Hepatitis C Virus (HCV)Phase 2/3DORANCT03067129
A Study to Evaluate the Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Pediatric Subjects With Genotypes 1-6 Chronic Hepatitis C Virus (HCV) Infection
A Phase 2/3 study testing Glecaprevir/Pibrentasvir Adult Formulation and Glecaprevir + Pibrentasvir Pediatric Formulation in people with Hepatitis C Virus (HCV), run by AbbVie at 38 sites in 9 countries.
Trial summary
The objectives of this study are to assess the pharmacokinetics, safety, and efficacy of glecaprevir/pibrentasvir adult formulation in adolescents ages 12 to 17 years and a pediatric formulation of glecaprevir and pibrentasvir in children ages 3 to < 12 years. Read more about this study
- Who is it for?
- Ages 3 to 17 years
- Conditions the study is for
- Hepatitis C Virus (HCV)
- What is being tested?
- Glecaprevir/Pibrentasvir Adult Formulation and Glecaprevir + Pibrentasvir Pediatric Formulation
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 129 participants
- Where
- 38 sitesin 9 countries
- Study dates
- 20 Mar 2017to 12 Sep 2022
- Phase
- Phase 2/3
- 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 3 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Hepatitis C virus (HCV) infection demonstrated by positive anti-HCV antibody (Ab) and HCV ribonucleic acid (RNA) greater than or equal to 1000 International Unit (IU)/mL
- Subjects participating in the intense pharmacokinetic (IPK) part must have been HCV treatment-naive, with or without compensated cirrhosis (Child-Pugh A), human immunodeficiency virus type 1 (HIV-1) negative and must have had a Screening laboratory result indicating HCV genotype (GT) 1, 2, 3, 4, 5, or 6-infection.
Who cannot join
- Females who were pregnant or breastfeeding
- Positive test result for hepatitis B surface antigen (HbsAg) or positive test result for hepatitis B virus deoxyribonucleic acid (DNA)
- Participants with other known liver diseases
- Decompensated cirrhosis defined as: presence of ascites, history of variceal bleeding, lab values consistent with Child-Pugh class B or C cirrhosis
Trial locations and contacts
38 sites in 9 countries.
38 sites in 9 countries
United States15 sites
Childrens Hospital Colorado /ID# 157996
Aurora, Colorado, 80045
Boston Childrens Hospital /ID# 157988
Boston, Massachusetts, 02115
Boston Medical Center /ID# 157997
Boston, Massachusetts, 02118
UNC Health Care /ID# 157991
Chapel Hill, North Carolina, 27514
Cincinnati Childrens Hosp Med /ID# 158007
Cincinnati, Ohio, 45229
UF Hepatology Research at CTRB /ID# 158008
Gainesville, Florida, 32610-0272
CT Childrens Medical Ctr, US /ID# 158639
Hartford, Connecticut, 06106
Baylor College of Medicine /ID# 157989
Houston, Texas, 77030-3411
Indiana University /ID# 158001
Indianapolis, Indiana, 46202
Monroe-Carell Jr. Children's H /ID# 169037
Nashville, Tennessee, 37232
Columbia Univ Medical Center /ID# 158000
New York, New York, 10032-3725
Advent Health /ID# 166022
Orlando, Florida, 32803
Children's Hospital of Philadelphia /ID# 158003
Philadelphia, Pennsylvania, 19104
Child Hosp of Pittsburgh,PA /ID# 158004
Pittsburgh, Pennsylvania, 15213-2583
Univ of California San Francis /ID# 158002
San Francisco, California, 94158
Japan4 sites
Juntendo University Hospital /ID# 212912
Bunkyo-ku, Tokyo, 113-8431
Kurume University Hospital /ID# 165718
Kurume-shi, Fukuoka, 830-0011
Osaka General Medical Center /ID# 212745
Osaka, Osaka, 558-8558
Osaka University Hospital /ID# 165709
Suita-shi, Osaka, 565-0871
Spain4 sites
Hospital Universitario Vall d'Hebron /ID# 163323
Barcelona, 08035
Hospital Sant Joan de Deu /ID# 163282
Esplugues de Llobregat, Barcelona, 08950
Hospital Universitario La Paz /ID# 163283
Madrid, 28046
Hospital Universitario y Politecnico La Fe /ID# 163325
Valencia, 46026
Canada3 sites
Alberta Children's Hospital /ID# 163449
Calgary, Alberta, T3B 6A9
Stollery Children's Hospital /ID# 163450
Edmonton, Alberta, T6G 2X8
Hospital for Sick Children /ID# 163448
Toronto, Ontario, M5G 1X8
Germany3 sites
Charite Universitaetsmedizin Berlin /ID# 165186
Berlin, 10117
Universitatsklinikum Freiburg /ID# 165187
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Helios Klinikum Wuppertal /ID# 165185
Wuppertal, 42283
Russia3 sites
Federal State Budgetary Institution - Institute of Nutrition /ID# 163345
Moscow, Moscow, 109240
National Medical Scientific Centre of children health /ID# 163344
Moscow, Moscow, 119296
Scientific and Research Institute of pediatric infections /ID# 163343
Saint Petersburg, 197022
United Kingdom3 sites
Birmingham Childrens Hospital /ID# 162718
Birmingham, B4 6NH
Queen Elizabeth University Hos /ID# 162719
Glasgow, G514TF
King's College Hospital NHS /ID# 162717
London, SE5 9RS
Belgium2 sites
UZ Leuven /ID# 162174
Leuven, 3000
Cliniques Universitaires Saint Luc /ID# 162173
Woluwe-Saint-Lambert, Brussels Capital, 1200
Puerto Rico1 site
San Jorge Children Hospital /ID# 160850
San Juan, 00912-3310
About this study
Official title: An Open-Label, Multicenter Study to Evaluate the Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Pediatric Subjects With Genotypes 1-6 Chronic Hepatitis C Virus (HCV) Infection
The objectives of this study are to assess the pharmacokinetics, safety, and efficacy of glecaprevir/pibrentasvir adult formulation in adolescents ages 12 to 17 years and a pediatric formulation of glecaprevir and pibrentasvir in children ages 3 to < 12 years.
Read the detailed description
This was a multicenter study to evaluate the pharmacokinetics (PK), efficacy, and safety of glecaprevir (GLE) and pibrentasvir (PIB) treatment for 8, 12, or 16 weeks in hepatitis C virus (HCV) genotype 1 - 6 (GT1 - GT6)-infected pediatric participants 3 to < 18 years of age, with or without compensated cirrhosis, with or without human immunodeficiency virus (HIV) coinfection, who are either treatment-naïve (TN), treatment-experienced (TE) with pegylated interferon (pegIFN) with or without ribavirin (RBV), or TE with sofosbuvir (SOF) + RBV with or without pegIFN.
The study was divided into 2 parts, according to the formulation of GLE/PIB administered. Part 1 of the study enrolled HCV GT1 - GT6 infected adolescent participants into the 12 to < 18 years old age group who were willing to swallow the adult formulation of GLE/PIB (Cohort 1). Part 2 of the study enrolled HCV GT1 - GT6 infected pediatric participants divided into the 9 to < 12 (Cohort 2), 6 to < 9 (Cohort 3), and 3 to < 6 (Cohort 4) years old age groups, to receive the pediatric formulation of GLE + PIB. Part 1 enrolled first and once the pediatric formulation was available enrollment into Part 2 commenced, with each cohort enrolled in parallel.
In each cohort, the first group of participants were enrolled into an intense pharmacokinetics (IPK) portion to characterize the PK and safety in each age group, followed by enrollment into a non-IPK safety/efficacy portion. Study participants enrolled in the IPK portion must have been HIV-negative, treatment-naive, and have an identified HCV genotype. In the IPK portion the first approximately six participants received an initial proposed dose of GLE and PIB based on the child's weight and age at screening. PK samples from these participants were evaluated to determine if therapeutic efficacious exposures were attained, comparable to those of adults, and if any dose adjustments were needed. After the intensive PK analysis results for the first six participants were available, enrollment of the remaining IPK portion resumed with subsequent participants receiving an adjusted final dose as applicable. Additional participants may have been required for further intensive PK analysis per age cohort if therapeutic exposure targets were not achieved.
Enrollment into the non-IPK safety and efficacy portions began when the dosing recommendations per age group based on the PK and clinical data from the IPK analysis were ascertained.
- Conditions
- Hepatitis C Virus (HCV)
- Being tested
- Glecaprevir/Pibrentasvir Adult Formulation, Glecaprevir + Pibrentasvir Pediatric Formulation
- Keywords
- Chronic Hepatitis C Virus, Glecaprevir, Pibrentasvir, Pharmacokinetic, Treatment naïve, Treatment experienced, Interferon (IFN), Pegylated interferon (pegIFN), Ribavirin (RBV), Sofosbuvir, Non-cirrhotic cirrhosis, Compensated (Child-Pugh A) cirrhosis
- Medical subject headings
- Hepatitis C, Hepatitis C, Chronic, Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Glecaprevir/Pibrentasvir Adult FormulationDrug
Also called ABT-493/ABT-530, MAVYRET®
Co-formulated film-coated tablet (100 mg/40 mg)
Glecaprevir + Pibrentasvir Pediatric FormulationDrug
Also called ABT-493/ABT-530
Film-coated pellets/granules (15.67%/8.25%) administered by mixing with a small amount (1-2 teaspoons) of a soft food vehicle, such as hazelnut spread, Greek yogurt, or peanut butter.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Adult Formulation; 12 to < 18 years | Experimental | Adolescents aged 12 to < 18 years old received the adult formulation of glecaprevir (GLE)/pibrentasvir (PIB) 100 mg/ 40 mg co-formulated film-coated tablets for a once daily (QD) total dose of 300 mg/120 mg by mouth for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience. Receives: Drug: Glecaprevir/Pibrentasvir Adult Formulation |
| Cohort 2: Pediatric Formulation; 9 to < 12 years | Experimental | Children aged 9 to < 12 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience.
The initial proposed dose for children 9 to < 12 years old (30 to < 45 kg) was GLE 200 mg + PIB 75 mg. After PK analysis from the first 6 enrolled participants the dose was adjusted to GLE 250 mg + PIB 100 mg. Receives: Drug: Glecaprevir + Pibrentasvir Pediatric Formulation |
| Cohort 3: Pediatric Formulation; 6 to < 9 years | Experimental | Children aged 6 to < 9 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience.
The initial proposed dose for children 6 to < 9 years old (20 to < 30 kg) was GLE 160 mg + PIB 60 mg. After PK analysis from the first 6 enrolled participants the dose was adjusted to GLE 200 mg + PIB 80 mg. Receives: Drug: Glecaprevir + Pibrentasvir Pediatric Formulation |
| Cohort 4: Pediatric Formulation; 3 to < 6 years | Experimental | Children aged 3 to < 6 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience.
The initial proposed dose for children 3 to < 6 years old (12 to < 20 kg) was GLE 120 mg + PIB 45 mg. After PK analysis from the first 5 enrolled participants the dose was adjusted to GLE 150 mg + PIB 60 mg. Receives: Drug: Glecaprevir + Pibrentasvir Pediatric Formulation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Steady-state Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Glecaprevir
The area under the plasma concentration-time curve (AUC) is a method of measurement of the total exposure of a drug in blood plasma. The steady-state exposure of GLE was measured up to 24 hours after dosing at Week 2 and estimated using non-compartmental analysis.
Measured: Week 2 from predose to 24 hours post-dose
Steady-state AUC0-24 of Pibrentasvir
The area under the plasma concentration-time curve (AUC) is a method of measurement of the total exposure of a drug in blood plasma. The steady-state exposure of PIB was measured up to 24 hours after dosing at Week 2 and estimated using non-compartmental analysis.
Measured: Week 2 from predose to 24 hours post-dose
Percentage of Participants With Sustained Virologic Response 12 Weeks Post Treatment (SVR12)
SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ; 15 IU/mL) 12 weeks after the last actual dose of study drug. Plasma HCV RNA levels were collected using the COBAS AmpliPrep/COBAS TaqMan HCV Quantitative Test v2.0.
SVR12 was considered a primary efficacy endpoint by the United States (US) regulatory agency and was considered secondary outside of the US.
Measured: 12 weeks after last dose of study drug (Week 20, 24, or 28 depending on treatment duration)
Secondary outcomes (13)
Maximum Plasma Concentration (Cmax) of Glecaprevir
Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administered and before administration of a second dose.
Measured: Week 2 from predose to 24 hours post-dose
Apparent Clearance (CL/F) of Glecaprevir From Plasma
CL/F is a quantitative measure of the rate at which a drug substance is removed from the body. It was estimated by non-compartmental pharmacokinetic analysis.
Measured: Week 2 from predose to 24 hours post-dose
Maximum Plasma Concentration of Pibrentasvir
Cmax is the peak concentration that a drug or drug metabolite achieves in a specified compartment after the drug has been administered and before administration of a second dose.
Measured: Week 2 from predose to 24 hours post-dose
Apparent Clearance of Pibrentasvir From Plasma
CL/F is a quantitative measure of the rate at which a drug substance is removed from the body. It was estimated by non-compartmental pharmacokinetic analysis.
Measured: Week 2 from predose to 24 hours post-dose
Percentage of Participants Who Experienced On-treatment Virologic Failure
On-treatment virologic failure is defined as meeting one of the following:
- A confirmed (defined as two consecutive HCV RNA measurements) increase of > 1 log₁₀ IU/mL above nadir during treatment;
- Confirmed HCV RNA ≥ 100 IU/mL after HCV RNA < 15 IU/mL during treatment;
- HCV RNA ≥ 15 IU/mL at the end of treatment with at least 6 weeks of treatment.
Measured: Up to Week 8, 12, or 16 (depending on treatment duration)
Percentage of Participants With Post-treatment Relapse up to 12 Weeks Post Treatment
Post-treatment relapse is defined as confirmed HCV RNA ≥ 15 IU/mL between the end of treatment and 12 weeks after the last dose of study drug among participants who completed treatment as planned with HCV RNA < 15 IU/mL at the end of treatment; excluding participants who had been shown to be re-infected.
Measured: Up to 12 weeks after the last dose of study drug (Week 20, 24, or 28 depending on treatment duration)
Percentage of Participants With New Hepatitis C Virus Infection (Reinfection)
Reinfection is defined as confirmed HCV RNA ≥ 15 IU/mL in the post-treatment period in a participant who had HCV RNA < 15 IU/mL at the Final Treatment Visit, along with post-treatment detection of a different HCV genotype, subtype, or clade compared with Baseline, as determined by phylogenetic analysis of the nonstructural viral protein 3 (NS3) or NS5A, and/or NS5B gene sequences.
Measured: From the end of treatment up to post-treatment Week 144
Palatability Questionnaire Question 1: How Convenient or Inconvenient Was it to Prepare the Dose?
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE + PIB formulation.
Question 1 "How Convenient or Inconvenient Was it to Prepare the Dose?" was answered as "very convenient", "convenient", "borderline", "inconvenient", or "very inconvenient".
Measured: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Palatability Questionnaire Question 2: How Long Did it Typically Take for the Child to Take the Dose?
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE + PIB formulation.
Question 2 "How Long Did it Typically Take for the Child to Take the Dose?" was answered as "5 minutes or less", "5 to 15 minutes", "15 to 30 minutes", or "more than 30 minutes".
Measured: Final treatment visit (up to Week 8, 12, or 16, depending on duration of treatment)
Palatability Questionnaire Question 3: Were You Able to Successfully Administer the Whole Dose to the Child With 1 to 2 Teaspoons (5 to 10 mL) of Soft Food?
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE + PIB formulation.
Question 3 "Were You Able to Successfully Administer the Whole Dose to the Child With 1 to 2 Teaspoons (5 to 10 mL) of Soft Food?" was answered as "Yes" or "No".
Measured: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Palatability Questionnaire Question 4: Did You Experience Any Resistance When Feeding the Child the Medicine?
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE + PIB formulation. Question 4 "Did You Experience Any Resistance When Feeding the Child the Medicine?" was answered as "Yes" or "No".
Measured: Final treatment visit (up to Week 8, 12, or 16 depending on treatment duration)
Palatability Questionnaire Question 4a: Type of Feeding Resistance
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE + PIB formulation. Question 4a "Type of feeding resistance?" tracks feeding resistance experienced at any time during treatment, and was answered as "Did not like taste of medicine", "Did not like texture of medicine", "Did not like the soft food used", "Did not like to swallow the amount of medicine", or "Unrelated to the medicine".
Measured: Up to final treatment visit (up to Week 8, 12, or 16 depending on treatment duration)
Palatability Questionnaire Question 5: How Easy or Difficult Was it for the Child to Swallow the Medicine?
For each participant who received the pediatric formulation (Cohorts 2 - 4), the parent(s)/guardian(s) completed a Palatability Questionnaire to provide feedback on the perception of the dosage form. The Palatability Questionnaire included 6 questions related to the administration and ingestion of the pediatric GLE/PIB formulation. Question 5 "How Easy or Difficult Was it for the Child to Swallow the Medicine?" was answered as "very easy", "easy", "borderline", "difficult", or "very difficult."
Measured: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Mar 2017
- Study start20 Mar 2017
- Primary completion21 May 2020
- Study completion12 Sep 2022
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.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Hepatitis C Virus (HCV)Studies 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
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 129 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
- NCT03067129
- Sponsor's protocol ID
- M16-123
- Other IDs
- 2016-004102-34, 2016
- Acronym
- DORA
- Status last verified
- Apr 2023
- First submitted
- 24 Feb 2017
- Last updated
- 9 May 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
- Expanded access
- Available
Publications
Thakre N, Beck D, Saeed AM, Eckert D, Chen MJ, Liu W, Lon HK, Mostafa NM, Mensing S. Population Pharmacokinetic Analysis of Glecaprevir and Pibrentasvir in Pediatric Patients >/= 3 to < 18 Years of Age with Genotypes 1-6 Chronic Hepatitis C Virus (HCV) Infection. Clin Pharmacokinet. 2026 Jul;65(7):1061-1072. doi: 10.1007/s40262-026-01637-1. Epub 2026 May 26.
PubMed 42189498Jonas MM, Rhee S, Kelly DA, Del Valle-Segarra A, Feiterna-Sperling C, Gilmour S, Gonzalez-Peralta RP, Hierro L, Leung DH, Ling SC, Lobzin Y, Lobritto S, Mizuochi T, Narkewicz MR, Sabharwal V, Wen J, Kei Lon H, Marcinak J, Topp A, Tripathi R, Sokal E. Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Children With Chronic HCV: Part 2 of the DORA Study. Hepatology. 2021 Jul;74(1):19-27. doi: 10.1002/hep.31841.
PubMed 33811356Jonas MM, Squires RH, Rhee SM, Lin CW, Bessho K, Feiterna-Sperling C, Hierro L, Kelly D, Ling SC, Strokova T, Del Valle-Segarra A, Lovell S, Liu W, Ng TI, Porcalla A, Gonzalez YS, Burroughs M, Sokal E. Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Adolescents With Chronic Hepatitis C Virus: Part 1 of the DORA Study. Hepatology. 2020 Feb;71(2):456-462. doi: 10.1002/hep.30840. Epub 2019 Aug 13.
PubMed 31254392
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Multicenter Study to Evaluate the Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Pediatric Subjects With Genotypes 1-6 Chronic Hepatitis C Virus (HCV) Infection
- ClinicalTrials.gov ID
- NCT03067129
- Acronym / sponsor ID
- DORA / M16-123
- Conditions
- Hepatitis C Virus (HCV)
- Keywords
- Chronic Hepatitis C Virus, Glecaprevir, Pibrentasvir, Pharmacokinetic, Treatment naïve, Treatment experienced, Interferon (IFN), Pegylated interferon (pegIFN)
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 129 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 20 Mar 2017 (actual)
- Primary completion
- 21 May 2020 (actual)
- Study completion
- 12 Sep 2022 (actual)
- First posted
- 1 Mar 2017 (actual)
- Results
- Posted 13 Jul 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objectives of this study are to assess the pharmacokinetics, safety, and efficacy of glecaprevir/pibrentasvir adult formulation in adolescents ages 12 to 17 years and a pediatric formulation of glecaprevir and pibrentasvir in children ages 3 to < 12 years.
Detailed description
This was a multicenter study to evaluate the pharmacokinetics (PK), efficacy, and safety of glecaprevir (GLE) and pibrentasvir (PIB) treatment for 8, 12, or 16 weeks in hepatitis C virus (HCV) genotype 1 - 6 (GT1 - GT6)-infected pediatric participants 3 to < 18 years of age, with or without compensated cirrhosis, with or without human immunodeficiency virus (HIV) coinfection, who are either treatment-naïve (TN), treatment-experienced (TE) with pegylated interferon (pegIFN) with or without ribavirin (RBV), or TE with sofosbuvir (SOF) + RBV with or without pegIFN.
The study was divided into 2 parts, according to the formulation of GLE/PIB administered. Part 1 of the study enrolled HCV GT1 - GT6 infected adolescent participants into the 12 to < 18 years old age group who were willing to swallow the adult formulation of GLE/PIB (Cohort 1). Part 2 of the study enrolled HCV GT1 - GT6 infected pediatric participants divided into the 9 to < 12 (Cohort 2), 6 to < 9 (Cohort 3), and 3 to < 6 (Cohort 4) years old age groups, to receive the pediatric formulation of GLE + PIB. Part 1 enrolled first and once the pediatric formulation was available enrollment into Part 2 commenced, with each cohort enrolled in parallel.
In each cohort, the first group of participants were enrolled into an intense pharmacokinetics (IPK) portion to characterize the PK and safety in each age group, followed by enrollment into a non-IPK safety/efficacy portion. Study participants enrolled in the IPK portion must have been HIV-negative, treatment-naive, and have an identified HCV genotype. In the IPK portion the first approximately six participants received an initial proposed dose of GLE and PIB based on the child's weight and age at screening. PK samples from these participants were evaluated to determine if therapeutic efficacious exposures were attained, comparable to those of adults, and if any dose adjustments were needed. After the intensive PK analysis results for the first six participants were available, enrollment of the remaining IPK portion resumed with subsequent participants receiving an adjusted final dose as applicable. Additional participants may have been required for further intensive PK analysis per age cohort if therapeutic exposure targets were not achieved.
Enrollment into the non-IPK safety and efficacy portions began when the dosing recommendations per age group based on the PK and clinical data from the IPK analysis were ascertained.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Adult Formulation; 12 to < 18 years | Experimental | Drug: Glecaprevir/Pibrentasvir Adult FormulationAdolescents aged 12 to < 18 years old received the adult formulation of glecaprevir (GLE)/pibrentasvir (PIB) 100 mg/ 40 mg co-formulated film-coated tablets for a once daily (QD) total dose of 300 mg/120 mg by mouth for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience. |
| Cohort 2: Pediatric Formulation; 9 to < 12 years | Experimental | Drug: Glecaprevir + Pibrentasvir Pediatric FormulationChildren aged 9 to < 12 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience. The initial proposed dose for children 9 to < 12 years old (30 to < 45 kg) was GLE 200 mg + PIB 75 mg. After PK analysis from the first 6 enrolled participants the dose was adjusted to GLE 250 mg + PIB 100 mg. |
| Cohort 3: Pediatric Formulation; 6 to < 9 years | Experimental | Drug: Glecaprevir + Pibrentasvir Pediatric FormulationChildren aged 6 to < 9 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience. The initial proposed dose for children 6 to < 9 years old (20 to < 30 kg) was GLE 160 mg + PIB 60 mg. After PK analysis from the first 6 enrolled participants the dose was adjusted to GLE 200 mg + PIB 80 mg. |
| Cohort 4: Pediatric Formulation; 3 to < 6 years | Experimental | Drug: Glecaprevir + Pibrentasvir Pediatric FormulationChildren aged 3 to < 6 years old received a pediatric formulation of GLE + PIB as small film-coated granules taken with a small amount of food once daily for 8, 12, or 16 weeks depending on HCV genotype, cirrhosis status, and prior treatment experience. The initial proposed dose for children 3 to < 6 years old (12 to < 20 kg) was GLE 120 mg + PIB 45 mg. After PK analysis from the first 5 enrolled participants the dose was adjusted to GLE 150 mg + PIB 60 mg. |
Who may qualify
- Ages
- 3 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (2 listed)
- Hepatitis C virus (HCV) infection demonstrated by positive anti-HCV antibody (Ab) and HCV ribonucleic acid (RNA) greater than or equal to 1000 International Unit (IU)/mL
- Subjects participating in the intense pharmacokinetic (IPK) part must have been HCV treatment-naive, with or without compensated cirrhosis (Child-Pugh A), human immunodeficiency virus type 1 (HIV-1) negative and must have had a Screening laboratory result indicating HCV genotype (GT) 1, 2, 3, 4, 5, or 6-infection.
Key exclusion criteria (4 listed)
- Females who were pregnant or breastfeeding
- Positive test result for hepatitis B surface antigen (HbsAg) or positive test result for hepatitis B virus deoxyribonucleic acid (DNA)
- Participants with other known liver diseases
- Decompensated cirrhosis defined as: presence of ascites, history of variceal bleeding, lab values consistent with Child-Pugh class B or C cirrhosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Glecaprevir/Pibrentasvir Adult FormulationAlso: ABT-493/ABT-530, MAVYRET®Co-formulated film-coated tablet (100 mg/40 mg) | Drug | Cohort 1: Adult Formulation; 12 to < 18 years |
| Glecaprevir + Pibrentasvir Pediatric FormulationAlso: ABT-493/ABT-530Film-coated pellets/granules (15.67%/8.25%) administered by mixing with a small amount (1-2 teaspoons) of a soft food vehicle, such as hazelnut spread, Greek yogurt, or peanut butter. | Drug | Cohort 2: Pediatric Formulation; 9 to < 12 years, Cohort 3: Pediatric Formulation; 6 to < 9 years, Cohort 4: Pediatric Formulation; 3 to < 6 years |
Primary outcome
Steady-state Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Glecaprevir
Time frame: Week 2 from predose to 24 hours post-dose
The area under the plasma concentration-time curve (AUC) is a method of measurement of the total exposure of a drug in blood plasma. The steady-state exposure of GLE was measured up to 24 hours after dosing at Week 2 and estimated using non-compartmental analysis.
Steady-state AUC0-24 of Pibrentasvir
Time frame: Week 2 from predose to 24 hours post-dose
The area under the plasma concentration-time curve (AUC) is a method of measurement of the total exposure of a drug in blood plasma. The steady-state exposure of PIB was measured up to 24 hours after dosing at Week 2 and estimated using non-compartmental analysis.
Percentage of Participants With Sustained Virologic Response 12 Weeks Post Treatment (SVR12)
Time frame: 12 weeks after last dose of study drug (Week 20, 24, or 28 depending on treatment duration)
SVR12 is defined as hepatitis C virus ribonucleic acid (HCV RNA) less than the lower limit of quantification (LLOQ; 15 IU/mL) 12 weeks after the last actual dose of study drug. Plasma HCV RNA levels were collected using the COBAS AmpliPrep/COBAS TaqMan HCV Quantitative Test v2.0. SVR12 was considered a primary efficacy endpoint by the United States (US) regulatory agency and was considered secondary outside of the US.
13 secondary outcomes
Maximum Plasma Concentration (Cmax) of Glecaprevir
Time frame: Week 2 from predose to 24 hours post-dose
Apparent Clearance (CL/F) of Glecaprevir From Plasma
Time frame: Week 2 from predose to 24 hours post-dose
Maximum Plasma Concentration of Pibrentasvir
Time frame: Week 2 from predose to 24 hours post-dose
Apparent Clearance of Pibrentasvir From Plasma
Time frame: Week 2 from predose to 24 hours post-dose
Percentage of Participants Who Experienced On-treatment Virologic Failure
Time frame: Up to Week 8, 12, or 16 (depending on treatment duration)
Percentage of Participants With Post-treatment Relapse up to 12 Weeks Post Treatment
Time frame: Up to 12 weeks after the last dose of study drug (Week 20, 24, or 28 depending on treatment duration)
Percentage of Participants With New Hepatitis C Virus Infection (Reinfection)
Time frame: From the end of treatment up to post-treatment Week 144
Palatability Questionnaire Question 1: How Convenient or Inconvenient Was it to Prepare the Dose?
Time frame: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Palatability Questionnaire Question 2: How Long Did it Typically Take for the Child to Take the Dose?
Time frame: Final treatment visit (up to Week 8, 12, or 16, depending on duration of treatment)
Palatability Questionnaire Question 3: Were You Able to Successfully Administer the Whole Dose to the Child With 1 to 2 Teaspoons (5 to 10 mL) of Soft Food?
Time frame: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Palatability Questionnaire Question 4: Did You Experience Any Resistance When Feeding the Child the Medicine?
Time frame: Final treatment visit (up to Week 8, 12, or 16 depending on treatment duration)
Palatability Questionnaire Question 4a: Type of Feeding Resistance
Time frame: Up to final treatment visit (up to Week 8, 12, or 16 depending on treatment duration)
Palatability Questionnaire Question 5: How Easy or Difficult Was it for the Child to Swallow the Medicine?
Time frame: Final treatment visit (up to Week 8, 12, or 16, depending on treatment duration)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 May 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42189498Thakre N, Beck D, Saeed AM, Eckert D, Chen MJ, Liu W, Lon HK, Mostafa NM, Mensing S. Population Pharmacokinetic Analysis of Glecaprevir and Pibrentasvir in Pediatric Patients >/= 3 to < 18 Years of Age with Genotypes 1-6 Chronic Hepatitis C Virus (HCV) Infection. Clin Pharmacokinet. 2026 Jul;65(7):1061-1072. doi: 10.1007/s40262-026-01637-1. Epub 2026 May 26.
- Derived from this study: PubMed 33811356Jonas MM, Rhee S, Kelly DA, Del Valle-Segarra A, Feiterna-Sperling C, Gilmour S, Gonzalez-Peralta RP, Hierro L, Leung DH, Ling SC, Lobzin Y, Lobritto S, Mizuochi T, Narkewicz MR, Sabharwal V, Wen J, Kei Lon H, Marcinak J, Topp A, Tripathi R, Sokal E. Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Children With Chronic HCV: Part 2 of the DORA Study. Hepatology. 2021 Jul;74(1):19-27. doi: 10.1002/hep.31841.
- Derived from this study: PubMed 31254392Jonas MM, Squires RH, Rhee SM, Lin CW, Bessho K, Feiterna-Sperling C, Hierro L, Kelly D, Ling SC, Strokova T, Del Valle-Segarra A, Lovell S, Liu W, Ng TI, Porcalla A, Gonzalez YS, Burroughs M, Sokal E. Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Adolescents With Chronic Hepatitis C Virus: Part 1 of the DORA Study. Hepatology. 2020 Feb;71(2):456-462. doi: 10.1002/hep.30840. Epub 2019 Aug 13.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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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
38 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Glecaprevir/Pibrentasvir Adult Formulation and Glecaprevir + Pibrentasvir Pediatric Formulation in people with Hepatitis C Virus (HCV), run by AbbVie at 38 sites in 9 countries.
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 2 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 9 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 sites in United States, Japan, Spain, Canada, Germany and 4 more countries. 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.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Jul 2021). 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?
Steady-state Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Glecaprevir (time frame: Week 2 from predose to 24 hours post-dose). The study lists 3 primary outcomes in all. 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 NCT03067129, which also lists 3 linked publications.
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 9 May 2023.