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Chronic Hepatitis CVERITASNCT02636608

Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Hungary

An observational study of Chronic Hepatitis C, run by AbbVie.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study seeks to provide evidence of the effectiveness and obtain patient reported outcome (PRO), work productivity and safety data of the interferon-free regimen of paritaprevir (PTV)/ritonavir (r) + ombitasvir (OBV), ± dasabuvir (DSV), ± ribavirin in chronic hepatitis C virus infected participants. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Chronic Hepatitis C
How many people
244 participants
Where
No sites listed yet
Study dates
27 Nov 2015to 23 May 2018
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Chronic Hepatitis C (CHC)

Who may be able to join

  • Treatment-naïve or -experienced adult male or female patients with confirmed chronic hepatitis C (CHC), genotype 1 and 4, receiving combination therapy with the interferon-free paritaprevir (PTV)/ritonavir (r) + ombitasvir (OBV), ± dasabuvir (DSV), ± ribavirin (PTV/r+OBV±DSV±RBV) according to standard of care and in line with the current local label.
  • If RBV is co-administered with the PTV/r+OBV±DSV±RBV, it has been prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy).
  • Patients must voluntarily sign and date Subject Information Form and Informed Consent Form prior to inclusion into the study.
  • Patient must not be participating or intending to participate in a concurrent interventional therapeutic trial.
  • Patient has been started on PTV/r+OBV±DSV±RBV therapy no more than one (1) month prior to the study enrollment.

Who cannot join

  • None

About this study

Official title: Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in Hungary - VERITAS

The study seeks to provide evidence of the effectiveness and obtain patient reported outcome (PRO), work productivity and safety data of the interferon-free regimen of paritaprevir (PTV)/ritonavir (r) + ombitasvir (OBV), ± dasabuvir (DSV), ± ribavirin in chronic hepatitis C virus infected participants.

Keywords
Chronic Hepatitis C, Dasabuvir, Paritaprevir/r/Ombitasvir, Observational Study, Quality of Life, Fibrosis, Cirrhosis, Work Ability
Medical subject headings
Hepatitis C, Chronic, Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02636608
Study groupRoleWhat they receive
Paritaprevir/Ritonavir + Ombitasvir ± Dasabuvir ± RibavirinParticipants in this observational study received treatment with paritaprevir/ritonavir (r) and ombitasvir with or without dasabuvir ± ribavirin (RBV) for 12 or 24 weeks for the treatment of chronic hepatitis C (CHC), according to hepatitis C virus (HCV) genotype/subtype and stage of liver disease. The prescription of treatment regimen was at the discretion of the physician in accordance with local clinical practice and label, was made independently from this observational study and preceded the decision to offer the patient the opportunity to participate in this study.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12)

    Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 12 weeks after the last dose of study drug. Participants with missing HCV RNA were counted as virological failure.

    Measured: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)

Secondary outcomes (20)
  1. Percentage of Participants With Sufficient Follow-up Who Achieved Sustained Virological Response 24 Weeks Post-treatment (SVR24)

    Sustained virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL 24 weeks after the last dose of study drug.

    The Core population with sufficient follow-up data regarding SVR24 included all core population participants who

    • had evaluable HCV RNA data ≥ 126 days after the last actual dose of the ABBVIE REGIMEN
    • or a HCV RNA value ≥ 50 IU/mL at the last measurement post-baseline
    • or had HCV RNA < 50 IU/mL at the last measurement post-baseline, but no HCV RNA measurement ≥ 126 days after the last actual dose of the ABBVIE REGIMEN due to reasons related to safety (e.g. dropped out due to adverse event) or virologic failure.

    Measured: 24 weeks after the last dose of study drug (week 36 or 48 depending on the treatment regimen)

  2. Percentage of Participants Achieving Virological Response at End of Treatment

    Virologic response was defined as hepatitis C virus ribonucleic acid (HCV RNA) levels less than 50 IU/mL.

    Measured: End of treatment (week 12 or 24 depending on the treatment regimen)

  3. Percentage of Participants With Relapse

    Relapse was defined as participants with a virologic response (VR; HCV RNA < 50 IU/mL) at end of treatment (EOT) followed by HCV RNA ≥ 50 IU/mL at any time after the end of treatment.

    Measured: End of treatment (week 12 or 24 depending on the treatment regimen) and up to 24 weeks after the end of treatment.

  4. Number of Participants With Breakthrough

    Breakthrough was defined as at least one documented HCV RNA < 50 IU/mL followed by HCV RNA ≥ 50 IU/mL during treatment.

    Measured: 12 or 24 weeks (depending on the treatment regimen)

  5. Percentage of Participants in Each Non-response Category 12 Weeks Post-treatment

    SVR12 non-response was categorized according to the following:

    • On-treatment virologic failure (breakthrough [at least one documented HCV RNA < 50 IU/mL followed by HCV RNA ≥ 50 IU/mL during treatment] or failure to suppress [each measured on-treatment HCV RNA value ≥ 50 IU/mL]);
    • Relapse, defined as HCV RNA < 50 IU/mL at EOT followed by HCV RNA ≥ 50 IU/mL post-treatment in patients who completed treatment (not more than 7 days shortened);
    • Death;
    • Premature treatment discontinuation with no on-treatment virologic failure;
    • None of the above criteria or missing SVR12 data

    Measured: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)

  6. Percentage of Participants With Adherence to the ABBVIE Regimen, by Adherence Category

    Adherence to the ABBVIE treatment regimen is expressed as a percentage of the target dose and was calculated as:

    Cumulative dose taken / (initial prescribed dose * planned duration) * 100

    The ABBVIE regimen consists of paritaprevir/r and ombitasvir with or without dasabuvir.

    Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen.

  7. Percentage of Participants With Adherence to Ribavirin by Adherence Category

    Adherence to ribavirin is expressed as a percentage of the target dose, and was calculated as:

    Cumulative dose taken / (initial prescribed dose * planned duration) * 100

    Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen

  8. Percentage of Ribavirin Treatment Days in Relation to the Target Number of Ribavirin Treatment Days

    Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen.

  9. Number of Participants Who Received Concomitant Medications

    Concomitant medication other than for chronic hepatitis C used from the time when the decision was made to initiate treatment with paritaprevir/ritonavir and ombitasvir with or without dasabuvir until after the last dose.

    Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen

  10. Number of Participants With Adverse Events, Serious Adverse Events, or Pregnancies

    Measured: From first dose of study drug through 30 days after last dose (16 or 28 weeks depending on the treatment regimen)

  11. Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score

    The EQ-5D-5L is a health state utility instrument that evaluates preference for health status. The 5 items in the EQ-5D-5L comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which are rated on 5 levels of severity (1: indicating no problem, 2: indicating slight problems, 3: indicating moderate problems, 4: indicating severe problems, 5: indicating extreme problems), and a separate visual analog scale (VAS).

    The VAS assesses overall health on a scale from 0 (worst health imaginable) to 100 (best health imaginable). The higher the score the better the health status.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  12. Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score

    The EQ-5D-5L is a health state utility instrument that evaluates preference for health status. The 5 items in the EQ-5D-5L comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) each of which are rated on 5 levels of severity (1: indicating no problem, 2: indicating slight problems, 3: indicating moderate problems, 4: indicating severe problems, 5: indicating extreme problems), and a separate visual analog scale (VAS).

    Responses to the 5 dimension scores were combined and converted into a single preference-weighted health utility index score by applying country-specific weights.The range for EQ-5D-5L index score is 0 to 1 where '0' is defined as a health state equivalent to being dead and '1' is full health.The higher the score the better the health status.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  13. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism

    The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity.

    Absenteeism indicates the percentage of work time missed due to health problems.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  14. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Presenteeism

    The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity.

    Presenteeism indicates the percentage of impairment while working due to health problems.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  15. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Work Productivity Impairment (TWP)

    The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity.

    Total work productivity impairment (TWP) indicates the percentage of overall work impairment due to health problems.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  16. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Total Activity Impairment

    The WPAI Hepatitis C V2.0 is an HCV specific questionnaire used to measure work absenteeism, work presenteeism, and daily activity impairment. Respondents were asked about time missed from work and time while at work during which productivity was impaired in the past seven days. Results of WPAI are expressed as a percentage of impairment from 0 to 100, with higher percentages indicating greater impairment and less productivity.

    Total activity impairment (TAI) indicates the percentage of general (non-work) activity impairment due to health problems.

    Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment

  17. Change From Baseline in Patient Activation Measure 13 (PAM-13)

    PAM-13 is a measure used to assess the patient knowledge, skill, and confidence for self-management, consisting of 13 questions. Each of the 13 items can be answered with one of four possible response options, which are "disagree strongly" (1), "disagree" (2), "agree" (3), "agree strongly" (4). Scores were summed to calculate the overall raw score, then transformed to a scale with a theoretical range 0 to 100, based on calibration tables, with higher PAM scores indicating that the participant is likely to participate more actively in health care processes and takes more responsibility for his or her health.

    Measured: Baseline and end of treatment (week 12 or 24 depending on the treatment regimen)

  18. Number of Participants Who Participated in the AbbVie Patient Support Program (PSP)

    Measured: Up to post treatment week 24

  19. Utilization of the AbbVie Patient Support Program (PSP) Components

    At the end of treatment visit participants were asked to indicate which of the following PSP services they had used:

    • Personal support (e.g., Care Coach)
    • Printed educational material
    • Online educational materials
    • Web-portal
    • App

    Measured: End of treatment (week 12 or 24 depending on the treatment regimen)

  20. Satisfaction With the AbbVie Patient Support Program (PSP) Components

    At the end of treatment visit participants were asked to indicate their level of satisfaction with each of the PSP services they had used.

    Measured: End of treatment (weeks 12 or 24 depending on treatment regimen)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Dec 2015 (estimated)
  2. Study start27 Nov 2015
  3. Primary completion23 May 2018
  4. Study completion23 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
244 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02636608
Sponsor's protocol ID
P15-709
Other IDs
HU15-01
Acronym
VERITAS
Status last verified
Jan 2019
First submitted
16 Dec 2015
Last updated
26 Jul 2019
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Ferenci P, Bourgeois S, Buggisch P, Norris S, Curescu M, Larrey D, Marra F, Kleine H, Dorr P, Charafeddine M, Crown E, Bondin M, Back D, Flisiak R. Real-world safety and effectiveness of ombitasvir/paritaprevir/ritonavir +/- dasabuvir +/- ribavirin in hepatitis C virus genotype 1- and 4-infected patients with diverse comorbidities and comedications: A pooled analysis of post-marketing observational studies from 13 countries. J Viral Hepat. 2019 Jun;26(6):685-696. doi: 10.1111/jvh.13080. Epub 2019 Mar 5.

    PubMed 30739368

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Hepatitis C, run by AbbVie.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving Sustained Virological Response 12 Weeks Post-treatment (SVR12) (time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02636608, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jul 2019.

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