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ABT-493/ABT-530

Phase 3

Chronic Hepatitis C Virus | Small molecule | Infectious Disease |AbbVie Inc.|Last Updated: Jul 16, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment431

FDA Designations

No designations recorded

Clinical trial landscape

ABT-493/ABT-530 · 6 trials · 6 indications

Phase 3 6
NCT02723084A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Japanese Adults With Genotype 2 Chronic Hepatitis C Virus InfectionChronic Hepatitis C Virus
COMPLETED136 Analytics
NCT02707952A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Japanese Adults With Chronic Hepatitis C Virus InfectionChronic Hepatitis C Virus
COMPLETED295 Analytics
NCT02642432A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus Genotype 1, 2, 4, 5 or 6 Infection and Compensated CirrhosisHepatitis C Virus Infection
COMPLETED146 Analytics
NCT02651194A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Renally Impaired Adults With Chronic Hepatitis C Virus Genotype 1 - 6 InfectionChronic Hepatitis C Virus (HCV) Infection
COMPLETED104 Analytics
NCT02636595The Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus Genotype 4, 5, or 6 Infection (ENDURANCE-4)Hepatitis C Virus
COMPLETED121 Analytics
NCT02640482A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus (HCV) Genotype 2 InfectionChronic Hepatitis C Virus (HCV) Infection
COMPLETED304 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Japanese Adults With Genotype 2 Chronic Hepatitis C Virus Infection
Chronic Hepatitis C VirusUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Japanese Adults With Chronic Hepatitis C Virus Infection
Chronic Hepatitis C VirusUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus Genotype 1, 2, 4, 5 or 6 Infection and Compensated Cirrhosis
Hepatitis C Virus InfectionUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Renally Impaired Adults With Chronic Hepatitis C Virus Genotype 1 - 6 Infection
Chronic Hepatitis C Virus (HCV) InfectionUnlock trial analytics
PHASE3COMPLETED
The Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus Genotype 4, 5, or 6 Infection (ENDURANCE-4)
Hepatitis C VirusUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of ABT-493/ABT-530 in Adults With Chronic Hepatitis C Virus (HCV) Genotype 2 Infection
Chronic Hepatitis C Virus (HCV) InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12): Non-inferiority of Arm A to Arm B
12 weeks after the last actual dose of study drug

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug. The primary efficacy endpoint was non-inferiority of the ABT-493/ABT-530 8-week regimen (Arm A) to the sofosbuvir and ribavirin 12 week regimen (Arm B) in SVR12 using a non-inferiority margin of 10% in the intent-to-treat (ITT) population.

Percentage of Participants in Arms A and B With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
12 weeks after the last actual dose of study drug

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.

Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
12 weeks after the last actual dose of study drug

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of study drug.

Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12) in Arm A DB Active Drug Excluding Prior SOF + Ribavirin (RBV) ± pegIFN Failures: Noninferiority Analysis
12 weeks after the last actual dose of active study drug

SVR12 was defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification \[\<LLOQ\]) 12 weeks after the last dose of active study drug. The primary efficacy endpoint was the noninferiority of the percentage of participants who achieved SVR12 in Arm A Double Blind (DB) Active Drug excluding prior sofosbuvir (SOF) + ribavirin (RBV) ± pegylatedinterferon (pegIFN) failures compared with the historical control rate for patients treated with the current standard of care (SOF + RBV for 12 weeks).

Secondary Endpoints

Percentage of Participants in Arm A With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
12 weeks after the last actual dose of study drug
Percentage of Participants With With On-treatment Virologic Failure
Treatment Weeks 1, 2, 4, 8 (end of treatment for arm A), and 12 (end of treatment for arm B) or premature discontinuation from treatment
Percentage of Participants With Post-Treatment Relapse
From the end of treatment through 12 weeks after the last dose of study drug
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm AEXPERIMENTALCo-formulated ABT-493/ABT-530 (300 mg/120 mg) administered once daily (QD) for 8 weeks in HCV genotype (GT) 2 -infected, DAA treatment-naïve participants without cirrhosis.
Arm BACTIVE_COMPARATORsofosbuvir (400 mg) QD co-administered with weight based ribavirin (RBV) 600-1000 mg divided twice daily (BID) for 12 weeks in HCV GT2 -infected, DAA treatment-naïve participants without cirrhosis.
Arm CEXPERIMENTALABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120mg) QD for 12 weeks in HCV GT1- or GT2-infected participants with compensated cirrhosis, HCV GT3-, 4-, 5- and 6-infected participants (with compensated cirrhosis or without cirrhosis), HCV GT1- and GT2-infected participants who had failed prior DAA treatments (with compensated cirrhosis or without cirrhosis), and HCV GT1- or GT2-infected participants with severe renal impairment and compensated cirrhosis.
Arm DEXPERIMENTALABT-493 (300 mg) once daily (QD) co-administered with ABT-530 (120 mg) QD for 8 weeks in GT1- or GT2-infected participants with severe renal impairment and without cirrhosis.
ABT-493/ABT-530EXPERIMENTALABT-493/ABT-530 (300 mg/120 mg) coformulated once daily (QD) for 12 weeks.
Arm A DB Active DrugEXPERIMENTALABT-493/ABT-530 (300 mg/120 mg) coformulated once daily (QD) for 12 weeks (double-blind \[DB\] treatment period)
Arm B DB PlaceboEXPERIMENTALPlacebo for ABT-493/ABT-530 QD for 12 weeks (DB treatment period)
Arm B OL Active DrugEXPERIMENTALABT-493/ABT-530 (300 mg/120 mg) coformulated once daily (QD) for 12 weeks (open-label \[OL\] treatment period)

Interventions

NameTypeDescription
ABT-493/ABT-530DRUGCo-formulated tablet
sofosbuvir (SOF)DRUGTablet
ribavirin (RBV)DRUGCapsule
OBV/PTV/rDRUGCo-formulated tablet
Placebo for ABT-493/ABT-530DRUGtablet
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Females were postmenopausal for at least 2 years prior to screening; surgically sterile or had a vasectomized partner; or, if of childbearing potential and sexually active with a male partner, were currently using at least 1 effective method of birth control at the time of Scr...

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Frequently asked questions about ABT-493/ABT-530

What is ABT-493 used for?

ABT-493 is an investigational small molecule being developed for the treatment of chronic hepatitis C virus (HCV) infection, including genotype 2 infection, and has been studied in patients with hepatic impairment. It is in Phase 3 clinical development and is not yet approved by the FDA.

What does ABT-493 target?

ABT-493 is a direct-acting antiviral that targets the hepatitis C virus. It is being studied in combination with ABT-530 for the treatment of chronic HCV infection. The specific molecular target of ABT-493 has not been disclosed in the available clinical trial information.

Who makes ABT-493?

ABT-493 is being developed by AbbVie Inc. (NYSE: ABBV). The company is conducting clinical trials to evaluate the safety and efficacy of ABT-493, often in combination with ABT-530, for the treatment of chronic hepatitis C virus infection.

What phase is ABT-493 in?

ABT-493 is in Phase 3 clinical development for chronic hepatitis C virus infection. It is an investigational drug and has not received FDA approval. Completed Phase 3 trials have evaluated its efficacy and safety in Japanese adults with chronic HCV infection, including those with genotype 2.

What clinical trials is ABT-493 in?

ABT-493 has been studied in several clinical trials, including NCT02707952 and NCT02723084, which are Phase 3 studies in Japanese adults with chronic hepatitis C virus infection. Additional Phase 1 trials, such as NCT02296905 and NCT02442258, evaluated its pharmacokinetics in subjects with hepatic or renal impairment.

Is ABT-493 the same as glecaprevir?

ABT-493 is also known as glecaprevir. It is being developed by AbbVie in combination with ABT-530, which is known as pibrentasvir. This combination has been studied in clinical trials for the treatment of chronic hepatitis C virus infection.