to -0.79Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.172 · Ls mean difference: -1.36 · 95% CI -3.32 to 0.59Difference = with SVR12 minus without SVR12
  • Participants in Study M14-423 Who Did Not Achieve SVR12 vs Participants in Study M14-423 Who Achieved SVR12 · ANCOVA · p = 0.322 · Ls mean difference: -1.13 · 95% CI -3.35 to 1.1Difference = with SVR12 minus without SVR12
SecondaryPercentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)

SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug. Flanking imputation, where applicable, was used to impute missing data. After applying flanking imputation, if there was no value in the window but there was an HCV RNA value from a local laboratory present, then it was to be imputed into the SVR window. Otherwise, participants with missing data were counted as failures.

Time frame:
12 weeks after the last actual dose of study drug
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
percentage of participantsABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)97.0 (96.0 to 97.7)

Adverse events

Collected over All-cause mortality is reported from enrollment to the end of study, up to five years of follow-up. Treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs) were collected from the first dose of study drug until 30 days after the last study drug administration, up to 203 days. After Post-Treatment Week 4 until the end of the study, only SAE of death was to be collected.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)28/1,596 (1.8%)40/1,596 (2.5%)805/1,596 (50.4%)
Most frequent serious events
Showing 10 of 54
Most frequent serious events
EventABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
PNEUMONIAInfections and infestations2/1596
HEPATOCELLULAR CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)2/1596
ANAEMIABlood and lymphatic system disorders1/1596
ANGINA UNSTABLECardiac disorders1/1596
PALPITATIONSCardiac disorders1/1596
ABDOMINAL PAIN UPPERGastrointestinal disorders1/1596
ANAL FISSUREGastrointestinal disorders1/1596
ASCITESGastrointestinal disorders1/1596
COLITISGastrointestinal disorders1/1596
CONSTIPATIONGastrointestinal disorders1/1596
Most frequent other events
Most frequent other events
EventABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
FATIGUEGeneral disorders300/1596
HEADACHENervous system disorders291/1596
PRURITUSSkin and subcutaneous tissue disorders199/1596
NAUSEAGastrointestinal disorders186/1596
INSOMNIAPsychiatric disorders179/1596
ASTHENIAGeneral disorders165/1596
DIARRHOEAGastrointestinal disorders103/1596

Baseline characteristics

Safety population: All participants enrolled in this study (M14-423; TOPAZ-I) who received at least one dose of study drug

Age, Continuous
Age, Continuous(years)ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
Mean51.2 ± 11.62
Sex: Female, Male
Sex: Female, Male(Participants)ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
Female800
Male796
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
White1544
Black or African American10
Asian39
American Indian or Alaska Native1
Native Hawaiian or Other Pacific Islander0
Multiple2
HCV Genotype 1 Subtype
HCV Genotype 1 Subtype(Participants)ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
GT1b without cirrhosis757
GT1b with compensated cirrhosis142
GT1 Non-b without cirrhosis597
GT1 Non-b with compensated cirrhosis97
Missing3
Prior HCV Treatment History
Prior HCV Treatment History(Participants)ABT-450/r/ABT-267 Plus ABT-333 With or Without Ribavirin (RBV)
Treatment Naïve782
Treatment Experienced814
08

Study locations

187 sites
  • CHU Bab El Oued /ID# 145420
    Algiers, 16000, Algeria
  • CHU Bologhine Hospital /ID# 145421
    Algiers, 16000, Algeria
  • CHU Mustapha Bacha /ID# 132130
    Algiers, 16000, Algeria
  • St Vincent's Hospital Sydney /ID# 131001
    Darlinghurst, New South Wales 2010, Australia
  • Nepean Hospital /ID# 130999
    Kingswood, New South Wales 2747, Australia
  • Westmead Hospital /ID# 130997
    Westmead, New South Wales 2145, Australia
  • Greenslopes Private Hospital /ID# 131003
    Greenslopes, Queensland 4120, Australia
  • Royal Brisbane and Women's Hospital /ID# 131004
    Herston, Queensland 4029, Australia
  • Royal Adelaide Hospital /ID# 131002
    Adelaide, South Australia 5000, Australia
  • St Vincent's Hospital Melbourne /ID# 131000
    Fitzroy Melbourne, Victoria 3065, Australia
  • The Royal Melbourne Hospital /ID# 130998
    Parkville, Victoria 3050, Australia
  • Ordensklinikum Linz GmbH Elisabethinen /ID# 131017
    Linz, Oberoesterreich 4010, Austria
  • Medizinische Universitaet Graz /ID# 131018
    Graz, Steiermark 8036, Austria
  • Medizinische Universitaet Wien /ID# 131015
    Vienna, Wien 1090, Austria
  • Cliniques Universitaires de Bruxelles Hopital Erasme /ID# 131020
    Brussels, Bruxelles-Capitale 1070, Belgium
  • UCL Saint-Luc /ID# 131019
    Woluwe-Saint-Lambert, Bruxelles-Capitale 1200, Belgium
  • Universitair Ziekenhuis Leuven /ID# 131021
    Leuven, Vlaams-Brabant 3000, Belgium
  • Tokuda Hospital Sofia /ID# 131022
    Sofia, 1407, Bulgaria
  • UMHAT Sveti Ivan Rilski /ID# 131026
    Sofia, 1431, Bulgaria
  • Univ Hosp for Active Treat /ID# 131023
    Sofia, 1527, Bulgaria
  • Diagnostic Consultative Center /ID# 131027
    Sofia, 1612, Bulgaria
  • UMHAT Sveta Marina /ID# 131025
    Varna, 9010, Bulgaria
  • University of Calgary /ID# 134370
    Calgary, Alberta T2N 4Z6, Canada
  • GI Research & Associates /ID# 132169
    Edmonton, Alberta T5H 4B9, Canada
  • LAIR Centre /ID# 130970
    Vancouver, British Columbia V5Z 1H3, Canada
  • Vancouver Infectious Diseases Centre /ID# 134369
    Vancouver, British Columbia V6Z 2C7, Canada
  • GIRI Gastrointestinal Research Institute /ID# 132171
    Vancouver, British Columbia V6Z 2K5, Canada
  • University of Manitoba / Health Scuience Centre / John Buhler Research Centre /ID# 130969
    Winnipeg, Manitoba R3E 3P4, Canada
  • Saint John Regional Hospital /ID# 131210
    Saint John, New Brunswick E2L 4L2, Canada
  • Ottawa Hospital Research Institute /ID# 132170
    Ottawa, Ontario K1H 8L6, Canada
  • Toronto General Hospital /ID# 132134
    Toronto, Ontario M5G 2C4, Canada
  • Toronto Liver Centre /ID# 132168
    Toronto, Ontario M6H 3M1, Canada
  • Toronto Digestive Disease Asso /ID# 130968
    Vaughan, Ontario L4L 4Y7, Canada
  • Clinique Medicale L'Actuel /ID# 132167
    Montreal, Quebec H2L 4P9, Canada
  • Jewish General Hospital /ID# 132165
    Montreal, Quebec H3T 1E2, Canada
  • Royal Victoria Hospital / McGill University Health Centre /ID# 132166
    Montreal, Quebec H4A 3J1, Canada
  • CHU de Quebec-Université Laval hôpital CHUL /ID# 132132
    Québec, Quebec G1V 4G2, Canada
  • Kobenhavns Universitet - Hvidovre Hospital (HH) /ID# 131031
    Hvidovre, Hovedstaden 2650, Denmark
  • Odense University Hospital /ID# 131029
    Odense C, Syddanmark 5000, Denmark
  • Aarhus Univ Hospital, Skejby /ID# 131030
    Aarhus, 8200, Denmark
  • Helsinki University Hospital /ID# 131034
    Helsinki, Uusimaa 00290, Finland
  • Turku University Hospital /ID# 131032
    Turku, 20520, Finland
  • Hopital Saint Joseph /ID# 132177
    Marseille, Bouches-du-Rhone 13008, France
  • CHU Limoges - Dupuytren 1 /ID# 131038
    Limoges CEDEX 1, Franche-Comte 87042, France
  • Hopital Haut-Lévêque /ID# 131036
    Pessac CEDEX, Gironde 33604, France
  • Hopital Saint Eloi /ID# 131037
    Montpellier CEDEX 5, Herault 34295, France
  • CHU de Nantes, Hotel Dieu -HME /ID# 132179
    Nantes, Pays-de-la-Loire 44000, France
  • Hopital Jean Verdier /ID# 135877
    Bondy, 93140, France
  • CHU Grenoble - Hopital Michallon /ID# 131041
    La Tronche, 38700, France
  • HCL - Hopital de la Croix-Rousse /ID# 131042
    Lyon, 69004, France
  • Duplicate_Hopital lArchet 2 /ID# 131040
    Nice, 06202, France
  • CHRU Pontchaillou /ID# 132173
    Rennes, 35033, France
  • CHU Strasbourg - Hopital Civil /ID# 132174
    Strasbourg cedex, 67091, France
  • Hopital Universitaire Purpan Hopital Rangueil /ID# 131035
    Toulouse, 31059, France
  • Universitaetsklinikum Freiburg /ID# 131044
    Freiburg, Baden-Wuerttemberg 79106, Germany
  • Universitaetsklinik Heidelberg /ID# 134371
    Heidelberg, Baden-Wuerttemberg 69120, Germany
  • Universitaetsklinikum Tuebingen Medizinische Klinik /ID# 131045
    Tubingen, Baden-Wuerttemberg 72076, Germany
  • LMU Klinikum der Universitat Muchen /ID# 131049
    Munich, Bayern 81377, Germany
  • Universitaetsklinikum Frankfurt /ID# 131055
    Frankfurt am Main, Hessen 60590, Germany
  • Zentru fur HIV und Heaptogastroenterologie /ID# 131052
    Düsseldorf, Nordrhein-Westfalen 40237, Germany
  • Gastroenterologische Gemeinschaftspraxis Herne /ID# 131050
    Herne, Nordrhein-Westfalen 44623, Germany
  • Medizinische Klinik mit Schwerpunkt Hepatologie und Gastroenterologie /ID# 131053
    Berlin, 13353, Germany
  • Universitaetsklinikum Essen /ID# 131048
    Essen, 45147, Germany
  • Universitaetsklinikum Hamburg-Eppendorf (UKE) /ID# 131051
    Hamburg, 20246, Germany
  • Medizinische Hochschule Hannover /ID# 131054
    Hannover, 30625, Germany
  • Centrum für interdisziplinaere Medizin /ID# 131046
    Muenster, 48143, Germany
  • General Hospital of Athens Ippokratio /ID# 131057
    Athens, Attiki 11527, Greece
  • General Hospital of Athens Laiko /ID# 131088
    Athens, Attiki 11527, Greece
  • General University Hospital of Alexandroupolis /ID# 131056
    Alexandroupolis, 68100, Greece
  • Beaumont Hospital /ID# 131089
    Beaumont, Dublin D09 XR63, Ireland
  • St James Hospital /ID# 132180
    Dublin 8, Dublin D08 NHY1, Ireland
  • St Vincent's University Hospital /ID# 132181
    Elm Park, Dublin D04 T6F4, Ireland
  • The Chaim Sheba Medical Center /ID# 131092
    Ramat Gan, Tel-Aviv 5265601, Israel
  • Tel Aviv Sourasky Medical Center /ID# 132182
    Tel Aviv-Yafo, Tel-Aviv 6423906, Israel
  • Rambam Health Care Campus /ID# 131090
    Haifa, 3109601, Israel
  • The Lady Davis Carmel Medical Center /ID# 131091
    Haifa, 34362, Israel
  • Duplicate_A.O.U. Policlinico S.Orsola-Malpighi /ID# 131095
    Bologna, Emilia-Romagna 40138, Italy
  • Azienda Ospedaliero-Universitaria di Ferrara-Arcispedale Sant Anna /ID# 131102
    Cona, Ferrara 44124, Italy
  • Fondazione di Religione e di Culto Casa Sollievo della Sofferenza /ID# 132190
    San Giovanni Rotondo, Foggia 71013, Italy
  • Policlinico Agostino Gemelli /ID# 131098
    Rome, Lazio 00168, Italy
  • Ospedale San Raffaele IRCCS /ID# 131093
    Milan, Lombardia 20132, Italy
  • Fondazione PTV Policlinico Tor Vergata /ID# 132185
    Rome, Roma 00133, Italy
  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni /ID# 132188
    Bergamo, 24127, Italy
  • Azienda Ospedaliero Universitaria Careggi /ID# 132197
    Florence, 50134, Italy
  • Azienda Ospedaliera Universitaria Ospedali Riuniti /ID# 132195
    Foggia, 71122, Italy
  • A.O.U. Policlinico G. Martino /ID# 132193
    Messina, 98125, Italy
  • ASST Fatebenefratelli Sacco-Ospedale Sacco /ID# 134372
    Milano, 20157, Italy
  • Azienda Ospedaliera Niguarda Ca' Granda Hospital /ID# 131104
    Milano, 20162, Italy
  • Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico /ID# 131097
    Milan, 20122, Italy
  • Ospedale S Giuseppe /ID# 132194
    Milan, 20123, Italy
  • ASST Santi Paolo e Carlo/Presidio Ospedale San Paolo /ID# 132198
    Milan, 20142, Italy
  • Azienda Ospedaliera Universitaria Federico II /ID# 131096
    Napoli, 80131, Italy
  • Azienda Ospedaliera Universitaria Federico II /ID# 132191
    Napoli, 80131, Italy
  • Azienda Ospedaliera Universitaria Paolo Giaccone /ID# 132184
    Palermo, 90127, Italy
  • Azienda Ospedaliero-Universitaria di Parma /ID# 132183
    Parma, 43126, Italy
  • Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d'Aragona /ID# 132192
    Salerno, 84131, Italy
  • A.O.U. Citta della Salute e della Scienza di Torino /ID# 131100
    Turin, 10126, Italy
  • Azienda Ospedaliera Universitaria Friuli Centrale/Presidio Ospedaliero Universit /ID# 132196
    Udine, 33100, Italy
  • Hospital General de Tijuana /ID# 130972
    Tijuana, Baja California 22680, Mexico
  • Cife /Id# 130974
    Guadalajara, Jalisco 44160, Mexico

Showing the first 100 of 187 sites across 27 countries. Choose a country and city above to see the rest.

09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: For details on when studies are available for sharing, please refer to the link below.

Access criteria: Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous, independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Use Agreement (DUA). For more information on the process, or to submit a request, visit the following link.

Data sharing details ↗ · vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02219490
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Aug 19, 2014
Start date
Oct 30, 2014
Primary completion
May 13, 2021
Completion
May 13, 2021
Results posted
Apr 7, 2023
Last update
Apr 7, 2023

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Dasabuvir

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