Phase 3 Treatment-Naïve and Treatment-Experienced

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Presentation transcript:

Phase 3 Treatment-Naïve and Treatment-Experienced Glecaprevir-Pibrentasvir in HCV GT 3, Without Cirrhosis SURVEYOR-II (Part 3) Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Glecaprevir-Pibrentasvir in HCV GT 3, with Cirrhosis and Prior Treatment SURVEYOR-II (Part 3): Study Features SURVEYOR-II (Part 3) Trial Design: Open-label single-arm phase 3 trial to evaluate the safety and efficacy of the fixed-dose combination of glecaprevir-pibrentasvir for 8 weeks in treatment-naïve and treatment-experienced adults with GT 3 chronic HCV infection, without cirrhosis and with compensated cirrhosis Setting: U.S., Australia, Canada, France, New Zealand, and United Kingdom Key Eligibility Criteria - Chronic HCV GT 3 - HCV RNA ≥1,000 IU/mL at screening - Treatment naïve - Prior treatment with (1) PEG (or INF) +/- RIB or (2) Sofosbuvir + RIB +/- PEG - Patients with compensated cirrhosis included - Patients with HIV or chronic HBV excluded Primary End-Point: SVR12 Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Glecaprevir-Pibrentasvir in HCV GT 3, with Cirrhosis and Prior Treatment SURVEYOR-II (Part 3): Study Design 20 Week 8 12 16 24 28 Week GT 3, Treatment-Naive With cirrhosis GLE-PIB (n = 40) SVR12 GT3, Treatment-Experienced Without cirrhosis GLE-PIB (n = 22) SVR12 GT 3, Treatment-Experienced Without cirrhosis GLE-PIB (n = 22) SVR12 GT 3, Treatment-Experienced With cirrhosis GLE-PIB (n = 47) SVR12 Drug Dosing: Glecaprevir-pibrentasvir (100/40 mg) fixed dose combination; three pills once daily Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Glecaprevir-Pibrentasvir in HCV GT 3, with Cirrhosis and Prior Treatment SURVEYOR-II (Part 3): Baseline Characteristics Baseline Characteristic Arm A: 12 weeks GLE-PIB Arm B: 16 weeks GLE-PIB Naive (+) Cirrhosis (n = 40) Experienced (-) Cirrhosis (n = 22) Experienced (+) Cirrhosis (n = 47) Age, median years (range) 56 (36-70) 56 (35-68) 59 (29-66) 59 (47-70) Male, n (%) 24 (60) 14 (64) 36 (77) White race, n (%) 37 (93) 17 (77) 20 (91) 42 (89) HCV RNA, median log10 IU/mL (range) 6.2 (4.2-7.1) 6.6 (5.1-7.5) 6.1 (4.7-7.3) 6.5 (4.6-7.2) BMI, median SD, kg/m2 29 (21-51) 26 (19-42) 28 (22-48) 27 (21-42) Prior Treatment History, n (%) Naïve IFN/PEG ± RBV, n (%) SOF + RBV ± PEG, n (%) 40 (100) 8 (36) 13 (59) 9 (41) 22 (47) 25 (53) Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Prevalence of Baseline Polymorphism, n (%) Glecaprevir-Pibrentasvir in HCV GT 3, Without Cirrhosis SURVEYOR-II (Part 3): Baseline Characteristics Prevalence of Baseline Amino Acid Polymorphisms* in NS3 or NS5A Genotype Prevalence of Baseline Polymorphism, n (%) Naive (+) Cirrhosis (n = 40) Experienced (-) Cirrhosis (n = 22) Experienced (+) Cirrhosis (n = 47) Any 10 (26) 6 (27) 3 (14) 7 (15) NS3 only 1 (3) 1 (2) NS5A only 9 (23) 6 (13) NS3 + NS5A *Baseline polymorphisms detected by next generation sequencing at a 15% threshold in samples that had sequences available for both targets (N) at the following amino acid positions: NS3: 155, 156, 168 NS5A: 24, 28, 30, 31, 58, 92, 93 Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Glecaprevir-Pibrentasvir in HCV GT 3, with Cirrhosis and Prior Treatment SURVEYOR-II (Part 3): Results 39/40 20/22 21/22 45/47 Abbreviations: TN = Treatment Naïve; TE = Treatment Experienced Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

Glecaprevir-Pibrentasvir in HCV GT 3, with Cirrhosis and Prior Treatment SURVEYOR-II (Part 3): Conclusions Conclusion: “Patients with HCV GT3 infection with prior treatment experience and/or compensated cirrhosis achieved high SVR12 rates following 12 or 16 weeks of treatment with G/P. The regimen was well tolerated.” Source: Wyles D, et al. Hepatology. 2017 Sep 19. [Epub ahead of print]

This slide deck is from the University of Washington’s Hepatitis C Online and Hepatitis Web Study projects. Hepatitis C Online www.hepatitisc.uw.edu Hepatitis Web Study http://depts.washington.edu/hepstudy/ Funded by a grant from the Centers for Disease Control and Prevention.