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Hepatitis C Virus (HCV)Phase 3EXPEDITION-5NCT03069365

A Study to Evaluate the Efficacy and Safety of Glecaprevir/Pibrentasvir in Adults With Chronic Hepatitis C Virus Genotype 1 - 6 Infection and Renal Impairment

A Phase 3 study testing Glecaprevir/pibrentasvir in people with Hepatitis C Virus (HCV), run by AbbVie at 38 sites in 10 countries.

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

This was a Phase 3b, open-label, non-randomized, multicenter study to evaluate the efficacy and safety of glecaprevir/pibrentasvir (GLE/PIB) in participants with chronic hepatitis C virus (HCV) genotype (GT) 1 - 6 infection without liver cirrhosis or with compensated liver cirrhosis and with chronic renal impairment… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C Virus (HCV)
What is being tested?
Glecaprevir/pibrentasvir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
38 sitesin 10 countries
Study dates
28 Mar 2017to 5 Jun 2018
Phase
Phase 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female (of non-childbearing potential or using allowed contraceptive methods) at least 18 years of age time of Screening
  • Participant had a positive anti-hepatitis C virus (HCV) antibody (Ab) and plasma HCV ribonucleic acid (RNA) greater than or equal to 1000 IU/mL at the Screening Visit.
  • Participant had an estimated glomerular filtration rate (eGFR) less than 45 mL/min/1.73 m^2 as estimated by the Modification of Diet in Renal Disease (MDRD) method at Screening according to the following formula: eGFR (mL/min/1.73 m^2 ) = 175 × (Serum Creatinine) ^-1.154 × Age^-0.203 × (0.742 if female) × (1.212 if black), or were dialysis dependent. Subjects requiring dialysis had to have been receiving dialysis for at least 1 month prior to enrollment, and may have been on hemodialysis or peritoneal dialysis.
  • Cirrhotic participants only: absence of hepatocellular carcinoma (HCC) as indicated by a negative ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI) within 3 months prior to Screening or a negative ultrasound at Screening. Participants who had an ultrasound with results suspicious of HCC followed by a subsequent negative CT or MRI of the liver were eligible for the study.

Who cannot join

  • Female participants who were pregnant, breastfeeding, or were considering becoming pregnant during the study or for approximately 30 days after the last dose of study drug
  • Current hepatitis B virus (HBV) or human immunodeficiency virus (HIV) infection on screening tests, defined as:
  • Positive test result at Screening for hepatitis B surface antigen (HBsAg), or;
  • HBV deoxyribonucleic acid (DNA) greater than lower limit of quantification (LLOQ) in participants with isolated positive hepatitis B core antibody (HBcAb), (i.e., negative HBsAg and Anti-HBsAg), or;
  • Positive anti-HIV antibody (Ab).
  • Any current or historical clinical evidence of decompensated cirrhosis, including any current or past evidence of Child-Pugh B or C classification, hepatic encephalopathy or variceal bleeding; radiographic evidence of small ascites; or prior or current empiric use of lactulose/rifaximin for neurologic indications. Prophylactic use of beta blockers was not exclusionary.
Show all 10Show fewer
  • Clinical history of acute renal failure in the 3 months prior to Screening
  • History of severe, life-threatening, or other significant sensitivity to any excipients of the study drugs
  • Clinically significant abnormalities or co-morbidities, or recent (within 6 months prior to study drug administration) alcohol or drug abuse that could preclude adherence to the protocol in the opinion of the investigator
  • Receipt of any investigational or commercially available direct acting anti-HCV agents other than sofosbuvir

Trial locations and contacts

38 sites in 10 countries.

38 sites in 10 countries

United States11 sites
  • Massachusetts General Hospital /ID# 159114

    Boston, Massachusetts, 02114

  • Carolinas Medical Center /ID# 159113

    Charlotte, North Carolina, 28203

  • Scripps Clinic /ID# 159116

    La Jolla, California, 92037

  • North Shore University Hospital /ID# 159108

    New Hyde Park, New York, 11040

  • Columbia Univ Medical Center /ID# 159112

    New York, New York, 10032-3725

  • Huntington Medical Foundation /ID# 160653

    Pasadena, California, 91105

  • University of Pennsylvania /ID# 159117

    Philadelphia, Pennsylvania, 19104-5502

  • Thomas Jefferson University /ID# 159754

    Philadelphia, Pennsylvania, 19107-4414

  • TX Liver Inst, Americ Res Corp /ID# 159111

    San Antonio, Texas, 78215

  • Northwest Louisiana Nephrology /ID# 160652

    Shreveport, Louisiana, 71101

  • Tampa General Medical Group /ID# 159115

    Tampa, Florida, 33606

Other trials in United States

Canada4 sites
  • Zeidler Ledcor Centre /ID# 160600

    Edmonton, Alberta, T6G 2X8

  • Toronto General Hospital /ID# 160601

    Toronto, Ontario, M5G 2C4

  • Vancouver ID Research and Care /ID# 160598

    Vancouver, British Columbia, V6Z 2C7

  • GIRI Gastrointestinal Research Institute /ID# 160599

    Vancouver, British Columbia, V6Z 2K5

Other trials in Canada

Germany4 sites
  • Universitätsklinikum Frankfurt /ID# 160826

    Frankfurt am Main, Hesse, 60590

  • Med Hochschule Hanover /ID# 160827

    Hanover, 30625

  • Univ Johannes Gutenberg /ID# 160828

    Mainz, 55131

  • Universitatsklinikum Mannheim /ID# 160829

    Mannheim, Baden-Wurttemberg, 68167

Other trials in Germany

Greece4 sites
  • Gen Univ Hosp Alexandroupolis /ID# 160724

    Alexandroupoli, 68100

  • General Hospital of Athens Laiko /ID# 160725

    Athens, Attica, 115 27

  • General Hospital of Athens Evaggelismos and Ophthalmiatrio of Athens Polyclinic /ID# 160726

    Athens, 10676

  • Bioclinic Thessaloniki /ID# 160723

    Thessaloniki, 54622

Other trials in Greece

Italy4 sites
  • A.O.U. Policlinico S.Orsola-Malpighi /ID# 163349

    Bologna, Emilia-Romagna, 40138

  • Policlinico Paolo Giaccone /Id# 160718

    Palermo, Sicily, 90127

  • Policlinico A. Gemelli /ID# 160719

    Rome, Lazio, 00168

  • A.O. Uni Giovanni e Ruggi /ID# 160720

    Salerno, 84100

Other trials in Italy

South Korea3 sites
  • Hanyang University Seoul Hospi /ID# 160259

    Seongdong, Seoul Teugbyeolsi, 04763

  • Severance Hospital /ID# 160261

    Seoul, Seoul Teugbyeolsi, 03722

  • Asan Medical Center /ID# 160260

    Seoul, 05505

Other trials in South Korea

Spain3 sites
  • Hospital Parc de Salut del Mar /ID# 159975

    Barcelona, 08003

  • Hospital Universitario Doce de /ID# 159974

    Madrid, 28041

  • Hospital Regional de Malaga /ID# 159976

    Málaga, Malaga, 29009

Other trials in Spain

Poland2 sites
  • Uniwersytecki Szpital Kliniczn /ID# 161081

    Bialystok, 15-276

  • HepID - Diagnostyka I Terapia /ID# 161083

    Lublin, Lublin Voivodeship, 20-884

Other trials in Poland

Puerto Rico2 sites
  • VA Caribbean Healthcare System /ID# 160754

    San Juan, 00921-3201

  • School of Medicine University of Puerto Rico-Medical Sciences Campus /ID# 160755

    San Juan, 00935

Other trials in Puerto Rico

Sweden1 site
  • Karolinska Uni /ID# 159523

    Stockholm, SE-141 86

Other trials in Sweden

About this study

Official title: A Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Glecaprevir/Pibrentasvir in Renally-Impaired Adults With Chronic Hepatitis C Virus Genotype 1 - 6 Infection (EXPEDITION-5)

This was a Phase 3b, open-label, non-randomized, multicenter study to evaluate the efficacy and safety of glecaprevir/pibrentasvir (GLE/PIB) in participants with chronic hepatitis C virus (HCV) genotype (GT) 1 - 6 infection without liver cirrhosis or with compensated liver cirrhosis and with chronic renal impairment in participants who were either HCV treatment-naïve (TN) or prior treatment-experienced (TE) with interferon (IFN) or pegylated interferon (PegIFN) with or without ribavirin (RBV), or sofosbuvir (SOF) plus RBV with or without pegIFN.

Read the detailed description

The study included a 42-day screening period, a treatment period of either 8, 12, or 16 weeks, and a 24-week post-treatment period. The duration of treatment was determined by product labeling. Participants received glecaprevir/pibrentasvir (GLE/PIB) 300 mg/120 mg once daily. Participants who completed or prematurely discontinued the treatment period were followed for 24 weeks after their last dose of study drug to monitor safety, hepatitis C virus ribonucleic acid (HCV RNA), and the emergence and persistence of viral substitutions.

Being tested
Glecaprevir/pibrentasvir
Keywords
Chronic Hepatitis C Virus, Chronic Kidney Disease, Glecaprevir, Pibrentasvir, Hepatitis C Virus Genotype, Compensated cirrhosis, Non-cirrhotic, Interferon (IFN), Treatment naïve, Sofosbuvir (SOF), Pegylated interferon (pegIFN), Ribavirin (RBV)
Medical subject headings
Hepatitis C, Hepatitis C, Chronic, Renal Insufficiency, Chronic

What participants receive

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

  • Glecaprevir/pibrentasvirDrug

    Also called ABT-493/ABT-530, MAVYRET

    Film-coated tablet

Study groups in NCT03069365
Study groupRoleWhat they receive
GLE/PIB for 8 weeksExperimentalHCV genotype 1,2,4-6 non-cirrhotic, treatment-naive or treatment-experienced; genotype 3 non-cirrhotic, treatment-naïve participants treated with glecaprevir/pibrentasvir (GLE/PIB): three 100 mg/40 mg co-formulated tablets once daily with food for 8 weeks
Receives: Drug: Glecaprevir/pibrentasvir
GLE/PIB for 12 weeksExperimentalHCV genotype 1,2,4-6 compensated cirrhosis, treatment-naive or treatment-experienced; genotype 3 compensated cirrhosis, treatment- naïve participants treated with glecaprevir/pibrentasvir (GLE/PIB): three 100 mg/40 mg co-formulated tablets once daily with food for 12 weeks
Receives: Drug: Glecaprevir/pibrentasvir
GLE/PIB for 16 weeksExperimentalHCV genotype 3 non-cirrhotic or with compensated cirrhosis, treatment-experienced participants treated with glecaprevir/pibrentasvir (GLE/PIB): three 100 mg/40 mg co-formulated tablets once daily with food for 16 weeks
Receives: Drug: Glecaprevir/pibrentasvir

What is being measured

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

  1. Percentage of Participants Achieving Sustained Virologic Response 12 Weeks Post Dosing (SVR12)

    SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) level less than the lower limit of quantification (LLOQ) 12 weeks after the last actual dose of study drug.

    Measured: 12 weeks after the last actual dose of study drug

Secondary outcomes (2)
  1. Percentage of Participants With On-treatment Virologic Failure

    On-treatment virologic failure was defined as:

    • Confirmed increase from nadir in hepatitis C virus ribonucleic acid (HCV RNA) defined as confirmed increase of > 1 log (subscript)10(subscript) IU/mL above nadir during treatment; or
    • Confirmed HCV RNA greater than or equal to 100 IU/mL after HCV RNA less than the lower limit of quantification (LLOQ) during study drug treatment; or
    • HCV RNA ≥ LLOQ at the end of treatment with at least 6 weeks of treatment

    Measured: Up to 16 weeks

  2. Percentage of Participants With Post-treatment Relapse

    Post-treatment relapse was defined as confirmed hepatitis C virus ribonucleic acid (HCV RNA) ≥ the lower limit of quantification (LLOQ) 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 < LLOQ at the end of treatment and had post-treatment HCV RNA data; participants who had been shown to be reinfected were not considered to have relapsed.

    .

    Measured: Up to 12 weeks after the last dose of study drug

Timeline

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

  1. First posted3 Mar 2017
  2. Study start28 Mar 2017
  3. Primary completion20 Feb 2018
  4. Study completion5 Jun 2018

Resources

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03069365
Sponsor's protocol ID
M16-127
Other IDs
2016-004182-60, 2016
Acronym
EXPEDITION-5
Status last verified
Jan 2019
First submitted
28 Feb 2017
Last updated
4 Mar 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided
Expanded access
Available

Publications

  • Brown RS Jr, Collins MA, Strasser SI, Emmett A, Topp AS, Burroughs M, Ferreira R, Feld JJ. Efficacy and Safety of 8- or 12 Weeks of Glecaprevir/Pibrentasvir in Patients with Evidence of Portal Hypertension. Infect Dis Ther. 2022 Apr;11(2):913-924. doi: 10.1007/s40121-022-00599-8. Epub 2022 Feb 17.

    PubMed 35174470
  • Lawitz E, Flisiak R, Abunimeh M, Sise ME, Park JY, Kaskas M, Bruchfeld A, Worns MA, Aglitti A, Zamor PJ, Xue Z, Schnell G, Jalundhwala YJ, Porcalla A, Mensa FJ, Persico M. Efficacy and safety of glecaprevir/pibrentasvir in renally impaired patients with chronic HCV infection. Liver Int. 2020 May;40(5):1032-1041. doi: 10.1111/liv.14320. Epub 2019 Dec 26.

    PubMed 31821716

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Glecaprevir/pibrentasvir in people with Hepatitis C Virus (HCV), run by AbbVie at 38 sites in 10 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 4 inclusion and 10 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 4 Mar 2019. 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, Canada, Germany, Greece, Italy and 5 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 phase mean?

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 4 Mar 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 Virologic Response 12 Weeks Post Dosing (SVR12) (time frame: 12 weeks after the last actual dose of study drug). 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 NCT03069365, which also lists 2 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 4 Mar 2019.

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