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NCT02759315

Efficacy and Safety of Uprifosbuvir (MK-3682) With Ruzasvir (MK-8408) in Adults With Chronic Hepatitis C Genotype 1, 2, 3, 4, 5 or 6 Infection (MK-3682-035)

Terminated Phase 2 Results posted Last updated 26 June 2019
What this trial tests

Phase 2 trial testing Uprifosbuvir 450 mg in Hepatitis C, Chronic in 160 participants. Terminated before completion.

Timeline
3 May 2016
Primary endpoint
27 July 2017
16 November 2017

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment160
Start date3 May 2016
Primary completion27 July 2017
Estimated completion16 November 2017

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

18 and older, any sex, with Hepatitis C, Chronic. 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.

Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12) Primary · Week 24 (12 weeks after completing study therapy)

The percentage of participants in each arm achieving SVR12 was determined. SVR12 was defined as HCV ribonucleic acid (RNA) levels in plasma \< lower limit of quantification (LLOQ) 12 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.

GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg97.189.9 – 99.6
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg100.087.7 – 100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg76.960.7 – 88.9
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg90.068.3 – 98.8
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg66.79.4 – 99.2
Percentage of Participants With ≥1 Adverse Events (AEs) Primary · Up to Week 14 (up to 2 weeks after completing study therapy)

The percentage of participants experiencing an AE during the treatment period and first 2 weeks of follow-up was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg52.2
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg44.8
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg43.6
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg55.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg66.7
Percentage of Participants Withdrawing From Study Therapy Due to an AE Primary · Up to Week 12

The percentage of participants discontinuing from study therapy during the treatment period was determined. An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg0.0
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg3.4
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg0.0
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg5.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg0.0
Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24) Secondary · Week 36 (24 weeks after completing study therapy)

The percentage of participants in each arm achieving SVR24 was determined. SVR24 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL. For SVR24, participants with GT1 infection were separated into GT1a or GT1b infection.

GroupValue95% CI
GT1a: Uprifosbuvir 450 mg + Ruzasvir 60 mg96.2
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg75.0
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg90.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg66.7
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mg100.0
Percentage of Participants With Virologic Failure (VF) Secondary · 12 weeks after the end of all study therapy (24 weeks)

The percentage of participants in each arm experiencing VF was determined. VF was defined as: 1) non-response (HCV RNA detected at end of treatment without HCV RNA \< LLOQ while on treatment); 2) rebound (\>1 log 10 IU/mL increase in HCV RNA from nadir while on treatment); 3) virologic breakthrough (HCV RNA ≥LLOQ after being \<LLOQ on treatment); or 4) relapse (HCV RNA ≥LLOQ after end of all study therapy after being undetectable at end of treatment); virologic failure could occur either on-treatment or relapse post-treatment. For VF, participants with GT1 infection were separated into GT1a or

GroupValue95% CI
GT1a: Uprifosbuvir 450 mg + Ruzasvir 60 mg3.7
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg0.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg23.1
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg5.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg33.3
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mg0.0
Percentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR12 Secondary · 12 weeks after the end of all study therapy (24 weeks)

The percentage of participants in each arm with baseline RAS achieving SVR12 was determined. Analysis of RAS in NS5A or NS5B at baseline was determined. SVR12 was defined as HCV RNA levels in plasma \< LLOQ 24 weeks after completing study treatment. Plasma levels of HCV RNA were measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL.

GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg97.1
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg97.4
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg94.7
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg66.6
Percentage of Participants With ≥1 Events of Clinical Interest (ECIs) Primary · Up to Week 14 (up to 2 weeks after completing study therapy)

The percentage of participants with ECIs was determined. ECIs were defined as the following: 1) an overdose of study drug; 2) first instance of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>500 IU/L; 3) first instance of ALT or AST \>3x nadir and \>3x upper limit of normal (ULN); 4) first instance of estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m\^2; or 4) first instance of serum creatinine \>1.3x ULN and elevated from baseline.

Overdose
GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg4.3
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg3.4
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg5.1
Non-overdose ECI
GroupValue95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg2.8
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg2.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 36 weeks (up to 24 weeks after completing study treatment). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Serious: 4/69 (6%)
Deaths: 0/69
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Serious: 0/29 (0%)
Deaths: 0/29
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Serious: 1/39 (3%)
Deaths: 1/39
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Serious: 2/20 (10%)
Deaths: 0/20
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
Serious: 0/3 (0%)
Deaths: 0/3

Serious adverse events (13 terms)

ReactionSystemGT1: Uprifosbuvir 450 mg +…GT2: Uprifosbuvir 450 mg +…GT3: Uprifosbuvir 450 mg +…GT4: Uprifosbuvir 450 mg +…GT6: Uprifosbuvir 450 mg +…
MelaenaGastrointestinal disorders
Oesophagitis haemorrhagicGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
Drug withdrawal syndromeGeneral disorders
Arthritis bacterialInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
Urinary tract infectionInfections and infestations
Accidental overdoseInjury, poisoning and procedural complications
Hepatocellular carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
SciaticaNervous system disorders
SyncopeNervous system disorders
SchizophreniaPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
Other adverse events (12 terms — click to expand)

ReactionSystemGT1: Uprifosbuvir 450 mg +…GT2: Uprifosbuvir 450 mg +…GT3: Uprifosbuvir 450 mg +…GT4: Uprifosbuvir 450 mg +…GT6: Uprifosbuvir 450 mg +…
FatigueGeneral disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
Accidental overdoseInjury, poisoning and procedural complications
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
FlatulenceGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
InsomniaPsychiatric disorders

Most-reported serious reactions: Melaena, Oesophagitis haemorrhagic, Upper gastrointestinal haemorrhage, Drug withdrawal syndrome, Arthritis bacterial, Staphylococcal bacteraemia, Urinary tract infection, Accidental overdose.

Data from ClinicalTrials.gov NCT02759315 adverse events section.

Sponsor's own description

This study is an open-label, multi-center trial to evaluate the novel 2-drug regimen of uprifosbuvir (MK-3682) 450 mg and ruzasvir (MK-8408) 60 mg in participants with chronic hepatitis C virus (HCV) genotype (GT)1, GT2, GT3, GT4, GT5, or GT6 infection. The impact of the study treatment regimen on the percentage of participants with undetectable HCV ribonucleic acid \[RNA\] 12 weeks after completing study treatment (SVR12) will be evaluated.

Publications & conference data

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

  1. Efficacy and safety of a two-drug direct-acting antiviral agent regimen ruzasvir 180 mg and uprifosbuvir 450 mg for 12 weeks in adults with chronic hepatitis C virus genotype 1, 2, 3, 4, 5 or 6.
    Lawitz E, Gane E, Feld JJ, Buti M, et al · · 2019 · cited 9× · PMID 31108015 · DOI 10.1111/jvh.13132
  2. Efficacy and safety of ruzasvir 60 mg and uprifosbuvir 450 mg for 12 weeks in adults with chronic hepatitis C virus genotype 1, 2, 3, 4 or 6 infection.
    Lawitz E, Poordad F, Anderson LJ, Vesay M, et al · · 2019 · cited 6× · PMID 30739366 · DOI 10.1111/jvh.13079
  3. Efficacy and safety of direct-acting antiviral regimen for patients with hepatitis C virus genotype 2: a systematic review and meta-analysis.
    Lei PK, Liu Z, Ung COL, Hu H. · · 2024 · PMID 39350091 · DOI 10.1186/s12876-024-03414-5

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