Chronic Hepatitis C3DUTCHNCT02817594
Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin and Patient Support Program in Patients With Chronic Hepatitis C
An observational study of Chronic Hepatitis C, run by AbbVie at 9 sites in Netherlands.
Trial summary
The interferon-free combination regimen of paritaprevir/r - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) for the treatment of chronic hepatitis C (CHC) has been shown to be safe and effective in randomized controlled clinical trials with strict inclusion and exclusion criteria under well… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Hepatitis C
- How many people
- 51 participants
- Where
- 9 sitesNetherlands
- Study dates
- 20 Jan 2016to 7 Mar 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients chronically infected with HCV, receiving the interferon-free ABBVIE REGIMEN will be offered the opportunity to participate in this study during a routine clinical visit at the participating sites.
Who may be able to join
- Treatment-naïve or -experienced adult male or female participants with confirmed CHC, genotype 1 or 4, receiving combination therapy with the interferon-free ABBVIE REGIMEN ± RBV according to standard of care and in line with the current local label.
- If RBV is co-administered with the ABBVIE REGIMEN, it has been prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy).
- Participants must voluntarily sign and date informed consent prior to inclusion into the study
Who cannot join
- Patients participating or intending to participate in a concurrent interventional therapeutic trial.
- Unable to complete the questionnaires due to cognitive impairment or lack of any kind of cognitive competence, as to be judged by the healthcare professional who is treating the patient.
- Unable to complete the questionnaires due to language incompetence.
- Unable to voluntarily sign and date the informed consent.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
Netherlands9 sites
Noordwest Ziekenhuisgroep /ID# 152604
Alkmaar, 1815 JD
Duplicate_Onze Lieve Vrouwe Gasthuis /ID# 152600
Amsterdam, 1061 AE
Albert Schweitzer Ziekenhuis /ID# 152597
Dordrecht, South Holland, 3318 AT
Universitair Medisch Centrum Groningen /ID# 152596
Groningen, 9713 GZ
Leids Universitair Medisch Centrum /ID# 154637
Leiden, 2333 ZA
Radbound University Medical Ce /ID# 152598
Nijmegen, 6526 GA
Erasmus Medisch Centrum /ID# 154635
Rotterdam, 3015 CE
Maasstad Ziekenhuis /ID# 152592
Rotterdam, 3079 DZ
Universitair Medisch Centrum Utrecht /ID# 152595
Utrecht, 3584 CX
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 The Netherlands (3DUTCH)
The interferon-free combination regimen of paritaprevir/r - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) for the treatment of chronic hepatitis C (CHC) has been shown to be safe and effective in randomized controlled clinical trials with strict inclusion and exclusion criteria under well controlled conditions.
This observational study is the first effectiveness research examining the ABBVIE REGIMEN ± RBV, used according to local label, under real world conditions in the Netherlands in a clinical practice patient population.
- Conditions
- Chronic Hepatitis C
- Keywords
- Chronic Hepatitis C, Paritaprevir/r - Ombitasvir, ± Dasabuvir, Sustained Virological Response, Observational Study, Chronic Hepatitis C genotype 1, Chronic Hepatitis C genotype 4
- Medical subject headings
- Hepatitis C, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Paritaprevir/Ritonavir + Ombitasvir ± Dasabuvir ± Ribavirin | Participants 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.
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 (12)
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)
Percentage of Participants With Sufficient Follow-up Who Achieved Sustained Virological Response 12 Weeks Post-treatment
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.
The Core Population with sufficient follow-up data regarding SVR12 included all core population participants who
- had evaluable HCV RNA data ≥ 70 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 ≥ 70 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: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)
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.
Percentage 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)
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);
- Premature treatment discontinuation with no on-treatment virologic failure;
- Missing SVR12 data and/or none of the above criteria.
Measured: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)
Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA
Adherence to study treatment was calculated as:
Cumulative dose taken / (initial prescribed dose * planned duration)
Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen.
Percentage of the Ribavirin Dose Taken in Relation to the Target Dose of Ribavirin
Adherence to study treatment was calculated as:
Cumulative dose taken / (initial prescribed dose * planned duration)
Measured: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen
Percentage of Ribavirin (RBV) 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.
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 weeks).
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
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 with a separate visual analog scale (VAS).
The VAS assesses overall health on a scale from 0 (worst health imaginable) to 100 (best health imaginable).
Measured: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment
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
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2016 (estimated)
- Study start20 Jan 2016
- Primary completion7 Mar 2018
- Study completion7 Mar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Chronic Hepatitis CStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02817594
- Sponsor's protocol ID
- P15-788
- Acronym
- 3DUTCH
- Status last verified
- Jan 2019
- First submitted
- 27 Jun 2016
- Last updated
- 17 May 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 17 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Real World Evidence of the Effectiveness of Paritaprevir/r - Ombitasvir, ± Dasabuvir, ± Ribavirin in Patients With Chronic Hepatitis C - An Observational Study in The Netherlands (3DUTCH)
- ClinicalTrials.gov ID
- NCT02817594
- Acronym / sponsor ID
- 3DUTCH / P15-788
- Conditions
- Chronic Hepatitis C
- Keywords
- Chronic Hepatitis C, Paritaprevir/r - Ombitasvir, ± Dasabuvir, Sustained Virological Response, Observational Study, Chronic Hepatitis C genotype 1, Chronic Hepatitis C genotype 4
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 51 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 20 Jan 2016 (actual)
- Primary completion
- 7 Mar 2018 (actual)
- Study completion
- 7 Mar 2018 (actual)
- First posted
- 29 Jun 2016 (estimated)
- Results
- Posted 17 May 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The interferon-free combination regimen of paritaprevir/r - ombitasvir with or without dasabuvir (ABBVIE REGIMEN) ± ribavirin (RBV) for the treatment of chronic hepatitis C (CHC) has been shown to be safe and effective in randomized controlled clinical trials with strict inclusion and exclusion criteria under well controlled conditions.
This observational study is the first effectiveness research examining the ABBVIE REGIMEN ± RBV, used according to local label, under real world conditions in the Netherlands in a clinical practice patient population.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Paritaprevir/Ritonavir + Ombitasvir ± Dasabuvir ± Ribavirin | – | –Participants 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients chronically infected with HCV, receiving the interferon-free ABBVIE REGIMEN will be offered the opportunity to participate in this study during a routine clinical visit at the participating sites.
Key inclusion criteria (3 listed)
- Treatment-naïve or -experienced adult male or female participants with confirmed CHC, genotype 1 or 4, receiving combination therapy with the interferon-free ABBVIE REGIMEN ± RBV according to standard of care and in line with the current local label.
- If RBV is co-administered with the ABBVIE REGIMEN, it has been prescribed in line with the current local label (with special attention to contraception requirements and contraindication during pregnancy).
- Participants must voluntarily sign and date informed consent prior to inclusion into the study
Key exclusion criteria (4 listed)
- Patients participating or intending to participate in a concurrent interventional therapeutic trial.
- Unable to complete the questionnaires due to cognitive impairment or lack of any kind of cognitive competence, as to be judged by the healthcare professional who is treating the patient.
- Unable to complete the questionnaires due to language incompetence.
- Unable to voluntarily sign and date the informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
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)
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.
12 secondary outcomes
Percentage of Participants Achieving Virological Response at End of Treatment
Time frame: End of treatment (week 12 or 24 depending on the treatment regimen)
Percentage of Participants With Sufficient Follow-up Who Achieved Sustained Virological Response 12 Weeks Post-treatment
Time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)
Percentage of Participants With Relapse
Time frame: End of treatment (week 12 or 24 depending on the treatment regimen) and up to 24 weeks after the end of treatment.
Percentage of Participants With Breakthrough
Time frame: 12 or 24 weeks (depending on the treatment regimen)
Percentage of Participants in Each Non-response Category 12 Weeks Post-treatment
Time frame: 12 weeks after the last dose of study drug (week 24 or 36 depending on the treatment regimen)
Percentage of the Direct Acting Antiviral (DAA) Dose Taken in Relation to the Target Dose of DAA
Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen.
Percentage of the Ribavirin Dose Taken in Relation to the Target Dose of Ribavirin
Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen
Percentage of Ribavirin (RBV) Treatment Days in Relation to the Target Number of Ribavirin Treatment Days
Time frame: From first dose of study drug to end of treatment, 12 to 24 weeks depending on the treatment regimen.
Number of Participants With Adverse Events, Serious Adverse Events, or Pregnancies
Time frame: From first dose of study drug through 30 days after last dose (16 weeks).
Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) Index Score
Time frame: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment
Change From Baseline in EuroQol 5 Dimension 5 Level (EQ-5D-5L) VAS Score
Time frame: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment
Change From Baseline in Work Productivity and Activity Impairment (WPAI): Absenteeism
Time frame: Baseline, end of treatment (week 12 or 24 depending on the treatment regimen), and at 12 and 24 weeks after end of treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 May 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
AbbVie Inc. study director
AbbVie
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Hepatitis C, run by AbbVie at 9 sites in Netherlands.
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 3 inclusion and 4 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 17 May 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
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 17 May 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?
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 17 May 2019.