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)
TerminatedPhase 2Results postedLast 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.
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.
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
97.1
89.9 – 99.6
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
100.0
87.7 – 100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
76.9
60.7 – 88.9
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
90.0
68.3 – 98.8
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
66.7
9.4 – 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.
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
52.2
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
44.8
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
43.6
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
55.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
66.7
Percentage of Participants Withdrawing From Study Therapy Due to an AEPrimary· 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.
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
0.0
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
3.4
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
0.0
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
5.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
0.0
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.
Group
Value
95% CI
GT1a: Uprifosbuvir 450 mg + Ruzasvir 60 mg
96.2
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
75.0
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
90.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
66.7
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mg
100.0
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
Group
Value
95% CI
GT1a: Uprifosbuvir 450 mg + Ruzasvir 60 mg
3.7
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
0.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
23.1
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
5.0
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
33.3
GT1b: Uprifosbuvir 450 mg + Ruzasvir 60 mg
0.0
Percentage of Participants With Baseline Resistance-Associated Substitutions (RAS) Achieving SVR12Secondary· 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.
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
97.1
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
100.0
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
97.4
GT4: Uprifosbuvir 450 mg + Ruzasvir 60 mg
94.7
GT6: Uprifosbuvir 450 mg + Ruzasvir 60 mg
66.6
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
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
4.3
GT2: Uprifosbuvir 450 mg + Ruzasvir 60 mg
3.4
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
5.1
Non-overdose ECI
Group
Value
95% CI
GT1: Uprifosbuvir 450 mg + Ruzasvir 60 mg
2.8
GT3: Uprifosbuvir 450 mg + Ruzasvir 60 mg
2.5
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)
Reaction
System
GT1: Uprifosbuvir 450 mg +…
GT2: Uprifosbuvir 450 mg +…
GT3: Uprifosbuvir 450 mg +…
GT4: Uprifosbuvir 450 mg +…
GT6: Uprifosbuvir 450 mg +…
Melaena
Gastrointestinal disorders
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—
—
—
—
Oesophagitis haemorrhagic
Gastrointestinal disorders
—
—
—
—
—
Upper gastrointestinal haemorrhage
Gastrointestinal disorders
—
—
—
—
—
Drug withdrawal syndrome
General disorders
—
—
—
—
—
Arthritis bacterial
Infections and infestations
—
—
—
—
—
Staphylococcal bacteraemia
Infections and infestations
—
—
—
—
—
Urinary tract infection
Infections and infestations
—
—
—
—
—
Accidental overdose
Injury, poisoning and procedural complications
—
—
—
—
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Hepatocellular carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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):
NCT04014179 — Enhancing Hepatitis C Testing and Treatment Among People Who Inject Drugs Attending Needle and Syringe Programs
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· active not recruiting
NCT04943588 — Treating Hepatitis C in Pakistan. Strategies to Avoid Resistance to Antiviral Drugs
· recruiting
NCT03520660 — People With CHC Who Achieved a Sustained Virological Response Following Therapy With Direct Acting Antiviral Agents
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· active not recruiting
NCT03200379 — Nation-wide Hepatitis C Virus (HCV) Registry in Taiwan
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Merck Sharp & Dohme LLC
Last refreshed: 26 June 2019
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/NCT02759315.