Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in G1b Treatment-Naïve, HCV-Infected Patients

NCT03496233 | Completed Phase 3

• 1 other identifier: 2017- 003710 -58
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Antiviral treatment of G1b Treatment-Naïve HCV-Infected Patients, with non- severe fibrosis, with or without insulin resistance (IR) and/or diabetes mellitus (DM) with EBR/GZR Fixed-Dose Combination for 8 Weeks.

Conditions

Chronic HCV Hepatitis

Outcome Measures

Primary Outcomes (1)

• Efficacy of elbasvir/grazoprevir fixed dose combination for 8 weeks in genotype 1b treatment naive HCV infected patients.

  Proportion of subject with sustained viral response (SVR) 12 weeks after cessation of treatment in G1b treatment naive HCV infected patients, with non severe fibrosis, with or without IR and/or DM treated with elbasvir/grazoprevir fixed dose combination for 8 weeks.

  at 12 weeks

Secondary Outcomes (2)

• Incidence of treatment emergent adverse events (safety and tolerability).

  12 weeks after cessation of treatment

• Insulin resistance

  12 weeks

Study Arms (1)

All patients included

EXPERIMENTAL

All patients included will be treated with Elbasvir/grazoprevir for 8 weeks

Drug: Elbasvir 50 MG / Grazoprevir 100 MG Oral Tablet [Zepatier]

Interventions

Elbasvir 50 MG / Grazoprevir 100 MG Oral Tablet [Zepatier] DRUG

Treatment with EBR/GZR Fixed-Dose Combination for 8 Weeks in G1b Treatment-Naïve, HCV-Infected Patients, with non- severe fibrosis, with or without IR and/or DM

All patients included

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Willing and able to provide written informed consent
• Male or female, age ≥ 18 years
• Chronic HCV infection (≥ 6 months) documented by prior medical history or liver biopsy, only genotype 1b virus. (Positive for anti HCV antibody, HCV RNA, or an HCV genotype)
• Treatment-naïve with no prior exposure to any IFN, RBV, or approved or experimental HCV-specific DAA
• Non severe fibrosis (F≤ 2) according to Metavir score if a biopsy was performed or elasticity measured by Fibroscan® lower than 9.5 kPa or Fibrotest® lower than 0.59 or Fibrometer® lower than 0.63 if Fibroscan® cannot be performed.
• Patients who are HBV core antibody positive. These patients should be monitored for hepatitis flare or HBV reactivation during HCV treatment and post treatment follow-up. Appropriate patient management for HBV infection as clinically indicated should be initiated as recommended by the European Association for the Study of the Liver. EASL 2017 Clinical Practice Guidelines on the management of hepatitis B virus infection. J Hepatol (2017).
• Females of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test on Day 1 prior to enrollment
• Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use 2 effective method(s) of contraception from at least two weeks prior to Day 1 through 14 days after the last dose of study drugs.
• A female subject who is not of reproductive potential is eligible without requiring the use of contraception. A female subjects who is not of reproductive potentials is defined as one who has either 1) reached natural menopause (defined as 12 months with no menses without an alternative medical cause), 2) 6 weeks post surgical bilateral oophorectomy with or without hysterectomy, or 3) bilateral tubal ligation.
• A male subject who is not of reproductive potential is eligible without requiring the use of contraception. A male subject who is not of reproductive potential is defined as: one who has undergone a successful vasectomy. A successful vasectomy is defined as: (1) microscopic documentation of azoospermia, or (2) a vasectomy more than 2 years ago with no resultant pregnancy despite sexual activity post vasectomy.
• Lactating females must agree to discontinue nursing before starting study drug
• Subject must be of generally good health, with the exception of chronic HCV infection, and glucose abnormalities as determined by the Investigator
• Subject must be able to comply with the dosing instructions for study drug administration

You may not qualify if:

• Is under the age of legal consent, is mentally or legally incapacitated, has a history of a clinically significant psychiatric disorder which, in the opinion of the investigator, would interfere with the study procedures.
• Current or prior history of any of the following:
• Clinically significant illness (other than HCV) or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol; subjects currently under evaluation for a potentially clinically significant illness (other than HCV) are also excluded
• Gastrointestinal disorder or post-operative condition that could interfere with the absorption of the study drug
• History of decompensation (e.g., clinical ascites, encephalopathy, and/or variceal hemorrhage)
• Solid organ transplantation (including hematopoietic stem cell transplants) other than kidney, cornea and hair.
• Significant cardiac disease
• Unstable psychiatric condition including hospitalization, suicidal attempt, and/or a period of disability as a result of their psychiatric illness within 2 years prior to Screening
• Malignancy within the 5 years prior to Screening, with the exception of specific cancers that have been cured by surgical resection (e.g., basal cell skin cancer, etc.). Subjects under evaluation for possible malignancy are not eligible
• Significant drug allergy (e.g., hepatotoxicity)
• Subject has the following laboratory parameters at Screening:
• ALT \> 10 x the upper limit of normal (ULN)
• AST \> 10 x ULN
• Direct bilirubin \> 1.5 x ULN
• Platelets \< 75,000/μL

Sponsors & Collaborators

• Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Palermo: lead

Study Sites (1)

Policlinico Paolo Giaccone

Palermo, 90127, Italy

Location

MeSH Terms

Interventions

elbasvir; grazoprevir; Tablets; elbasvir-grazoprevir drug combination

Intervention Hierarchy (Ancestors)

Dosage Forms; Pharmaceutical Preparations

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Full Professor of Gastroenterology

Study Record Dates

• First Submitted: February 16, 2018
• First Posted: April 12, 2018
• Study Start: September 19, 2018
• Primary Completion: May 20, 2020
• Study Completion: June 20, 2020
• Last Updated: February 22, 2023

Record last verified: 2023-02

Locations

IT (1)