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 (TOPAZ-II)
An Open-Label, Multicenter Study to Evaluate Long-term Outcomes 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 (TOPAZ-II)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85013
- St. Josephs Hospital and Med Center /ID# 127800
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California
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Bakersfield, California, United States, 93301
- Franco Felizarta, Md /Id# 126569
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Los Angeles, California, United States, 90036
- Ruane Clinical Research Group /ID# 126577
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San Francisco, California, United States, 94115
- California Pacific Medical Center /ID# 128681
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Colorado
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Aurora, Colorado, United States, 80045
- Univ of Colorado Cancer Center /ID# 126568
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Medstar Health Research Institute /ID# 128683
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Florida
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Bradenton, Florida, United States, 34209
- Bach and Godofsky Infec Dis /ID# 128685
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Gainesville, Florida, United States, 32610
- University of Florida - Archer /ID# 127787
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Jacksonville, Florida, United States, 32256
- Encore Borland-Groover Clinical Research /Id# 127781
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Miami, Florida, United States, 33136
- University of Miami /ID# 127622
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Wellington, Florida, United States, 33414
- South Florida Ctr Gastro, P.A. /ID# 126567
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Georgia
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Atlanta, Georgia, United States, 30342
- Atlanta Gastro Assoc /ID# 126571
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Illinois
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Chicago, Illinois, United States, 60611-2927
- Northwestern University Feinberg School of Medicine /ID# 128684
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Chicago, Illinois, United States, 60637-1443
- The University of Chicago Medical Center /ID# 126576
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Indiana
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Indianapolis, Indiana, United States, 46202
- Duplicate_Indiana University Health /ID# 126573
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Louisiana
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New Orleans, Louisiana, United States, 70112-2699
- Tulane University /ID# 127779
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Shreveport, Louisiana, United States, 71105-6800
- Louisana Research Center, LLC /ID# 126561
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins University /ID# 127791
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Catonsville, Maryland, United States, 21228
- Digestive Disease Associates - Catonsville /ID# 127624
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Massachusetts
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Boston, Massachusetts, United States, 02215-5400
- Beth Israel Deaconess Medical Center /ID# 126560
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health System /ID# 127783
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Minnesota
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Plymouth, Minnesota, United States, 55446
- Minnesota Gastroenterology PA /ID# 126579
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Missouri
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Saint Louis, Missouri, United States, 63104
- St. Louis University /ID# 126564
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New Jersey
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Egg Harbor Township, New Jersey, United States, 08234
- AGA Clinical Research Associates, LLC /ID# 126578
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Newark, New Jersey, United States, 07103
- Rutgers New Jersey School of Medicine /ID# 128686
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New Mexico
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Albuquerque, New Mexico, United States, 87102-4517
- University of New Mexico /ID# 128859
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Santa Fe, New Mexico, United States, 87505
- Southwest Care Center /ID# 127784
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New York
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New Hyde Park, New York, United States, 11040
- North Shore University Hospital /ID# 126565
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New York, New York, United States, 10029
- The Mount Sinai Hospital /ID# 128682
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New York, New York, United States, 10032-3725
- Columbia Univ Medical Center /ID# 126566
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New York, New York, United States, 10032-3725
- Columbia Univ Medical Center /ID# 127621
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Poughkeepsie, New York, United States, 12601
- Premier Medical Group - GI Division /ID# 127793
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Rochester, New York, United States, 14642
- Univ Rochester Med Ctr /ID# 127655
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North Carolina
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Charlotte, North Carolina, United States, 28203
- Atrium Health Carolinas Medical Center /ID# 127632
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Statesville, North Carolina, United States, 28677
- Carolinas Center For Liver Dis /ID# 127788
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Ohio
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Cincinnati, Ohio, United States, 45267-2827
- University of Cincinnati Physicians Company, LLC /ID# 127790
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Oklahoma
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Tulsa, Oklahoma, United States, 74104
- Options Health Research, LLC /ID# 127630
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Rhode Island
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Providence, Rhode Island, United States, 02905
- University Gastroenterology /ID# 127789
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Tennessee
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Germantown, Tennessee, United States, 38138
- Gastro One /ID# 127792
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Texas
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Baytown, Texas, United States, 77521-2415
- Inquest Clinical Research /ID# 126574
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Houston, Texas, United States, 77004
- Cure C Consortium /ID# 126570
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Houston, Texas, United States, 77030-2783
- Liver Associates of Texas, P.A /ID# 126563
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Pflugerville, Texas, United States, 78660
- Austin Institute for Clinical Research /ID# 126562
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San Antonio, Texas, United States, 78215
- TX Liver Inst, Americ Res Corp /ID# 127623
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Utah
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Murray, Utah, United States, 84123
- Clinical Research Ctrs America /ID# 127780
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Washington
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Seattle, Washington, United States, 98101
- Virginia Mason - Seattle Orthapedics /ID# 130288
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Seattle, Washington, United States, 98109
- University of Washington /ID# 127785
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Wisconsin
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Madison, Wisconsin, United States, 53715
- Dean Clinic /ID# 126575
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Females must be post-menopausal for more than 2 years or surgically sterile or practicing specific forms of birth control
- Chronic hepatitis C, genotype 1-infection (HCV RNA level greater than 1,000 IU/mL at screening)
- HCV genotype 1 infection per screening laboratory result
Exclusion Criteria:
- Use of contraindicated medications within 2 weeks of dosing
- Abnormal laboratory tests
- Positive hepatitis B surface antigen and anti-Human Immunodeficiency Virus Antibody
- History of solid organ transplant, clinical evidence of Child-Pugh B or C classification or clinical history of liver decompensation
- Presence of hepatocellular carcinoma at screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ABT-450/r/ABT-267 plus ABT-333 with or without ribavirin (RBV)
Participants 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.
|
Tablet for oral use
Other Names:
Tablet for oral use
Other Names:
Ribavirin 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.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All-Cause Death: Time to Event
Time Frame: 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-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490).
|
At Post-Treatment Weeks 52, 104, 156, 208, and 260
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Liver-Related Death: Time to Event
Time Frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
Time to liver-related death was defined as number of days from the 1st day of study drug dosing for the participant to date of liver-related death.
All liver-related 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 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-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-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490).
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At Post-Treatment Weeks 52, 104, 156, 208, and 260
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Liver Decompensation: Time to Event
Time Frame: 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-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490).
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At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
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Liver Transplantation: Time to Event
Time Frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
Time to liver transplantation was defined as number of days from the 1st day of study drug dosing for the participant to date of liver transplantation.
All liver transplantation 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 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-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490).
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At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
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Hepatocellular Carcinoma: Time to Event
Time Frame: At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
Time to hepatocellular carcinoma was defined as number of days from the 1st day of study drug dosing for the participant to date of hepatocellular carcinoma.
All hepatocellular carcinoma was to be included, 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 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 hepatocellular carcinoma.
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-II (this study) and the companion study TOPAZ-I (M14-423; NCT02219490).
|
At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
|
All-Cause Death, Liver-Related Death, Liver Decompensation, Liver Transplantation, Hepatocellular Carcinoma: Time to Event
Time Frame: 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-I; NCT02219490.
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At Post-Treatment Weeks 52, 104, 156, 208, and 260
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Sustained Virologic Response 12 Weeks Post-treatment (SVR12)
Time Frame: 12 weeks after the last actual dose of study drug
|
SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug.
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12 weeks after the last actual dose of study drug
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Mean Change From Baseline in Short Form 36 Version 2.0 (SF-36 V2) Physical Component Summary (PCS) Score at Post-Treatment Week 12 and Post-Treatment Week 24
Time Frame: From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
|
The SF-36v2 is a non-disease specific Health Related Quality of Life (HRQoL) instrument with extensive use in multiple disease states.
The SF-36v2 instrument comprises 36 total items (questions) targeting a subject's functional health and well-being in 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) with a recall period of 4 weeks.
Domain scores are aggregated into a Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score.
SF-36v2 scores for each domain and PCS/MCS range from 0-100: higher scores indicate a better state of health.
Positive numbers indicate improvement from baseline.
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From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
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Mean Change From Baseline in Short Form 36 Version 2.0 (SF-36 V2) Mental Component Summary (MCS) Score at Post-Treatment Week 12 and Post-Treatment Week 24
Time Frame: From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
|
The SF-36v2 is a non-disease specific Health Related Quality of Life (HRQoL) instrument with extensive use in multiple disease states.
The SF-36v2 instrument comprises 36 total items (questions) targeting a subject's functional health and well-being in 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional and mental health) with a recall period of 4 weeks.
Domain scores are aggregated into a Physical Component Summary (PCS) score and a Mental Component Summary (MCS) score.
SF-36v2 scores for each domain and PCS/MCS range from 0-100: higher scores indicate a better state of health.
Positive numbers indicate improvement from baseline.
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From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
|
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Mean Change From Baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) Total Score at Post-Treatment Week 12 and Post-Treatment Week 24
Time Frame: From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
|
The FACIT-F is a symptom specific instrument with a focus on measuring fatigue in a variety of chronic diseases or health conditions.
It was originally developed from interviews with oncology patients and clinical experts to assess anemia-associated fatigue.
Its 13-item-version assesses peripheral, central, or mixed fatigue with a recall period of 7 days and yields a summed total score ranging between 0 and 52.
Higher FACIT-F scores indicate a lesser degree of fatigue.
Positive numbers indicate improvement from baseline.
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From Baseline to Post-Treatment Week 12 and Post-Treatment Week 24
|
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Treatment Compliance: Percentage of Tablets Taken Relative to the Total Tablets
Time Frame: Up to Treatment Week 24
|
Treatment compliance was calculated as the percentage of tablets taken (presumed as [tablets dispensed-tablets returned]) relative to the total tablets, respectively, expected to be taken.
Study drug interruptions due to an adverse event or other planned interruptions recorded on the electronic case report form (eCRF) were to be subtracted from the duration.
For compliance to ribavirin (RBV), RBV dose modifications due to adverse events, toxicity management, or weight changes as recorded on the RBV Dose Modifications eCRF were to be used to modify the total number of tablets that should have been taken.
A participant is considered to be compliant if the percentage is between 80% and 120%.
|
Up to Treatment Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- RNA Virus Infections
- Virus Diseases
- Blood-Borne Infections
- Disease Attributes
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
- Infections
- Communicable Diseases
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis, Chronic
- Hepatitis C, Chronic
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Antimetabolites
- Protease Inhibitors
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- HIV Protease Inhibitors
- Viral Protease Inhibitors
- Ribavirin
- Ritonavir
Other Study ID Numbers
Other Study ID Numbers
- M14-222
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Clinical Study Report (CSR)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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