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ABT-450/r/ABT-267

Phase 3

Chronic Hepatitis C Infection | Small molecule | Infectious Disease |AbbVie Inc.|Last Updated: Apr 7, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials12
Total Enrollment3,343

FDA Designations

No designations recorded

Clinical trial landscape

ABT-450/r/ABT-267 · 18 trials · 12 indications

Phase 3 12Phase 2 4Phase 1 2
NCT02517528ABT-450/Ritonavir/ ABT-267 (ABT-450/r/ABT-267) and ABT-333 Co-Administered With Ribavirin (RBV) in Treatment Naïve and Treatment Experienced Asian Adults With Genotype 1b Chronic Hepatitis C Virus (HCV) Infection and Compensated CirrhosisChronic Hepatitis C Virus (HCV)
COMPLETED104 Analytics
NCT02219490A 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) InfectionChronic Hepatitis C Virus (HCV) Infection Genotype 1
COMPLETED1,596 Analytics
NCT02167945A 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) InfectionChronic Hepatitis C Virus (HCV) Infection Genotype 1
COMPLETED615 Analytics
NCT02023099Study to Evaluate the Efficacy and Safety of ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) in Japanese Adults With Subgenotype 1b Chronic Hepatitis C Virus (HCV) InfectionChronic Hepatitis C Infection
COMPLETED363 Analytics
NCT01854528A Study to Evaluate the Efficacy and Safety of Three Experimental Drugs Compared With Telaprevir (a Licensed Product) for Treatment of Chronic Hepatitis C Infection in Treatment-experienced AdultsChronic Hepatitis C Infection
COMPLETED148 Analytics
NCT01854697A Study to Evaluate the Efficacy and Safety of Three Experimental Drugs Compared With Telaprevir (a Licensed Product) in People With Hepatitis C Virus Infection Who Have Not Had Treatment BeforeChronic Hepatitis C Infection
COMPLETED311 Analytics
NCT01833533A Study to Evaluate Chronic Hepatitis C Infection in Adults With Genotype 1a InfectionChronic Hepatitis C Infection
COMPLETED305 Analytics
NCT01767116A Study to Evaluate Chronic Hepatitis C Infection in Adults With Genotype 1b InfectionChronic Hepatitis C Infection
COMPLETED419 Analytics
NCT01716585A Study to Evaluate Chronic Hepatitis C InfectionChronic Hepatitis C Infection
COMPLETED636 Analytics
NCT01715415A Study to Evaluate Chronic Hepatitis C Infection in Treatment Experienced AdultsChronic Hepatitis C Infection
COMPLETED395 Analytics
PHASE3COMPLETED
ABT-450/Ritonavir/ ABT-267 (ABT-450/r/ABT-267) and ABT-333 Co-Administered With Ribavirin (RBV) in Treatment Naïve and Treatment Experienced Asian Adults With Genotype 1b Chronic Hepatitis C Virus (HCV) Infection and Compensated Cirrhosis
Chronic Hepatitis C Virus (HCV)Unlock trial analytics
PHASE3COMPLETED
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
Chronic Hepatitis C Virus (HCV) Infection Genotype 1Unlock trial analytics
PHASE3COMPLETED
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
Chronic Hepatitis C Virus (HCV) Infection Genotype 1Unlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy and Safety of ABT-450/Ritonavir/ABT-267 (ABT-450/r/ABT-267) in Japanese Adults With Subgenotype 1b Chronic Hepatitis C Virus (HCV) Infection
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Three Experimental Drugs Compared With Telaprevir (a Licensed Product) for Treatment of Chronic Hepatitis C Infection in Treatment-experienced Adults
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Three Experimental Drugs Compared With Telaprevir (a Licensed Product) in People With Hepatitis C Virus Infection Who Have Not Had Treatment Before
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Chronic Hepatitis C Infection in Adults With Genotype 1a Infection
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Chronic Hepatitis C Infection in Adults With Genotype 1b Infection
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Chronic Hepatitis C Infection
Chronic Hepatitis C InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Chronic Hepatitis C Infection in Treatment Experienced Adults
Chronic Hepatitis C InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12)
12 weeks after last dose of study drug

SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ) at 12 weeks following therapy. 95% confidence interval (CI) is calculated using Wilson's score method. The lower bound of the 95% CI for the percentage of participants with SVR12 must exceed 67% to achieve superiority.

Percentage of Participants Achieving Sustained Virologic Response 24 Weeks Post-Treatment (SVR24)
24 weeks after last dose of study drug

SVR24 is defined as HCV RNA less than the LLOQ at 24 weeks following therapy. 95% CI is calculated using Wilson's score method. The lower bound of the 95% CI for the percentage of participants with SVR12 must exceed 67% to achieve superiority. SVR24 is primary outcome measure only for China.

All-Cause Death: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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).

Liver-Related Death: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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).

Liver Decompensation: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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).

Liver Transplantation: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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).

Hepatocellular Carcinoma: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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).

All-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event
At Post-Treatment Weeks 52, 104, 156, 208, and 260

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.

Percentage of Non-cirrhotic Treatment-Naïve Participants Who Are Eligible for Interferon (IFN)-Based Therapy and Who Have High Viral Load in the DB Active Treatment Group With a Sustained Virologic Response 12 Weeks Post-treatment
12 weeks after the last dose of study drug

The percentage noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline (HCV RNA ≥ 100,000 IU/mL) in the DB active treatment group with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of active study drug (SVR12). Among noncirrhotic treatment-naïve participants who were eligible for IFN-based therapy and who had high viral load at baseline, superiority of Arm A to a clinically relevant threshold based on historical SVR rate with telaprevir plus pegylated interferon alpha/ribavirin (pegIFN/RBV) in treatment-naïve, non-cirrhotic patients with high viral load; the lower bound of 95% confidence interval (LCB) had to exceed 63% to achieve superiority. The 95% confidence interval was calculated using the normal approximation to the binomial distribution.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Treatment
12 weeks after the last dose of study drug

The percentage of participants with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of study drug. The LLOQ for the assay was 25 IU/mL.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Treatment (SVR12) - Primary Efficacy Analyses
12 weeks after the last actual dose of active study drug

The percentage of participants with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of study drug.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Treatment; Primary Analyses
12 weeks after last dose of study drug

The percentage of participants with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of study drug. The LLOQ for the assay was 25 IU/mL. The primary efficacy endpoints were noninferiority of the percentage of participants who achieved sustained virologic response 12 weeks after treatment in each treatment arm (ABT-450/r/ABT-267 and ABT-333, plus either placebo RBV or RBV) compared with the historical control rate for noncirrhotic, treatment-naïve participants with HCV GT1a infection treated with telaprevir and peginterferon(pegIFN)/RBV.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Treatment; Noninferiority Analyses of Each Treatment Arm Compared to Historical Rate
12 weeks after last dose of study drug

The percentage of participants with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of study drug. The LLOQ for the assay was 25 IU/mL. The primary efficacy endpoints were noninferiority of the percentage of participants who achieved sustained virologic response 12 weeks after treatment in each treatment arm (ABT-450/r/ABT-267 and ABT-333, plus either placebo RBV or RBV) compared with the historical control rate for noncirrhotic, treatment-naïve participants with HCV GT1b infection treated with telaprevir and peginterferon/RBV (pegIFN).

Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment
12 weeks after the last actual dose of study drug

The percentage of participants with sustained virologic response (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\]) 12 weeks after the last dose of study drug.

Percentage of Participants in GT1 Analysis Group 1 in Part 2 Achieving Sustained Virologic Response 12 Weeks Post-Treatment (SVR12)
12 weeks after the last actual dose of study drug

SVR12 is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ) 12 weeks after the last dose of study drug without any confirmed quantifiable (≥ LLOQ) post-treatment value before or during that SVR window. The 95% confidence interval (CI) is calculated using the Wilson score method for binomial distribution. The primary efficacy endpoint was the non-inferiority of the percentage of participants in the GT1 Analysis Group in Part 2 achieving SVR12 compared to the historical SVR12 rate for sofosbuvir plus ribavirin (a non-inferiority threshold of the lower bound of the 95% CI of 74%).

Percentage of Participants With Sustained Virologic Response 24 Weeks After Treatment (SVR24)
24 weeks after last dose of study drug

The percentage of participants with SVR24 (plasma Hepatitis C virus ribonucleic acid \[HCV RNA\] level less than the lower limit of quantitation \[\< LLOQ\] 24 weeks after the last dose of study drug). The LLOQ for the assay was 25 IU/mL.

Number of Participants With Adverse Events (AEs)
TEAEs: up to 16 weeks for the 12-week treatment groups and up to 28 weeks for the 24-week treatment groups; SAEs: up to 65 weeks for the 12-week treatment groups and up to 77 weeks for the 24-week treatment groups.

An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to study drug were assessed as being either probably or possibly related by the investigator. Treatment-emergent AEs (TEAEs) were collected from the first dose of study drug administration to 30 days after last dose; SAEs were collected from the time that informed consent was obtained to 30 days after last dose.

Percentage of Participants With Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Suppressed Below the Lower Limit of Detection (LLOD) From Week 4 Through Week 12
Week 4 through Week 12

Analysis of the percentage of participants with hepatitis C virus ribonucleic acid less than the lower limit of detection (\< 15 IU/mL).

Maximum Plasma Concentration (Cmax) of ABT-450
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Cmax is the highest concentration that a drug achieves in the blood after administration in a dosing interval.

Maximum Plasma Concentration (Cmax) of ABT-267
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Cmax is the highest concentration that a drug achieves in the blood after administration in a dosing interval.

Maximum Plasma Concentration (Cmax) of ABT-333
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Cmax is the highest concentration that a drug achieves in the blood after administration in a dosing interval.

Maximum Plasma Concentration (Cmax) of Ritonavir
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Cmax is the highest concentration that a drug achieves in the blood after administration in a dosing interval.

Time to Maximum Plasma Concentration (Tmax) of ABT-450
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Tmax is the time it takes for a drug to achieve Cmax.

Time to Maximum Plasma Concentration (Tmax) of ABT-267
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Tmax is the time it takes for a drug to achieve Cmax.

Time to Maximum Plasma Concentration (Tmax) of ABT-333
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Tmax is the time it takes for a drug to achieve Cmax.

Time to Maximum Plasma Concentration (Tmax) of Ritonavir
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14; and 36, 48, and 72 hours after the morning dose on Study Day 14

Tmax is the time it takes for a drug to achieve Cmax.

Trough Concentration (Ctrough) of ABT-450
Prior to the morning dose on Study Days 7, 9, 11, 13 and 14; 24 hours after Day 14 dose

Ctrough is the lowest concentration of a drug in the blood after administration in a dosing interval.

Trough Concentration (Ctrough) of ABT-267
Prior to the morning dose on Study Days 7, 9, 11, 13 and 14; 24 hours after Day 14 dose

Ctrough is the lowest concentration of a drug in the blood after administration in a dosing interval.

Trough Concentration (Ctrough) of ABT-333
Prior to the morning dose on Study Days 7, 9, 11, 13 and 14; 24 hours after Day 14 dose

Ctrough is the lowest concentration of a drug in the blood after administration in a dosing interval.

Trough Concentration (Ctrough) of Ritonavir
Prior to the morning dose on Study Days 7, 9, 11, 13 and 14; 24 hours after Day 14 dose

Ctrough is the lowest concentration of a drug in the blood after administration in a dosing interval.

Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-450
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14
Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of Ritonavir
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14
Area Under the Plasma Concentration-time Curve From 0 to 24 Hours (AUC24) Post-dose of ABT-267
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, 12, 15, 18, and 24 hours after the morning dose on Study Days 1 and 14
Area Under the Plasma Concentration-time Curve From 0 to 12 Hours (AUC12) Post-dose of ABT-333
Prior to the morning dose (0 hour) and 1, 2, 3, 4, 6, 9, and 12 hours after the morning dose on Study Days 1 and 14
Number of participants with adverse events
Daily for approximately 20 days
Absolute bioavailability
Day 1 until 72 hours after single dose of ABT-450/r/ABT-267

dose normalized AUC(0-inf) for oral dose/dose normalized AUC(0-inf) for IV dose

Secondary Endpoints

Percentage of Participants With On Treatment Virologic Failure
Within 12 weeks after first dose of study drug
Percentage of Participants With Virologic Relapse
Within 12 weeks after the last dose of study drug
Percentage of Participants With Virologic Relapse by Post-Treatment Week 24
Within 24 weeks after the last dose of study drug
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ABT-450/r/ABT-267 + ABT-333 + RibavirinEXPERIMENTALABT-450/r/ABT-267 once daily + ABT-333 twice daily + weight-based RBV divided twice daily for 12 weeks
ABT-450/r/ABT-267 plus ABT-333 with or without ribavirin (RBV)EXPERIMENTALParticipants 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.
Substudy 1, Arm A: DB 2-DAAEXPERIMENTALDouble-blind (DB) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2 direct-acting antiviral agents \[2-DAA\]) once daily (QD) for 12 weeks in participants without cirrhosis
Substudy 1, Arm B: DB Placebo, Followed by OL 2-DAAPLACEBO_COMPARATORDB placebo QD for 12 weeks followed by open-label (OL) 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants without cirrhosis
Substudy 2, Arm C: OL 2-DAAEXPERIMENTALOL 150 mg ABT-450/100 mg ritonavir/25 mg ABT-267 (2-DAA) QD for 12 weeks in participants with compensated cirrhosis
3-DAA/RBVEXPERIMENTAL3-DAA (ABT-450/r/ABT-267 \[150 mg/ 100 mg/ 25 mg once daily\] and ABT-333 \[250 mg twice daily\]) plus weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) for 12 weeks.
TPV/RBVACTIVE_COMPARATORTPV (750 mg every 8 hours) coadministered with pegIFN (180 micrograms subcutaneously \[SC\] weekly) and weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) for 12 weeks, followed by pegIFN (180 micrograms SC weekly) and weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) for either 12 or 36 weeks, per local prescribing information.
Arm A: 3-DAA + RBV in GT1aEXPERIMENTALABT-450/r/ABT-267 150 mg/100 mg/25 mg once daily (QD) and ABT-333 250 mg twice daily (BID) and weight-based RBV for 12 weeks (3 direct-acting antivirals \[DAAs\] with RBV in GT1a)
Arm B: TPV/PR in GT1aACTIVE_COMPARATORTelaprevir (TPV) 750 mg every 8 hours (q8h) and pegIFN 180 µg/week and weight-based RBV (PR) for 12 weeks followed by an additional 12 or 36 weeks of pegIFN and weight-based RBV according to response guided therapy per the prescribing information for telaprevir (telaprevir with pegIFN/RBV in GT1a)
Arm C: 3-DAA + RBV in GT1bEXPERIMENTALABT-450/r/ABT-267 150 mg/100 mg/25 mg QD and ABT-333 250 mg BID and weight-based RBV for 12 weeks (3 DAAs with RBV in GT1b)
Arm D: 3-DAA in GT1bEXPERIMENTALABT-450/r/ABT-267 150 mg/100 mg/25 mg QD and ABT-333 250 mg BID for 12 weeks (3 DAAs without RBV in GT1b)
Arm E: TPV/PR in GT1bACTIVE_COMPARATORTelaprevir 750 mg q8h and pegIFN 180 µg/week and weight-based RBV for 12 weeks followed by an additional 12 or 36 weeks of pegIFN and weight-based RBV according to response guided therapy per the prescribing information for telaprevir (telaprevir with pegIFN/RBV in GT1b)
ABT-450/r/ABT-267 and ABT-333, Plus RBVEXPERIMENTALABT-450/r/ABT-267 (150 mg/ 100 mg/ 25 mg once daily) and ABT-333 (250 mg twice daily), plus weight-based RBV (dosed 1,000 or 1,200 mg daily divided twice a day) for 12 weeks
ABT-450/r/ABT-267 and ABT-333, Plus Placebo RBVEXPERIMENTALABT-450/r/ABT-267 (150 mg/ 100 mg/ 25 mg once daily) and ABT-333 (250 mg twice daily) for 12 weeks plus placebo RBV (twice daily) for 12 weeks
Placebo Followed by ABT-450/r/ABT-267 and ABT-333, plus RBVEXPERIMENTALDouble-blind placebo for 12 weeks, followed by open-label ABT-450/r/ABT-267 (150 mg/100 mg/25 mg once daily) and ABT-333 (250 mg twice daily), plus weight-based RBV (RBV; dosed 1,000 or 1,200 mg daily divided twice a day) for 12 weeks
ABT-450/r/ABT-267 and ABT-333, plus RBV for 12 weeksEXPERIMENTALABT-450/r/ABT-267 (150/100/25 mg once daily) and ABT-333 (250 mg twice daily), plus weight-based ribavirin (RBV; 1,000 mg/day if \<75 kg or 1,200 mg/day if ≥75 kg, divided twice daily) for 12 weeks
ABT-450/r/ABT-267 and ABT-333, plus RBV for 24 weeksEXPERIMENTALABT-450/r/ABT-267 (150/100/25 mg once daily) and ABT-333 (250 mg twice daily), plus weight-based ribavirin (RBV; 1,000 mg/day if \<75 kg or 1,200 mg/day if ≥75 kg, divided twice daily) for 24 weeks
ABT-450/r/ABT-267 and ABT-333EXPERIMENTALABT-450/r/ABT-267 (150 mg/ 100 mg/ 25 mg once daily) and ABT-333 (250 mg twice daily) for 12 weeks
ARM AEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with ribavirin (RBV) for 12 weeks for participants receiving atazanavir once-daily or raltegravir twice-daily
ARM BEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 24 weeks for participants receiving atazanavir once-daily or raltegravir twice-daily
ARM CEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving darunavir once-daily
ARM DEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for participants receiving darunavir twice-daily
ARM EEXPERIMENTALABT-450/r/ABT-267 and ABT-333 for 12 weeks for noncirrhotic (at screening) GT1b-infected participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM FEXPERIMENTALABT-450/r/ABT-267 and ABT-333 for 12 weeks for cirrhotic (at screening) GT1b-infected sofosbuvir-naive participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM GEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for cirrhotic (at screening) GT1b-infected sofosbuvir-naive participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM HEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for cirrhotic (at screening) GT1b-infected sofosbuvir-experienced participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM IEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 12 weeks for noncirrhotic (at screening) GT1a-infected participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM JEXPERIMENTALABT-450/r/ABT-267 and ABT-333 coadministered with RBV for 24 weeks for cirrhotic (at screening) GT1a-infected participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily
ARM KEXPERIMENTALABT-450/r/ABT-267 coadministered with RBV for 12 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily, dolutegravir once-daily or twice-daily, darunavir once-daily
ARM LEXPERIMENTALABT-450/r/ABT-267 coadministered with RBV for 24 weeks for participants receiving any of the following: atazanavir once-daily, raltegravir twice-daily, dolutegravir once-daily or twice-daily, darunavir once-daily
Arm 1EXPERIMENTALParticipants with HCV GT1b received ABT-450/ritonavir (100/100 mg) and ABT-267 (25 mg) once daily for 12 weeks.
Arm 2EXPERIMENTALParticipants with HCV GT1b received ABT-450/ritonavir (150/100 mg) and ABT-267 (25 mg) once daily for 12 weeks.
Arm 3EXPERIMENTALParticipants with HCV GT1b received ABT-450/ritonavir (100/100 mg) and ABT-267 (25 mg) once daily for 24 weeks.
Arm 4EXPERIMENTALParticipants with HCV GT1b received ABT-450/ritonavir (150/100 mg) and ABT-267 (25 mg) once daily for 24 weeks.
Arm 5EXPERIMENTALParticipants with HCV GT2 received ABT-450/ritonavir (100/100 mg) and ABT-267 (25 mg) once daily for 12 weeks.
Arm 6EXPERIMENTALParticipants with HCV GT2 received ABT-450/ritonavir (150/100 mg) and ABT-267 (25 mg) once daily for 12 weeks.
ABT-450/r (250/100 mg) and ABT-333 plus RBV in treatment-naïveEXPERIMENTALABT-450/r (250/100 mg) once daily (QD) and ABT-333 (400 mg) twice daily (BID) plus weight-based ribavirin (RBV) divided BID for 12 weeks in treatment-naïve participants.
ABT-450/r (150/100 mg) and ABT-333 plus RBV in treatment-naïveEXPERIMENTALABT-450/r (150/100 mg) once daily (QD) and ABT-333 (400 mg) twice daily (BID) plus weight-based ribavirin (RBV) divided BID for 12 weeks in treatment-naïve participants.
ABT-450/r (150/100 mg) and ABT-333 plus RBV in non-respondersEXPERIMENTALABT-450/r (150/100 mg) once daily (QD) and ABT-333 (400 mg) twice daily (BID) plus weight-based ribavirin (RBV) divided BID in previous non-responders to pegylated interferon (pegIFN) and RBV.
ABT-450/r/ABT-267 + ABT-333EXPERIMENTALABT-450/r/ABT-267 will be administered once daily in the morning and ABT-333 will be administered in the morning and evening for 14 days.
Group 1 - Regimen AEXPERIMENTAL8 Subjects in Group I - Regimen A: ABT-450/r/ABT-267
Group 2 - Regimen BEXPERIMENTAL8 Subjects in Group II - Regimen B: ABT-450/r/ABT-267

Interventions

NameTypeDescription
ABT-450/r/ABT-267DRUGTablet
ABT-333DRUGTablet
ribavirinDRUGTablet
Ribavirin (RBV)DRUGRibavirin 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.
PlaceboDRUGTablet
ABT-450/r/ABT-267, ABT-333DRUGTablet; ABT-450 coformulated with ritonavir and ABT-267, ABT-333 tablet
Pegylated Interferon a-2a (PegINF)DRUGPre-filled syringe
TelaprevirDRUGFilm-coated tablet
Pegylated Interferon alpha 2-a (PegIFN)DRUGPre-filled syringe
Placebo for RibavirinDRUGCapsule
Placebo for ABT-450/r/ABT-267DRUGTablet
Placebo for ABT-333DRUGTablet
ABT-450/ritonavir, ABT-267DRUGABT-450 (tablet) dosed with ritonavir (capsule), and ABT-267 (tablet)
ABT-450DRUGtablets
ritonavirDRUGcapsules
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Chinese, South Korean, and Taiwanese descent with full Chinese, South Korean, and Taiwanese parentage. 2. Chronic HCV-infection prior to study enrollment. 3. Screening laboratory result indicating HCV genotype 1b-infection. 4. Compensated cirrhosis defined as a Child-Pugh Sco...

Countries:AlgeriaAustraliaAustriaBelgiumBulgariaCanadaDenmarkFinlandFranceGermanyGreeceIrelandIsraelItalyMexicoNetherlandsNorwayPolandPortugalRomaniaRussiaSaudi ArabiaSpainSwedenSwitzerlandTurkey (Türkiye)United KingdomUnited StatesChina
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Frequently asked questions about ABT-450/r/ABT-267

What is ABT-450 used for?

ABT-450 is an investigational small molecule being developed by AbbVie Inc. for the treatment of Hepatitis C, including chronic Hepatitis C infection and Hepatitis C Virus Infection. It is being studied in combination with other antiviral agents such as ABT-333, ABT-072, ABT-267, and ribavirin to evaluate its safety and antiviral activity.

What does ABT-450 target?

ABT-450 is a small molecule antiviral agent. While its specific molecular target is not disclosed in the available information, it is being studied for its antiviral activity against Hepatitis C Virus. Clinical trials evaluate its safety, tolerability, and effectiveness in patients with Hepatitis C Genotype 1 infection.

Who makes ABT-450?

ABT-450 is being developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol ABBV. AbbVie is conducting clinical trials to evaluate the drug's safety and efficacy in treating Hepatitis C virus infections.

What phase is ABT-450 in?

ABT-450 is in Phase 1 clinical development as an investigational drug for Hepatitis C. It has completed 12 clinical trials, including Phase 1 and Phase 2 studies, with a total enrollment of 3,343 participants. The drug is not yet approved and remains under clinical investigation.

What clinical trials is ABT-450 in?

ABT-450 has been studied in several clinical trials, including NCT01074008, a Phase 2 study evaluating its safety and antiviral activity with ABT-333 and ABT-072; NCT01221298, a pilot study with ritonavir, ABT-072, and ribavirin; NCT01685203, a study with ritonavir and ABT-267; and NCT02052362, a Phase 1 bioavailability study.

Is ABT-450 the same as ABT-450/r?

ABT-450/r refers to ABT-450 co-administered with ritonavir, a pharmacokinetic enhancer that boosts ABT-450's exposure. In clinical trials, ABT-450 is often dosed with ritonavir to improve its antiviral activity. The combination is studied as part of AbbVie's Hepatitis C treatment regimens.