HCV InfectionPhase 2NCT03379506
Elbasvir (EBR)/Grazoprevir (GZR) in Pediatric Participants With Chronic Hepatitis C Infection (MK-5172-079)
A Phase 2 study testing EBR/GZR FDC Tablet, Grazoprevir Oral Granules and Elbasvir Oral Granules in people with HCV Infection, run by Merck Sharp & Dohme LLC at 15 sites in 4 countries.
Trial summary
The purpose of this study is to assess the pharmacokinetics (PK), safety, and efficacy of oral MK-5172 (a fixed dose combination [FDC] tablet containing elbasvir [EBR] 50 mg and grazoprevir [GZR] 100 mg) and EBR/GZR (varying doses) pediatric granules in pediatric hepatitis C virus (HCV)-infected participants who are 3… Read more about this study
- Who is it for?
- Ages 3 to 17 years
- Conditions the study is for
- HCV Infection
- What is being tested?
- EBR/GZR FDC Tablet, Grazoprevir Oral Granules and Elbasvir Oral Granules
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 57 participants
- Where
- 15 sitesin 4 countries
- Study dates
- 25 Jan 2018to 23 Jul 2020
- Phase
- Phase 2
- 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
- Has documented chronic HCV genotype (GT) 1 or GT4 infection
- Has the following liver disease staging assessment: absence of cirrhosis or compensated cirrhosis
- Has one of the following HCV treatment statuses:
- GT1 and GT4: treatment-naïve (TN), defined as no prior exposure to any interferon (IFN)-containing regimen, ribavirin (RBV), or other HCV-specific direct acting antiviral (DAA) agent
- GT1 only: treatment-experienced (TE) with no previous treatment with HCV specific DAA agents.
- If female is not pregnant, not breastfeeding, and is either not of childbearing potential or follows the contraceptive guidance during the treatment period and for at least 14 days after the last dose of study treatment.
Who cannot join
- Has evidence of decompensated liver disease manifested by the presence of or history of ascites, esophageal or gastric variceal bleeding, hepatic encephalopathy, or other signs or symptoms of advanced liver disease.
- Is cirrhotic AND has a Child-Turcotte-Pugh score >6, corresponding to a Child Class B or C.
- Is co-infected with Human Immunodeficiency Virus (HIV).
- Has evidence of past or present hepatitis B infection.
- Has a history of malignancy ≤5 years prior to signing informed consent or is under evaluation for other active or suspected malignancy.
- Female expects to conceive or donate eggs from Day 1 through at least 14 days after the last dose of study treatment or longer.
Show all 13Show fewer
- Has any of the following conditions: organ transplants other than cornea and hair; poor venous access; history of gastric surgery or malabsorption disorders; any clinically significant cardiac abnormalities/dysfunction that may interfere with participant treatment, assessment, or compliance; any major medical condition which might interfere with participant treatment, assessment, or compliance; history of a medical/surgical condition that resulted in hospitalization within the 3 months prior to enrollment; medical/surgical conditions that may result in a need for hospitalization during the study duration; any medical condition requiring, or likely to require, chronic systemic administration of corticosteroids, tumor necrosis factor antagonists, or immunosuppressant drugs; life-threatening serious adverse event (SAE) during the screening period; history of chronic hepatitis not caused by HCV.
- If female has a positive urine pregnancy test within 24 hours before the first dose of study treatment.
- Is taking or plans to take prohibited medications, or is taking herbal supplements.
- Has had previous HCV direct acting antiviral (DAA) treatment.
- Is currently participating or has participated in a study with an investigational compound within prior 30 days
- Has significant emotional problems or a clinically significant psychiatric disorder that may interfere with participant treatment, assessment, or compliance with the protocol.
- Has clinically relevant drug or alcohol abuse within prior 12 months that may interfere with participant treatment, assessment, or compliance.
Trial locations and contacts
15 sites in 4 countries.
15 sites in 4 countries
United States8 sites
Children's Center for Advanced Pediatrics ( Site 0204)
Atlanta, Georgia, 30329
Children's Hospital Boston ( Site 0009)
Boston, Massachusetts, 02115
Cincinnati Children's Hospital Medical Center ( Site 0003)
Cincinnati, Ohio, 45229
Florida Hospital ( Site 0006)
Orlando, Florida, 32803
Children's Hospital of Pittsburgh ( Site 0024)
Pittsburgh, Pennsylvania, 15224
American Research Corporation ( Site 0200)
San Antonio, Texas, 78215
University of California San Francisco ( Site 0020)
San Francisco, California, 94158
Children's Hospital and Regional Medical Center ( Site 0017)
Seattle, Washington, 98105
Germany3 sites
Medizinische Hochschule Hannover Kinderklinik K10 ( Site 0105)
Hanover, 30625
Klinikum Starnberg ( Site 0107)
Starnberg, 82319
Helios Klinikum Wuppertal GmbH ( Site 0104)
Wuppertal, 42283
Poland3 sites
WSOZ im.T.Browicza w Bydgoszczy ( Site 0800)
Bydgoszcz, 85-030
Wojewodzki Specjalistyczny Szpital im. dr W. Bieganskiego w Lodzi ( Site 0810)
Lodz, 91-347
MED-POLONIA Sp. z o.o. ( Site 0808)
Poznan, 60-693
Sweden1 site
Karolinska Universitetssjukhuset Huddinge. ( Site 0062)
Stockholm, 141 86
About this study
Official title: A Phase IIb Clinical Study to Assess the Pharmacokinetics, Safety, and Efficacy of the Combination Regimen of Elbasvir (EBR)/Grazoprevir (GZR) in Participants Aged 3 to Less Than 18 Years With Chronic Hepatitis C Infection
The purpose of this study is to assess the pharmacokinetics (PK), safety, and efficacy of oral MK-5172 (a fixed dose combination [FDC] tablet containing elbasvir [EBR] 50 mg and grazoprevir [GZR] 100 mg) and EBR/GZR (varying doses) pediatric granules in pediatric hepatitis C virus (HCV)-infected participants who are 3 to <18 years of age. Within each age cohort (Cohort 1: 12 to <18 years of age; Cohort 2: 7 to <12 years of age; and Cohort 3: 3 to <7 years of age), a Mini Cohort of 7 participants will be enrolled first. For the oldest cohort (Cohort 1), the Mini Cohort will assess ability to swallow a placebo tablet prior to administering active FDC tablets; participants in Cohorts 2 and 3 will take pediatric granules instead of a tablet.
- Conditions
- HCV Infection
- Being tested
- EBR/GZR FDC Tablet, Placebo, Grazoprevir Oral Granules, Elbasvir Oral Granules
- Medical subject headings
- Hepatitis C
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EBR/GZR FDC TabletDrug
Also called MK-5172A, ZEPATIER®
Participants who are 12 to <18 years of age will receive oral FDC tablets with EBR 50 mg/GZR 100 mg once daily by mouth.
PlaceboDrug
Placebo tablet matched to EBR/GZR FDC tablet.
Grazoprevir Oral GranulesDrug
Also called MK-5172
Participants 3 to <12 years of age take grazoprevir granules 0.5 mg by mouth in a soft food vehicle at a dose not to exceed 50 mg.
Elbasvir Oral GranulesDrug
Also called MK-8742
Participants 3 to <12 years of age take elbasvir oral granules 1 mg by mouth in a soft food vehicle at a dose not to exceed 100 mg.
| Study group | Role | What they receive |
|---|---|---|
| EBR/GZR | Experimental | Pediatric participants receive EBR/GZR as either FDC tablets or oral granules once daily for 12 weeks. A 24-week follow-up period will follow the 12-week treatment regimen. Receives: Drug: EBR/GZR FDC Tablet; Drug: Placebo; Drug: Grazoprevir Oral Granules; Drug: Elbasvir Oral Granules |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area Under the Plasma Concentration-Time Curve From Dosing to 24 Hours Postdose (AUC0-24hr) of EBR at Steady State
The AUC0-24hr of EBR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
Maximum Plasma Concentration (Cmax) of EBR
The Cmax of EBR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
Steady State Predose Drug Concentration (Ctrough) of EBR
The Ctrough of EBR at steady state (Week 4) was determined at steady state prior to dosing in each cohort.
Measured: Week 4: Predose
Apparent Clearance (CL/F) of EBR at Steady State
The CL/F of EBR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
AUC0-24hr of GZR at Steady State
The AUC0-24hr of GZR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
Cmax of GZR
The Cmax of GZR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
Ctrough of GZR
The Ctrough of GZR at steady state (Week 4) was determined at steady state prior to dosing in each cohort.
Measured: Week 4: Predose
CL/F of GZR at Steady State
The CL/F of GZR at steady state (Week 4) was determined in each cohort.
Measured: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
Secondary outcomes (3)
Percentage of Participants With ≥1 Adverse Event (AE)
The percentage of participants with ≥1 AE is reported in each cohort. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Measured: Up to 36 weeks
Percentage of Participants Discontinuing Study Treatment Due to an AE
The percentage of participants discontinuing study therapy due to an AE is reported in each cohort. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Measured: Up to 12 weeks
Percentage of Participants With Sustained Virologic Response 12 Weeks After Completing Treatment (SVR12)
The percentage of participants achieving SVR12, defined as hepatitis C virus (HCV) ribonucleic acid (RNA) < lower limit of quantification (LLOQ) 12 weeks after completing study therapy, was determined in each cohort.
Measured: Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Dec 2017
- Study start25 Jan 2018
- Primary completion28 Oct 2019
- Study completion23 Jul 2020
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 (1)Papers the sponsor has linked to this study.
- Other trials for HCV InfectionStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe 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
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 57 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03379506
- Sponsor's protocol ID
- 5172-079
- Other IDs
- MK-5172-079, 2015-003006-16, 2015
- Status last verified
- May 2023
- First submitted
- 13 Dec 2017
- Last updated
- 31 May 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Publications
Gonzalez-Peralta RP, Wirth S, Squires RH, Mutschler F, Lang T, Pawlowska M, Sluzewski W, Majda-Stanislawska E, Fischler B, Balistreri WF, Jonas MM, Blondet N, Rosenthal P, Alkhouri N, Romero R, Grandhi A, Castronuovo P, Caro L, Du L, Rosenbloom DIS, Haber BA. Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study. Hepatol Commun. 2023 Feb 14;7(3):e0031. doi: 10.1097/HC9.0000000000000031. eCollection 2023 Mar 1.
PubMed 36790337
Study at a glance
From the registry record, last updated by the sponsor on 31 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIb Clinical Study to Assess the Pharmacokinetics, Safety, and Efficacy of the Combination Regimen of Elbasvir (EBR)/Grazoprevir (GZR) in Participants Aged 3 to Less Than 18 Years With Chronic Hepatitis C Infection
- ClinicalTrials.gov ID
- NCT03379506
- Acronym / sponsor ID
- 5172-079
- Conditions
- HCV Infection
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 57 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 25 Jan 2018 (actual)
- Primary completion
- 28 Oct 2019 (actual)
- Study completion
- 23 Jul 2020 (actual)
- First posted
- 20 Dec 2017 (actual)
- Results
- Posted 17 Aug 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the pharmacokinetics (PK), safety, and efficacy of oral MK-5172 (a fixed dose combination [FDC] tablet containing elbasvir [EBR] 50 mg and grazoprevir [GZR] 100 mg) and EBR/GZR (varying doses) pediatric granules in pediatric hepatitis C virus (HCV)-infected participants who are 3 to <18 years of age. Within each age cohort (Cohort 1: 12 to <18 years of age; Cohort 2: 7 to <12 years of age; and Cohort 3: 3 to <7 years of age), a Mini Cohort of 7 participants will be enrolled first. For the oldest cohort (Cohort 1), the Mini Cohort will assess ability to swallow a placebo tablet prior to administering active FDC tablets; participants in Cohorts 2 and 3 will take pediatric granules instead of a tablet.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| EBR/GZR | Experimental | Drug: EBR/GZR FDC Tablet, Drug: Placebo, Drug: Grazoprevir Oral Granules, Drug: Elbasvir Oral GranulesPediatric participants receive EBR/GZR as either FDC tablets or oral granules once daily for 12 weeks. A 24-week follow-up period will follow the 12-week treatment regimen. |
Who may qualify
- Ages
- 3 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Has documented chronic HCV genotype (GT) 1 or GT4 infection
- Has the following liver disease staging assessment: absence of cirrhosis or compensated cirrhosis
- Has one of the following HCV treatment statuses:
- GT1 and GT4: treatment-naïve (TN), defined as no prior exposure to any interferon (IFN)-containing regimen, ribavirin (RBV), or other HCV-specific direct acting antiviral (DAA) agent
- GT1 only: treatment-experienced (TE) with no previous treatment with HCV specific DAA agents.
Key exclusion criteria (13 listed)
- Has evidence of decompensated liver disease manifested by the presence of or history of ascites, esophageal or gastric variceal bleeding, hepatic encephalopathy, or other signs or symptoms of advanced liver disease.
- Is cirrhotic AND has a Child-Turcotte-Pugh score >6, corresponding to a Child Class B or C.
- Is co-infected with Human Immunodeficiency Virus (HIV).
- Has evidence of past or present hepatitis B infection.
- Has a history of malignancy ≤5 years prior to signing informed consent or is under evaluation for other active or suspected malignancy.
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 |
|---|---|---|
| EBR/GZR FDC TabletAlso: MK-5172A, ZEPATIER®Participants who are 12 to <18 years of age will receive oral FDC tablets with EBR 50 mg/GZR 100 mg once daily by mouth. | Drug | EBR/GZR |
| PlaceboPlacebo tablet matched to EBR/GZR FDC tablet. | Drug | EBR/GZR |
| Grazoprevir Oral GranulesAlso: MK-5172Participants 3 to <12 years of age take grazoprevir granules 0.5 mg by mouth in a soft food vehicle at a dose not to exceed 50 mg. | Drug | EBR/GZR |
| Elbasvir Oral GranulesAlso: MK-8742Participants 3 to <12 years of age take elbasvir oral granules 1 mg by mouth in a soft food vehicle at a dose not to exceed 100 mg. | Drug | EBR/GZR |
Primary outcome
Area Under the Plasma Concentration-Time Curve From Dosing to 24 Hours Postdose (AUC0-24hr) of EBR at Steady State
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The AUC0-24hr of EBR at steady state (Week 4) was determined in each cohort.
Maximum Plasma Concentration (Cmax) of EBR
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The Cmax of EBR at steady state (Week 4) was determined in each cohort.
Steady State Predose Drug Concentration (Ctrough) of EBR
Time frame: Week 4: Predose
The Ctrough of EBR at steady state (Week 4) was determined at steady state prior to dosing in each cohort.
Apparent Clearance (CL/F) of EBR at Steady State
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The CL/F of EBR at steady state (Week 4) was determined in each cohort.
AUC0-24hr of GZR at Steady State
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The AUC0-24hr of GZR at steady state (Week 4) was determined in each cohort.
Cmax of GZR
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The Cmax of GZR at steady state (Week 4) was determined in each cohort.
Ctrough of GZR
Time frame: Week 4: Predose
The Ctrough of GZR at steady state (Week 4) was determined at steady state prior to dosing in each cohort.
CL/F of GZR at Steady State
Time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose
The CL/F of GZR at steady state (Week 4) was determined in each cohort.
3 secondary outcomes
Percentage of Participants With ≥1 Adverse Event (AE)
Time frame: Up to 36 weeks
Percentage of Participants Discontinuing Study Treatment Due to an AE
Time frame: Up to 12 weeks
Percentage of Participants With Sustained Virologic Response 12 Weeks After Completing Treatment (SVR12)
Time frame: Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 May 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 36790337Gonzalez-Peralta RP, Wirth S, Squires RH, Mutschler F, Lang T, Pawlowska M, Sluzewski W, Majda-Stanislawska E, Fischler B, Balistreri WF, Jonas MM, Blondet N, Rosenthal P, Alkhouri N, Romero R, Grandhi A, Castronuovo P, Caro L, Du L, Rosenbloom DIS, Haber BA. Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study. Hepatol Commun. 2023 Feb 14;7(3):e0031. doi: 10.1097/HC9.0000000000000031. eCollection 2023 Mar 1.
- Individual participant dataSharing planned: Yes. http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp & Dohme LLC
15 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing EBR/GZR FDC Tablet, Grazoprevir Oral Granules and Elbasvir Oral Granules in people with HCV Infection, run by Merck Sharp & Dohme LLC at 15 sites in 4 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 6 inclusion and 13 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 31 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 15 sites in United States, Germany, Poland, Sweden. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 17 Aug 2020). 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?
Area Under the Plasma Concentration-Time Curve From Dosing to 24 Hours Postdose (AUC0-24hr) of EBR at Steady State (time frame: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose). The study lists 8 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 NCT03379506, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2023.