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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.

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 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

Other trials in Netherlands

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.

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 groups in NCT02817594
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 (12)
  1. 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)

  2. 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)

  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. 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)

  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);
    • 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)

  6. 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.

  7. 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

  8. 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.

  9. 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).

  10. 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

  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 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

  12. 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.

  1. First posted29 Jun 2016 (estimated)
  2. Study start20 Jan 2016
  3. Primary completion7 Mar 2018
  4. Study completion7 Mar 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
51 participants (actual)
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
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

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.

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