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NCT02203149

Study of Grazoprevir (MK-5172) and Elbasvir (MK-8742) in Japanese Participants With Chronic Hepatitis C (MK-5172-058)

Completed Phase 2, PHASE3 Results posted Last updated 24 September 2018
What this trial tests

Phase 2, PHASE3 trial testing Grazoprevir in Hepatitis C in 399 participants. Completed in 16 May 2016.

Timeline
1 August 2014
Primary endpoint
2 October 2015
16 May 2016

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment399
Start date1 August 2014
Primary completion2 October 2015
Estimated completion16 May 2016

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 20 to 80, any sex, with Hepatitis C. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 2: Percentage of Treatment-naïve Participants in the Immediate Treatment Arm Achieving Sustained Viral Response at 12 Weeks After The End of All Treatment (SVR12) Primary · 12 weeks after end of all therapy in Part 2 (Study Week 24 of Part 2)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS® Taqman quantitative reverse transcription-polymerase chain reaction (RT-PCR) assay, v2.0, which had a lower limit of quantification (LLoQ) of 1.2 Log IU/mL (15 IU/mL) and a lower limit of detection (LLoD) below 15 IU/ml (no specific value). SVR12 was defined as undetectable HCV RNA (target not detected) at 12 weeks after the end of all study therapy. The Clopper-Pearson method was used to construct 95% confidence intervals (CIs) for the SVR12 rate. The lower limit o

GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.692.3 – 98.9
Part 1: Percentage of Participants Experiencing an Adverse Event (AE) During Treatment and First 4 Follow-Up Weeks Primary · Up to 4 weeks post last dose in Part 1 (Up to total of 16 weeks)

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally

GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir67.7
Part 1 Grazoprevir 100 mg + Elbasvir74.2
Part 1: Percentage of Participants That Discontinued Treatment Due to an AE Primary · Up to Study Week 12 in Part 1

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition that is temporally

GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir0.0
Part 1 Grazoprevir 100 mg + Elbasvir0.0
Part 1: Percentage of Participants Achieving Undetectable HCV RNA Over Time Secondary · Part 1 Treatment Weeks (TW)2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® Taqman quantitative RT-PCR assay, v2.0, which had a LLoQ of 1.2 Log IU/mL (15 IU/mL) and a LLoD below 15 IU/ml (no specific value). Undetectable HCV RNA was defined as HCV RNA target not detected. The percentage of participants with undetectable HCV RNA at TW2, TW4, TW12, EOT, FUWK4, FUWK12, and FUWK24 is summarized for each arm. The Clopper-Pearson method was used to construct 95% CIs for SVR rates.

TW2
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir22.69.6 – 41.1
Part 1 Grazoprevir 100 mg + Elbasvir35.519.2 – 54.6
TW4
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir77.458.9 – 90.4
Part 1 Grazoprevir 100 mg + Elbasvir83.966.3 – 94.5
TW12
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
EOT
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
FUWK4
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
FUWK12
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir96.883.3 – 99.9
FUWK24
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir96.883.3 – 99.9
Part 1 Grazoprevir 100 mg + Elbasvir96.883.3 – 99.9
Part 1: Percentage of Participants Achieving HCV RNA Below the Lower Limit of Quantitation (<LLoQ) Over Time Secondary · Part 1 TW2, TW4, TW12, EOT, FUWK4, FUWK12, FUWK24

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® Taqman quantitative RT-PCR assay, v2.0, which had a LLoQ of 1.2 Log IU/mL (15 IU/mL) and a LLoD below 15 IU/ml (no specific value). Undetectable HCV RNA was defined as HCV RNA target not detected. The percentage of participants with HCV RNA \<LLoQ at TW2, TW4, TW12, EOT, FUWK4, FUWK12, and FUWK24 is summarized for each arm. The Clopper-Pearson method was used to construct 95% CIs for SVR rates.

TW2
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir61.342.2 – 78.2
Part 1 Grazoprevir 100 mg + Elbasvir71.052.0 – 85.8
TW4
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
TW12
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
EOT
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
FUWK4
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir100.088.8 – 100.0
FUWK12
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir96.883.3 – 99.9
FUWK24
GroupValue95% CI
Part 1 Grazoprevir 50 mg + Elbasvir100.088.8 – 100.0
Part 1 Grazoprevir 100 mg + Elbasvir96.883.3 – 99.9
Part 2: Percentage of Participants Experiencing an AE During Initial Treatment and First 4 Follow-Up Weeks Primary · Up to 4 weeks following initial treatment in Part 2 (Up to total of 16 weeks)

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, was also an AE. The primary sa

GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir64.8
Part 2 Non-cirrhotic Deferred: Placebo67.6
Part 2 Cirrhotic: Grazoprevir + Elbasvir80.0
Part 2: Percentage of Participants That Discontinued Initial Treatment Due to an AE Primary · Up to Study Week 12 in Part 2

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, was also an AE. The primary sa

GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir1.3
Part 2 Non-cirrhotic Deferred: Placebo1.4
Part 2 Cirrhotic: Grazoprevir + Elbasvir0.0
Part 2: Percentage of Participants Achieving Undetectable HCV RNA Over Time After Active Treatment Secondary · Part 2: Active TW2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® Taqman quantitative RT-PCR assay, v2.0, which had a LLoQ of 1.2 Log IU/mL (15 IU/mL) and a LLoD below 15 IU/ml (no specific value). Undetectable HCV RNA was defined as HCV RNA target not detected. The percentage of participants with undetectable HCV RNA at TW2, TW4, TW12, EOT, FUWK4, FUWK12, and FUWK24 is summarized for each arm. Data reported for the Part 2 Deferred Treatment Arm corresponds to the deferred active treatment weeks and subsequent follow-up. The Clopper-Pearson method was used to constru

TW2
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir25.119.6 – 31.3
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir39.728.5 – 51.9
Part 2 Cirrhotic: Grazoprevir + Elbasvir11.43.2 – 26.7
TW4
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir70.564.1 – 76.3
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir86.376.2 – 93.2
Part 2 Cirrhotic: Grazoprevir + Elbasvir65.747.8 – 80.9
TW12
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir97.894.9 – 99.3
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir100.090.0 – 100.0
EOT
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir98.796.2 – 99.7
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir100.090.0 – 100.0
FUWK4
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir98.295.5 – 99.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir97.185.1 – 99.9
FUWK12
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.593.2 – 98.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir95.988.5 – 99.1
Part 2 Cirrhotic: Grazoprevir + Elbasvir97.185.1 – 99.9
FUWK24
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.593.2 – 98.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir95.988.5 – 99.1
Part 2 Cirrhotic: Grazoprevir + Elbasvir94.380.8 – 99.3
Part 2: Percentage of Participants Achieving HCV RNA <LLoQ Over Time After Active Treatment Secondary · Part 2: Active TW2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® Taqman quantitative RT-PCR assay, v2.0, which had a LLoQ of 1.2 Log IU/mL (15 IU/mL) and a LLoD below 15 IU/ml (no specific value). Undetectable HCV RNA was defined as HCV RNA target not detected. The percentage of participants with HCV RNA \<LLoQ at TW2, TW4, TW12, EOT, FUWK4, FUWK12, and FUWK24 is summarized for each arm. Data reported for the Part 2 Deferred Treatment Arm corresponds to the deferred active treatment weeks and subsequent follow-up. The Clopper-Pearson method was used to construct 95%

TW2
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir60.854.1 – 67.2
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir69.958.0 – 80.1
Part 2 Cirrhotic: Grazoprevir + Elbasvir60.042.1 – 76.1
TW4
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.092.6 – 98.2
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir98.692.6 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir94.380.8 – 99.3
TW12
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir98.796.2 – 99.7
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir100.090.0 – 100.0
EOT
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir99.697.6 – 100.0
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir100.090.0 – 100.0
FUWK4
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir98.295.5 – 99.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir100.095.1 – 100.0
Part 2 Cirrhotic: Grazoprevir + Elbasvir97.185.1 – 99.9
FUWK12
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.593.2 – 98.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir97.390.5 – 99.7
Part 2 Cirrhotic: Grazoprevir + Elbasvir97.185.1 – 99.9
FUWK24
GroupValue95% CI
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.593.2 – 98.5
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir95.988.5 – 99.1
Part 2 Cirrhotic: Grazoprevir + Elbasvir97.185.1 – 99.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Part 1: Up to a total of 36 weeks Part 2: Up to a total of 52 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1 Grazoprevir 50 mg + Elbasvir
Serious: 2/31 (6%)
Deaths:
Part 1 Grazoprevir 100 mg + Elbasvir
Serious: 1/31 (3%)
Deaths:
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir
Serious: 19/227 (8%)
Deaths:
Part 2 Non-cirrhotic Deferred: Placebo
Serious: 1/74 (1%)
Deaths:
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir
Serious: 2/73 (3%)
Deaths:
Part 2 Cirrhotic: Grazoprevir + Elbasvir
Serious: 3/35 (9%)
Deaths:

Serious adverse events (27 terms)

ReactionSystemPart 1 Grazoprevir 50 mg +…Part 1 Grazoprevir 100 mg …Part 2 Non-cirrhotic Immed…Part 2 Non-cirrhotic Defer…Part 2 Non-cirrhotic Defer…Part 2 Cirrhotic: Grazopre…
CataractEye disorders
Acute coronary syndromeCardiac disorders
Cardiac sarcoidosisCardiac disorders
Colitis ischaemicGastrointestinal disorders
Angina pectorisCardiac disorders
HaematocheziaGastrointestinal disorders
Haemorrhagic erosive gastritisGastrointestinal disorders
IleusGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Large intestine polypGastrointestinal disorders
AppendicitisInfections and infestations
SinusitisInfections and infestations
Tibia fractureInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
ArthritisMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign anorectal neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastrointestinal tract adenomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral infarctionNervous system disorders
SciaticaNervous system disorders
Other adverse events (23 terms — click to expand)

ReactionSystemPart 1 Grazoprevir 50 mg +…Part 1 Grazoprevir 100 mg …Part 2 Non-cirrhotic Immed…Part 2 Non-cirrhotic Defer…Part 2 Non-cirrhotic Defer…Part 2 Cirrhotic: Grazopre…
NasopharyngitisInfections and infestations
DiarrhoeaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
Aspartate aminotransferase increasedInvestigations
RashSkin and subcutaneous tissue disorders
CystitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
MalaiseGeneral disorders
Blood creatine phosphokinase increasedInvestigations
Abdominal pain upperGastrointestinal disorders
Accidental overdoseInjury, poisoning and procedural complications
Conjunctival haemorrhageEye disorders
PyrexiaGeneral disorders
AnaemiaBlood and lymphatic system disorders
Dry eyeEye disorders
StomatitisGastrointestinal disorders
PeriodontitisInfections and infestations
Ligament sprainInjury, poisoning and procedural complications
Tooth fractureInjury, poisoning and procedural complications
Protein urine presentInvestigations
EpistaxisRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Cataract, Acute coronary syndrome, Cardiac sarcoidosis, Colitis ischaemic, Angina pectoris, Haematochezia, Haemorrhagic erosive gastritis, Ileus.

Data from ClinicalTrials.gov NCT02203149 adverse events section.

Sponsor's own description

This is a two-part study of grazoprevir (MK-5172) + elbasvir (MK-8742) in Japanese participants with chronic hepatitis C virus (HCV) genotype 1 (GT1). Part I is a dose-finding study; in Part II, participants will be randomly assigned to receive grazoprevir at the dose determined in Part I in combination with elbasvir. The primary study hypothesis is that the percentage of treatment-naïve participants in the Immediate Treatment Arm of Part II who achieve sustained viral response at 12 weeks after the end of all treatment (SVR12) will be greater than the reference rate of 75%. A separate study arm for cirrhotic participants will also be included in Part II; these participants will receive grazoprevir at the determined dose in combination with elbasvir.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The combination of elbasvir and grazoprevir for the treatment of chronic HCV infection in Japanese patients: a randomized phase II/III study.
    Kumada H, Suzuki Y, Karino Y, Chayama K, et al · · 2017 · cited 60× · PMID 27873094 · DOI 10.1007/s00535-016-1285-y
  2. The safety and efficacy of elbasvir and grazoprevir in participants with hepatitis C virus genotype 1b infection.
    Zeuzem S, Serfaty L, Vierling J, Cheng W, et al · · 2018 · cited 36× · PMID 29344726 · DOI 10.1007/s00535-018-1429-3
  3. Elbasvir/grazoprevir in women with hepatitis C virus infection taking oral contraceptives or hormone replacement therapy.
    Hézode C, Kwo P, Sperl J, Hwang P, et al · · 2019 · cited 2× · PMID 31819666 · DOI 10.2147/ijwh.s203022
  4. Efficacy and Safety of Elbasvir/Grazoprevir in Hepatitis C Virus GT1- and GT4-Infected People Aged 65 Years or Older.
    Flamm S, Peng CY, Shibolet O, Nahass R, et al · · 2019 · cited 2× · PMID 30891470 · DOI 10.1177/2333721418817398

Verify or expand the search:

Other trials of Grazoprevir

Trials testing the same drug.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02203149.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing