The purpose of this study is to assess the safety and efficacy of daclatasvir and simeprevir with and without ribavirin for genotype 1 chronic hepatitis C virus infection in patients who are treatment-naive or null responders to previous pegylated interferon/ribavirin therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
230
Tablets, oral, 30 mg, once daily
Capsule, oral, 150 mg, once daily
Tablets, oral, 500-600 mg, twice daily
San Francisco General Hospital
San Francisco, California, United States
Percentage of Participants With Sustained Virologic Response Rate at Post-treatment Week 12 (SVR12)
SVR12 rate was defined as hepatitis C virus (HCV) RNA levels to be \<lower limit of quantitation, target detected or target not detected, at post-treatment Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Time frame: Post Treatment Week 12 (Follow-up period)
Percentage of Participants With Rapid Virologic Response (RVR) at Week 4
RVR was defined as hepatitis C virus (HCV) RNA levels to be \<lower limit of quantitation, target not detected at Week 4. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Time frame: Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
cEVR was defined as hepatitis C virus (HCV) RNA levels to be \<lower limit of quantitation, target not detected at Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Time frame: Week 12
Percentage of Participants With Extended Rapid Virologic Response (eRVR)
eRVR were defined as hepatitis C virus (HCV) RNA levels to be \<lower limit of quantitation, target not detected at both Week 4 and Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Time frame: Week 4 and Week 12
Percentage of Participants With End of Treatment Response (EOTR)
EOTR were defined as hepatitis C virus (HCV) RNA levels \<lower limit of quantitation, target not detected at end of treatment. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
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Kaiser Permanente Med Ctr
San Francisco, California, United States
Indiana University
Indianapolis, Indiana, United States
Johns Hopkins University
Lutherville, Maryland, United States
Nashville Medical Research Institute
Nashville, Tennessee, United States
Texas Clinical Research Institute, Llc
Arlington, Texas, United States
Metropolitan Research
Fairfax, Virginia, United States
Local Institution
Buenos Aires, Buenos Aires, Argentina
Local Institution
Buenos Aires, Buenos Aires, Argentina
Local Institution
Créteil, France
...and 16 more locations
Time frame: End of treatment (Week 24)
Percentage of Participants With Sustained Virologic Response at Week 12 (SVR12) by rs12979860 Single Nucleotide Polymorphisms in the IL-28B Gene Categories
Participants were categorized into 3 genotypes based on single nucleotide polymorphisms in the IL28B gene. SVR12 was defined as hepatitis C virus (HCV) RNA levels below lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Time frame: Baseline, post-treatment Week 12 (Follow-up period)
Number of Participants With Serious Adverse Events (SAEs) and Discontinuations Due to Adverse Events (AEs) and Who Died
AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, or drug dependency/abuse; was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization. Based on the severity, AEs were categorized as Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
Time frame: From start of treatment (Day 1) up to 7 days post last dose of study treatment (Week 24)