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ABT-267

Phase 2

Chronic Hepatitis C | Small molecule | Infectious Disease |AbbVie Inc.|Last Updated: Jul 2, 2018

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment37

FDA Designations

No designations recorded

Clinical trial landscape

ABT-267 · 2 trials · 3 indications

Phase 2 2
NCT01563536Study to Assess the Safety, Tolerability, Pharmacokinetics and Antiviral Activity of ABT-267 in HCV Infected SubjectsChronic Hepatitis C Infection
COMPLETED12 Analytics
NCT01314261Study of ABT-267 in Treatment Naive Hepatitis C Virus (HCV) Genotype 1 Infected SubjectsChronic Hepatitis C
COMPLETED37 Analytics
PHASE2COMPLETED
Study to Assess the Safety, Tolerability, Pharmacokinetics and Antiviral Activity of ABT-267 in HCV Infected Subjects
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE2COMPLETED
Study of ABT-267 in Treatment Naive Hepatitis C Virus (HCV) Genotype 1 Infected Subjects
Chronic Hepatitis CUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Plasma Concentration (Cmax) of ABT-267 Following Monotherapy on Day 1
Day 1 (pre-dose [time 0] and at 2, 4, and 6 hours post-dose) and Day 2 (pre-dose)

Blood samples were collected pre-dose (time 0) and at 2, 4, and 6 hours post-dose on Day 1 and pre-dose on Day 2 (ABT-267 monotherapy). The samples were analyzed for ABT-267 using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was estimated using noncompartmental analyses.

Time of Maximum Plasma Concentration (Tmax) of ABT-267 Following Monotherapy on Day 1
Day 1 (pre-dose [time 0] and at 2, 4, and 6 hours post-dose) and Day 2 (pre-dose)

Blood samples were collected pre-dose (time 0) and at 2, 4, and 6 hours post-dose on Day 1 and pre-dose on Day 2 (ABT-267 monotherapy). The samples were analyzed for ABT-267 using validated analytical methods. Time of maximum plasma concentration (Tmax; measured in hours) was estimated using noncompartmental analyses.

Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours (AUC[24]) of ABT-267 Following Monotherapy on Day 1
Day 1 (pre-dose [time 0] and at 2, 4, and 6 hours post-dose) and Day 2 (pre-dose)

Blood samples were collected pre-dose (time 0) and at 2, 4, and 6 hours post-dose on Day 1 and pre-dose on Day 2 (ABT-267 monotherapy). The samples were analyzed for ABT-267 using validated analytical methods. Area under the plasma concentration-time curve from time 0 to 24 hours (AUC\[24\]; measured in ng multiplied by hour/mL) was estimated using noncompartmental analyses.

Plasma Concentration of ABT-267 Pre-dose (Ctrough) on Day 2 and Day 3
Day 2 (pre-dose) and Day 3 (pre-dose)

Blood samples were collected pre-dose on Day 2 (prior to second dose of ABT-267 monotherapy) and pre-dose on Day 3 (prior to first dose of combination therapy). The samples were analyzed for ABT-267 using validated analytical methods. Pre-dose plasma concentrations on Day 2 and Day 3 (Ctrough, measured in ng/mL) are reported.

Number of Participants With Adverse Events (AEs)
All AEs were collected from the time of study drug administration to 30 days after last dose of study drug (16 weeks).

An adverse event was defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and that did not necessarily have a causal relationship with this treatment. The investigator assessed the relationship of each AE to the use of direct-acting antiviral agents (DAAs), and rated the severity of each event as either: Mild: The AE was transient and easily tolerated by the participant; Moderate: The AE caused the participant discomfort and interrupted usual activities; Severe: The AE caused considerable interference with the participant's usual activities and could have been incapacitating or life-threatening. A serious adverse event was any event that resulted in death, was life-threatening, resulted in hospitalization or prolongation of hospitalization, resulted in a congenital anomaly or persistent or significant disability or was any other important medical event requiring medical or surgical intervention.

Mean Maximal Decrease From Baseline in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) During ABT-267 Monotherapy
Pre-dose on Days 1, 2, and 3

The baseline value was the last measurement before the first dose of ABT-267 monotherapy (Day 1). The maximal decrease during monotherapy was the change from baseline to the lowest log10 IU/mL HCV RNA level any time from the first dose of ABT-267 on Day 1 to the last log10 HCV RNA level before the first dose of ABT-267 combination therapy (Study Day 3).

Percentage of Participants With 4-week Rapid Virologic Response (RVR)
Week 4

Plasma hepatitis C virus ribonucleic acid (HCV RNA) levels (measured in IU/mL) were determined for each sample using a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Rapid virologic response was defined as HCV RNA levels \< the lower limit of detection (\< 15 IU/mL) at Week 4. Data are reported as percentage of participants with RVR.

Maximum Plasma Concentration (Cmax) of ABT-267
Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The maximum plasma concentration (Cmax; measured in ng/mL) is the highest concentration that a drug achieves in the plasma after administration in a dosing interval. The Cmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Time to Maximum Plasma Concentration (Tmax) of ABT-267
Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose)

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; and prior to dose on Day 2 (24 hours after Day 1 dose). The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in hours) is the time it takes for a drug to achieve Cmax. The Tmax of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267
Immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit up to Week 12

Blood samples were collected immediately prior to morning dose (time 0 hours); 2, 4, 6, and 8 hours after the morning dose on Day 1; prior to dose on Day 2 (24 hours after Day 1 dose); and at each subsequent study visit. The samples were analyzed for the concentration of ABT-267 using validated analytical methods. The area under the plasma concentration -time curve (AUC; measured in ng\*hr/mL) is a method of measurement of the total exposure of a drug in blood plasma. The AUC24 of ABT-267 was estimated using non-compartmental methods and data are reported as the mean ± standard deviation.

Plasma Concentrations of Ribavirin (RBV)
At each study visit from Week 1 to Week 12

Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of RBV (measured in ng/mL) using validated analytical methods and RBV concentrations in plasma were summarized at each visit. Data are reported as the median (range).

Serum Concentrations of Pegylated Interferon (pegIFN)
At each study visit from Week 1 to Week 12

Blood samples were collected at each study visit from Week 1 to Week 12. The samples were analyzed for the concentration of pegIFN (measured in ng/mL) using validated analytical methods and pegIFN concentrations in serum were summarized at each visit. Data are reported as the median (range).

Secondary Endpoints

Percentage of Participants With Sustained Virologic Response 12 Weeks and 24 Weeks After Combination Therapy
12 and 24 weeks after last dose of combination study drug
Percentage of Participants With Rapid Virologic Response
4 weeks
Percentage of Participants With End-of-Treatment Response
12 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ABT-267 1.5 mg, then ABT-267, ABT-450/r, ABT-333, plus RBVEXPERIMENTALABT-267 (1.5 mg once daily) as monotherapy for 2 days, then ABT-267 (1.5 mg once daily), ABT-450/r (150 mg/ 100 mg once daily) and ABT-333 (400 mg twice daily), plus weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) combination therapy for 12 weeks
ABT-267 25 mg, then ABT-267, ABT-450/r, ABT-333, plus RBVEXPERIMENTALABT-267 (25 mg once daily) as monotherapy for 2 days, then ABT-267 (25 mg once daily), ABT-450/r (150 mg/ 100 mg once daily) and ABT-333 (400 mg twice daily), plus weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) combination therapy for 12 weeks
ABT-267 (5 mg) once daily + pegIFN/RBVEXPERIMENTALParticipants were given 5 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
ABT-267 (50 mg) once daily + pegIFN/RBVEXPERIMENTALParticipants were given 50 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
ABT-267 (200 mg) once daily + pegIFN/RBVEXPERIMENTALParticipants were given 200 mg ABT-267 once daily in combination with pegylated interferon/ribavirin (pegIFN/RBV) for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.
Placebo + pegIFN/RBVPLACEBO_COMPARATORParticipants were given matching placebo to ABT-267 once daily in combination with pegIFN/RBV for 12 weeks, followed by 36 weeks of pegIFN/RBV treatment alone. Pegylated interferon was dosed 180 µg subcutaneously once a week. Ribavirin was dosed 1000 or 1200 mg daily divided twice a day.

Interventions

NameTypeDescription
ABT-267DRUGTablet
ABT-450DRUGTablet
ABT-333DRUGTablet
RitonavirDRUGCapsule
RibavirinDRUGTablet
Pegylated interferon (pegIFN)DRUGSyringe, 180 µg/0.5 mL for subcutaneous injections administered weekly
Ribavirin (RBV)DRUG200 mg tablet dosed at 1000 or 1200 mg daily divided twice a day
Placebo for ABT-267OTHERParticipants received matching placebo tablet at each dose level for ABT-267.
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Male or female between the age of 18 and 70 years, inclusive, at time of enrollment. * Subject has never received antiviral treatment for hepatitis C virus (HCV) infection. * Body mass index (BMI) is ≥ 18 to \< 38 kg/m\^2. BMI is calculated as weight measured in kilograms (kg)...

Countries:United StatesPuerto Rico
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Frequently asked questions about ABT-267

What is ABT-267 used for?

ABT-267 is an investigational small molecule being developed for the treatment of chronic hepatitis C and chronic hepatitis C infection. It is a Phase 2 drug candidate studied in patients with hepatitis C virus (HCV) infection, including those with genotype 1.

What does ABT-267 target?

ABT-267 is a small molecule antiviral agent. Its specific molecular target has not been disclosed in the available information. It is being studied for its antiviral activity against hepatitis C virus (HCV) infection.

Who makes ABT-267?

ABT-267 is being developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol ABBV. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with chronic hepatitis C.

What phase is ABT-267 in?

ABT-267 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Two Phase 2 trials have been completed, and the drug is no longer in active clinical testing according to the available data.

What clinical trials is ABT-267 in?

ABT-267 has been studied in two completed Phase 2 clinical trials: NCT01314261, which enrolled 37 treatment-naive patients with HCV genotype 1, and NCT01563536, which enrolled 12 patients with chronic hepatitis C. Both trials were conducted in the United States and Puerto Rico.

Is ABT-267 the same as ABT-450?

No, ABT-267 is not the same as ABT-450. ABT-267 is a distinct investigational drug candidate developed by AbbVie for chronic hepatitis C. ABT-450 is a separate compound with its own development program. The two drugs are not interchangeable.