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ombitasvir/paritaprevir/ritonavir and dasabuvir

Phase 3

Chronic Hepatitis C Infection | Small molecule | Infectious Disease |AbbVie Inc.|Last Updated: Oct 5, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment504
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02442271A Study to Evaluate the Efficacy and Safety of Three Experimental Drugs in Adults With Hepatitis C Virus Infection, Who Are Either Treatment-naive or Treatment-experienced in BrazilPHASE3 COMPLETED 222Apr 27, 2015Sep 26, 2016Aug 1, 2017 -
NCT02219503A Study to Evaluate the Safety and Efficacy of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir in Adults With Genotype 1b Chronic Hepatitis C Virus (HCV) Infection and CirrhosisPHASE3 COMPLETED 60Sep 1, 2014Sep 1, 2015Jul 12, 2021 -
NCT02486406A Study to Evaluate Treatment of Hepatitis C Virus Infection in Pediatric SubjectsPHASE2 COMPLETED 64Oct 28, 2015Nov 19, 2020Oct 5, 202121 United States, Belgium +3
NCT02356562A Study of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir With or Without Sofosbuvir and Ribavirin in Direct-Acting Antiviral Agent Treatment-Experienced Adults With Chronic Hepatitis C Virus InfectionPHASE2 COMPLETED 29Feb 3, 2015Jul 7, 2017Dec 20, 2017 -
NCT01782495A Study to Evaluate Chronic Hepatitis C Infection in Adult Transplant RecipientsPHASE2 COMPLETED 129Feb 25, 2013Jul 13, 2017Nov 7, 2017 -
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Study Endpoints
Primary Endpoints
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. Participants with missing data were counted as failures.

Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) Post-treatment
Post-treatment Day 1 to Post-treatment Week 12

Sustained Virologic Response 12 (SVR12) is defined as plasma hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (\< LLOQ; \< 25 IU/mL) 12 weeks after the last dose of study drug. The primary efficacy endpoints were non-inferiority and superiority of the percentage of participants who achieved sustained virologic response 12 weeks after treatment in each treatment arm compared with the historical threshold for sofosbuvir and peginterferon (pegIFN)/RBV for the treatment of subjects with HCV GT1b infection and cirrhosis.

Part 1: Maximum Plasma Concentration (Cmax) of Ombitasvir (OBV)
At Week 2

Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administrated and before administration of a second dose.

Part 1: Concentration of Drug in Blood Plasma Over Time [Area Under the Curve (AUC)] of Ombitasvir (OBV)
At Week 2

AUC is a measure of how long and how much drug is present in the body after dosing. The amount of ombitasvir present was measured up to 24 hours after dosing.

Part 1: Lowest Plasma Concentration (Ctrough) of Ombitasvir (OBV)
At Weeks 2 and 8

Minimum plasma concentration (Ctrough; measured in ng/mL) was directly determined from the concentration-time data.

Part 1: Maximum Plasma Concentration (Cmax) of Paritaprevir (PTV)
At Week 2

Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administrated and before administration of a second dose.

Part 1: Concentration of Drug in Blood Plasma Over Time [Area Under the Curve (AUC)] of Paritaprevir (PTV)
At Week 2

AUC is a measure of how long and how much drug is present in the body after dosing. The amount of paritaprevir present was measured up to 24 hours after dosing.

Part 1: Lowest Plasma Concentration (Ctrough) of Paritaprevir (PTV)
At Weeks 2 and 8

Minimum plasma concentration (Ctrough; measured in ng/mL) was directly determined from the concentration-time data.

Part 1: Maximum Plasma Concentration (Cmax) of Dasabuvir (DSV)
At Week 2

Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administrated and before administration of a second dose.

Part 1: Concentration of Drug in Blood Plasma Against Time [Area Under the Curve (AUC)] of Dasabuvir (DSV)
At Week 2

AUC is a measure of how long and how much drug is present in the body after dosing. The amount of dasabuvir present was measured up to 12 hours after dosing. For two subjects in the 15-29 kg group, the 24 h concentration was used as the 12 h concentration due to the significant sampling time deviation. For one subject in the 30-44 kg group, the 24 h concentration was used as the 12 h concentration due to the significant sampling time deviation.

Part 1: Lowest Plasma Concentration (Ctrough) of Dasabuvir (DSV)
At Weeks 2 and 8

Minimum plasma concentration (Ctrough; measured in ng/mL) was directly determined from the concentration-time data.

Part 1: Maximum Plasma Concentration (Cmax) of Ritonavir (RTV)
At Week 2

Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administrated and before administration of a second dose.

Part 1: Concentration of Drug in Blood Plasma Over Time [Area Under the Curve (AUC)] of Ritonavir (RTV)
At Week 2

AUC is a measure of how long and how much drug is present in the body after dosing. The amount of ritonavir present was measured up to 24 hours after dosing.

Part 1: Lowest Plasma Concentration (Ctrough) of Ritonavir (RTV)
At Weeks 2 and 8

Minimum plasma concentration (Ctrough; measured in ng/mL) was directly determined from the concentration-time data.

Parts 1 and 2: Percentage of Participants With Sustained Virologic Response 12 Weeks After the Last Actual Dose of Study Drug (SVR12)
12 weeks after last dose of study drug (Week 24 or 36 depending on treatment duration)

SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) \< lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug.

Percentage of Part 1 Participants With Sustained Virologic Response 12 (SVR12) Weeks Posttreatment
12 weeks after the last dose of active 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.

Secondary Endpoints
Percentage of Participants With SVR12 by Fibrosis Stage
12 weeks after the last actual dose of study drug
Percentage of Participants With SVR12 by Participant Prior HCV Treatment Experience
12 weeks after the last actual dose of study drug
Percentage of Participants With SVR12 by Participant Eligibility for Treatment With Interferon (IFN) at Screening
12 weeks after the last actual dose of study drug
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
3-DAA ± RBVEXPERIMENTAL3-DAA (ombitasvir/paritaprevir/ritonavir \[25 mg/150 mg/100 mg once daily\] and dasabuvir \[250 mg twice daily\]) with or without weight-based ribavirin (± RBV; dosed 1,000 or 1,200 mg daily divided twice a day) for 12 or 24 weeks.
Ombitasvir/Paritaprevir/Ritonavir plus DasabuvirEXPERIMENTALOmbitasvir/Paritaprevir/Ritonavir (25/150/100 mg once daily) and Dasabuvir (250 mg twice daily) administered for 12 weeks
Adult tablet, 12-17 yr, Part 1EXPERIMENTALParticipants with HCV GT1b without cirrhosis received the adult 3-DAA (OBV/PTV/RTV and DSV) regimen: two 12.5 mg ombitasvir /75 mg paritaprevir /50 mg ritonavir tablets taken orally every morning (QD) and one dasabuvir 250 mg tablet taken orally twice a day (BID) for 12 weeks. Participants with HCV GT1a without cirrhosis received 12-week treatment with the adult 3-DAA regimen and ribavirin 200 mg tablets were administered orally per local label.
Adult tablet, 12-17 yr, Part 2EXPERIMENTALParticipants with HCV GT1b received the adult 3-DAA (OBV/PTV/RTV and DSV) regimen: two 12.5 mg ombitasvir /75mg paritaprevir /50 mg ritonavir tablets taken orally every morning (QD) and one dasabuvir 250 mg tablet taken orally twice a day (BID) for 12 weeks. Participants with HCV GT1a without cirrhosis received 12-week treatment with the adult 3-DAA regimen and ribavirin 200 mg tablets were administered orally per local label. Participants with HCV GT1a with compensated cirrhosis received 24-week treatment with the adult 3-DAA regimen and ribavirin 200 mg tablets were administered orally per local label. Participants with HCV GT4 received 12-week treatment with the OBV/PTV/RTV formulation and ribavirin 200 mg tablets were administered orally per local label.
Mini tablet, 9-11 yr, Part 1EXPERIMENTALParticipants with HCV GT1b without cirrhosis were to receive the mini-tablet 3-DAA (OBV, PTV, RTV, and DSV) regimen for 12 weeks: ombitasvir 0.3 mg, paritaprevir 1.0 mg, and ritonavir 1.0 mg mini-tablets administered orally QD based on body weight and dasabuvir taken orally BID as 3.08 mg mini-tablets based on body weight. Participants with HCV GT1a without cirrhosis received 12-week treatment with the mini-tablet 3-DAA regimen and ribavirin was provided as a 40 mg/mL oral solution and administered per local label.
Mini tablet, 3-8 yr, Part 1EXPERIMENTALParticipants with HCV GT1b without cirrhosis were to receive the mini-tablet 3-DAA (OBV, PTV, RTV, and DSV) regimen for 12 weeks: ombitasvir 0.3 mg, paritaprevir 1.0 mg, and ritonavir 1.0 mg mini-tablets administered orally QD based on body weight and dasabuvir taken orally BID as 3.08 mg mini-tablets based on body weight. Participants with HCV GT1a without cirrhosis received 12-week treatment with the mini-tablet 3-DAA regimen and ribavirin was provided as a 40 mg/mL oral solution and administered per local label.
3-DAA with or without SOF and RBVEXPERIMENTAL3-DAA (ombitasvir/paritaprevir/ritonavir once daily \[QD\] and dasabuvir twice daily \[BID\]) with and without sofosbuvir (SOF) QD and with or without ribavirin (RBV) BID for 12 or 24 weeks
Arm AEXPERIMENTALLiver transplant recipients with HCV genotype 1 infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 24 weeks.
Arm BEXPERIMENTALLiver transplant recipients with HCV genotype 1a or genotype 1b (dependent on prior treatment experience and response) infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 24 weeks.
Arm CEXPERIMENTALLiver transplant receipts with HCV genotype 1b infection who were treatment naïve or prior responders to interferon treatment without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) for 24 weeks.
Arm DEXPERIMENTALLiver transplant recipients with HCV genotype 1a infection with Child Pugh A cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (dosed 1,000 or 1,200 mg daily divided twice a day) for 24 weeks.
Arm EEXPERIMENTALLiver transplant recipients with HCV genotype 1b infection with Child Pugh A cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 12 weeks.
Arm FEXPERIMENTALLiver transplant recipients with HCV genotype 1a infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 12 weeks.
Arm GEXPERIMENTALLiver transplant recipients with HCV genotype 1b infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) for 12 weeks.
Arm HEXPERIMENTALRenal transplant recipients with HCV genotype 1a infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 12 weeks.
Arm IEXPERIMENTALRenal transplant recipients with HCV genotype 1b infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) with dasabuvir (250 mg twice daily) for 12 weeks.
Arm JEXPERIMENTALLiver transplant recipients with HCV genotype 4 infection without cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 12 weeks.
Arm KEXPERIMENTALLiver transplant recipients with HCV genotype 4 infection with Child Pugh A cirrhosis received ombitasvir/paritaprevir/ritonavir (25 mg/150 mg/100 mg once daily) plus weight-based ribavirin (1,000 or 1,200 mg daily divided twice a day) for 24 weeks.
Interventions
NameTypeDescription
ombitasvir/paritaprevir/ritonavir and dasabuvirDRUGTablet; ombitasvir coformulated with paritaprevir and ritonavir, dasabuvir tablet
ribavirinDRUGTablet
Ombitasvir/Paritaprevir/RitonavirDRUGTablet; paritaprevir co-formulated with ritonavir and ombitasvir
DasabuvirDRUGTablet
Ombitasvir mini tabletDRUGFilm-coated tablet for oral use
Paritaprevir mini tabletDRUGFilm-coated tablet for oral use
Ritonavir mini tabletDRUGFilm-coated tablet for oral use
Dasabuvir mini tabletDRUGFilm-coated tablet for oral use
Ribavirin solutionDRUGOral solution
SofosbuvirDRUGtablet
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Females must be post-menopausal for more than 2 years or surgically sterile or practicing acceptable forms of birth control * Males must be surgically sterile or agree to practice acceptable forms of birth control * Chronic hepatitis C virus (HCV) infection at screening * Fibr...

Countries:United StatesBelgiumGermanyPuerto RicoSpain
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