Page last updated: 2024-11-13

grazoprevir

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Description

grazoprevir: has antiviral activity; component of Zepatier [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

grazoprevir : An azamacrocyclic compound that is a hepatitis C protease inhibitor used in combination with elbasvir (under the brand name Zepatier) for treatment of chronic HCV genotypes 1 or 4 infection in adults. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID44603531
CHEMBL ID2063090
CHEBI ID132975
SCHEMBL ID2175313
MeSH IDM0581079

Synonyms (52)

Synonym
grazoprevir
(1ar,5s,8s,10r,22ar)-5-tert-butyl-n-{(1r,2s)-1-[(cyclopropanesulfonyl)carbamoyl]-2-ethenylcyclopropyl}-14-methoxy-3,6-dioxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8h-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadecino[11,12-b]qui
1350514-68-9
CHEBI:132975
mk 5172
8ye81r1x1j ,
S3728
HY-15298
CS-1374
cyclopropanecarboxamide, n-((((1r,2r)-2-(5-(3-hydroxy-6-methoxy-2-quinoxalinyl)pentyl)cyclopropyl)oxy)carbonyl)-3-methyl-l-valyl-(4r)-4-hydroxy-l-prolyl-1-amino-n-(cyclopropylsulfonyl)-2-ethenyl-, cyclic (1->2)-ether, (1r,2s)-
grazoprevir [mi]
grazoprevir [who-dd]
zepatier component of grazoprevir
1356446-42-8
grazoprevir anhydrous
grazoprevir component of zepatier
CHEMBL2063090
mk-5172 anhydrous
mk-5172 monohydrate
grazoprevir monohydrate
unii-8ye81r1x1j
grazoprevir [inn]
OBMNJSNZOWALQB-NCQNOWPTSA-N
(1ar,5s,8s,10r,22ar)-5-tert-butyl-n-((1r,2s)-1-{[(cyclopropylsulfonyl)amino]carbonyl}-2-vinylcyclopropyl)-14-methoxy-3,6-dioxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8h-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadecino[11,12-b]
SCHEMBL2175313
AC-29227
DTXSID50159234
mk5172
(1r,18r,20r,24s,27s)-24-tert-butyl-n-[(1r,2s)-1-[(cyclopropanesulfonyl)carbamoyl]-2-ethenylcyclopropyl]-7-methoxy-22,25-dioxo-2,21-dioxa-4,11,23,26-tetraazapentacyclo[24.2.1.0?,??.0?,??.0??,??]nonacosa-3,5,7,9,11-pentaene-27-carboxamide
AKOS030253227
bdbm50485492
A887766
DB11575
oxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8h-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadec
(1ar,5s,8s,10r,22ar)-5-tert-butyl-n-{(1r,2s)-1-[(cyclopropylsulfonyl)carbamoyl]-2-ethenylcyclopropyl}-14-methoxy-3,6-di
ino[11,12-b]quinoxaline-8-carboxamide
Z2608566420
(33r,35s,91r,92r,5s)-5-(tert-butyl)-n-((1r,2s)-1-((cyclopropylsulfonyl)carbamoyl)-2-vinylcyclopropyl)-17-methoxy-4,7-dioxo-2,8-dioxa-6-aza-1(2,3)-quinoxalina-3(3,1)-pyrrolidina-9(1,2)-cyclopropanacyclotetradecaphane-35-carboxamide
mk-5172; grazoprevir
EX-A2253
Q19786991
(1ar,5s,8s,10r,22ar)-5-tert-butyl-n-{(1r,2s)-1-[(cyclopropylsulfonyl)carbamoyl]-2-ethenylcyclopropyl}-14-methoxy-3,6-di oxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8h-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadec ino[11,12-b]qu
CCG-270451
NCGC00378916-02
zepatier [elbasvir (ns5a inhibitor) + grazoprevir]
gtpl11573
(1r,2s)-n-[[[(1r,2r)-2-[5-(3-hydroxy-6-methoxy-2-quinoxalinyl)pentyl]cyclopropyl]oxy]carbonyl]-3-methyl-l-valyl-(4r)-4-hydroxy-l-prolyl-1-amino-n-(cyclopropylsulfonyl)-2-ethenyl-cyclopropanecarboxamide, cyclic (1-->2)-ether;mk-5172
D82934
AS-55861
(1r,18r,20r,24s,27s)-24-tert-butyl-n-[(1r,2s)-1-(cyclopropylsulfonylcarbamoyl)-2-ethenylcyclopropyl]-7-methoxy-22,25-dioxo-2,21-dioxa-4,11,23,26-tetrazapentacyclo[24.2.1.03,12.05,10.018,20]nonacosa-3,5(10),6,8,11-pentaene-27-carboxamide
EN300-19880554
(1r,18r,20r,24s,27s)-24-tert-butyl-n-[(1r,2s)-1-[(cyclopropanesulfonyl)carbamoyl]-2-ethenylcyclopropyl]-7-methoxy-22,25-dioxo-2,21-dioxa-4,11,23,26-tetraazapentacyclo[24.2.1.0^{3,12}.0^{5,10}.0^{18,20}]nonacosa-3,5(10),6,8,11-pentaene-27-carboxamide

Research Excerpts

Overview

Grazoprevir is a potent pan-genotype and macrocyclic inhibitor of hepatitis C virus (HCV) NS3/4A protease and was developed for treating chronic HCV infection.

ExcerptReferenceRelevance
"Grazoprevir (GZR) is a second-generation hepatitis C virus NS3/4A protease inhibitor. "( Efficacy and safety of grazoprevir + ribavirin for 12 or 24 weeks in treatment-naïve patients with hepatitis C virus genotype 1 infection.
Baruch, Y; Ben Ari, Z; Bhanja, S; Bruck, R; Gane, E; Howe, AY; Hwang, P; Mollison, L; Robertson, MN; Wahl, J; Zhao, Y; Zuckerman, E, 2016
)
2.19
"Grazoprevir is a potent pan-genotype and macrocyclic inhibitor of hepatitis C virus (HCV) NS3/4A protease and was developed for treating chronic HCV infection. "( Unraveling the structural basis of grazoprevir potency against clinically relevant substitutions in hepatitis C virus NS3/4A protease from genotype 1a.
Asante-Appiah, E; Black, S; Chase, R; Curry, S; Guo, Z; Hu, Y; Ingravallo, P; McMonagle, P, 2017
)
2.17

Treatment

ExcerptReferenceRelevance
"Treatment with grazoprevir plus elbasvir, both with and without ribavirin and for both 12 and 18 weeks' treatment duration, showed high rates of efficacy in previously untreated patients with cirrhosis and previous PR-null responders with and without cirrhosis. "( Efficacy and safety of 12 weeks versus 18 weeks of treatment with grazoprevir (MK-5172) and elbasvir (MK-8742) with or without ribavirin for hepatitis C virus genotype 1 infection in previously untreated patients with cirrhosis and patients with previous
Alric, L; Balart, L; Barr, E; Bronowicki, JP; Dutko, F; Gane, E; Ghalib, R; Ghesquiere, W; Guyader, D; Haber, B; Howe, AY; Hwang, P; Lagging, M; Lawitz, E; Lester, L; Pearlman, B; Robertson, M; Shaughnessy, M; Sievert, W; Sund, F; Tam, E; Wahl, J, 2015
)
1.01

Toxicity

ExcerptReferenceRelevance
" No patient discontinued due to an adverse event or laboratory abnormality."( Efficacy and safety of 8 weeks versus 12 weeks of treatment with grazoprevir (MK-5172) and elbasvir (MK-8742) with or without ribavirin in patients with hepatitis C virus genotype 1 mono-infection and HIV/hepatitis C virus co-infection (C-WORTHY): a rando
Barr, E; Bourliere, M; DeJesus, E; Dutko, F; Gerstoft, J; Haber, B; Hezode, C; Howe, AY; Hwang, P; Kugelmas, M; Mallolas, J; Murillo, A; Nahass, R; Pol, S; Robertson, M; Serfaty, L; Shaughnessy, M; Shibolet, O; Sulkowski, M; Vierling, JM; Wahl, J; Weis, N; Zuckerman, E, 2015
)
0.65
" Adverse events reported in more than 10% of patients were fatigue (66 patients, 26% [95% CI 21-32]), headache (58 patients, 23% [95% CI 18-29]), and asthenia (35 patients, 14% [95% CI 10-19])."( Efficacy and safety of 12 weeks versus 18 weeks of treatment with grazoprevir (MK-5172) and elbasvir (MK-8742) with or without ribavirin for hepatitis C virus genotype 1 infection in previously untreated patients with cirrhosis and patients with previous
Alric, L; Balart, L; Barr, E; Bronowicki, JP; Dutko, F; Gane, E; Ghalib, R; Ghesquiere, W; Guyader, D; Haber, B; Howe, AY; Hwang, P; Lagging, M; Lawitz, E; Lester, L; Pearlman, B; Robertson, M; Shaughnessy, M; Sievert, W; Sund, F; Tam, E; Wahl, J, 2015
)
0.65
" The most common adverse events were fatigue (29; 13%), headache (27; 12%), and nausea (20; 9%)."( Efficacy and safety of grazoprevir (MK-5172) and elbasvir (MK-8742) in patients with hepatitis C virus and HIV co-infection (C-EDGE CO-INFECTION): a non-randomised, open-label trial.
Barr, E; Bloch, M; Gress, J; Katlama, C; Klopfer, S; Lalezari, J; Mallolas, J; Matthews, GV; Nelson, M; Nguyen, BY; Orkin, C; Platt, HL; Robertson, MN; Rockstroh, JK; Saag, MS; Shaughnessy, M; Sulkowski, M; Wahl, J; Zamor, PJ, 2015
)
0.73
" There were no serious adverse events (AEs), discontinuations due to AEs or grade 3/4 elevations in total and/or direct bilirubin."( Efficacy and safety of grazoprevir + ribavirin for 12 or 24 weeks in treatment-naïve patients with hepatitis C virus genotype 1 infection.
Baruch, Y; Ben Ari, Z; Bhanja, S; Bruck, R; Gane, E; Howe, AY; Hwang, P; Mollison, L; Robertson, MN; Wahl, J; Zhao, Y; Zuckerman, E, 2016
)
0.74
" Serious adverse events were reported in 3% (8 of 264) patients and no patient had a decompensation-related event."( Safety and Efficacy of Elbasvir/Grazoprevir in Patients With Hepatitis C Virus Infection and Compensated Cirrhosis: An Integrated Analysis.
Barr, E; Haber, BA; Hézode, C; Howe, AYM; Hwang, P; Jacobson, IM; Kwo, PY; Lawitz, E; Peng, CY; Robertson, M; Wahl, J, 2017
)
0.74
" The most common adverse events were headache (143 [22%] of 664), fatigue (129 [19%] of 664), and nausea (83 [13%] of 664)."( Safety and efficacy of a fixed-dose combination regimen of grazoprevir, ruzasvir, and uprifosbuvir with or without ribavirin in participants with and without cirrhosis with chronic hepatitis C virus genotype 1, 2, or 3 infection (C-CREST-1 and C-CREST-2,
Almasio, PL; Barr, E; Bruno, S; Buti, M; Butterton, JR; Dutko, FJ; Fernsler, D; Gao, W; Grandhi, A; Hassanein, TI; Huang, HC; Jancoriene, L; Lawitz, E; Li, JJ; Liu, H; Muellhaupt, B; Nguyen, BT; Pearlman, B; Plank, RM; Robertson, MN; Ruane, PJ; Shepherd, A; Su, FH; Tannenbaum, B; Vierling, JM; Wahl, J; Wan, S; Yeh, WW; Yoshida, EM, 2017
)
0.7
" Overall, the most common adverse events were headache (55 [23%] of 240), fatigue (47 [20%] of 240), and nausea (32 [13%] of 240)."( Safety and efficacy of an 8-week regimen of grazoprevir plus ruzasvir plus uprifosbuvir compared with grazoprevir plus elbasvir plus uprifosbuvir in participants without cirrhosis infected with hepatitis C virus genotypes 1, 2, or 3 (C-CREST-1 and C-CREST
Agarwal, K; Barr, E; Ben-Ari, Z; Butterton, JR; Chen, HL; Dutko, FJ; Esteban, R; Fernsler, D; Fitzgerald, B; Foster, GR; Gane, EJ; Gao, W; Gerstoft, J; Grandhi, A; Huang, HC; Laursen, AL; Li, JJ; Liu, H; Nguyen, BT; Pianko, S; Plank, RM; Roberts, SK; Robertson, MN; Su, FH; Thompson, AJ; Wahl, J; Wan, S; Yeh, WW; Zeng, Z; Zeuzem, S; Zuckerman, E, 2017
)
0.72
" The safety profile was similar across treatment arms, with adverse events tending to occur more frequently among participants receiving RBV."( Efficacy and safety of 12 weeks of elbasvir ± grazoprevir ± ribavirin in participants with hepatitis C virus genotype 2, 4, 5 or 6 infection: The C-SCAPE study.
Badshah, C; Barr, E; Brown, A; Durkan, C; Foster, GR; Haber, B; Hézode, C; Lahser, F; Roberts, SK; Robertson, M; Wahl, J; Zekry, A; Zhang, B; Zuckerman, E, 2018
)
0.74
" There were no severe adverse events associated with the treatment."( Real-world virological efficacy and safety of elbasvir and grazoprevir in patients with chronic hepatitis C virus genotype 1 infection in Japan.
Abe, H; Asano, T; Atsukawa, M; Deguchi, A; Fujioka, S; Hiraoka, A; Iio, E; Ishikawa, T; Itobayashi, E; Iwakiri, K; Kato, K; Kondo, C; Kumada, T; Masaki, T; Michitaka, K; Mikami, S; Moriya, A; Ogawa, C; Okubo, H; Okubo, T; Senoh, T; Shimada, N; Tada, T; Takaguchi, K; Tamai, H; Tanaka, Y; Tani, J; Toyoda, H; Tsubota, A; Tsuji, K; Uojima, H; Watanabe, T; Yoneyama, H, 2018
)
0.72
" During the study, we did not record any serious adverse drug reaction or drug interaction and no patients discontinued the treatment."( Efficacy and Safety of Elbasvir-Grazoprevir Fixed Dose in the Management of Polytreated HCV Patients: Evidence From Real-Life Clinical Practice.
Caroleo, B; Colangelo, L; De Sarro, G; Gallelli, L; Perticone, M, 2018
)
0.76
"Treatments for hepatitis C virus (HCV) have advanced greatly, becoming more efficacious with fewer adverse events, due to the availability of direct-acting antiviral agents, which target specific steps in the HCV life cycle."( Safety and efficacy of elbasvir/grazoprevir for the treatment of chronic hepatitis C: current evidence.
Morikawa, K; Nakamura, A; Sakamoto, N; Shimazaki, T, 2018
)
0.76
" We collected data on on-treatment adverse events (AEs), severe AEs, and laboratory abnormalities."( Efficacy and safety of direct-acting antiviral agents for HCV in mild-to-moderate chronic kidney disease.
Aoufi-Rabih, S; Dixit, V; Fabrizi, F; Garcia-Agudo, R; Mendizabal, M; Ridruejo, E; Silva, M,
)
0.13
" Drug-related adverse events occurred in 42% (n = 22) and 50% (n = 32) of participants receiving 8 and 12 weeks of treatment, respectively."( Efficacy and safety of elbasvir/grazoprevir for 8 or 12 weeks for hepatitis C virus genotype 4 infection: A randomized study.
Ahmed, SNS; Alric, L; Asante-Appiah, E; Asselah, T; Bronowicki, JP; Brown, D; Guidoum, A; Haber, BA; Hagen, K; Hall, JD; Hanna, GJ; Hezode, C; Hwang, P; Larrey, D; Leroy, V; Loustaud-Ratti, V; Nguyen-Khac, E; Ozenne, V; Pol, S; Robertson, MN; Serfaty, L; Su, FH; Talwani, R; Tran, A, 2020
)
0.84
" All the studies that reported the sustained virologic response (SVR) and adverse events of DAAs in HIV/HCV co-infected patients were included."( Efficacy and safety of direct acting antiviral regimens for hepatitis C virus and human immunodeficiency virus co-infection: systematic review and network meta-analysis.
Fan, XG; Ma, SJ; Xiong, YH; Zheng, YX, 2020
)
0.56
"6%) were the most effective combinations for HIV/HCV co-infected patients, with SVR rates of approximately 94% and above while severe adverse events were rare."( Efficacy and safety of direct acting antiviral regimens for hepatitis C virus and human immunodeficiency virus co-infection: systematic review and network meta-analysis.
Fan, XG; Ma, SJ; Xiong, YH; Zheng, YX, 2020
)
0.56
" GZR/EBR ± RBV was the optimal combination recommended for HIV/HCV co-infected patients based on the excellent treatment effects and insignificant adverse events."( Efficacy and safety of direct acting antiviral regimens for hepatitis C virus and human immunodeficiency virus co-infection: systematic review and network meta-analysis.
Fan, XG; Ma, SJ; Xiong, YH; Zheng, YX, 2020
)
0.56
" Retrospective analysis of the fractions of patients that achieved sustained virological response (SVR) was performed, and the incidence of adverse events was noted."( Effectiveness and safety of elbasvir/grazoprevir in Korean patients with hepatitis C virus infection: a nationwide real-world study.
Chung, WJ; Jang, ES; Jeong, SH; Kim, IH; Kim, KA; Kim, YS; Lee, BS; Lee, YJ, 2021
)
0.89
"1%) were common adverse events."( Effectiveness and safety of elbasvir/grazoprevir in Korean patients with hepatitis C virus infection: a nationwide real-world study.
Chung, WJ; Jang, ES; Jeong, SH; Kim, IH; Kim, KA; Kim, YS; Lee, BS; Lee, YJ, 2021
)
0.89
"3%) reported ≥1 adverse event (AE) and 491 had AEs (28."( Safety and tolerability of elbasvir/grazoprevir in chronic hepatitis C virus therapy: Integrated analysis from clinical trials.
Brown, DD; Haber, BA; Klopfer, SO; Kwo, P; Nangia, G; Reddy, KR; Robertson, MN; Vierling, JM, 2020
)
0.83

Pharmacokinetics

This study uses pharmacokinetic modeling to identify pediatric doses of elbasvir/grazoprevir (EBR/GZR) that achieve plasma concentrations similar to those seen in adults receiving the approved fixed-dose combination regimen.

ExcerptReferenceRelevance
" These studies evaluated the safety and pharmacokinetic interactions between elbasvir (EBR) and grazoprevir (GZR) and ethinyl estradiol/levonorgestrel (EE/LNG)."( No clinically meaningful pharmacokinetic interaction between the hepatitis C virus inhibitors elbasvir and grazoprevir and the oral contraceptives ethinyl estradiol and levonorgestrel.
Butterton, JR; Caro, L; Feng, HP; Guo, Z; Huang, X; Ma, J; Mangin, E; Marshall, WL; O'Reilly, TE; Panebianco, D; Talaty, J; Yeh, WW, 2017
)
0.89
" Participants with mild, moderate, or severe HI and controls (aged 18 to 65 years) matched for race, age, sex, and body mass index were enrolled in a 3-part, open-label, sequential-panel pharmacokinetic study."( Effect of Hepatic Impairment on the Pharmacokinetics of Grazoprevir, a Hepatitis C Virus Protease Inhibitor.
Angus, P; Butterton, JR; Caro, L; Fandozzi, C; Fraser, IP; Gane, E; Guo, Z; Ho, M; Iwamoto, M; Marbury, T; Panebianco, D; Reitmann, C; Smith, WB; Talaty, J; Uemura, N; Wenning, L; Yeh, WW, 2017
)
0.7
"Participants with mild, moderate, or severe hepatic impairment and age-, sex-, and weight-matched healthy controls were enrolled in a 3-part, open-label, sequential-panel, single-dose pharmacokinetic study."( Pharmacokinetics, Safety, and Tolerability of Single-Dose Elbasvir in Participants with Hepatic Impairment.
Butterton, JR; Caro, L; Fandozzi, C; Feng, HP; Garrett, G; Huang, X; Iwamoto, M; Lasseter, KC; Liu, F; Marbury, T; Marshall, WL; Panebianco, D; Preston, RA; Wenning, L; Yeh, WW, 2018
)
0.48
"This study evaluated the single- and multiple-dose pharmacokinetic (PK) variables of elbasvir and grazoprevir in healthy Chinese individuals."( A Phase I, Single- and Multiple-dose Study to Evaluate the Pharmacokinetics of Elbasvir and Grazoprevir in Healthy Chinese Participants.
Cheung, TT; Feng, HP; Li, W; Ling Lam, KS; Mu, S; Wang, J; Wang, Z; Yan Chiu, JW; Yeh, WW; Yuen, MF; Yung Cheung, BM; Zhao, XM, 2018
)
0.92
"To describe the phase 1 and population pharmacokinetic investigations that support dosing recommendations for elbasvir/grazoprevir (EBR/GZR) in hepatitis C virus-infected people with advanced chronic kidney disease."( Pharmacokinetics of elbasvir and grazoprevir in subjects with end-stage renal disease or severe renal impairment.
Bhagunde, P; Butterton, JR; Caro, L; Du, L; Fandozzi, C; Feng, HP; Guo, Z; Iwamoto, M; Marshall, WL; Panebianco, D; Wenning, L; Yeh, WW, 2019
)
1
" Population pharmacokinetic analyses from the phase 3 C-SURFER study (PN052, NCT02092350) were also conducted."( Pharmacokinetics of elbasvir and grazoprevir in subjects with end-stage renal disease or severe renal impairment.
Bhagunde, P; Butterton, JR; Caro, L; Du, L; Fandozzi, C; Feng, HP; Guo, Z; Iwamoto, M; Marshall, WL; Panebianco, D; Wenning, L; Yeh, WW, 2019
)
0.8
" Pharmacokinetic similarity criteria (90% CIs lie within 70%-143% acceptance range) were used for AUC0-∞ and AUC0-72."( Pharmacokinetic similarity demonstrated after crushing of the elbasvir/grazoprevir fixed-dose combination tablet for HCV infection.
Abbink, EJ; Burger, DM; Colbers, A; Drenth, JPH; Pijnenburg, DWM; van Seyen, M, 2020
)
0.79
"Mean plasma concentration-time curves of elbasvir and grazoprevir showed similar pharmacokinetic profiles."( Pharmacokinetic similarity demonstrated after crushing of the elbasvir/grazoprevir fixed-dose combination tablet for HCV infection.
Abbink, EJ; Burger, DM; Colbers, A; Drenth, JPH; Pijnenburg, DWM; van Seyen, M, 2020
)
1.04
" All these compounds not only showed excellent pharmacokinetic properties, absorption, metabolism, minimal toxicity and bioavailability but were also remain stabilized at the active site of proteins during the MD simulation."( Identification of potential inhibitors against SARS-CoV-2 by targeting proteins responsible for envelope formation and virion assembly using docking based virtual screening, and pharmacokinetics approaches.
Bhowmik, D; Jagadeesan, R; Kumar, D; Kumar, N; Nandi, R; Prakash, A, 2020
)
0.56
" This study uses pharmacokinetic modeling to identify pediatric doses of elbasvir/grazoprevir (EBR/GZR) that achieve plasma concentrations similar to those seen in adults receiving the approved fixed-dose combination regimen of EBR/GZR."( Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study.
Alkhouri, N; Balistreri, WF; Blondet, N; Caro, L; Castronuovo, P; Du, L; Fischler, B; Gonzalez-Peralta, RP; Grandhi, A; Haber, BA; Jonas, MM; Lang, T; Majda-Stanislawska, E; Mutschler, F; Pawlowska, M; Romero, R; Rosenbloom, DIS; Rosenthal, P; Sluzewski, W; Squires, RH; Wirth, S, 2023
)
1.55
" Pharmacokinetic data were used to bridge efficacy and safety data from adults to children in a stepwise (oldest to youngest) manner."( Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study.
Alkhouri, N; Balistreri, WF; Blondet, N; Caro, L; Castronuovo, P; Du, L; Fischler, B; Gonzalez-Peralta, RP; Grandhi, A; Haber, BA; Jonas, MM; Lang, T; Majda-Stanislawska, E; Mutschler, F; Pawlowska, M; Romero, R; Rosenbloom, DIS; Rosenthal, P; Sluzewski, W; Squires, RH; Wirth, S, 2023
)
1.33
"Pediatric EBR/GZR pharmacokinetic models were successfully developed based on complex adult population pharmacokinetic models."( Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study.
Alkhouri, N; Balistreri, WF; Blondet, N; Caro, L; Castronuovo, P; Du, L; Fischler, B; Gonzalez-Peralta, RP; Grandhi, A; Haber, BA; Jonas, MM; Lang, T; Majda-Stanislawska, E; Mutschler, F; Pawlowska, M; Romero, R; Rosenbloom, DIS; Rosenthal, P; Sluzewski, W; Squires, RH; Wirth, S, 2023
)
1.33

Compound-Compound Interactions

Elbasvir or grazoprevir co-administered with raltegravir or dolutegraveir resulted in no clinically meaningful drug-drug interactions and was generally well tolerated.

ExcerptReferenceRelevance
"Elbasvir or grazoprevir co-administered with raltegravir or dolutegravir resulted in no clinically meaningful drug-drug interactions and was generally well tolerated."( Assessment of drug interaction potential between the HCV direct-acting antiviral agents elbasvir/grazoprevir and the HIV integrase inhibitors raltegravir and dolutegravir.
Butterton, JR; Caro, L; Fandozzi, C; Feng, HP; Fraser, I; Guo, Z; Huang, X; Iwamoto, M; Jumes, P; Ma, J; Mangin, E; Marshall, WL; Panebianco, D; Ross, LL; Talaty, J; Yeh, WW, 2019
)
1.11
"The assessment of drug-drug interaction (DDI) is important not only for safety but also for maintaining the efficacy of direct acting antivirals in chronic hepatitis C (CHC)."( Limited drug-drug interaction of elbasvir/grazoprevir for chronic hepatitis C.
Cheng, PN; Liu, CJ; Lo, CC; Tseng, IH; Tseng, KC, 2020
)
0.82
" In this study, we evaluated the drug-drug interaction potential of the hepatitis C virus inhibitors elbasvir (EBR) and grazoprevir (GZR) with statins."( Evaluation of Pharmacokinetic Drug Interactions of the Direct-Acting Antiviral Agents Elbasvir and Grazoprevir with Pitavastatin, Rosuvastatin, Pravastatin, and Atorvastatin in Healthy Adults.
Butterton, JR; Caro, L; Fandozzi, CM; Feng, HP; Fraser, IP; Guo, Z; Iwamoto, M; Levine, V; Panebianco, D; Prueksaritanont, T; Swearingen, D; Wolford, D; Yeh, WW, 2021
)
1.05

Bioavailability

ExcerptReferenceRelevance
"Macrocycles are ideal in efforts to tackle "difficult" targets, but our understanding of what makes them cell permeable and orally bioavailable is limited."( Macrocyclic drugs and clinical candidates: what can medicinal chemists learn from their properties?
Giordanetto, F; Kihlberg, J, 2014
)
0.4
" All these compounds not only showed excellent pharmacokinetic properties, absorption, metabolism, minimal toxicity and bioavailability but were also remain stabilized at the active site of proteins during the MD simulation."( Identification of potential inhibitors against SARS-CoV-2 by targeting proteins responsible for envelope formation and virion assembly using docking based virtual screening, and pharmacokinetics approaches.
Bhowmik, D; Jagadeesan, R; Kumar, D; Kumar, N; Nandi, R; Prakash, A, 2020
)
0.56

Dosage Studied

The first three UV spectrophotometric methods have been developed of simultaneous determination of two new FDA approved drugs namely; elbasvir and grazoprevir.

ExcerptRelevanceReference
" Overcoming antiviral resistance, broad genotype coverage, and a convenient dosing regimen are important attributes for future agents to be used in combinations without interferon."( MK-5172, a selective inhibitor of hepatitis C virus NS3/4a protease with broad activity across genotypes and resistant variants.
Burlein, C; Carroll, SS; Claudio, G; Coleman, PJ; Di Filippo, M; Dimuzio, JM; Fandozzi, C; Ferrara, M; Gates, AT; Graham, DJ; Harper, S; Hazuda, DJ; Huang, Q; Liverton, NJ; Ludmerer, SW; McCauley, JA; McHale, C; Monteagudo, E; Olsen, DB; Pucci, V; Rowley, M; Rudd, MT; Soriano, A; Stahlhut, MW; Summa, V; Vacca, JP, 2012
)
0.38
" Patients in the control group (n = 66) received a combination of boceprevir and PR, dosed in accordance with boceprevir's US product circular."( The combination of MK-5172, peginterferon, and ribavirin is effective in treatment-naive patients with hepatitis C virus genotype 1 infection without cirrhosis.
Bacon, BR; Baruch, Y; Bruno, S; Caro, L; Cooreman, MP; Dutko, FJ; Fandozzi, C; Gilbert, CL; Gress, J; Howe, AY; Hwang, P; Manns, MP; Marcellin, P; Mobashery, N; Robertson, MN; Shaw, PM; Shibolet, O; Vierling, JM; Wahl, J, 2014
)
0.4
"Population and selective clonal sequencing were performed at baseline and at virologic failure in the 4 MK-5172 dosing arms."( Virologic resistance analysis from a phase 2 study of MK-5172 combined with pegylated interferon/ribavirin in treatment-naive patients with hepatitis C virus genotype 1 infection.
Barnard, RJ; Black, S; Caro, L; Curry, S; DiNubile, MJ; Gilbert, C; Howe, AY; Hwang, PM; Liu, R; Ludmerer, SW; Mobashery, N; Newhard, W; Nickle, D, 2014
)
0.4
" Randomisation was by presence or absence of ribavirin, 8 or 12 weeks of treatment, and dosage of elbasvir."( Efficacy and safety of 8 weeks versus 12 weeks of treatment with grazoprevir (MK-5172) and elbasvir (MK-8742) with or without ribavirin in patients with hepatitis C virus genotype 1 mono-infection and HIV/hepatitis C virus co-infection (C-WORTHY): a rando
Barr, E; Bourliere, M; DeJesus, E; Dutko, F; Gerstoft, J; Haber, B; Hezode, C; Howe, AY; Hwang, P; Kugelmas, M; Mallolas, J; Murillo, A; Nahass, R; Pol, S; Robertson, M; Serfaty, L; Shaughnessy, M; Shibolet, O; Sulkowski, M; Vierling, JM; Wahl, J; Weis, N; Zuckerman, E, 2015
)
0.65
" While many of the second-generation DAAs are principally metabolized by the hepatic system, dosing in severe renal impairment (creatinine clearance [CrCl] <30 mL/min) or dialysis has remained questionable due to limited experience."( New and Emerging Evidence on the Use of Second-Generation Direct Acting Antivirals for the Treatment of Hepatitis C Virus in Renal Impairment.
Cope, R; Friedman, ML; Sorbera, MA, 2017
)
0.46
"The first three UV spectrophotometric methods have been developed of simultaneous determination of two new FDA approved drugs namely; elbasvir and grazoprevir in their combined pharmaceutical dosage form."( Application of different spectrophotometric methods for simultaneous determination of elbasvir and grazoprevir in pharmaceutical preparation.
Abdelazim, AH; Attia, KAM; El-Abasawi, NM; El-Olemy, A, 2018
)
0.9
" The two drugs were co-formulated for treatment of hepatitis C virus in their combined pharmaceutical dosage form."( Simultaneous Determination of Elbasvir and Grazoprevir in Their Pharmaceutical Preparation Using High-Performance Liquid Chromatographic Method.
Abdelazim, AH; Attia, KAM; El-Abasawi, NM; El-Dosoky, M; El-Olemy, A, 2018
)
0.74
" Additionally it was possible to reduce prednisolone dosage to 5 mg/day."( Hepatitis C virus infection: 'beyond the liver'.
Arrais de Castro, R; Borges-Costa, J; Tato Marinho, R; Vilas, P, 2018
)
0.48
"To describe the phase 1 and population pharmacokinetic investigations that support dosing recommendations for elbasvir/grazoprevir (EBR/GZR) in hepatitis C virus-infected people with advanced chronic kidney disease."( Pharmacokinetics of elbasvir and grazoprevir in subjects with end-stage renal disease or severe renal impairment.
Bhagunde, P; Butterton, JR; Caro, L; Du, L; Fandozzi, C; Feng, HP; Guo, Z; Iwamoto, M; Marshall, WL; Panebianco, D; Wenning, L; Yeh, WW, 2019
)
1
" No dosage adjustment of EBR/GZR is required in people with any degree of renal impairment, including those receiving dialysis."( Pharmacokinetics of elbasvir and grazoprevir in subjects with end-stage renal disease or severe renal impairment.
Bhagunde, P; Butterton, JR; Caro, L; Du, L; Fandozzi, C; Feng, HP; Guo, Z; Iwamoto, M; Marshall, WL; Panebianco, D; Wenning, L; Yeh, WW, 2019
)
0.8
"Artificial neural networks and genetic algorithm artificial neural networks, chemometric assisted spectrophotometric models, were developed for the quantitative analysis of elbasvir and grazoprevir in their newly FDA approved pharmaceutical dosage form."( Simultaneous spectrophotometric quantitative analysis of elbasvir and grazoprevir using assisted chemometric models.
Abdelazim, AH; Shahin, M; Zeid, AM, 2021
)
1.05
"Steady-state plasma exposures were achieved by week 4 for EBR and GZR in all cohorts and daily dosing achieved geometric mean steady-state area under the concentration-time curve at 0-24 hours that fell within comparability bounds established for adults."( Elbasvir/grazoprevir in children aged 3-18 years with chronic HCV genotype 1 or 4 infection: a pharmacokinetic modeling study.
Alkhouri, N; Balistreri, WF; Blondet, N; Caro, L; Castronuovo, P; Du, L; Fischler, B; Gonzalez-Peralta, RP; Grandhi, A; Haber, BA; Jonas, MM; Lang, T; Majda-Stanislawska, E; Mutschler, F; Pawlowska, M; Romero, R; Rosenbloom, DIS; Rosenthal, P; Sluzewski, W; Squires, RH; Wirth, S, 2023
)
1.33
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
antiviral drugA substance used in the prophylaxis or therapy of virus diseases.
hepatoprotective agentAny compound that is able to prevent damage to the liver.
hepatitis C protease inhibitorAn inhibitor of hepatitis C protease, an enzyme required for production of proteins needed for viral assembly.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (7)

ClassDescription
azamacrocycleA cyclic macromolecule containing one or more nitrogen atoms in place of carbon either as the divalent group NH for the group CH2 or a single trivalent nitrogen atom for the group CH.
carbamate esterAny ester of carbamic acid or its N-substituted derivatives.
lactamCyclic amides of amino carboxylic acids, having a 1-azacycloalkan-2-one structure, or analogues having unsaturation or heteroatoms replacing one or more carbon atoms of the ring.
aromatic etherAny ether in which the oxygen is attached to at least one aryl substituent.
cyclopropanesCyclopropane and its derivatives formed by substitution.
N-sulfonylcarboxamideA mixed diacylamine resulting from the formal condensation of the nitrogen of a carboxamide with a sulphonic acid.
quinoxaline derivativeAny naphthyridine derivative that is a derivative of quinoxaline (1,4-naphthyridine).
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (5)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Genome polyprotein IC50 (µMol)0.00070.00000.02890.1870AID1289887; AID1328867; AID1645923
Genome polyprotein Ki0.01010.00000.00670.0300AID1771010; AID1771011; AID673711
Genome polyprotein Ki0.00120.00000.00280.0200AID1341734; AID1341736; AID1341744; AID1341745; AID1341746; AID1341747; AID1341748; AID1341749; AID1341750; AID1341751; AID1341752; AID1341753; AID1341754; AID1341755; AID1341756
Non-structural protein 4A IC50 (µMol)0.00070.00000.02890.1870AID1289887; AID1328867; AID1645923
Non-structural protein 4A Ki0.01010.00000.00670.0300AID1771010; AID1771011; AID673711
Genome polyprotein Ki0.00580.00010.03410.0880AID673712; AID673713; AID673714
NS3 protease Hepatitis C virus subtype 1bIC50 (µMol)0.00440.00010.00440.0120AID1070373; AID1070374; AID1070375; AID1070377
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Bioassays (63)

Assay IDTitleYearJournalArticle
AID673709Inhibition of Hepatitis C virus (isolate NZL1) genotype 3a NS3/4a protease expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1289886Inhibition of HCV genotype 3a full length NS3/4A protease using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1289884Antiviral activity against HCV genotype 1a infected in human HuH7 cells assessed as inhibition of viral replication after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1328863Inhibition of HCV genotype 1a NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1065389Oral bioavailability in dog at 1 mg/kg2014Journal of medicinal chemistry, Jan-23, Volume: 57, Issue:2
Macrocyclic drugs and clinical candidates: what can medicinal chemists learn from their properties?
AID1328872Antiviral activity against HCV genotype 1b infected in human HuH7 cells assessed as reduction viral RNA level after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289888Inhibition of HCV genotype 1b NS3/4A protease A156T mutant using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1070379Antiviral activity against Hepatitis C virus genotype 1b infected in HuH7 cells assessed as reduction in replicon RNA level after 72 hrs by TaqMan-based RT-PCR analysis in presence of 10% FBS2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1328871Antiviral activity against HCV genotype 1a infected in human HuH7 cells assessed as reduction viral RNA level after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1070380AUC in rat at 5 mg/kg, po2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1328868Inhibition of HCV genotype 1b NS3/4A protease A156V mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1649896Drug excretion in human urine2019European journal of medicinal chemistry, Mar-01, Volume: 165Hepatitis C - New drugs and treatment prospects.
AID1328870Inhibition of HCV genotype 1b NS3/4A protease D168Y mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1771012Inhibition of HCV NS3/4a protease D168A mutant using Ac-DE-D(Edans)-EE-Abu-c-[COO]-AS-K(Dabcy1)-NH2 preincubated for 1 hr followed by substrate addition2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID1065390Oral bioavailability in rat at 5 mg/kg2014Journal of medicinal chemistry, Jan-23, Volume: 57, Issue:2
Macrocyclic drugs and clinical candidates: what can medicinal chemists learn from their properties?
AID1771010Inhibition of HCV GT-3a NS3/4a protease using Ac-DE-D(Edans)-EE-Abu-c-[COO]-AS-K(Dabcy1)-NH2 preincubated for 1 hr followed by substrate addition2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID1552078Binding affinity to HCV NS3/4a protease assessed as compound-protein adduct formation per mg protein using radiolabelled compound2019Bioorganic & medicinal chemistry letters, 08-15, Volume: 29, Issue:16
Discovery of the pan-genotypic hepatitis C virus NS3/4A protease inhibitor voxilaprevir (GS-9857): A component of Vosevi
AID673708Inhibition of Hepatitis C virus (isolate BK) genotype 1b NS3/4a protease expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1645923Inhibition of HCV NS3/4a protease using Ac-DE-Dap(QXL520)-EE-Abu-shi-[COO]AS-C(5-FAMsp)-NH2 as substrate after 15 mins2019European journal of medicinal chemistry, Feb-15, Volume: 164A review on HCV inhibitors: Significance of non-structural polyproteins.
AID1771011Inhibition of HCV GT-1a NS3/4a protease using Ac-DE-D(Edans)-EE-Abu-c-[COO]-AS-K(Dabcy1)-NH2 preincubated for 1 hr followed by substrate addition2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID673711Inhibition of Hepatitis C virus (isolate BK) genotype 1b NS3/4a protease R155K mutant expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1070381Inhibition of Hepatitis C virus genotype 3a NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1070378Antiviral activity against Hepatitis C virus genotype 3a infected in HuH7 cells assessed as reduction in replicon RNA level after 72 hrs by TaqMan-based RT-PCR analysis in presence of 10% FBS2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1889302Permeability in pig LLC-PK1 cells2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Dose Number as a Tool to Guide Lead Optimization for Orally Bioavailable Compounds in Drug Discovery.
AID1771016Antiviral activity against HCV genotype 3a infected in human Huh7.5 cells incubated for 72 hrs by luciferase assay2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID673722Antiviral activity against Hepatitis C virus (isolate Con1) genotype 1b infected in human HuH7 cells assessed as inhibition of viral replication after 24 hrs in presence of 50% NHS2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1771013Antiviral activity against HCV genotype 1b infected in human Huh7 cells incubated for 96 hrs by luciferase assay2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID1289897Inhibition of HCV genotype 1a NS3/4A protease using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1328869Inhibition of HCV genotype 1b NS3/4A protease A156T mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289899Antiviral activity against HCV genotype 1b infected in human HuH7 cells assessed as inhibition of viral replication after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1771014Antiviral activity against HCV genotype 1b harboring A156T mutant infected in human Huh7 cells incubated for 96 hrs by luciferase assay2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID1771015Antiviral activity against HCV genotype 1b harboring D168A mutant infected in human Huh7 cells incubated for 96 hrs by luciferase assay2021Journal of medicinal chemistry, 08-26, Volume: 64, Issue:16
Discovery of Quinoxaline-Based P1-P3 Macrocyclic NS3/4A Protease Inhibitors with Potent Activity against Drug-Resistant Hepatitis C Virus Variants.
AID1328873Antiviral activity against HCV genotype 2a infected in human HuH7 cells assessed as reduction viral RNA level after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289901Antiviral activity against HCV genotype 2b infected in human HuH7 cells assessed as inhibition of viral replication after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1070374Inhibition of Hepatitis C virus genotype 1b NS3/4A protease A156V mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1328867Inhibition of HCV genotype 1b NS3/4A protease R155K mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289890Inhibition of HCV genotype 1b NS3/4A protease D168Y mutant using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1070375Inhibition of Hepatitis C virus genotype 1b NS3/4A protease A156T mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1328885Antiviral activity against HCV genotype 1 infected in human assessed as viral RNA level less than 25 IU/ml in blood by measuring sustained virologic response after 12 weeks2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289887Inhibition of HCV genotype 1b NS3/4A protease R155K mutant using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1070377Inhibition of Hepatitis C virus genotype 1b NS3/4A protease R155K mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID673714Inhibition of Hepatitis C virus (isolate BK) genotype 1b NS3/4a protease D168V mutant expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1649892Inhibition of HCV NS3/4a protease2019European journal of medicinal chemistry, Mar-01, Volume: 165Hepatitis C - New drugs and treatment prospects.
AID1649895Drug excretion in human feces2019European journal of medicinal chemistry, Mar-01, Volume: 165Hepatitis C - New drugs and treatment prospects.
AID1070382Inhibition of Hepatitis C virus genotype 1b NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID1328864Inhibition of HCV genotype 1b NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289902Antiviral activity against HCV genotype 3a infected in human HuH7 cells assessed as inhibition of viral replication after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID673713Inhibition of Hepatitis C virus (isolate BK) genotype 1b NS3/4a protease A156V mutant expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1645924Antiviral activity against HCV2019European journal of medicinal chemistry, Feb-15, Volume: 164A review on HCV inhibitors: Significance of non-structural polyproteins.
AID1328865Inhibition of HCV genotype 2a NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID673710Drug uptake in Sprague-Dawley rat liver at 5 mg/kg, po after 4 hrs by HPLC analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1328874Antiviral activity against HCV genotype 3a infected in human HuH7 cells assessed as reduction viral RNA level after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1328866Inhibition of HCV genotype 3a NS3/4A protease assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition measured after 2.5 hrs by time-resolved fluorescence assay2016ACS medicinal chemistry letters, Dec-08, Volume: 7, Issue:12
Design and Synthesis of P2-P4 Macrocycles Containing a Unique Spirocyclic Proline: A New Class of HCV NS3/4A Inhibitors.
AID1289900Antiviral activity against HCV genotype 2a infected in human HuH7 cells assessed as inhibition of viral replication after 72 hrs by RT-PCR method2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1289889Inhibition of HCV genotype 1b NS3/4A protease A156V mutant using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID1070373Inhibition of Hepatitis C virus genotype 1b NS3/4A protease D168Y mutant assessed as substrate cleavage using Ac-C(Eu)DDMEEAbu(COO)ASK(QSY7)-amide as substrate incubated for 30 mins prior to substrate addition by time-resolved fluorescence assay2014ACS medicinal chemistry letters, Mar-13, Volume: 5, Issue:3
Novel Quinoline-Based P2-P4 Macrocyclic Derivatives As Pan-Genotypic HCV NS3/4a Protease Inhibitors.
AID673712Inhibition of Hepatitis C virus (isolate BK) genotype 1b NS3/4a protease A156T mutant expressed in Escherichia coli by time-resolved fluorescence analysis2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1289885Inhibition of HCV genotype 1b full length NS3/4A protease using Ac-C(Eu)DDMEEAbu[COO]ASK(QSY7)-amide as substrate preincubated for 30 mins followed by substrate addition measured after 2.5 hrs by TRF assay2016ACS medicinal chemistry letters, Jan-14, Volume: 7, Issue:1
Discovery of MK-8831, A Novel Spiro-Proline Macrocycle as a Pan-Genotypic HCV-NS3/4a Protease Inhibitor.
AID673723Antiviral activity against Hepatitis C virus genotype 1a infected in human HuH7 cells assessed as inhibition of viral replication after 24 hrs presence of 40% NHS2012ACS medicinal chemistry letters, Apr-12, Volume: 3, Issue:4
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
AID1889298Aqueous solubility of the compound in FaSSIF2022Journal of medicinal chemistry, 02-10, Volume: 65, Issue:3
Dose Number as a Tool to Guide Lead Optimization for Orally Bioavailable Compounds in Drug Discovery.
AID1649893Half life in human2019European journal of medicinal chemistry, Mar-01, Volume: 165Hepatitis C - New drugs and treatment prospects.
AID1745854NCATS anti-infectives library activity on HEK293 viability as a counter-qHTS vs the C. elegans viability qHTS2023Disease models & mechanisms, 03-01, Volume: 16, Issue:3
In vivo quantitative high-throughput screening for drug discovery and comparative toxicology.
AID1745855NCATS anti-infectives library activity on the primary C. elegans qHTS viability assay2023Disease models & mechanisms, 03-01, Volume: 16, Issue:3
In vivo quantitative high-throughput screening for drug discovery and comparative toxicology.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (153)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's105 (68.63)24.3611
2020's48 (31.37)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 43.84

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index43.84 (24.57)
Research Supply Index5.31 (2.92)
Research Growth Index4.58 (4.65)
Search Engine Demand Index65.86 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (43.84)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials42 (26.25%)5.53%
Reviews27 (16.88%)6.00%
Case Studies8 (5.00%)4.05%
Observational7 (4.38%)0.25%
Other76 (47.50%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (74)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Real World Analysis of Drug-Drug Interactions of Grazoprevir/Elbasvir in Treatment of Chronic Hepatitis C Patients in Taiwan [NCT03706222]400 participants (Actual)Observational2018-10-22Completed
A Direct obserVed therApy vs fortNightly CollEction Study for HCV Treatment - ADVANCE HCV Study [NCT03236506]Phase 2129 participants (Actual)Interventional2018-01-19Completed
An Open-label, Cohort Study of Grazoprevir/Elbasvir Combination Therapy for Patients With Genotype 1b Chronic Hepatitis C After Liver or Kidney Transplantation [NCT03723824]Phase 414 participants (Actual)Interventional2019-02-14Terminated(stopped due to COV-19 pandemic)
Host Mechanisms Involved in Achieving SVR Using Grazoprevir and Elbasvir in Treatment of Chronic Hepatitis C in Patients With CKD Before and After Renal Transplantation [NCT02902120]Phase 421 participants (Actual)Interventional2017-05-01Completed
A Multi-Site, Open-Label, Partially-Randomized Trial of the Efficacy and Safety of Fixed Dose Elbasvir/Grazoprevir (EBR/GZR) Based Regimens in French Subjects With Chronic Hepatitis C Virus (HCV) Genotype 4 Infection [NCT03111108]Phase 4117 participants (Actual)Interventional2017-06-20Completed
A Phase IV, Open-label, Single Arm, Multicentre Trial of Grazoprevir/Elbasvir for Genotype 1 or 4 in People With Chronic Hepatitis C Virus Infection and Recent Injecting Drug Use or Receiving Opioid Substitution Therapy [NCT02940691]Phase 432 participants (Actual)Interventional2017-05-01Terminated(stopped due to Poor recruitment due to new treatments becoming available.)
A Multi-Site, Open-Label, Trial of the Efficacy and Safety of Fixed-dose Elbasvir/Grazoprevir (EBR/GZR) in Brazilian Patients With Chronic Hepatitis C Virus (HCV) Genotype 1 Infection With Advanced Fibrosis (F3 and F4) [NCT03143998]Phase 40 participants (Actual)Interventional2018-02-12Withdrawn(stopped due to Business reasons)
The Efficacy of Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in Treatment-Naïve, Non-Cirrhotic, HCV GT4-Infected Patients: A Single-Center, Single-Arm, Open-Label, Phase III Trial [NCT03578640]Phase 330 participants (Actual)Interventional2018-07-01Completed
A Prospective Cohort Study Comparing the Effectiveness of Zepatier for the Treatment of Hepatitis C in an Academic Center Population to People Who Inject Drugs (PWIDs) in a Safety Net Clinic Setting Engaged in Either a Medication Assisted Therapy (MAT) or [NCT03093415]Phase 4100 participants (Actual)Interventional2017-05-30Completed
A Phase III, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 Versus Boceprevir/Pegylated Interferon/Ribavirin (PR) in Treatment-Naïve and PR Prior Treatment Failure Subjects With Chronic HCV GT1 Inf [NCT02204475]Phase 30 participants (Actual)Interventional2014-11-30Withdrawn
Pilot Study to Assess the Effect of Grazoprevir/Elbasvir (ZEPATIER™) and Transarterial Chemoembolization (TACE) vs. TACE Alone in Prolonging Survival of Patients With Non-resectable HCV Associated Hepatocellular Carcinoma [NCT03110055]20 participants (Anticipated)Interventional2017-05-01Not yet recruiting
Grazoprevir/Elbasvir for Treatment of Hepatitis C Virus Genotype 4 Post Kidney Transplant [NCT03359746]Phase 440 participants (Anticipated)Interventional2017-12-15Not yet recruiting
Short Duration Therapy of Acute Hepatitis C Genotypes 1 or 4: Efficacy and Tolerability of Grazoprevir 100mg/Elbasvir 50mg During 8 Weeks [NCT02886624]Phase 230 participants (Actual)Interventional2017-05-31Completed
Pilot Study Evaluate Efficacy of Grazoprevir + Elbasvir for 12 or 16 Weeks in Liver Transplant Recipients. [NCT02890719]Phase 30 participants (Actual)Interventional2017-05-02Withdrawn(stopped due to impossibility of supplying the medication in research of the study by the pharmaceutical company that gave it to the trial)
A Phase II, Randomized, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 and MK-3682 With Either MK-8742 or MK-8408 in Subjects With Chronic HCV GT3, GT4, GT5, and GT6 Infection [NCT02332720]Phase 2413 participants (Actual)Interventional2015-01-28Completed
A Randomized, Active-Controlled, Dose-Ranging Estimation Study to Evaluate the Safety, Tolerability, and Efficacy of Different Regimens of MK-5172 When Administered Concomitantly With Peginterferon Alfa-2b and Ribavirin in Treatment-Naïve Patients With Ch [NCT01353911]Phase 2368 participants (Actual)Interventional2011-06-27Completed
Security and Efficacy of Triple Therapy Including Direct-Acting Antivirals Against Chronic Hepatitis C Infection In HIV-Coinfected Patients In Real-Life Conditions: The Prospective HEPAVIR Cohort. [NCT02057003]1,000 participants (Anticipated)Observational2012-01-31Recruiting
Study to Assess Efficacy and Safety of Grazoprevir/Elbasvir Associated With Sofosbuvir and Ribavirin in HCV Genotype 1 or 4-infected Patients Who Failed Direct Acting Antivirals (DAA) Bitherapy With Sofosbuvir [NCT02647632]Phase 226 participants (Actual)Interventional2016-01-31Completed
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 [NCT03379506]Phase 257 participants (Actual)Interventional2018-01-25Completed
A Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Grazoprevir (MK-5172) in Hepatitis C Infected Male Patients [NCT00998985]Phase 191 participants (Actual)Interventional2010-02-23Completed
A Phase III, Multi-center, Open-label Trial to Investigate the Impact of a Treat, Counsel and Cure Strategy in Men Who Have Sex With Men With Hepatitis C Infection in the Swiss HIV Cohort Study [NCT02785666]Phase 3150 participants (Actual)Interventional2016-06-30Completed
Evolution of Estimated Glomerular Filtration Rate in Chronic Hepatitis C Patients Receiving Sofosbuvir-based or Sofosbuvir-free Direct Acting Antivirals [NCT04047680]441 participants (Actual)Observational2015-02-28Completed
Open Label Trial to Study the Efficacy and Safety of MK-5172 and MK-8742 +/- Ribavirin (RBV) in the Treatment of Hepatitis C G1 and 4, in Patients Eligible for Liver Transplant (HCC) or Curative Therapy or Clinically Stable Disease Post Local Resection, E [NCT04546802]Phase 30 participants (Actual)Interventional2019-09-30Withdrawn(stopped due to Recruitment will be too difficult due to available PBS funded treatment and recent Australian clinical guidelines will conflict with the premise of the study.)
Management of Hepatitis C Virus Infection Among People Who Inject Drugs in a Low-threshold Setting: Efficacy of Direct-acting Antiviral Treatment and the Risk of Reinfection [NCT04063839]300 participants (Anticipated)Observational2015-01-31Recruiting
Cardiovascular Disease in HIV and Hepatitis C: Risk Outcomes After Hepatitis C Eradication [NCT03823911]Phase 487 participants (Actual)Interventional2018-11-18Completed
A Multicenter, Open Label, Pilot Study to Investigate Tolerability and Efficacy of MK5172 / MK8742 Without Ribavirin for 12 Weeks in Patients With Chronic HCV G1b Infection With Compensated Cirrhosis (Child-Pugh A5 to A6) and No Response to PR or Prior Fa [NCT02732405]Phase 3120 participants (Anticipated)Interventional2016-05-31Not yet recruiting
HCV Cure and Kidney Health: A Prospective, Observational Cohort Study of HCV Genotype 1 and 4 Infected Adults With and Without HIV Infection [NCT03407703]50 participants (Anticipated)Observational2018-03-27Recruiting
A Single-arm Evaluation of the Effect of Elbasvir/Grazoprevir on Cardiometabolic Parameters in Patients With Hepatitis C Infection and Underlying Metabolic Disease [NCT03585101]Phase 40 participants (Actual)Interventional2018-08-31Withdrawn(stopped due to Funding no longer available)
Efficacy of GZR/EBR in Early Chronic Hepatitis C in HIV/HCV Co-infected Patients [NCT02897596]Phase 362 participants (Anticipated)Interventional2017-04-28Active, not recruiting
A Randomized Clinical Trial Using Fine Needle Aspiration For Evaluation of Hepatic Pharmacokinetics of MK-5172 in Participants With Chronic Hepatitis C [NCT01547312]Phase 10 participants (Actual)Interventional2012-05-31Withdrawn
A Prospective Multicenter Observational Study for Characterization of Renal Function G1b CHC Patients With CKD-3 Treated With Grazoprevir Plus Elbasvir [NCT03144635]Phase 480 participants (Actual)Interventional2017-04-01Completed
A Phase III Double Blind Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 and MK-8742 in Subjects With Chronic HCV GT1, GT4 and GT6 Infection With Inherited Blood Disorders With and Without HIV Co-Infection [NCT02252016]Phase 3159 participants (Actual)Interventional2014-10-22Completed
Effectiveness, Safety and Clinical Outcomes of Elbasvir/Grazoprevir: Results From a Spanish Real World Cohort [NCT03111966]130 participants (Actual)Observational [Patient Registry]2017-03-31Completed
"Study to Investigate the Efficacy of Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in G1b Treatment-Naïve, HCV-Infected Patients With Non-severe Fibrosis, With or Without Glucose Abnormalities - EGG 18" [NCT03496233]Phase 375 participants (Actual)Interventional2018-09-19Completed
Efficacy and Safety of Treatment Against Hepatitis C Virus Infection Based on Direct-acting Antivirals in Real-life Conditions: The GEHEP Cohort [NCT02333292]1,128 participants (Actual)Observational2014-12-31Completed
Grazoprevir (MK-5172)+ Elbasvir (MK-8742) for the Treatment of Acute Hepatitis C Genotype 1/4. The Dutch Acute HCV in HIV Study (DAHHS-2) [NCT02600325]Phase 380 participants (Actual)Interventional2016-02-29Completed
An Open-Label Study to Investigate the Pharmacokinetics of MK-5172 and MK-8742 in Subjects With Renal Insufficiency [NCT01937975]Phase 124 participants (Actual)Interventional2013-09-06Completed
A Phase II Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen MK-5172 and MK-8742 ± Ribavirin (RBV) in Subjects With Chronic Hepatitis C Virus Infection [NCT01717326]Phase 2573 participants (Actual)Interventional2013-02-07Completed
A Phase III Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 in Subjects Who Have Failed Prior Treatment With Pegylated Interferon and Ribavirin (P/R) With Chronic HCV GT1, GT4, and GT6 Infection [NCT02105701]Phase 3420 participants (Actual)Interventional2014-06-05Completed
A Phase II Study of Pembrolizumab (MK-3475) in Hepatitis C Virus Positive and Negative Subjects With Advanced Hepatocellular Carcinoma Who Progressed on or Were Intolerant to First-Line Systemic Therapy [NCT02940496]Phase 212 participants (Actual)Interventional2016-12-09Completed
A Phase III Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 in Treatment-Naïve Subjects With Chronic HCV GT1, GT4, and GT6 Infection. [NCT02105467]Phase 3421 participants (Actual)Interventional2014-06-05Completed
A Phase II, Randomized, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 and MK-3682 With Either MK-8742 or MK-8408 in Subjects With Chronic HCV GT1 and GT2 Infection [NCT02332707]Phase 2443 participants (Actual)Interventional2015-01-22Completed
A Multicenter, Open Label, Pilot Study of MK-5172 (Grazoprevir)/MK-8742 (Elbasvir) Without Ribavirin for 12 Weeks in G1b and G4 Patients With HCV-related Cryoglobulinemic Nephropathy [NCT03433326]45 participants (Anticipated)Observational [Patient Registry]2018-03-01Not yet recruiting
A Phase II, Randomized Clinical Trial to Study the Safety, Tolerability, and Efficacy of the Combination Regimen of MK-5172 and MK-8742 in Japanese Subjects With Chronic Hepatitis C and a Phase III, Randomized Placebo-Controlled Clinical Trial to Study th [NCT02203149]Phase 2/Phase 3399 participants (Actual)Interventional2014-08-01Completed
A Phase III Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 in Treatment-Naïve Subjects With Chronic HCV GT1, GT4, and GT6 Infection Who Are on Opiate Substitution Therapy [NCT02105688]Phase 3301 participants (Actual)Interventional2014-09-02Completed
A Phase II Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 + MK-8742 + Ribavirin (R) in Subjects With Chronic Hepatitis C Virus Infection Who Failed Prior Direct Acting Antiviral Therapy [NCT02105454]Phase 279 participants (Actual)Interventional2014-05-23Completed
A Phase III, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 Versus Sofosbuvir/Pegylated Interferon/Ribavirin (PR) in Treatment-Naïve and PR Prior Treatment Failure Subjects With Chronic HCV GT1, 4 [NCT02358044]Phase 3257 participants (Actual)Interventional2015-02-27Completed
A Phase II Clinical Trial to Evaluate the Efficacy and Safety of a Combination Regimen of MK-5172 With/Without MK-8742 and/or Ribavirin (RBV) in Treatment-naive Subjects With Chronic Hepatitis C Genotype 2, 4, 5 and 6 Infection [NCT01932762]Phase 298 participants (Actual)Interventional2013-10-01Completed
A Phase 3, Global, Multicenter, Open-Label Study to Investigate the Efficacy of Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in Treatment-Naïve, HCV GT1b-Infected Patients, With Non-severe Fibrosis [NCT02973503]Phase 3117 participants (Actual)Interventional2017-01-11Completed
Cohort Study of Hepatitis C Virus Treatment With Zepatier (Elbasvir/Grazoprevir) in Genotype 1 or 4 HCV Treatment-Naïve or Peginterferon/Ribavirin-Experienced Patients With Substance Use in Urban, Multidisciplinary Specialty Clinics [NCT04048850]25 participants (Actual)Observational2019-09-20Active, not recruiting
An Open-label Pilot Study to Determine the Tolerability and Efficacy of Fixed-dose Grazoprevir/Elbasvir Treatment in Hepatitis C Uninfected Recipients of Renal Transplants From Hepatitis C Infected Deceased Donors [NCT02781649]Phase 410 participants (Actual)Interventional2016-07-20Completed
A Proof of Concept Study of Preemptive Treatment With Grazoprevir and Elbasvir for Donor HCV Positive to Recipient HCV Negative Kidney Transplant [NCT02945150]Phase 48 participants (Actual)Interventional2017-02-01Completed
Open-Label Multi-Center Single Arm Clinical Trial to Study the Efficacy and Safety of the Elbasvir/ Grazoprevir 50/100 mg Fixed Dose Combination Once Daily in Patients With Chronic HCV GT1b Infection Associated With Metabolic Syndrome [NCT03222167]Phase 360 participants (Anticipated)Interventional2017-10-31Not yet recruiting
A Phase II, Randomized, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of Elbasvir/Grazoprevir (EBR/GZR) and Sofosbuvir (SOF) With and Without Ribavirin (RBV) in Cirrhotic Subjects With Chronic HCV GT3 Infection [NCT02601573]Phase 2101 participants (Actual)Interventional2016-01-05Completed
A Phase III Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen Grazoprevir (GZR) and Elbasvir (EBR) in Treatment-Naïve Subjects With Chronic HCV GT1, GT4, and GT6 Infection Who Are Co-Infected With HIV [NCT02105662]Phase 3218 participants (Actual)Interventional2014-06-03Completed
A Phase II/III Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 and MK-8742 in Subjects With Chronic Hepatitis C Virus Infection and Chronic Kidney Disease [NCT02092350]Phase 2/Phase 3237 participants (Actual)Interventional2014-03-17Completed
An Open-label, 3-Part, Multiple Dose Study to Investigate the Influence of Hepatic Insufficiency on the Pharmacokinetics of Grazoprevir (MK-5172) [NCT01390428]Phase 150 participants (Actual)Interventional2011-07-28Completed
A Phase III, Open Label, Multicentric Clinical Trial of a Single Arm of 16 Weeks of Duration to Evaluate Retreatment With Elbasvir/Grazoprevir Plus Sofosbuvir and Ribavirin in Patients With Chronic Hepatitis C Genotype 1,4 Who Have Failed to Treat With a [NCT03105349]Phase 40 participants (Actual)Interventional2017-07-01Withdrawn(stopped due to No availability of investigational medication.)
A Randomized, Partially Double-Blind, Active-Controlled, Dose-Ranging Estimation Study to Evaluate the Safety, Tolerability, and Efficacy of Different Regimens of MK-5172 When Administered Concomitantly With Pegylated-Interferon and Ribavirin in Treatment [NCT01440595]Phase 25 participants (Actual)Interventional2011-11-28Terminated(stopped due to Preliminary results of MK-5172 PN003 (NCT01353911) suggested a possible dose relationship to elevated transaminase levels in treatment with grazoprevir.)
A Proof of Concept Study for Preemptive Treatment With Grazoprevir and Elbasvir in Donor HCV-positive to Recipient HCV-negative Cardiac Transplant [NCT03026023]Phase 40 participants (Actual)Interventional2018-08-01Withdrawn(stopped due to moved forward with another protocol utilizing pan genotypic treatment once it became commercially available and FDA approved)
A Phase II Randomized, Dose Ranging, Clinical Trial to Evaluate the Safety, Tolerability, and Efficacy of Different Doses of MK-5172 When Administered Concomitantly With Peginterferon Alfa-2b and Ribavirin in Treatment Naïve Subjects With Chronic Hepatiti [NCT01710501]Phase 287 participants (Actual)Interventional2012-12-07Completed
Safety and Effect of Elbasvir/Grazoprevir Combination Therapy in Hemodialysis Patients With Chronic Hepatitis C [NCT03022006]Phase 460 participants (Anticipated)Interventional2017-01-15Recruiting
Effectiveness and Safety of Direct-Acting Antiviral Agents for the Treatment of Chronic Hepatitis C: Multi-center, Prospective, Observational Real-world Study in EASTERN China [NCT04952207]300 participants (Anticipated)Observational [Patient Registry]2019-03-06Recruiting
A Long-Term Follow-Up Study to Evaluate the Durability of Virologic Response and/or Viral Resistance Patterns of Subjects With Chronic Hepatitis C Who Have Been Previously Treated With MK-5172 in a Prior Clinical Trial [NCT01667081]2,438 participants (Actual)Observational2012-10-17Completed
A Multiple Dose Study to Evaluate Pharmacokinetics and Hepatitis C Virus RNA Dynamics Following Administration of MK-5172 in Hepatitis C Infected Patients [NCT01537900]Phase 14 participants (Actual)Interventional2013-10-01Completed
A Phase II Randomized Clinical Trial to Study the Efficacy and Safety of MK-5172 in Combination With Ribavirin (RBV) in Subjects With Chronic Hepatitis C Virus Infection [NCT01716156]Phase 226 participants (Actual)Interventional2013-01-18Completed
Retrospective Efficacy and Safety Study With Elbasvir 50 mg/Grazoprevir 100 mg in HCV-infected Patients With Chronic Kidney Disease Stage 4-5 During the French Temporary Authorization for Use (ATU) Program: Data From Real-life [NCT03145623]100 participants (Actual)Observational2017-06-02Completed
"Real World Administration of Zepatier (Grazoprevir Plus Elvasvir) in Chronic Hemodialysis Patients With Hepatitis C Infection. Strategies for Identification of Patients, Insurance Approval, Treatment , and Laboratory Monitoring" [NCT03365635]Phase 46 participants (Actual)Interventional2019-09-22Completed
THE PRIORITIZE STUDY: A Pragmatic, Randomized Study of Oral Regimens for Hepatitis C: Transforming Decision-Making for Patients, Providers, and Stakeholders [NCT02786537]Phase 41,275 participants (Actual)Interventional2016-06-30Completed
A Phase III Randomized Multinational Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 in Treatment-Naïve Subjects With Chronic HCV GT 1, GT 4 and GT 6 Infection [NCT02251990]Phase 3489 participants (Actual)Interventional2015-01-28Completed
A Single-site, Open-label, Non-comparator Clinical Trial to eLiminate HCV-infection in Treatment-naïve, EgyptiAn Patients With End-stage Renal Disease on Renal Dialysis, With Chronic Hepatitis C Genotype 4 Infection Using a 12-week Course of Once-daily Si [NCT03381859]Phase 40 participants (Actual)Interventional2019-12-01Withdrawn(stopped due to HCV treatment expansion occurred in Egypt)
A Phase II Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172, MK-8742, and Sofosbuvir in Treatment-Naïve Subjects With Chronic HCV GT1 or GT3 Infection [NCT02133131]Phase 2143 participants (Actual)Interventional2014-06-13Completed
A Phase II/III Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172 and MK-8742 in Subjects With Chronic Hepatitis C Virus Infection With Advanced Cirrhosis and Child-Pugh (CP)-B Hepatic Insufficiency [NCT02115321]Phase 2/Phase 340 participants (Actual)Interventional2014-05-09Completed
Efficacy and Tolerability of Grazoprevir and Elbasvir in Peginterferon Alfa Plus Ribavirin Experienced Patients With Chronic Genotype 1 HCV and HIV Co-infection: a Non-randomised, Open-label Clinical Trial [NCT03098121]Phase 440 participants (Actual)Interventional2017-10-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00998985 (5) [back to overview]Area Under the Curve for 0 to 24 Hours Post-dose (AUC[0-24hr]) of Grazoprevir on Day 7
NCT00998985 (5) [back to overview]24 Hour Plasma Concentration (C[24hr]) of Grazoprevir on Day 7
NCT00998985 (5) [back to overview]Number of Participants With Clinical and Laboratory Adverse Events (AEs)
NCT00998985 (5) [back to overview]Maximum log10 HCV RNA Reduction From Baseline Following Administration of Grazoprevir in Participants With GT3 HCV or Pooled GT1 and GT3 HCV Participants Treated With Placebo
NCT00998985 (5) [back to overview]Maximum log10 HCV RNA Reduction From Baseline Following Administration of Grazoprevir in Participants With GT1 HCV or Pooled GT1 and GT3 HCV Participants Treated With Placebo
NCT01353911 (8) [back to overview]Percentage of Participants Achieving Complete Early Viral Response (cEVR)
NCT01353911 (8) [back to overview]Percentage of Participants Achieving Rapid Viral Response (RVR)
NCT01353911 (8) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of Study Therapy (SVR12)
NCT01353911 (8) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of Study Therapy (SVR24)
NCT01353911 (8) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA at Week 72
NCT01353911 (8) [back to overview]Median Time to First Achievement of Undetectable HCV RNA During Treatment
NCT01353911 (8) [back to overview]Number of Participants Experiencing Adverse Events (AEs) During the Treatment Period and First 14 Follow-up Days
NCT01353911 (8) [back to overview]Number of Participants Who Discontinued Study Medication Due to AEs During the Treatment Period and First 14 Follow-up Days
NCT01390428 (7) [back to overview]Time to Peak Concentration (Tmax) of Grazoprevir
NCT01390428 (7) [back to overview]Maximum Concentration (Cmax) of Grazoprevir
NCT01390428 (7) [back to overview]Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 10
NCT01390428 (7) [back to overview]Area Under the Concentration Time-curve From 0 to 24 Hours (AUC0-24) of Grazoprevir
NCT01390428 (7) [back to overview]Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Severe HI and Healthy Matched to Severe HI
NCT01390428 (7) [back to overview]Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Mild HI and Moderate HI and Healthy Matched to Mild HI and Moderate HI
NCT01390428 (7) [back to overview]Apparent Terminal Half-life (t1/2) of Grazoprevir
NCT01537900 (2) [back to overview]Hepatic Concentration of GZR (C[H]Xhr)
NCT01537900 (2) [back to overview]Estimated Area Under the Liver Concentration-time Curve for 24 Hours Post-dose (AUC[H]0-24hr) of Grazoprevir
NCT01667081 (7) [back to overview]Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up
NCT01667081 (7) [back to overview]Number of Participants Who Experienced a Drug-Related Serious Adverse Event (SAE) During the Long-Term Follow-Up
NCT01667081 (7) [back to overview]Number of Participants Who Experienced a Drug-Related Adverse Event (AE) During the Long-Term Follow-Up
NCT01667081 (7) [back to overview]Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections
NCT01667081 (7) [back to overview]Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections
NCT01667081 (7) [back to overview]Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections
NCT01667081 (7) [back to overview]Time to Viral Relapse
NCT01710501 (8) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA During Treatment by Time Point
NCT01710501 (8) [back to overview]Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment by Time Point
NCT01710501 (8) [back to overview]Percentage of Subjects Achieving SVR24
NCT01710501 (8) [back to overview]Percentage of Participants Achieving SVR4
NCT01710501 (8) [back to overview]Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of Treatment (SVR12)
NCT01710501 (8) [back to overview]Number of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period and First 14 Follow-up Days
NCT01710501 (8) [back to overview]Number of Participants Discontinued From Study Treatment Due to AEs During the Treatment Period and First 14 Follow-up Days
NCT01710501 (8) [back to overview]Number of Participants Developing Post-baseline Antiviral Resistance to Grazoprevir Among Participants Not Achieving SVR24 Response
NCT01716156 (8) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)
NCT01716156 (8) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of Study Therapy (SVR 24)
NCT01716156 (8) [back to overview]Percentage of Participants Discontinuing Study Therapy Due to an AE
NCT01716156 (8) [back to overview]Percentage of Participants With Sustained Virologic Response 4 Weeks After Ending Study Therapy (SVR4)
NCT01716156 (8) [back to overview]Time to Achievement of First Undetectable HCV RNA
NCT01716156 (8) [back to overview]Percentage of Participants With HCV RNA <25 IU/mL by Time Point
NCT01716156 (8) [back to overview]Percentage of Participants With Undetectable HCV RNA by Time Point
NCT01716156 (8) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event (AE) on Study
NCT01717326 (12) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period and First 14 Follow-up Days
NCT01717326 (12) [back to overview]Mean Time to First Achievement of Undetectable Hepatitis C Virus Ribonucleic Acid (HCV RNA)
NCT01717326 (12) [back to overview]Percentage of Participants Discontinuing Study Therapy Due to an AE During the Treatment Period and First 14 Follow-up Days
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA at Week 4
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA at Week 2
NCT01717326 (12) [back to overview]Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 12
NCT01717326 (12) [back to overview]Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 2
NCT01717326 (12) [back to overview]Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 4
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After the End of All Therapy (SVR4)
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)
NCT01717326 (12) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA at Week 12
NCT01932762 (7) [back to overview]Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment By Timepoint
NCT01932762 (7) [back to overview]Percentage of Participants With Sustained Virologic Response 12 Weeks After The End of Study Therapy (SVR12)
NCT01932762 (7) [back to overview]Percentage of Participants With Adverse Events (AEs), Serious AEs (SAEs), Drug-Related AEs, Drug-Related SAEs, or Discontinuation of Study Treatment Due to AE During the Treatment Period and First 14 Follow-up Days
NCT01932762 (7) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA During Treatment By Timepoint
NCT01932762 (7) [back to overview]Percentage of Participants Achieving SVR4
NCT01932762 (7) [back to overview]Percentage of Participants Achieving SVR24
NCT01932762 (7) [back to overview]Mean Time to First Achievement of Undetectable HCV RNA During Treatment
NCT01937975 (14) [back to overview]Apparent Terminal Half-life (T1/2) of Elbasvir
NCT01937975 (14) [back to overview]Time of Maximum Plasma Concentration (Tmax) of Grazoprevir
NCT01937975 (14) [back to overview]Apparent Terminal Half-life (T1/2) of Grazoprevir
NCT01937975 (14) [back to overview]Apparent Volume of Distribution After Extravascular Administration (Vz/F) of Elbasvir
NCT01937975 (14) [back to overview]Maximum Plasma Concentration (Cmax) of Elbasvir
NCT01937975 (14) [back to overview]Area Under the Concentration-time Curve From 0 to 24 Hours Postdose (AUC0-24hr) of Grazoprevir
NCT01937975 (14) [back to overview]Area Under the Concentration-time Curve From 0 to 24 Hours Postdose (AUC0-24hr) of Elbasvir
NCT01937975 (14) [back to overview]Apparent Clearance After Extravascular Administration (CL/F) of Elbasvir
NCT01937975 (14) [back to overview]Apparent Clearance After Extravascular Administration (CL/F) of Grazoprevir
NCT01937975 (14) [back to overview]Plasma Concentration at 24 Hours Postdose (C24hr) of Grazoprevir
NCT01937975 (14) [back to overview]Time of Maximum Plasma Concentration (Tmax) of Elbasvir
NCT01937975 (14) [back to overview]Maximum Plasma Concentration (Cmax) of Grazoprevir
NCT01937975 (14) [back to overview]Apparent Volume of Distribution After Extravascular Administration (Vz/F) of Grazoprevir
NCT01937975 (14) [back to overview]Plasma Concentration at 24 Hours Postdose (C24hr) of Elbasvir
NCT02092350 (5) [back to overview]Percentage of Participants With Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)
NCT02092350 (5) [back to overview]Percentage of Participants With Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)
NCT02092350 (5) [back to overview]Number of Participants Discontinuing Study Drug Due to AEs During the Initial Treatment Period
NCT02092350 (5) [back to overview]Number of Participants Experiencing an Adverse Event (AE) During the Initial Treatment and 14-day Follow-up Periods
NCT02092350 (5) [back to overview]Percentage of Participants With Sustained Virologic Response 4 Weeks After Completing Study Therapy (SVR4)
NCT02105454 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response (SVR) at 12 Weeks After the End of All Study Therapy (SVR12)
NCT02105454 (4) [back to overview]Percentage of Participants Discontinuing Study Drug Due to an Adverse Event
NCT02105454 (4) [back to overview]Percentage of Participants Experiencing Adverse Events
NCT02105454 (4) [back to overview]Percentage of Participants Achieving SVR12 by Prior Direct-acting Antiviral (DAA) Therapy
NCT02105467 (5) [back to overview]Percentage of Participants Discontinued From Study Treatment Because of an Adverse Event
NCT02105467 (5) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event
NCT02105467 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of Treatment (SVR12)
NCT02105467 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response at 24 Weeks After the End of Treatment (SVR24)
NCT02105467 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response at 4 Weeks After the End of Treatment (SVR4)
NCT02105662 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)
NCT02105662 (4) [back to overview]Percentage of Participants Discontinuing Study Therapy Due to AEs During the Treatment Period
NCT02105662 (4) [back to overview]Percentage of Participants Experiencing Adverse Events (AEs) During the Treatment Period and First 14 Follow-up Days
NCT02105662 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)
NCT02105688 (4) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Double-Blind (DB) Treatment Period and First 14 Follow-up Days
NCT02105688 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)
NCT02105688 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)
NCT02105688 (4) [back to overview]Percentage of Participants Discontinued From Study Therapy Due to AEs During the DB Treatment Period
NCT02105701 (4) [back to overview]Number of Participants Discontinuing Study Treatment Due to an AE
NCT02105701 (4) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA 24 Weeks After the End of All Treatment (SVR24)
NCT02105701 (4) [back to overview]Percentage of Participants Achieving Undetectable HCV RNA 12 Weeks After Completing Study Therapy (SVR12)
NCT02105701 (4) [back to overview]Number of Participants Experiencing Adverse Events (AE)
NCT02115321 (6) [back to overview]Percentage of Participants Achieving Sustained Viral Response 4 Weeks After Completing Study Therapy (SVR4)
NCT02115321 (6) [back to overview]Mean Change From Baseline in Model for End-Stage Liver Disease (MELD) Scores in CP-B Participants
NCT02115321 (6) [back to overview]Number of Participants Discontinuing Study Drug Due to an AE
NCT02115321 (6) [back to overview]Number of Participants Experiencing an Adverse Event (AE) During Treatment and First 14 Follow-up Days
NCT02115321 (6) [back to overview]Percentage of Participants Achieving Sustained Viral Response 12 Weeks After Completing Study Therapy (SVR12)
NCT02115321 (6) [back to overview]Percentage of Participants Achieving Sustained Viral Response 24 Weeks After Completing Study Therapy (SVR24)
NCT02133131 (3) [back to overview]Percentage of Participants With Sustained Viral Response (SVR) 12 Weeks After Completing All Study Therapy (SVR12)
NCT02133131 (3) [back to overview]Number of Participants Discontinuing Study Therapy Due to an AE
NCT02133131 (3) [back to overview]Number of Participants Experiencing at Least 1 Adverse Event (AE)
NCT02203149 (9) [back to overview]Part 1: Percentage of Participants Achieving Undetectable HCV RNA Over Time
NCT02203149 (9) [back to overview]Part 2: Percentage of Participants Achieving Undetectable HCV RNA Over Time After Active Treatment
NCT02203149 (9) [back to overview]Part 2: Percentage of Participants Achieving HCV RNA
NCT02203149 (9) [back to overview]Part 2: Percentage of Participants Experiencing an AE During Initial Treatment and First 4 Follow-Up Weeks
NCT02203149 (9) [back to overview]Part 1: Percentage of Participants Experiencing an Adverse Event (AE) During Treatment and First 4 Follow-Up Weeks
NCT02203149 (9) [back to overview]Part 1: Percentage of Participants That Discontinued Treatment Due to an AE
NCT02203149 (9) [back to overview]Part 2: Percentage of Participants That Discontinued Initial Treatment Due to an AE
NCT02203149 (9) [back to overview]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)
NCT02203149 (9) [back to overview]Part 1: Percentage of Participants Achieving HCV RNA Below the Lower Limit of Quantitation (
NCT02251990 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)
NCT02251990 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)
NCT02251990 (5) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event (AE) During the DB Treatment Period and First 14 Follow-up Days
NCT02251990 (5) [back to overview]Percentage of Participants That Discontinued From Study Therapy Due to AEs During the DB Treatment Period
NCT02251990 (5) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After the End of All Study Therapy (SVR4)
NCT02252016 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)
NCT02252016 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)
NCT02252016 (4) [back to overview]Percentage of Participants Experiencing an Adverse Event (AE)
NCT02252016 (4) [back to overview]Percentage of Participants Discontinuing From Study Treatment Due to an AE(s)
NCT02332707 (4) [back to overview]Percentage of Participants Experiencing an Adverse Event (AE)
NCT02332707 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Treatment (SVR12)
NCT02332707 (4) [back to overview]Percentage of Participants Discontinuing From Study Treatment Due to an AE
NCT02332707 (4) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)
NCT02332720 (4) [back to overview]Number of Participants Experiencing an Adverse Event (AE)
NCT02332720 (4) [back to overview]Percentage of GT3-infected Participants Achieving SVR at Follow-up Week 24 (SVR24)
NCT02332720 (4) [back to overview]Percentage of HCV GT3-infected Participants Achieving Sustained Virologic Response at Follow-up Week 12 (SVR12)
NCT02332720 (4) [back to overview]Number of Participants Who Had Study Drug Discontinued Due to an AE
NCT02358044 (6) [back to overview]Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period Plus First 14 Follow-up Days
NCT02358044 (6) [back to overview]Primary: Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of All Treatment (SVR12)
NCT02358044 (6) [back to overview]Percentage of Participants Experiencing at Least One Tier 1 Safety Event (Key Safety Parameter) During the Treatment Period and First 14 Follow-up Days
NCT02358044 (6) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)
NCT02358044 (6) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After Ending Study Treatment (SVR4)
NCT02358044 (6) [back to overview]Percentage of Participants Discontinuing Study Treatment Due to an AE
NCT02600325 (2) [back to overview]SVR12 (Reinfection Not Considered Failure)
NCT02600325 (2) [back to overview]SVR12 (Reinfection Equals Failure)
NCT02601573 (4) [back to overview]Percentage of Participants Experiencing an Adverse Event (AE)
NCT02601573 (4) [back to overview]Percentage of Participants Discontinuing From Study Therapy Due to an AE
NCT02601573 (4) [back to overview]Percentage of Participants Achieving SVR24 (Sustained Virologic Response 24 Weeks After the End of All Study Therapy)
NCT02601573 (4) [back to overview]Percentage of Participants Achieving SVR12 (Sustained Virologic Response 12 Weeks After the End of All Study Therapy)
NCT02781649 (6) [back to overview]Number of Participants With Nonstructural Protein 5A (NS5A) Resistance Mutations in the HCV Population From the Deceased Donors
NCT02781649 (6) [back to overview]Kidney Function at 12 Months
NCT02781649 (6) [back to overview]Antibody Development
NCT02781649 (6) [back to overview]Kidney Function at 6 Months
NCT02781649 (6) [back to overview]Viral Response
NCT02781649 (6) [back to overview]Number of Participants With Grade 3 or Higher Treatment-related Adverse Events as US Department of Health and Human Services Common Terminology of Adverse Events (CTCAE) Version 4
NCT02786537 (28) [back to overview]Mean Change in HCV- PRO- Phase 1
NCT02786537 (28) [back to overview]Post-treatment Progression/Regression of Liver Disease-Fib-4
NCT02786537 (28) [back to overview]Median Change in Fatigue-Phase 2
NCT02786537 (28) [back to overview]Median Change in Fatigue -Phase 1
NCT02786537 (28) [back to overview]Mean Change in Nausea/Vomiting PROMIS Score -EBR/GZR vs. LDV/SOF
NCT02786537 (28) [back to overview]Mean Change in Headache-PRO Scores -Phase 1
NCT02786537 (28) [back to overview]Mean Change in Headache-EBR/GZR and SOF/LDV
NCT02786537 (28) [back to overview]Mean Change in HCV-PRO (Functional Well-being) EBR/GZR vs. SOF/LDV Score-Phase 2
NCT02786537 (28) [back to overview]Median Change in Nausea PRO Score -Phase 1
NCT02786537 (28) [back to overview]Mean Change in Fatigue PRO Score -Phase 1
NCT02786537 (28) [back to overview]Phase 1/2 Number of Participants With Sustained Virologic Response (SVR12-mITT Without Imputation)
NCT02786537 (28) [back to overview]Mean Change in Fatigue PRO -EBR/GZR vs SOF/LDV
NCT02786537 (28) [back to overview]Sustained Virologic Response (SVR12) mITT With Imputation-Phase 1 and 2 EBR/GZR, SOF/LDV
NCT02786537 (28) [back to overview]Change in Functional Status (HCV-PRO) Within Treatment
NCT02786537 (28) [back to overview]Change in HCV-associated Symptoms (PROMIS Measures) After HCV Treatment Initiation
NCT02786537 (28) [back to overview]Impact of Baseline NS5A RASs on Treatment Outcomes-Phase 2
NCT02786537 (28) [back to overview]Median Change in HCV-PRO (Overall Well Being) -Phase 1
NCT02786537 (28) [back to overview]HCV SVR Durability-Patients With Cirrhosis
NCT02786537 (28) [back to overview]Mean Change in Nausea/Vomiting PRO Score -Phase 1
NCT02786537 (28) [back to overview]HCV SVR Durability -No Cirrhosis
NCT02786537 (28) [back to overview]Treatment Non-Adherence Probability Estimates
NCT02786537 (28) [back to overview]16 Wk EBR/GZR With RBV Efficacy on Patients With HCV RASs
NCT02786537 (28) [back to overview]Median Change in Headache -Phase 1
NCT02786537 (28) [back to overview]Median Change in Headache-Phase 2
NCT02786537 (28) [back to overview]Median Change in Nausea PROMIS Score-EBR/GZR SOF/LDV
NCT02786537 (28) [back to overview]Number of Participants With Adverse Events That Caused Treatment Discontinuation-EBR/GZR vs. LDV/SOF
NCT02786537 (28) [back to overview]Phase 1 Number of Participants With Sustained Virologic Response (SVR12-mITT Without Imputation)
NCT02786537 (28) [back to overview]Phase 1-Sustained Virologic Response (SVR12) mITT With Imputation
NCT02886624 (6) [back to overview]Incidence of HCV Re-infection
NCT02886624 (6) [back to overview]Virological Failure
NCT02886624 (6) [back to overview]Treatment Adherence
NCT02886624 (6) [back to overview]Sustained Virological Response 12 Weeks Post-treatment (SVR12)
NCT02886624 (6) [back to overview]Number of Participants With Undetectable HIV RNA
NCT02886624 (6) [back to overview]CD4 Cell Count
NCT02902120 (2) [back to overview]Kidney Function
NCT02902120 (2) [back to overview]Safety as Assessed by Adverse Event Monitoring, Including Routine Lab Work
NCT02940691 (1) [back to overview]Sensitivity and Specificity of the Finger-stick Xpert® HCV Viral Load Assay for HCV RNA Detection
NCT02945150 (2) [back to overview]Number of Participants With Undetectable HCV RNA at SVR12
NCT02945150 (2) [back to overview]Number of Subjects With Undetectable Serum HCV RNA at Study Day 7, 14, 28, 56, 84, 112, 168, 252, 365
NCT02973503 (8) [back to overview]Evaluation of the Safety and Tolerability of EBV/GZR Treatment by Number of Patients With Treatment-related Headache Reported
NCT02973503 (8) [back to overview]Evaluation of the Safety and Tolerability of EBV/GZR Treatment by Number of Patients With Treatment-related Asthenia Reported
NCT02973503 (8) [back to overview]Percentage of Subjects Who Attain SVR 24 Weeks After Cessation of Treatment (SVR 24)
NCT02973503 (8) [back to overview]Evaluation of the Safety and Tolerability of EBV/GZR Treatment by Number of Patients With Treatment-related Digestive Disorders Reported
NCT02973503 (8) [back to overview]Evaluation of the Efficacy of of Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in Treatment-Naïve as Measured by the Proportion of Subjects With Sustained Viral Response 12 Weeks After Cessation of Treatment (SVR 12).
NCT02973503 (8) [back to overview]Evaluation of the Emergence of Viral Resistance to EBV/GZR at 24 Weeks After Cessation of Treatment
NCT02973503 (8) [back to overview]Percentage of Subjects With Virologic Failure
NCT02973503 (8) [back to overview]Percentage of Subjects Who Attain SVR at 4 Weeks After Cessation of Treatment (SVR4)
NCT03111108 (6) [back to overview]Prevalence of Baseline NS3 Resistance-Associated Substitutions (RASs) to EBR or GZR
NCT03111108 (6) [back to overview]Number of Participants Who Discontinued From Study Treatment Due to an AE
NCT03111108 (6) [back to overview]Number of Participants With ≥ 1 Adverse Events (AEs)
NCT03111108 (6) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After End of Treatment (SVR12)
NCT03111108 (6) [back to overview]Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After End of Treatment (SVR24)
NCT03111108 (6) [back to overview]Prevalence of Baseline NS5A RASs to EBR or GZR
NCT03144635 (6) [back to overview]Change of Serum Endostatin Level (ng/mL) From Baseline to 3 Months
NCT03144635 (6) [back to overview]Change of Serum Alanine Aminotransferase (ALT) Level (U/L) From Baseline to 3 Months
NCT03144635 (6) [back to overview]Change of Serum Alpha-fetoprotein Level (ng/mL) From Baseline to 3 Months
NCT03144635 (6) [back to overview]Change of eGFR Level (mL/Min/1.73m^2) From Baseline to 3 Months
NCT03144635 (6) [back to overview]Sustained Virological Response-12 (SVR12)
NCT03144635 (6) [back to overview]Count of Participants With NS3/4A or NS5A Muttations Who Achieved SVR12
NCT03236506 (1) [back to overview]Adherence as Assessed by the Total Percentage of Tablets Taken (Out of Those Dispensed) During the Treatment Period
NCT03365635 (2) [back to overview]Approval for DAA by Third Party Payers
NCT03365635 (2) [back to overview]SVR - Sustained Virologic Response
NCT03379506 (10) [back to overview]Apparent Clearance (CL/F) of EBR at Steady State
NCT03379506 (10) [back to overview]AUC0-24hr of GZR at Steady State
NCT03379506 (10) [back to overview]Area Under the Plasma Concentration-Time Curve From Dosing to 24 Hours Postdose (AUC0-24hr) of EBR at Steady State
NCT03379506 (10) [back to overview]Cmax of GZR
NCT03379506 (10) [back to overview]Ctrough of GZR
NCT03379506 (10) [back to overview]Maximum Plasma Concentration (Cmax) of EBR
NCT03379506 (10) [back to overview]Percentage of Participants Discontinuing Study Treatment Due to an AE
NCT03379506 (10) [back to overview]Percentage of Participants With ≥1 Adverse Event (AE)
NCT03379506 (10) [back to overview]Percentage of Participants With Sustained Virologic Response 12 Weeks After Completing Treatment (SVR12)
NCT03379506 (10) [back to overview]Steady State Predose Drug Concentration (Ctrough) of EBR
NCT03823911 (1) [back to overview]Change in Cardiovascular Disease Risk From Baseline to After Functional Cure of Hepatitis C, as Measured by High-sensitivity C-reactive Protein

Area Under the Curve for 0 to 24 Hours Post-dose (AUC[0-24hr]) of Grazoprevir on Day 7

Blood samples were collected on Day 7 at pre-dose up to 24 hours post-dose in order to determine the AUC 0-24hrs of Grazoprevir. It is hypothesized that the Geometric Mean of Day 7 Grazoprevir AUC0-24hr. exceeds 3.2 uM.hr. (NCT00998985)
Timeframe: Day 7 at the following time points: pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, and 24 hours post-dose

InterventionuM.hr (Geometric Mean)
400 mg Grazoprevir - GT1 and GT318.2
600 mg Grazoprevir - GT1 and GT341.9
800 mg Grazoprevir - GT1 and GT372.5
200 mg Grazoprevir - GT1 and GT33.21
100 mg Grazoprevir - GT1 and GT31.16
50 mg Grazoprevir - GT10.419
30 mg Grazoprevir - GT10.260
10 mg Grazoprevir - GT10.0628

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24 Hour Plasma Concentration (C[24hr]) of Grazoprevir on Day 7

Blood samples were collected on Day 7 at 24 hours post-dose in order to determine the C24hr of Grazoprevir. It is hypothesized that the Geometric Mean of Day 7 Grazoprevir C24hr exceeds 28 nM. (NCT00998985)
Timeframe: Day 7 at 24 hours post-dose

InterventionnM (Geometric Mean)
400 mg Grazoprevir - GT1 and GT370.2
600 mg Grazoprevir - GT1 and GT393.2
800 mg Grazoprevir - GT1 and GT3174
200 mg Grazoprevir - GT1 and GT322.2
100 mg Grazoprevir - GT1 and GT320.1
50 mg Grazoprevir - GT112.7
30 mg Grazoprevir - GT17.20
10 mg Grazoprevir - GT12.41

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Number of Participants With Clinical and Laboratory Adverse Events (AEs)

An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE. (NCT00998985)
Timeframe: All AEs: 15 Days after last dose; Serious AEs (SAEs) up to 2 months after last dose (Up to 67 days)

InterventionParticipants (Number)
400 mg Grazoprevir - GT1 and GT36
600 mg Grazoprevir - GT1 and GT33
800 mg Grazoprevir - GT1 and GT313
200 mg Grazoprevir - GT1 and GT34
100 mg Grazoprevir - GT1 and GT31
50 mg Grazoprevir - GT10
30 mg Grazoprevir - GT13
10 mg Grazoprevir - GT14
Placebo for Grazoprevir - GT1 and GT32

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Maximum log10 HCV RNA Reduction From Baseline Following Administration of Grazoprevir in Participants With GT3 HCV or Pooled GT1 and GT3 HCV Participants Treated With Placebo

Blood samples were collected at baseline and at intervals up to 2 months post-dose in order to determine the maximum log10 reduction from baseline in plasma HCV RNA. (NCT00998985)
Timeframe: Baseline and up to approximately 2 months

Interventionlog10 IU/mL (Least Squares Mean)
400 mg Grazoprevir - GT34.23
600 mg Grazoprevir - GT35.36
800 mg Grazoprevir - GT34.60
200 mg Grazoprevir - GT33.32
100 mg Grazoprevir - GT32.64
Placebo for Grazoprevir - GT1 and GT30.39

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Maximum log10 HCV RNA Reduction From Baseline Following Administration of Grazoprevir in Participants With GT1 HCV or Pooled GT1 and GT3 HCV Participants Treated With Placebo

Blood samples were collected at baseline and at intervals up to 2 months post-dose in order to determine the maximum log10 reduction from baseline in plasma HCV RNA, expressed in international units (IU)/mL. (NCT00998985)
Timeframe: Baseline and up to approximately 2 months

Interventionlog10 IU/mL (Least Squares Mean)
400 mg Grazoprevir - GT15.14
600 mg Grazoprevir - GT15.32
800 mg Grazoprevir - GT15.72
200 mg Grazoprevir - GT15.53
100 mg Grazoprevir - GT14.74
50 mg Grazoprevir - GT15.26
30 mg Grazoprevir - GT15.06
10 mg Grazoprevir - GT13.84
Placebo for Grazoprevir - GT1 and GT30.39

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Percentage of Participants Achieving Complete Early Viral Response (cEVR)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). cEVR was defined as undetectable HCV RNA (target not detected [TND]) at Week 12. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01353911)
Timeframe: After 12 weeks of treatment with grazoprevir/boceprevir

Interventionpercentage of participants (Number)
OL Grazoprevir 100 mg94.4
Grazoprevir 100 mg80.3
Grazoprevir 200 mg85.3
Grazoprevir 400 mg87.5
Grazoprevir 800 mg75.9
Grazoprevir 400 mg/100 mg86.0
Grazoprevir 800 mg/100 mg86.1
Boceprevir 800 mg69.7

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Percentage of Participants Achieving Rapid Viral Response (RVR)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). RVR was defined as undetectable (TND) HCV RNA at Week 4 of study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01353911)
Timeframe: After 4 weeks of treatment with grazoprevir/boceprevir

Interventionpercentage of participants (Number)
OL Grazoprevir 100 mg72.2
Grazoprevir 100 mg90.9
Grazoprevir 200 mg91.2
Grazoprevir 400 mg87.5
Grazoprevir 800 mg86.2
Grazoprevir 400 mg/100 mg81.4
Grazoprevir 800 mg/100 mg83.3
Boceprevir 800 mg59.1

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of Study Therapy (SVR12)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). SVR12 was defined as undetectable (TND) HCV RNA at 12 weeks after the end of all study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01353911)
Timeframe: 12 weeks after the end of all treatment (up to 60 weeks)

Interventionpercentage of participants (Number)
OL Grazoprevir 100 mg72.2
Grazoprevir 100 mg89.4
Grazoprevir 200 mg91.2
Grazoprevir 400 mg87.5
Grazoprevir 800 mg79.3
Grazoprevir 400 mg/100 mg93.0
Grazoprevir 800 mg/100 mg91.7
Boceprevir 800 mg60.6

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of Study Therapy (SVR24)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). SVR24 was defined as undetectable (TND) HCV RNA at 24 weeks after the end of all study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01353911)
Timeframe: 24 weeks after the end of all treatment (up to 72 weeks)

Interventionpercentage of participants (Number)
OL Grazoprevir 100 mg72.2
Grazoprevir 100 mg86.4
Grazoprevir 200 mg92.6
Grazoprevir 400 mg87.5
Grazoprevir 800 mg79.3
Grazoprevir 400 mg/100 mg93.0
Grazoprevir 800 mg/100 mg91.7
Boceprevir 800 mg57.6

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Percentage of Participants Achieving Undetectable HCV RNA at Week 72

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. Undetectable HCV RNA (target not detected [TND]) was defined as below the 9.3 IU/ml limit of detection. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01353911)
Timeframe: Week 72

Interventionpercentage of participants (Number)
OL Grazoprevir 100 mg69.4
Grazoprevir 100 mg80.3
Grazoprevir 200 mg86.8
Grazoprevir 400 mg87.5
Grazoprevir 800 mg75.9
Grazoprevir 400 mg/100 mg79.1
Grazoprevir 800 mg/100 mg83.3
Boceprevir 800 mg54.5

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Median Time to First Achievement of Undetectable HCV RNA During Treatment

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. Undetectable HCV RNA (target not detected [TND]) was defined as below the 9.3 IU/ml limit of detection. Kaplan Meier summary statistics were calculated for each treatment arm. (NCT01353911)
Timeframe: From first dose of study medication until first achievement of undetectable HCV RNA (up to 48 weeks of treatment)

Interventiondays (Median)
OL Grazoprevir 100 mg22.0
Grazoprevir 100 mg15.0
Grazoprevir 200 mg28.0
Grazoprevir 400 mg16.0
Grazoprevir 800 mg16.5
Grazoprevir 400 mg/100 mg27.0
Grazoprevir 800 mg/100 mg29.0
Boceprevir 800 mg57.0

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Number of Participants Experiencing Adverse Events (AEs) During the Treatment Period and First 14 Follow-up Days

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE. (NCT01353911)
Timeframe: Treatment period plus the first 14 days of follow-up (up to 50 weeks)

Interventionparticipants (Number)
OL Grazoprevir 100 mg34
Grazoprevir 100 mg65
Grazoprevir 200 mg66
Grazoprevir 400 mg23
Grazoprevir 800 mg28
Grazoprevir 400 mg/100 mg42
Grazoprevir 800 mg/100 mg35
Boceprevir 800 mg64

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Number of Participants Who Discontinued Study Medication Due to AEs During the Treatment Period and First 14 Follow-up Days

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE. (NCT01353911)
Timeframe: Treatment period plus the first 14 days of follow-up (up to 50 weeks)

Interventionparticipants (Number)
OL Grazoprevir 100 mg2
Grazoprevir 100 mg3
Grazoprevir 200 mg4
Grazoprevir 400 mg2
Grazoprevir 800 mg3
Grazoprevir 400 mg/100 mg4
Grazoprevir 800 mg/100 mg2
Boceprevir 800 mg9

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Time to Peak Concentration (Tmax) of Grazoprevir

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma Tmax of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

,,,,,
Interventionhr. (Median)
Day 1Day 10
Part 1-Healthy Matched to Mild HI2.503.01
Part 1-Mild HI3.503.00
Part 2-Healthy Matched to Moderate HI1.752.00
Part 2-Moderate HI2.003.00
Part 3-Healthy Matched to Severe HI1.501.00
Part 3-Severe HI1.751.75

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Maximum Concentration (Cmax) of Grazoprevir

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma Cmax of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

,,,,,
InterventionuM (Geometric Mean)
Day 1Day 10
Part 1-Healthy Matched to Mild HI0.3051.02
Part 1-Mild HI0.2571.40
Part 2-Healthy Matched to Moderate HI0.05800.106
Part 2-Moderate HI0.4330.631
Part 3-Healthy Matched to Severe HI0.01570.0304
Part 3-Severe HI0.2380.396

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Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 10

Blood samples were collected at 24 hours post-dose on Day 10 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Days 10 at 24 hours postdose

InterventionnM (Geometric Mean)
Part 1-Mild HI32.6
Part 1-Healthy Matched to Mild HI17.0
Part 2-Moderate HI48.9
Part 2-Healthy Matched to Moderate HI13.6
Part 3-Severe HI55.0
Part 3-Healthy Matched to Severe HI5.89

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Area Under the Concentration Time-curve From 0 to 24 Hours (AUC0-24) of Grazoprevir

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma AUC0-24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

,,,,,
InterventionuM*hr (Geometric Mean)
Day 1Day 10
Part 1-Healthy Matched to Mild HI1.423.74
Part 1-Mild HI1.716.20
Part 2-Healthy Matched to Moderate HI0.3210.874
Part 2-Moderate HI1.614.21
Part 3-Healthy Matched to Severe HI0.05920.257
Part 3-Severe HI1.173.00

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Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Severe HI and Healthy Matched to Severe HI

Blood samples were collected at 24 hours post-dose on Day 1 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Day 1 at 24 hours postdose

InterventionnM (Median)
Part 3-Severe HI15.6
Part 3-Healthy Matched to Severe HI1.86

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Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Mild HI and Moderate HI and Healthy Matched to Mild HI and Moderate HI

Blood samples were collected at 24 hours post-dose on Day 1 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Day 1 at 24 hours postdose

InterventionnM (Geometric Mean)
Part 1-Mild HI21.4
Part 1-Healthy Matched to Mild HI11.5
Part 2-Moderate HI17.7
Part 2-Healthy Matched to Moderate HI5.90

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Apparent Terminal Half-life (t1/2) of Grazoprevir

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Day 10 in order to determine the plasma t1/2 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI. (NCT01390428)
Timeframe: Day 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

Interventionhr. (Geometric Mean)
Part 1-Mild HI54.24
Part 1-Healthy Matched to Mild HI35.85
Part 2-Moderate HI39.59
Part 2-Healthy Matched to Moderate HI39.80
Part 3-Severe HI42.00
Part 3-Healthy Matched to Severe HI31.02

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Hepatic Concentration of GZR (C[H]Xhr)

C(H)Xhr of GZR was expressed as liver concentration (μmol GZR/L liver) using the concentration of the extracted liver sample (mass of the liver biopsy/0.2 mL solvent), and assuming that liver has the specific gravity of water (1 g/mL). The arithmetic mean C(H)Xhr concentration is based on the means of 4 FNA passes per participant in all 4 participants. (NCT01537900)
Timeframe: 4, 8, 24, and 72 hours post-dose on Day 7

InterventionµM (Mean)
Hepatic concentration at 4 hours (C[H]4hr)Hepatic concentration at 8 hours (C[H]8hr)Hepatic concentration at 24 hours (C[H]24hr)Hepatic concentration at 72 hours (C[H]72hr)
Grazoprevir 100 mg3901340575434

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Estimated Area Under the Liver Concentration-time Curve for 24 Hours Post-dose (AUC[H]0-24hr) of Grazoprevir

Each participant was assigned to undergo Fine Needle Aspiration (FNA) to obtain liver tissue at different time points. Specifically, one participant underwent FNA at 4 hr post-dose only, another participant underwent FNA at 8 hr post-dose only, and a third participant underwent FNA at 24 hr post-dose only. (The fourth participant underwent FNA at 72 hr post-dose and therefore was not included in the calculation of AUC0-24hr.) Therefore, in calculating AUC0-24hr, there were only 3 data points: 1 data point at 4 hr post-dose, 1 data point at 8 hr post-dose, and 1 data point at 24 hr post-dose. The model assumed that drug concentration was at steady-state, and that the concentration at 24 hr post-dose was equal to the concentration at 0 hr post-dose. (NCT01537900)
Timeframe: 4, 8, and 24 hours post-dose on Day 7

InterventionµM*hr (Number)
Grazoprevir 100 mg19800

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Number of Participants Who Experienced an Event of Clinical Interest (ECI) During the Long-Term Follow-Up

An ECI includes spontaneous bacterial peritonitis, variceal bleeding, ascites, encephalopathy, hepatorenal syndrome, hepatocellular carcinoma, liver transplant, cardiovascular disease limited to angina and myocardial infarction, neurologic disorders limited to transient ischemic attack (TIA) or stroke, graft rejection in participants who have undergone liver or kidney transplant, or one of the following in participants from the MK-5172-052 (NCT02092350) base study: kidney transplant, decreased estimated glomerular filtration rate (eGFR), new onset diabetes, cryoglobulinemia, or post transplantation glomerulonephritis. (NCT01667081)
Timeframe: Up to ~60 months after enrollment in this study

InterventionParticipants (Count of Participants)
GZR 100 mg + EBR 50 mg +/- RBV98
Other GZR Regimen4

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Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With Genotype 4 Infections

In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. (NCT01667081)
Timeframe: Up to ~60 months after enrollment in this study

,,
InterventionParticipants (Count of Participants)
Failure24 weeks post failure48 weeks post failure96 weeks post failure≥144 weeks post failure
EBR/GZR: Both NS3 and NS5A RASs21111
EBR/GZR: NS3 RASs21111
EBR/GZR: NS5A RASs43222

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Persistence of Treatment-Emergent NS3 and NS5A RASs in Participants With HCV Genotype 1b Infections

In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. (NCT01667081)
Timeframe: Up to ~60 months after enrollment in this study

,,,
InterventionParticipants (Count of Participants)
Failure24 weeks post failure48 weeks post failure96 weeks post failure≥144 weeks post failure
EBR/GZR +/- RBV: NS5A RASs77533
EBR/GZR +/-RVB: Both NS3 and NS5A RASs20000
EBR/GZR+/- RBV: NS3 RASs42110
GZR + RBV or PR: NS3 RASs31111

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Persistence of Treatment-Emergent Nonstructural Protein (NS)3 and NS5A Resistance-associated Substitutions (RASs) in Participants With HCV Genotype (GT) 1a Infections

In adult participants with HCV RNA ≥1000 IU/mL at entry or during the study period, HCV sequence analysis was performed to evaluate the presence of RASs and the persistence of RASs over time. (NCT01667081)
Timeframe: Up to ~60 months after enrollment in this study

,,,
InterventionParticipants (Count of Participants)
Failure24 weeks post failure48 weeks post failure96 weeks post failure≥144 weeks post failure
EBR/GZR +/- RBV: NS3 RASs2210642
EBR/GZR +/- RBV: NS5A RASs2525221511
EBR/GZR +/-RBV: Both NS3 and NS5A RASs188431
GZR + Pegylated Interferon/Ribavirin (PR): NS3 RASs112211

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Time to Viral Relapse

Viral relapse is defined as any participant who has confirmed HCV Ribonucleic acid (RNA) ≥ Lower limit of quantification (LLoQ) of 15 IU/mL and had achieved sustained virologic response (SVR) in the follow up in the prior treatment study. Time to relapse is defined as the time from last dose of study therapy taken in the prior treatment study until the date where HCV RNA is ≥LLoQ. (NCT01667081)
Timeframe: Up to ~60 months after enrollment in this study

InterventionMonths (Median)
GZR 100 mg + EBR 50 mg +/- RBVNA
Other GZR RegimenNA

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Percentage of Participants Achieving Undetectable HCV RNA During Treatment by Time Point

HCV RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay on blood samples drawn from each participant at Week 2, Week 4, Week 12, and at end of treatment. The assay has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. Undetectable HCV RNA was defined as HCV RNA < 9.3 IU/mL. (NCT01710501)
Timeframe: From Treatment Week (TW) 2 through end of treatment (up to 24 weeks)

,,
Interventionpercentage of participants (Number)
Week 2 (n=29, 25, 29)Week 4 (n=28, 26, 29)Week 12 (n=28, 26, 28)End of All Therapy (n=26, 25, 26)
Grazoprevir 100 mg + PEG-IFN + RBV55.289.7100.0100.0
Grazoprevir 25 mg + PEG-IFN + RBV34.582.196.492.3
Grazoprevir 50 mg + PEG-IFN + RBV32.076.992.392.0

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Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment by Time Point

HCV RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay on blood samples drawn from each participant at Week 2, Week 4, Week 12, and at end of treatment. The assay has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. (NCT01710501)
Timeframe: From TW 2 through end of treatment (up to 24 weeks)

,,
Interventionpercentage of participants (Number)
Week 2 (n=29, 25, 29)Week 4 (n=28, 26, 29)Week 12 (n=28, 26, 28)End of all Therapy (n=26, 25, 26)
Grazoprevir 100 mg + PEG-IFN + RBV96.6100.0100.0100.0
Grazoprevir 25 mg + PEG-IFN + RBV86.296.496.492.3
Grazoprevir 50 mg + PEG-IFN + RBV88.0100.0100.0100.0

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Percentage of Subjects Achieving SVR24

HCV RNA was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. SVR24 was defined as HCV RNA <25 IU/mL (either target detected, unquantifiable or target not detected) 24 weeks after the end of all study therapy. (NCT01710501)
Timeframe: 24 weeks after end of treatment (up to 48 weeks total)

Interventionpercentage of participants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV54.2
Grazoprevir 50 mg + PEG-IFN + RBV84.0
Grazoprevir 100 mg + PEG-IFN + RBV84.6

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Percentage of Participants Achieving SVR4

HCV RNA was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. SVR4 was defined as HCV RNA <25 IU/mL (either target detected, unquantifiable or target not detected) 4 weeks after the end of all study therapy. (NCT01710501)
Timeframe: 4 weeks after end of treatment (up to 28 weeks total)

Interventionpercentage of participants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV76.9
Grazoprevir 50 mg + PEG-IFN + RBV88.0
Grazoprevir 100 mg + PEG-IFN + RBV92.3

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Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of Treatment (SVR12)

Hepatitis C virus ribonucleic acid (HCV RNA) was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. SVR12 was defined as HCV RNA <25 IU/mL (either target detected, unquantifiable or target not detected) 12 weeks after the end of all study therapy. (NCT01710501)
Timeframe: 12 weeks after end of treatment (up to 36 weeks total)

Interventionpercentage of participants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV54.2
Grazoprevir 50 mg + PEG-IFN + RBV84.0
Grazoprevir 100 mg + PEG-IFN + RBV88.5

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Number of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period and First 14 Follow-up Days

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an adverse event. (NCT01710501)
Timeframe: 14 days following last dose of study drug (up to 26 weeks)

Interventionparticipants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV28
Grazoprevir 50 mg + PEG-IFN + RBV28
Grazoprevir 100 mg + PEG-IFN + RBV28

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Number of Participants Discontinued From Study Treatment Due to AEs During the Treatment Period and First 14 Follow-up Days

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an adverse event. (NCT01710501)
Timeframe: Up to 24 weeks

Interventionparticipants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV1
Grazoprevir 50 mg + PEG-IFN + RBV1
Grazoprevir 100 mg + PEG-IFN + RBV1

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Number of Participants Developing Post-baseline Antiviral Resistance to Grazoprevir Among Participants Not Achieving SVR24 Response

Post-baseline resistance associated variants (RAV) analysis was conducted by comparing the amino acid sequences at virologic failure time points to those at baseline (BL): Day 1, pre-dose. A post-BL variant was defined as an amino acid substitution within HCV NS3/4A that was present after the first dose at virologic failure and follow-up visits but not at BL. Post-BL variant analysis was conducted for participants who did not achieve SVR24 who had sequence data available. (NCT01710501)
Timeframe: From Day 1 up to Follow-up Week 24 (up to 48 weeks total)

Interventionparticipants (Number)
Grazoprevir 25 mg + PEG-IFN + RBV9
Grazoprevir 50 mg + PEG-IFN + RBV5
Grazoprevir 100 mg + PEG-IFN + RBV3

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)

SVR12 was defined as HCV RNA <25 IU/mL 12 weeks after the end of all study therapy. HCV RNA was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. (NCT01716156)
Timeframe: Up to Week 36

InterventionPercentage of participants (Number)
Grazoprevir 100 mg + RBV 12 Weeks58.3
Grazoprevir 100 mg + RBV 24 Weeks90.0

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of Study Therapy (SVR 24)

HCV RNA was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. SVR24 was defined as HCV RNA <25 IU/mL 24 weeks after the end of all study therapy. (NCT01716156)
Timeframe: Up to Week 48

InterventionPercentage of participants (Number)
Grazoprevir 100 mg + RBV 12 Weeks62.5
Grazoprevir 100 mg + RBV 12 Weeks Extended50.0
Grazoprevir 100 mg + RBV 24 Weeks80.0

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Percentage of Participants Discontinuing Study Therapy Due to an AE

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an adverse event. Data are presented according to actual treatment duration (12 weeks or 24 weeks) regardless of participants' initial arm assignment. (NCT01716156)
Timeframe: Up to 24 weeks

InterventionPercentage of participants (Number)
Grazoprevir 100 mg + RBV: up to 12 Weeks0
Grazoprevir 100 mg + RBV: Beyond 12 Weeks0

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Percentage of Participants With Sustained Virologic Response 4 Weeks After Ending Study Therapy (SVR4)

HCV RNA was measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay, which has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. SVR4 was defined as HCV RNA <25 IU/mL 4 weeks after the end of all study therapy. (NCT01716156)
Timeframe: Up to Week 28

InterventionPercentage of participants (Number)
Grazoprevir 100 mg + RBV 12 Weeks87.5
Grazoprevir 100 mg + RBV 12 Weeks Extended75.0
Grazoprevir 100 mg + RBV 24 Weeks90.9

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Time to Achievement of First Undetectable HCV RNA

The mean time (in days) to first achievement of undetectable HCV RNA was assessed using Kaplan-Meier plot and summary statistics. HCV RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay on blood samples drawn from each participant at Week 2, Week 4, Week 12, and at end of treatment. The assay has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. Undetectable HCV RNA was defined as below the limit of detection of 9.3 IU/mL. (NCT01716156)
Timeframe: Up to Week 24

InterventionDays (Mean)
Grazoprevir 100 mg + RBV HCV GT1a27.1
Grazoprevir 100 mg + RBV HCV GT1non-a19.7

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Percentage of Participants With HCV RNA <25 IU/mL by Time Point

HCV RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay on blood samples drawn from each participant at Week 2, Week 4, Week 12, and at end of treatment (End of Treatment Response). The assay has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. Undetectable HCV RNA was defined as below the limit of detection of 9.3 IU/mL. (NCT01716156)
Timeframe: From Week 2 through end of treatment (up to 24 weeks)

,,
InterventionPercentage of participants (Number)
Week 2Week 4; Grazoprevir 100 mg + RBV 24 Weeks, n=11Week 12; Grazoprevir 100 mg + RBV 24 Weeks, n=11End of all therapy
Grazoprevir 100 mg + RBV 12 Weeks100.0100.0100.0100.0
Grazoprevir 100 mg + RBV 12 Weeks Extended75.0100.075.075.0
Grazoprevir 100 mg + RBV 24 Weeks100.0100.090.991.7

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Percentage of Participants With Undetectable HCV RNA by Time Point

HCV RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test, v2.0® assay on blood samples drawn from each participant at Week 2, Week 4, Week 12, and at end of treatment (End of Treatment Response). The assay has a lower limit of quantification of 25 IU/mL and a limit of detection of 9.3 IU/mL. Undetectable HCV RNA was defined as below the limit of detection of 9.3 IU/mL. (NCT01716156)
Timeframe: From Week 2 through end of treatment (up to 24 weeks)

,,
InterventionPercentage of participants (Number)
Week 2Week 4; Grazoprevir 100 mg + RBV 24 Weeks, n=11Week 12; Grazoprevir 100 mg + RBV 24 Weeks, n=11End of all therapy
Grazoprevir 100 mg + RBV 12 Weeks50.0100.0100.0100.0
Grazoprevir 100 mg + RBV 12 Weeks Extended0.00.075.075.0
Grazoprevir 100 mg + RBV 24 Weeks41.781.881.891.7

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Percentage of Participants Experiencing at Least One Adverse Event (AE) on Study

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an adverse event. Data are presented according to actual treatment duration (12 weeks or 24 weeks) regardless of participants' initial arm assignment. (NCT01716156)
Timeframe: Fourteen days following last dose of study drug (up to 26 weeks)

InterventionPercentage of participants (Number)
Grazoprevir 100 mg + RBV: up to 12 Weeks72.7
Grazoprevir 100 mg + RBV: Beyond 12 Weeks86.7

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Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period and First 14 Follow-up Days

An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding, for example), 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 which is temporally associated with the use of the SPONSOR's product, was also an AE. (NCT01717326)
Timeframe: From Day 1 [post-dose] through 14 days following last dose of study drug (up to 20 weeks)

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk88.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk85.7
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk91.7
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk90.0
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk72.7
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk87.1
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk77.4
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk65.5
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk87.5
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk83.9
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk81.3
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk78.8
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk97.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk81.3
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk65.5
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk53.3
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk73.3
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk54.8
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk85.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk90.5

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Mean Time to First Achievement of Undetectable Hepatitis C Virus Ribonucleic Acid (HCV RNA)

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. Kaplan Meier summary statistics were used to characterize the time to first achievement of undetectable HCV RNA. (NCT01717326)
Timeframe: From first dose of study medication until first achievement of undetectable HCV RNA (up to 18 weeks of treatment)

Interventiondays (Mean)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk21.7
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk19.2
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk23.4
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk27.9
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk30.7
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk32.0
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk37.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk33.2
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk33.1
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk33.7
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk31.9
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk37.4
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk37.4
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk42.7
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk27.6
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk29.0
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk23.7
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk34.5
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk30.1
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk19.8

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Percentage of Participants Discontinuing Study Therapy Due to an AE During the Treatment Period and First 14 Follow-up Days

An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding, for example), 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 which is temporally associated with the use of the SPONSOR's product, was also an AE. (NCT01717326)
Timeframe: From Day 1 [post-dose] through 14 days following last dose of study drug (up to 20 weeks)

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk0.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk0.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk0.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk0.0
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk0.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk0.0
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk0.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk0.0
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk6.3
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk0.0
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk3.1
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk0.0
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk0.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk0.0
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk0.0
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk0.0
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk0.0
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk0.0
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk0.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk4.8

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Percentage of Participants Achieving Undetectable HCV RNA at Week 4

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. Undetectable HCV RNA was defined as below the 15.1 IU/ml limit of detection. The percentage of participants achieving undetectable HCV RNA and accompanying 95% CIs were reported at TW4 for each treatment arm of the PP Population. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 4

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk73.9
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk91.7
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk75.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk73.3
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk83.3
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk77.4
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk60.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk79.3
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk71.9
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk71.0
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk83.3
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk68.8
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk69.7
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk53.1
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk75.9
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk78.6
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk86.7
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk74.2
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk50.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk77.8

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). SVR12 was defined as HCV RNA <25 IU/ml at 12 weeks after the end of all study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: 12 weeks after end of therapy (up to 30 weeks)

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk95.8
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk82.8
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk96.8
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk90.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk96.6
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk93.5
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk90.9
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.9
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk96.6
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk92.9
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk93.1
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk93.5
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk47.4
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk61.1

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Percentage of Participants Achieving Undetectable HCV RNA at Week 2

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. Undetectable HCV RNA was defined as below the 15.1 IU/ml limit of detection. The percentage of participants achieving undetectable HCV RNA and accompanying 95% CIs were reported at TW2 for each treatment arm of the PP Population. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 2

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk52.2
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk44.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk41.7
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk44.8
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk20.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk16.1
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk6.7
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk10.3
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk25.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk16.1
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk12.9
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk6.1
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk6.1
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk6.3
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk37.9
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk40.0
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk46.7
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk12.9
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk40.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk70.0

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Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 12

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a LLoQ of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). The percentage of participants achieving HCV RNA levels <25 IU/ml and accompanying 95% CIs were reported at TW12 for each treatment arm of the PP Population (as applicable). 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 12

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk93.3
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk100.0
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk100.0
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.9
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk92.9
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk47.4
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk75.0

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Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 2

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a LLoQ of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). The percentage of participants achieving HCV RNA levels <25 IU/ml and accompanying 95% CIs were reported at TW2 for each treatment arm of the PP Population. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 2

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk91.3
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk92.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk91.7
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk86.2
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk73.3
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk77.4
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk60.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk79.3
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk78.1
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk67.7
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk77.4
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk66.7
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk57.6
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk62.5
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk89.7
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk76.7
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk76.7
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk61.3
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk70.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk85.0

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Percentage of Participants Achieving HCV RNA <25 IU/mL at Week 4

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a LLoQ of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). The percentage of participants achieving HCV RNA levels <25 IU/ml and accompanying 95% CIs were reported at TW4 for each treatment arm of the PP Population. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 4

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk90.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk100.0
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk90.3
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk96.9
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk97.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk93.8
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk96.8
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk65.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk83.3

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Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After the End of All Therapy (SVR4)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a LLoQ of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). SVR4 was defined as HCV RNA <25 IU/ml at 4 weeks after the end of all study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: 4 weeks after end of therapy (up to 22 weeks)

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk95.8
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk93.3
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk96.8
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk96.7
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk96.6
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.8
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk93.9
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.9
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk96.6
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk93.1
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk93.1
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk96.8
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk50.0
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk61.1

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 at various time points prior to, during, and after dosing. The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a LLoQ of 25 IU/mL and a limit of detection of 15.1 IU/mL (in plasma). SVR24 was defined as HCV RNA <25 IU/ml at 24 weeks after the end of all study therapy. 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: 24 weeks after end of therapy (up to 42 weeks)

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk95.8
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B1: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk78.6
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk96.8
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk90.0
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk96.6
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk93.1
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk90.9
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.9
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk96.6
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk88.9
C1: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk93.1
C2: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-8 wk93.5
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk47.4
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk58.8

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Percentage of Participants Achieving Undetectable HCV RNA at Week 12

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at various time points prior to, during, and after dosing. Undetectable HCV RNA was defined as below the 15.1 IU/ml limit of detection. The percentage of participants achieving undetectable HCV RNA and accompanying 95% CIs were reported at TW12 for each treatment arm of the PP Population (as applicable). 95% confidence intervals provided based on the Clopper-Pearson method. (NCT01717326)
Timeframe: Week 12

Interventionpercentage of participants (Number)
A1: TN NC Grazoprevir 100 mg + Elbasvir 20 mg + RBV-12 wk100.0
A2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
A3: TN NC/GT1b Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B2: TN NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk100.0
B3: TN NC/GT1a Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk100.0
B4: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk93.3
B5: TN C Grazoprevir 100 mg + Elbasvir 50 mg for 12 wk96.6
B6: TN C Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk100.0
B7: TN C Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk100.0
B8: NR Grazoprevir 100 mg + Elbasvir 50 mg +RBV-12 wk100.0
B9: NR Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk93.8
B10: NR Grazoprevir 100 mg + Elbasvir 50 mg + RBV-8 wk100.0
B11: NR Grazoprevir 100 mg + Elbasvir 50 Mg-18 wk96.9
B12: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk93.1
B13: TN HIV NC Grazoprevir 100 mg + Elbasvir 50 Mg-12 wk92.9
D1: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-12 wk47.7
D2: TN NC/GT3 Grazoprevir 100 mg + Elbasvir 50 mg + RBV-18 wk65.0

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Percentage of Participants Achieving HCV RNA <25 IU/mL During Treatment By Timepoint

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. The Roche COBAS™ Taqman™ HCV Test (v.2.0) has a lower limit of quantification (LLoQ) of 25 IU/ml and a limit of detection of 9.3 IU/ml. The percentage of participants with HCV RNA levels <25 IU/ml (either TD[u] or TND) and accompanying 95% CIs were reported at TW2, TW4, and TW12 for each treatment arm of the PP Population. (NCT01932762)
Timeframe: From TW 2 through TW 12 (up to 12 weeks)

,,,
Interventionpercentage of participants (Number)
Week 2 (n=28, 24, 16, 15)Week 4 (n=28, 24, 17, 15)Week 12 (n=28, 24, 17, 14)
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)93.393.385.7
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)87.5100.0100.0
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)96.4100.096.4
GT2: Grazoprevir + RBV (Arm B1)79.291.787.5

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Percentage of Participants With Sustained Virologic Response 12 Weeks After The End of Study Therapy (SVR12)

SVR12 was defined as Hepatitis C Virus ribonucleic acid (HCV RNA) <25 IU/mL, either target detected but unquantifiable (TD[u]) or target not detected (TND), at 12 weeks after the end of all study therapy. The percentage of participants with SVR12 and accompanying 95% confidence intervals (CIs) were reported for each treatment arm in the Per-Protocol (PP) Population. (NCT01932762)
Timeframe: 12 weeks after end of all therapy (Study Week 24)

Interventionpercentage of participants (Number)
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)85.2
GT2: Grazoprevir + RBV (Arm B1)75.0
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)94.1
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)76.9

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Percentage of Participants Achieving Undetectable HCV RNA During Treatment By Timepoint

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. Undetectable HCV RNA (or TND) was defined as below the 9.3 IU/ml limit of detection. The percentage of participants achieving undetectable HCV RNA and accompanying 95% CIs were reported at TW2, TW4, and TW12 for each treatment arm of the PP Population. (NCT01932762)
Timeframe: From TW 2 through TW 12 (up to 12 weeks)

,,,
Interventionpercentage of participants (Number)
Week 2 (n=28, 24, 16, 15)Week 4 (n=28, 24, 17, 15)Week 12 (n=28, 24, 17, 14)
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)53.380.078.6
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)50.088.2100.0
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)42.985.796.4
GT2: Grazoprevir + RBV (Arm B1)50.079.283.3

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Percentage of Participants Achieving SVR4

SVR4 was defined as HCV RNA <25 IU/mL, either TD(u) or TND, at 4 weeks after the end of all study therapy. The percentage of participants with SVR4 and accompanying 95% CIs were reported for each treatment arm of the PP Population. (NCT01932762)
Timeframe: 4 weeks after end of all therapy (Study Week 16)

Interventionpercentage of participants (Number)
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)88.9
GT2: Grazoprevir + RBV (Arm B1)83.3
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)94.1
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)78.6

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Percentage of Participants Achieving SVR24

SVR24 was defined as HCV RNA <25 IU/mL, either TD(u) or TND, at 24 weeks after the end of all study therapy. The percentage of participants with SVR24 and accompanying 95% CIs were reported for each treatment arm of the PP Population. (NCT01932762)
Timeframe: 24 weeks after end of all therapy (Study Week 36)

Interventionpercentage of participants (Number)
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)84.6
GT2: Grazoprevir + RBV (Arm B1)75.0
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)94.1
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)76.9

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Mean Time to First Achievement of Undetectable HCV RNA During Treatment

HCV-RNA levels in plasma were measured using the Roche COBAS™ Taqman™ HCV Test (v.2.0) on blood samples drawn from each participant during treatment at TWs 1, 2, 4, 8, and 12. Undetectable HCV RNA (or TND) was defined as below the 9.3 IU/ml limit of detection. Kaplan Meier summary statistics were calculated for each treatment arm in the Full Analysis Set (FAS). (NCT01932762)
Timeframe: From TW1 until first achievement of undetectable HCV RNA (up to 12 weeks)

Interventiondays (Mean)
GT2: Grazoprevir + Elbasvir + RBV (Arm A1)25.2
GT2: Grazoprevir + RBV (Arm B1)26.9
GT 4,5,6: Grazoprevir + Elbasvir + RBV (Arm B2)27.4
GT 4,5,6: Grazoprevir + Elbasvir (Arm B3)21.3

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Apparent Terminal Half-life (T1/2) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (NCT01937975)
Timeframe: Up to 120 hours postdose

InterventionHours (Geometric Mean)
Participants With End Stage Renal Disease: HD Day 1023.04
Participants With Severe Renal Impairment: Day 1028.97
Healthy Participants: Day 1025.02

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Time of Maximum Plasma Concentration (Tmax) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (all participants) and only up to 24 hours for ESRD participants on Day 9 (NCT01937975)
Timeframe: Up to 120 hours postdose

,,
InterventionHours (Median)
Day 9Day 10
Healthy Participants: Day 10NA2.50
Participants With End Stage Renal Disease2.002.50
Participants With Severe Renal Impairment: Day 10NA3.00

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Apparent Terminal Half-life (T1/2) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (NCT01937975)
Timeframe: Up to 120 hours postdose

InterventionHours (Geometric Mean)
Participants With End Stage Renal Disease: HD Day 1028.38
Participants With Severe Renal Impairment: Day 1036.30
Healthy Participants: Day 1035.18

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Apparent Volume of Distribution After Extravascular Administration (Vz/F) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 10 (NCT01937975)
Timeframe: Up to 24 hours postdose

InterventionLiters (Geometric Mean)
Participants With End Stage Renal Disease: HD Day 10857
Participants With Severe Renal Impairment: Day 10569
Healthy Participants: Day 10901

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Maximum Plasma Concentration (Cmax) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (all participants) and only up to 24 hours for ESRD participants on Day 9 (NCT01937975)
Timeframe: Up to 120 hours postdose

,,
InterventionuM (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA0.163
Participants With End Stage Renal Disease0.1370.154
Participants With Severe Renal Impairment: Day 10NA0.271

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Area Under the Concentration-time Curve From 0 to 24 Hours Postdose (AUC0-24hr) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: Up to 24 hours postdose

,,
InterventionuM*hr (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA1.14
Participants With End Stage Renal Disease0.9690.944
Participants With Severe Renal Impairment: Day 10NA1.88

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Area Under the Concentration-time Curve From 0 to 24 Hours Postdose (AUC0-24hr) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: Up to 24 hours postdose

,,
InterventionuM*hr (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA2.19
Participants With End Stage Renal Disease1.892.16
Participants With Severe Renal Impairment: Day 10NA4.07

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Apparent Clearance After Extravascular Administration (CL/F) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: Up to 24 hours postdose

,,
InterventionLiters/hr (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA25.9
Participants With End Stage Renal Disease29.926.2
Participants With Severe Renal Impairment: Day 10NA13.9

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Apparent Clearance After Extravascular Administration (CL/F) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: Up to 24 hours postdose

,,
InterventionLiters/hr (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA114
Participants With End Stage Renal Disease135138
Participants With Severe Renal Impairment: Day 10NA69.4

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Plasma Concentration at 24 Hours Postdose (C24hr) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected at 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: 24 hours postdose

,,
InterventionnM (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA14.5
Participants With End Stage Renal Disease11.411.3
Participants With Severe Renal Impairment: Day 10NA23.3

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Time of Maximum Plasma Concentration (Tmax) of Elbasvir

Blood for determination of Elbasvir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (all participants) and only up to 24 hours for ESRD participants on Day 9 (NCT01937975)
Timeframe: Up to 120 hours postdose

,,
InterventionHours (Median)
Day 9Day 10
Healthy Participants: Day 10NA4.00
Participants With End Stage Renal Disease4.005.00
Participants With Severe Renal Impairment: Day 10NA4.00

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Maximum Plasma Concentration (Cmax) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, 24, 32, 48, 72, 96, and 120 hours postdose on Day 10 (all participants) and only up to 24 hours for ESRD participants on Day 9 (NCT01937975)
Timeframe: Up to 120 hours postdose

,,
InterventionuM (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA0.154
Participants With End Stage Renal Disease0.1410.135
Participants With Severe Renal Impairment: Day 10NA0.255

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Apparent Volume of Distribution After Extravascular Administration (Vz/F) of Grazoprevir

Blood for determination of Grazoprevir concentration was collected predose and 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 12, 16, and 24 hours postdose on Day 10 (NCT01937975)
Timeframe: Up to 24 hours postdose

InterventionLiters (Geometric Mean)
Participants With End Stage Renal Disease: HD Day 105430
Participants With Severe Renal Impairment: Day 103490
Healthy Participants: Day 105760

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Plasma Concentration at 24 Hours Postdose (C24hr) of Elbasvir

Blood for determination of Elbasvir concentration was collected at 24 hours postdose on Day 9 (ESRD participants only) or Day 10 (all participants) (NCT01937975)
Timeframe: 24 hours postdose

,,
InterventionnM (Geometric Mean)
Day 9Day 10
Healthy Participants: Day 10NA60.9
Participants With End Stage Renal Disease46.958.2
Participants With Severe Renal Impairment: Day 10NA126

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Percentage of Participants With Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)

SVR12 was defined as hepatitis C virus (HCV) ribonucleic acid (RNA) lower than the limit of quantification (LLoQ) 12 weeks after completing study therapy. HCV RNA was measured using the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0®, which has a LLoQ of 15 IU/mL. (NCT02092350)
Timeframe: Week 24 (Immediate Treatment + Intensive PK) or Week 40 (Deferred Treatment)

InterventionPercentage of participants (Number)
Immediate Treatment + Intensive PK99.1
Deferred Treatment98.0

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Percentage of Participants With Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)

SVR24 was defined as HCV RNA NCT02092350)
Timeframe: Week 36 (Immediate Treatment + Intensive PK) or Week 52 (Deferred Treatment)

InterventionPercentage of participants (Number)
Immediate Treatment + Intensive PK97.4
Deferred Treatment Group98.0

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Number of Participants Discontinuing Study Drug Due to AEs During the Initial Treatment Period

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. This analysis includes the Immediate Treatment + Intensive PK group and the placebo treatment period for the Deferred Treatment group. (NCT02092350)
Timeframe: Up to Week 12

InterventionParticipants (Number)
Immediate Treatment + Intensive PK0
Deferred Treatment5

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Number of Participants Experiencing an Adverse Event (AE) During the Initial Treatment and 14-day Follow-up Periods

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. This analysis includes the Immediate Treatment + Intensive PK group and the placebo treatment period for the Deferred Treatment group. (NCT02092350)
Timeframe: Up to Week 14

InterventionParticipants (Number)
Immediate Treatment + Intensive PK93
Deferred Treatment96

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Percentage of Participants With Sustained Virologic Response 4 Weeks After Completing Study Therapy (SVR4)

SVR4 was defined as HCV RNA NCT02092350)
Timeframe: Week 16 (Immediate Treatment + Intensive PK) or Week 32 (Deferred Treatment)

InterventionPercentage of participants (Number)
Immediate Treatment + Intensive PK100.00
Deferred Treatment Group99.0

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Percentage of Participants Achieving Sustained Virologic Response (SVR) at 12 Weeks After the End of All Study Therapy (SVR12)

SVR12 is defined as participants having hepatitis C virus ribonucleic acid (HCV RNA) level lower than the limit of quantification (LLoQ, <15 IU/mL in plasma), either target detected and unquantifiable or undetectable 12 weeks after the end of all study therapy. (NCT02105454)
Timeframe: Up to 24 weeks

InterventionPercentage of participants (Number)
GZR 100 mg + EBR 50 mg + RBV for 12 Weeks97.1

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Percentage of Participants Discontinuing Study Drug Due to an Adverse Event

Adverse event is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the Sponsor's product, whether or not considered related to the use of the product. (NCT02105454)
Timeframe: Up to 12 weeks

InterventionPercentage of participants (Number)
GZR 100 mg + EBR 50 mg + RBV for 12 Weeks1.3

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Percentage of Participants Experiencing Adverse Events

Adverse event is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the Sponsor's product, whether or not considered related to the use of the product. (NCT02105454)
Timeframe: Up to 40 weeks (from Day 1 [post-dose] through 24 [-12/+4] weeks following last dose of study drug)

InterventionPercentage of participants (Number)
GZR 100 mg + EBR 50 mg + RBV for 12 Weeks79.7

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Percentage of Participants Achieving SVR12 by Prior Direct-acting Antiviral (DAA) Therapy

SVR12 is defined as participants having HCV RNA level lower than the LLoQ (<15 IU/mL in plasma), either target detected and unquantifiable or undetectable 12 weeks after the end of all study therapy. Prior DAA therapy regimen included boceprevir, telaprevir, simeprevir, or sofosbuvir taken concomitantly with peginterferon and ribavirin. Below categories specify with our without resistance-associated variants (RAVs) of the hepatitis C virus. (NCT02105454)
Timeframe: Up to 24 weeks

InterventionPercentage of participants (Number)
Boceprevir with signature baseline RAVs, n=9Boceprevir without signature baseline RAVs, n=16Telaprevir with signature baseline RAVs, n=18Telaprevir without signature baseline RAVs, n=22Simeprevir with signature baseline RAVs, n=4Simeprevir without signature baseline RAVs, n=1
GZR 100 mg + EBR 50 mg + RBV for 12 Weeks88.9100.094.4100.0100.0100.0

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Percentage of Participants Discontinued From Study Treatment Because of an Adverse Event

An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), 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, is also an adverse event. (NCT02105467)
Timeframe: Up to Week 12 (end of Blinded Treatment)

InterventionPercentage of participants (Number)
Immediate Treatment Group0.9
Deferred Treatment Group1.0

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Percentage of Participants Experiencing at Least One Adverse Event

An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), 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, is also an adverse event. (NCT02105467)
Timeframe: Up to Week 14 (14 days after the Blinded Treatment was completed)

InterventionPercentage of participants (Number)
Immediate Treatment Group67.4
Deferred Treatment Group68.6

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Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of Treatment (SVR12)

Hepatitis C Virus (HCV) ribonucleic acid (RNA) was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR12 was defined as HCV RNA NCT02105467)
Timeframe: Week 24 (12 weeks after the end of treatment)

InterventionPercentage of participants (Number)
Immediate Treatment Group94.6

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Percentage of Participants Achieving Sustained Virologic Response at 24 Weeks After the End of Treatment (SVR24)

Hepatitis C Virus RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR24 was defined as HCV RNA NCT02105467)
Timeframe: Week 36 (24 weeks after the end of treatment)

InterventionPercentage of participants (Number)
Immediate Treatment Group94.3

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Percentage of Participants Achieving Sustained Virologic Response at 4 Weeks After the End of Treatment (SVR4)

Hepatitis C Virus RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. SVR4 was defined as HCV RNA NCT02105467)
Timeframe: Week 16 (4 weeks after the end of treatment)

InterventionPercentage of participants (Number)
Immediate Treatment Group97.2

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 (High Pure System). The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 15 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). SVR12 was defined as undetectable (<9.3 IU/mL) HCV RNA at 12 weeks after the end of all study therapy. (NCT02105662)
Timeframe: 12 weeks after end of all therapy (Study Week 24)

Interventionpercentage of participants (Number)
Grazoprevir+Elbasvir96.3

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Percentage of Participants Discontinuing Study Therapy Due to AEs During the Treatment Period

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an AE. (NCT02105662)
Timeframe: Treatment Period (up to 12 weeks)

Interventionpercentage of participants (Number)
Grazoprevir+Elbasvir0.0

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Percentage of Participants Experiencing Adverse Events (AEs) During the Treatment Period and First 14 Follow-up Days

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 associated with the use of the Sponsor's product, is also an AE. (NCT02105662)
Timeframe: Treatment Period plus first 14 follow-up days (up to 14 weeks)

Interventionpercentage of participants (Number)
Grazoprevir+Elbasvir73.9

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS™ Taqman™ HCV Test, v2.0 (High Pure System). The Roche COBAS Taqman HCV Test, v2.0 assay (High Pure System) had a lower limit of quantification of 15 IU/mL and a limit of detection of 9.3 IU/mL (in plasma). SVR24 was defined as undetectable (<9.3 IU/mL) HCV RNA at 24 weeks after the end of all study therapy. (NCT02105662)
Timeframe: 24 weeks after end of all therapy (Study Week 36)

Interventionpercentage of participants (Number)
Grazoprevir+Elbasvir93.1

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Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Double-Blind (DB) Treatment Period and First 14 Follow-up Days

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 pre-existing condition that was temporally associated with the use of the Sponsor's product, was also an AE. For this outcome measure, the primary safety analysis compared the percentage of participants experiencing an AE in the Immediate Treatment Arm during the double-blinded active treatment period to that of the Deferred Treatment Arm during the double-blinded placebo treatment period. (NCT02105688)
Timeframe: DB Treatment period plus first 14 follow-up days (up to Study Week 14)

InterventionPercentage of Participants (Number)
Immediate Treatment Arm: Grazoprevir/Elbasvir83.1
Deferred Treatment Arm: Placebo > Grazoprevir/Elbasvir83.0

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS® AmpliPrep/COBAS® Taqman HCV Test, v2.0, which had a lower limit of quantification of 15 IU/mL. SVR12 was defined as HCV RNA below the lower limit of detection (NCT02105688)
Timeframe: 12 weeks after end of all therapy (Study Week 24 for Immediate Treatment Arm and Study Week 40 for Deferred Treatment Arm)

InterventionPercentage of Participants (Number)
Immediate Treatment Arm: Grazoprevir/Elbasvir95.5
Deferred Treatment Arm: Placebo > Grazoprevir/Elbasvir96.6

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® AmpliPrep/COBAS® Taqman HCV Test, v2.0, which has an LLOQ of 15 IU/mL. SVR24 was defined as HCV RNA NCT02105688)
Timeframe: 24 weeks after end of all therapy (Study Week 36 for Immediate Treatment Arm and Study Week 52 for Deferred Treatment Arm)

InterventionPercentage of Participants (Number)
Immediate Treatment Arm: Grazoprevir/Elbasvir94.1
Deferred Treatment Arm: Placebo > Grazoprevir/Elbasvir96.5

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Percentage of Participants Discontinued From Study Therapy Due to AEs During the DB Treatment Period

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 pre-existing condition that was temporally associated with the use of the Sponsor's product, was also an AE. For this outcome measure, the primary safety analysis compared the percentage of participants discontinuing study therapy due to an AE in the Immediate Treatment Arm during the double-blinded active treatment period to that of the Deferred Treatment Arm during the double-blinded placebo treatment period. (NCT02105688)
Timeframe: DB Treatment period (up to Study Week 12)

InterventionPercentage of Participants (Number)
Immediate Treatment Arm: Grazoprevir/Elbasvir0.5
Deferred Treatment Arm: Placebo > Grazoprevir/Elbasvir1.0

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Number of Participants Discontinuing Study Treatment Due to an AE

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02105701)
Timeframe: Up to 16 weeks

InterventionNumber of participants (Number)
Grazoprevir + Elbasvir 12 Weeks1
Grazoprevir + Elbasvir + RBV 12 Weeks1
Grazoprevir + Elbasvir 16 Weeks0
Grazoprevir + Elbasvir + RBV 16 Weeks5

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Percentage of Participants Achieving Undetectable HCV RNA 24 Weeks After the End of All Treatment (SVR24)

HCV RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. (NCT02105701)
Timeframe: 24 weeks after the end of all study treatment (up to 40 weeks)

InterventionPercentage of participants (Number)
Grazoprevir + Elbasvir 12 Weeks91.4
Grazoprevir + Elbasvir + RBV 12 Weeks94.2
Grazoprevir + Elbasvir 16 Weeks89.5
Grazoprevir + Elbasvir + RBV 16 Weeks95.3

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Percentage of Participants Achieving Undetectable HCV RNA 12 Weeks After Completing Study Therapy (SVR12)

HCV RNA was measured using the Roche COBAS® Taqman® HCV Test, v2.0 assay. (NCT02105701)
Timeframe: 12 weeks after the end of all study treatment (up to 28 weeks)

InterventionPercentage of participants (Number)
Grazoprevir + Elbasvir 12 Weeks92.4
Grazoprevir + Elbasvir + RBV 12 Weeks94.2
Grazoprevir + Elbasvir 16 Weeks92.4
Grazoprevir + Elbasvir + RBV 16 Weeks98.1

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Number of Participants Experiencing Adverse Events (AE)

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02105701)
Timeframe: Up to 18 weeks

InterventionNumber of participants (Number)
Grazoprevir + Elbasvir 12 Weeks74
Grazoprevir + Elbasvir + RBV 12 Weeks85
Grazoprevir + Elbasvir 16 Weeks77
Grazoprevir + Elbasvir + RBV 16 Weeks95

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Percentage of Participants Achieving Sustained Viral Response 4 Weeks After Completing Study Therapy (SVR4)

SVR4 was defined as HCV RNA levels NCT02115321)
Timeframe: Week 16

InterventionPercentage of participants (Number)
Part A: CP-B GZR 50 mg + EBR 50 mg93.3
Part A: NC GZR 100 mg + ER 50 mg100.0

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Mean Change From Baseline in Model for End-Stage Liver Disease (MELD) Scores in CP-B Participants

The MELD score provides an objective and granular assessment of liver improvement as a continuous variable. The calculation of MELD score is based on three biochemical variables (serum bilirubin, creatinine and international normalized ratio [INR] of prothrombin time). The MELD equation is as follows: 9.57 x ln(creatinine mg/dL) +3.78 x ln(bilirubin mg/dL) +11.2 x ln (INR) + 6.43. Scores are multiplied by 10 and rounded to the nearest whole number and range from 6 (less ill) to 40 (gravely ill). MELD scores were determined at Baseline (Day 1) and again at Week 12, Follow-up (FU) Week 12 (Week 24), and FU Week 24 (Week 36). Change from baseline in MELD score = Post-baseline MELD score - baseline MELD score. (NCT02115321)
Timeframe: Baseline and Weeks 12, 24, and 36

InterventionUnits on a scale (Mean)
Week 12 (n=30)FU Week 12 (Week 24) [n=29]FU Week 24 (Week 36) [n=29]
Part A: CP-B GZR 50 mg + EBR 50 mg-0.67-0.38-0.34

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Number of Participants Discontinuing Study Drug Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02115321)
Timeframe: Up to 12 weeks

InterventionNumber of participants (Number)
Part A: CP-B GZR 50 mg + EBR 50 mg0
Part A: NC GZR 100 mg + ER 50 mg0

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Number of Participants Experiencing an Adverse Event (AE) During Treatment and First 14 Follow-up Days

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02115321)
Timeframe: Up to 14 weeks

InterventionNumber of participants (Number)
Part A: CP-B GZR 50 mg + EBR 50 mg25
Part A: NC GZR 100 mg + ER 50 mg8

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Percentage of Participants Achieving Sustained Viral Response 12 Weeks After Completing Study Therapy (SVR12)

SVR12 was defined as hepatitis C virus (HCV) ribonucleic acid (RNA) levels below the lower limit of quantification (LLoQ) 12 weeks after completing study therapy. HCV RNA was measured with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay which has a LLoQ of 15 IU/mL and a limit of detection of 15 IU/mL. (NCT02115321)
Timeframe: Week 24

InterventionPercentage of participants (Number)
Part A: CP-B GZR 50 mg + EBR 50 mg90.0
Part A: NC GZR 100 mg + ER 50 mg100.0

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Percentage of Participants Achieving Sustained Viral Response 24 Weeks After Completing Study Therapy (SVR24)

SVR24 was defined as HCV RNA levels NCT02115321)
Timeframe: Week 36

InterventionPercentage of participants (Number)
Part A: CP-B GZR 50 mg + EBR 50 mg90.0
Part A: NC GZR 100 mg + ER 50 mg100.0

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Percentage of Participants With Sustained Viral Response (SVR) 12 Weeks After Completing All Study Therapy (SVR12)

The percentage of participants achieving SVR12, defined as HCV ribonucleic acid (RNA) <15 IU/mL 12 weeks after completing all study therapy, was determined for each arm. Plasma levels of HCV RNA were measured using the Roche COBAS© AmpliPrep/COBAS© TaqMan© HCV Test v. 2.0. (NCT02133131)
Timeframe: Up to 24 weeks

InterventionPercentage of participants (Number)
GT1: NC Grazoprevir/Elbasvir + SOF 4 Weeks33.3
GT1: NC Grazoprevir/Elbasvir + SOF 6 Weeks89.3
GT1: C Grazoprevir/Elbasvir + SOF 6 Weeks80.0
GT1: C Grazoprevir/Elbasvir + SOF 8 Weeks89.5
GT3: NC Grazoprevir/Elbasvir + SOF 8 Weeks93.3
GT3: NC Grazoprevir/Elbasvir + SOF 12 Weeks100.0
GT3: C Grazoprevir/Elbasvir + SOF 12 Weeks90.9

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Number of Participants Discontinuing Study Therapy Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02133131)
Timeframe: Up to Week 12

InterventionNumber of participants (Number)
GT1: NC Grazoprevir/Elbasvir + SOF 4 Weeks0
GT1: NC Grazoprevir/Elbasvir + SOF 6 Weeks0
GT1: C Grazoprevir/Elbasvir + SOF 6 Weeks0
GT1: C Grazoprevir/Elbasvir + SOF 8 Weeks1
GT3: NC Grazoprevir/Elbasvir + SOF 8 Weeks0
GT3: NC Grazoprevir/Elbasvir + SOF 12 Weeks0
GT3: C Grazoprevir/Elbasvir + SOF 12 Weeks0

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Number of Participants Experiencing at Least 1 Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02133131)
Timeframe: Up to Week 14

InterventionNumber of participants (Number)
GT1: NC Grazoprevir/Elbasvir + SOF 4 Weeks5
GT1: NC Grazoprevir/Elbasvir + SOF 6 Weeks7
GT1: C Grazoprevir/Elbasvir + SOF 6 Weeks7
GT1: C Grazoprevir/Elbasvir + SOF 8 Weeks4
GT3: NC Grazoprevir/Elbasvir + SOF 8 Weeks4
GT3: NC Grazoprevir/Elbasvir + SOF 12 Weeks3
GT3: C Grazoprevir/Elbasvir + SOF 12 Weeks3

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Part 1: Percentage of Participants Achieving Undetectable HCV RNA Over Time

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. (NCT02203149)
Timeframe: Part 1 Treatment Weeks (TW)2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

,
Interventionpercentage of participants (Number)
TW2TW4TW12EOTFUWK4FUWK12FUWK24
Part 1 Grazoprevir 100 mg + Elbasvir35.583.9100.0100.0100.096.896.8
Part 1 Grazoprevir 50 mg + Elbasvir22.677.4100.0100.0100.0100.096.8

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Part 2: Percentage of Participants Achieving Undetectable HCV RNA Over Time After Active Treatment

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 construct 95% CIs for SVR rates. (NCT02203149)
Timeframe: Part 2: Active TW2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

,,
Interventionpercentage of participants (Number)
TW2TW4TW12EOTFUWK4FUWK12FUWK24
Part 2 Cirrhotic: Grazoprevir + Elbasvir11.465.7100.0100.097.197.194.3
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir39.786.3100.0100.0100.095.995.9
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir25.170.597.898.798.296.596.5

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Part 2: Percentage of Participants Achieving HCV RNA

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 NCT02203149)
Timeframe: Part 2: Active TW2, TW4, TW12, End of Treatment (EOT), FUWK4, FUWK12, FUWK24

,,
Interventionpercentage of participants (Number)
TW2TW4TW12EOTFUWK4FUWK12FUWK24
Part 2 Cirrhotic: Grazoprevir + Elbasvir60.094.3100.0100.097.197.197.1
Part 2 Non-cirrhotic Deferred: Grazoprevir + Elbasvir69.998.6100.0100.0100.097.395.9
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir60.896.098.799.698.296.596.5

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Part 2: Percentage of Participants Experiencing an AE During Initial Treatment and First 4 Follow-Up 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 safety evaluation was limited to the initial treatment period and first 4 follow-up weeks, and the primary safety statistical analysis compared the percentage of participants with events between the Part 2 Immediate Treatment Arm and the Part 2 Deferred Treatment Arm while receiving placebo. (NCT02203149)
Timeframe: Up to 4 weeks following initial treatment in Part 2 (Up to total of 16 weeks)

Interventionpercentage of participants (Number)
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir64.8
Part 2 Non-cirrhotic Deferred: Placebo67.6
Part 2 Cirrhotic: Grazoprevir + Elbasvir80.0

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Part 1: Percentage of Participants Experiencing an Adverse Event (AE) During Treatment and First 4 Follow-Up 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 associated with the use of the Sponsor's product, was also an AE. The primary safety evaluation was limited to the initial treatment period through Follow-up Week 4 (FUWK4). (NCT02203149)
Timeframe: Up to 4 weeks post last dose in Part 1 (Up to total of 16 weeks)

Interventionpercentage of participants (Number)
Part 1 Grazoprevir 50 mg + Elbasvir67.7
Part 1 Grazoprevir 100 mg + Elbasvir74.2

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Part 1: Percentage of Participants That Discontinued Treatment Due to an AE

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 associated with the use of the Sponsor's product, was also an AE. The primary safety evaluation was limited to the initial treatment period through FUWK4. (NCT02203149)
Timeframe: Up to Study Week 12 in Part 1

Interventionpercentage of participants (Number)
Part 1 Grazoprevir 50 mg + Elbasvir0.0
Part 1 Grazoprevir 100 mg + Elbasvir0.0

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Part 2: Percentage of Participants That Discontinued Initial Treatment Due to an AE

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 safety evaluation was limited to the initial treatment period and first 4 follow-up weeks, and the primary safety statistical analysis compared the percentage of participants with events between the Part 2 Immediate Treatment Arm and the Part 2 Deferred Treatment Arm while receiving placebo. (NCT02203149)
Timeframe: Up to Study Week 12 in Part 2

Interventionpercentage of participants (Number)
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir1.3
Part 2 Non-cirrhotic Deferred: Placebo1.4
Part 2 Cirrhotic: Grazoprevir + Elbasvir0.0

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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)

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 of the 95% CI was compared to the reference rate of 75%; a lower CI limit that was higher than the reference rate would confirm the primary hypothesis and indicate that that the treatment combination was efficacious. As pre-specified in the protocol, only the Immediate Treatment Arm of Part 2 (treatment naïve participants) was included in the primary efficacy analysis. (NCT02203149)
Timeframe: 12 weeks after end of all therapy in Part 2 (Study Week 24 of Part 2)

Interventionpercentage of participants (Number)
Part 2 Non-cirrhotic Immediate: Grazoprevir + Elbasvir96.6

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Part 1: Percentage of Participants Achieving HCV RNA Below the Lower Limit of Quantitation (

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 NCT02203149)
Timeframe: Part 1 TW2, TW4, TW12, EOT, FUWK4, FUWK12, FUWK24

,
Interventionpercentage of participants (Number)
TW2TW4TW12EOTFUWK4FUWK12FUWK24
Part 1 Grazoprevir 100 mg + Elbasvir71.0100.0100.0100.0100.096.896.8
Part 1 Grazoprevir 50 mg + Elbasvir61.3100.0100.0100.0100.0100.0100.0

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After the End of All Study Therapy (SVR12)

Blood was drawn from each participant to assess Hepatitis C Virus ribonucleic acid (HCV RNA) plasma levels using the Roche COBAS® AmpliPrep/COBAS® Taqman HCV Test, v2.0, which had a lower limit of quantification (LLOQ) of 15 IU/mL. SVR12 was defined as HCV RNA below the lower limit of detection (NCT02251990)
Timeframe: 12 weeks after end of all therapy (Study Week 24)

Interventionpercentage of participants (Number)
Immediate Treatment Group (ITG): Grazoprevir/Elbasvir94.2

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After the End of All Study Therapy (SVR24)

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® AmpliPrep/COBAS® Taqman HCV Test, v2.0, which had a LLOQ of 15 IU/mL. SVR24 was defined as HCV RNA NCT02251990)
Timeframe: 24 weeks after end of all therapy (Study Week 36)

Interventionpercentage of participants (Number)
Immediate Treatment Group (ITG): Grazoprevir/Elbasvir94.0

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Percentage of Participants Experiencing at Least One Adverse Event (AE) During the DB Treatment Period and First 14 Follow-up Days

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can 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 pre-existing condition that is temporally associated with the use of the Sponsor's product, is also an AE. The primary safety analysis compared the safety data of the Immediate Treatment Group during the active treatment period to those of the Deferred Treatment Group during the placebo treatment period. (NCT02251990)
Timeframe: DB Treatment period plus first 14 follow-up days (up to 14 weeks)

Interventionpercentage of participants (Number)
Immediate Treatment Group (ITG): Grazoprevir/Elbasvir50.7
Deferred Treatment Group (DTG): Placebo > Grazoprevir/Elbasvir51.2

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Percentage of Participants That Discontinued From Study Therapy Due to AEs During the DB Treatment Period

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can 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 pre-existing condition that is temporally associated with the use of the Sponsor's product, is also an AE. A participant could discontinue from treatment but continue to participate in the study as long as consent was not withdrawn. The primary safety analysis compared the safety data of the Immediate Treatment Group during the active treatment period to those of the Deferred Treatment Group during the placebo treatment period. (NCT02251990)
Timeframe: DB Treatment period (up to 12 weeks)

Interventionpercentage of participants (Number)
Immediate Treatment Group (ITG): Grazoprevir/Elbasvir0.3
Deferred Treatment Group (DTG): Placebo > Grazoprevir/Elbasvir0.8

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Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After the End of All Study Therapy (SVR4)

Blood was drawn from each participant to assess HCV RNA plasma levels using the Roche COBAS® AmpliPrep/COBAS® Taqman HCV Test, v2.0, which had a LLOQ of 15 IU/mL. SVR4 was defined as HCV RNA NCT02251990)
Timeframe: 4 weeks after end of all therapy (Study Week 16)

Interventionpercentage of participants (Number)
Immediate Treatment Group (ITG): Grazoprevir/Elbasvir96.2

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completing Study Therapy (SVR24)

The percentage of participants in both arms achieving SVR24 (i.e., HCV RNA level below the LLoQ 24 weeks after completing study therapy) was determined. HCV RNA levels were measured using the Roche COBAS™ Taqman™ HCV Test v2.0 (High Pure System), which has a LLoQ of <15 IU/mL. (NCT02252016)
Timeframe: 24 weeks after completing study therapy (Week 36)

InterventionPercentage of participants (Number)
Immediate Treatment90.7
Deferred Treatment91.8

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Study Therapy (SVR12)

The percentage of participants in the both arms achieving SVR12 (i.e., HCV riboncleic acid [RNA] level below the lower limit of quantification [LLoQ] 12 weeks after completing study therapy) was determined. HCV RNA levels were measured using the Roche COBAS™ Taqman™ HCV Test v2.0 (High Pure System), which has a LLoQ of <15 IU/mL. (NCT02252016)
Timeframe: 12 weeks after completing study therapy (Week 24)

InterventionPercentage of participants (Number)
Immediate Treatment93.5
Deferred Treatment91.8

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Percentage of Participants Experiencing an Adverse Event (AE)

An AE is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. (NCT02252016)
Timeframe: Up to Week 14

InterventionPercentage of Participants (Number)
Immediate Treatment72.9
Deferred Treatment65.4

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Percentage of Participants Discontinuing From Study Treatment Due to an AE(s)

An AE is any untoward medical occurrence which does not necessarily have to have a causal relationship with this treatment. (NCT02252016)
Timeframe: Up to Week 12

InterventionPercentage of Participants (Number)
Immediate Treatment0.0
Deferred Treatment1.9

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Percentage of Participants Experiencing an Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02332707)
Timeframe: Up to 18 weeks

InterventionPercentage of Participants (Number)
A1: GT1 NC GZR+UPR+EBR (8 Weeks)60.9
A2: GT1 NC GZR+UPR+RZR (8 Weeks)83.3
A3: GT2 NC GZR+UPR+EBR (8 Weeks)56.3
A4: GT2 NC GZR+UPR+RZR (8 Weeks)71.4
A5: GT1 NC GZR+UPR+EBR (8 Weeks)73.9
A6: GT1 NC GZR+UPR+RZR (8 Weeks)60.9
B6: GT1 NC GZR+UPR+RVR (8 Weeks)62.3
A7: GT2 NC GZR+UPR+EBR (8 Weeks)86.7
A8: GT2 NC GZR+UPR+RZR (8 Weeks)75.0
B8: GT2 NC GZR+UPR+RZR (8 Weeks)68.8
B9: GT1 NC GZR+UPR+RZR (12 Weeks)72.9
B10: GT2 NC GZR+UPR+RZR (8 Weeks) + RBV80.6
B11: GT2 NC GZR+UPR+RZR (12 Weeks)71.0
B12: GT1 C GZR+UPR+RZR (8 Weeks)57.1
B13: GT1 C GZR+UPR+RZR (12 Weeks)72.5
B14: GT2 C GZR+UPR+RZR (12 Weeks)53.3
B15: GT2 C GZR+UPR+RZR (12 Weeks) + RBV81.3
16: GT2 C GZR+UPR+RZR (16 Weeks)69.2

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After Completing Treatment (SVR12)

The percentage of participants with Hepatitis C virus (HCV) ribonucleic acid (RNA) < Lower Limit of Quantification (LLoQ) 12 weeks after completing treatment (i.e., SVR12) in each arm was determined. Plasma levels of HCV RNA levels were measured using the Roche COBAS® AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 assay, which has a LLoQ of 15 IU/mL. (NCT02332707)
Timeframe: Up to 28 weeks

InterventionPercentage of Participants (Number)
A1: GT1 NC GZR+UPR+EBR (8 Weeks)100.0
A2: GT1 NC GZR+UPR+RZR (8 Weeks)100.0
A3: GT2 NC GZR+UPR+EBR (8 Weeks)68.8
A4: GT2 NC GZR+UPR+RZR (8 Weeks)71.4
A5: GT1 NC GZR+UPR+EBR (8 Weeks)100.0
A6: GT1 NC GZR+UPR+RZR (8 Weeks)91.3
B6: GT1 NC GZR+UPR+RVR (8 Weeks)100.0
A7: GT2 NC GZR+UPR+EBR (8 Weeks)60.0
A8: GT2 NC GZR+UPR+RZR (8 Weeks)93.8
B8: GT2 NC GZR+UPR+RZR (8 Weeks)87.5
B9: GT1 NC GZR+UPR+RZR (12 Weeks)100.0
B10: GT2 NC GZR+UPR+RZR (8 Weeks) + RBV83.3
B11: GT2 NC GZR+UPR+RZR (12 Weeks)100.0
B12: GT1 C GZR+UPR+RZR (8 Weeks)97.1
B13: GT1 C GZR+UPR+RZR (12 Weeks)100.0
B14: GT2 C GZR+UPR+RZR (12 Weeks)100.0
B15: GT2 C GZR+UPR+RZR (12 Weeks) + RBV100.0
16: GT2 C GZR+UPR+RZR (16 Weeks)100.0

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Percentage of Participants Discontinuing From Study Treatment Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02332707)
Timeframe: Up to 16 weeks

InterventionPercentage of Participants (Number)
A1: GT1 NC GZR+UPR+EBR (8 Weeks)0
A2: GT1 NC GZR+UPR+RZR (8 Weeks)0
A3: GT2 NC GZR+UPR+EBR (8 Weeks)0
A4: GT2 NC GZR+UPR+RZR (8 Weeks)0
A5: GT1 NC GZR+UPR+EBR (8 Weeks)0
A6: GT1 NC GZR+UPR+RZR (8 Weeks)0
B6: GT1 NC GZR+UPR+RVR (8 Weeks)0
A7: GT2 NC GZR+UPR+EBR (8 Weeks)0
A8: GT2 NC GZR+UPR+RZR (8 Weeks)0
B8: GT2 NC GZR+UPR+RZR (8 Weeks)0
B9: GT1 NC GZR+UPR+RZR (12 Weeks)0
B10: GT2 NC GZR+UPR+RZR (8 Weeks) + RBV6.5
B11: GT2 NC GZR+UPR+RZR (12 Weeks)0
B12: GT1 C GZR+UPR+RZR (8 Weeks)0
B13: GT1 C GZR+UPR+RZR (12 Weeks)2.5
B14: GT2 C GZR+UPR+RZR (12 Weeks)0
B15: GT2 C GZR+UPR+RZR (12 Weeks) + RBV12.5
16: GT2 C GZR+UPR+RZR (16 Weeks)0

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)

The percentage of participants with HCV RNA < LLoQ 24 weeks after completing treatment (i.e., SVR24) in each arm was determined. Plasma levels of HCV RNA levels were measured using the Roche COBAS® AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 assay, which has a LLoQ of 15 IU/mL. (NCT02332707)
Timeframe: Up to 40 weeks

InterventionPercentage of Participants (Number)
A1: GT1 NC GZR+UPR+EBR (8 Weeks)100.0
A2: GT1 NC GZR+UPR+RZR (8 Weeks)100.0
A3: GT2 NC GZR+UPR+EBR (8 Weeks)68.8
A4: GT2 NC GZR+UPR+RZR (8 Weeks)71.4
A5: GT1 NC GZR+UPR+EBR (8 Weeks)100.0
A6: GT1 NC GZR+UPR+RZR (8 Weeks)90.9
B6: GT1 NC GZR+UPR+RVR (8 Weeks)100.0
A7: GT2 NC GZR+UPR+EBR (8 Weeks)60.0
A8: GT2 NC GZR+UPR+RZR (8 Weeks)93.8
B8: GT2 NC GZR+UPR+RZR (8 Weeks)87.5
B9: GT1 NC GZR+UPR+RZR (12 Weeks)100.0
B10: GT2 NC GZR+UPR+RZR (8 Weeks) + RBV83.3
B11: GT2 NC GZR+UPR+RZR (12 Weeks)100.0
B12: GT1 C GZR+UPR+RZR (8 Weeks)97.1
B13: GT1 C GZR+UPR+RZR (12 Weeks)100.0
B14: GT2 C GZR+UPR+RZR (12 Weeks)100.0
B15: GT2 C GZR+UPR+RZR (12 Weeks) + RBV100.0
16: GT2 C GZR+UPR+RZR (16 Weeks)100.0

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Number of Participants Experiencing an Adverse Event (AE)

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Part C in the table below combines all (eight) participants from the four distinct arms of Part A who relapsed and were subsequently treated with MK-3682B + RBV for 16 weeks. (NCT02332720)
Timeframe: Up to 40 weeks

InterventionParticipants (Count of Participants)
A1: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)18
A2: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)14
A3: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)16
A4: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)17
A4+ B4: GT3 NC TN MK-3682B (8 Weeks)26
B4: GT3 NC TN MK-3682B (8 Weeks)9
B5: GT3 NC TN MK-3682B + RBV (8 Weeks)30
B6: GT3 NC TN MK-3682B (12 Weeks)25
B7: GT3 NC TN MK-3682B + RBV (12 Weeks)33
B8: GT3 NC TE MK-3682B (8 Weeks)12
B9: GT3 NC TE MK-3682B + RBV (8 Weeks)12
B10: GT3 NC TE MK-3682B (12 Weeks)9
B11: GT3 NC TE MK-3682B + RBV (12 Weeks)13
B12: GT3 NC TE MK-3682B (16 Weeks)13
B13: GT3 C TN MK-3682B (12 Weeks)9
B14: GT3 C TN MK-3682B + RBV (12 Weeks)14
B15: GT3 C TN MK-3682B (16 Weeks)12
B16: GT3 C TE MK-3682B (12 Weeks)12
B17: GT3 C TE MK-3682B + RBV (12 Weeks)12
B18: GT3 C TE MK-3682B (16 Weeks)16
B19: GT3 C TE MK-3682B + RBV (16 Weeks)21
B20: GT4 NC TN MK-3682B (8 Weeks)3
B22: GT6 NC TN MK-3682B (12 Weeks)3
Part C: GT3 NC TN: MK-3682B + RBV (16 Weeks)7

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Percentage of GT3-infected Participants Achieving SVR at Follow-up Week 24 (SVR24)

SVR24 is defined as HCV RNA NCT02332720)
Timeframe: Up to 40 weeks

InterventionPercentage of participants (Number)
A1: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)90.0
A2: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)95.2
A3: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)86.4
A4: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)90.9
A4+B4: GT3 NC TN MK-3682B (8 Weeks)92.1
B4: GT3 NC TN MK-3682B (8 Weeks)93.8
B5: GT3 NC TN MK-3682B + RBV (8 Weeks)100.0
B6: GT3 NC TN MK-3682B (12 Weeks)97.2
B7: GT3 NC TN MK-3682B + RBV (12 Weeks)100.0
B8: GT3 NC TE MK-3682B (8 Weeks)100.0
B9: GT3 NC TE MK-3682B + RBV (8 Weeks)92.9
B10: GT3 NC TE MK-3682B (12 Weeks)100.0
B11: GT3 NC TE MK-3682B + RBV (12 Weeks)93.3
B12: GT3 NC TE MK-3682B (16 Weeks)93.8
B13: GT3 C TN MK-3682B (12 Weeks)92.3
B14: GT3 C TN MK-3682B + RBV (12 Weeks)100.0
B15: GT3 C TN MK-3682B (16 Weeks)100.0
B16: GT3 C TE MK-3682B (12 Weeks)100.0
B17: GT3 C TE MK-3682B + RBV (12 Weeks)100.0
B18: GT3 C TE MK-3682B (16 Weeks)100.0
B19: GT3 C TE MK-3682B + RBV (16 Weeks)96.0

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Percentage of HCV GT3-infected Participants Achieving Sustained Virologic Response at Follow-up Week 12 (SVR12)

SVR12 is defined as HCV ribonucleic acid (RNA) less than the lower limit of quantification (NCT02332720)
Timeframe: Up to 20 weeks (Part A), up to 28 weeks (Part B)

InterventionPercentage of participants (Number)
A1: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)90.5
A2: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)95.2
A3: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)86.4
A4: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)90.9
A4+B4: GT3 NC TN MK-3682B (8 Weeks)92.1
B4: GT3 NC TN MK-3682B (8 Weeks)93.8
B5: GT3 NC TN MK-3682B + RBV (8 Weeks)100.0
B6: GT3 NC TN MK-3682B (12 Weeks)97.2
B7: GT3 NC TN MK-3682B + RBV (12 Weeks)100.0
B8: GT3 NC TE MK-3682B (8 Weeks)100.0
B9: GT3 NC TE MK-3682B + RBV (8 Weeks)92.9
B10: GT3 NC TE MK-3682B (12 Weeks)100.0
B11: GT3 NC TE MK-3682B + RBV (12 Weeks)93.3
B12: GT3 NC TE MK-3682B (16 Weeks)93.8
B13: GT3 C TN MK-3682B (12 Weeks)92.3
B14: GT3 C TN MK-3682B + RBV (12 Weeks)100.0
B15: GT3 C TN MK-3682B (16 Weeks)100.0
B16: GT3 C TE MK-3682B (12 Weeks)100.0
B17: GT3 C TE MK-3682B + RBV (12 Weeks)100.0
B18: GT3 C TE MK-3682B (16 Weeks)100.0
B19: GT3 C TE MK-3682B + RBV (16 Weeks)96.0

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Number of Participants Who Had Study Drug Discontinued Due to an AE

An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Part C in the table below combines all (eight) participants from the four distinct arms of Part A who relapsed and were subsequently treated with MK-3682B + RBV for 16 weeks. (NCT02332720)
Timeframe: Up to 16 weeks

InterventionParticipants (Count of Participants)
A1: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)0
A2: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)0
A3: GT3 NC TN Grazoprevir+Uprifosbuvir+Elbasvir (8 Weeks)0
A4: GT3 NC TN Grazoprevir+Uprifosbuvir+Ruzasvir (8 Weeks)0
A4+ B4: GT3 NC TN MK-3682B (8 Weeks)0
B4: GT3 NC TN MK-3682B (8 Weeks)0
B5: GT3 NC TN MK-3682B + RBV (8 Weeks)0
B6: GT3 NC TN MK-3682B (12 Weeks)0
B7: GT3 NC TN MK-3682B + RBV (12 Weeks)1
B8: GT3 NC TE MK-3682B (8 Weeks)0
B9: GT3 NC TE MK-3682B + RBV (8 Weeks)0
B10: GT3 NC TE MK-3682B (12 Weeks)0
B11: GT3 NC TE MK-3682B + RBV (12 Weeks)0
B12: GT3 NC TE MK-3682B (16 Weeks)0
B13: GT3 C TN MK-3682B (12 Weeks)0
B14: GT3 C TN MK-3682B + RBV (12 Weeks)1
B15: GT3 C TN MK-3682B (16 Weeks)1
B16: GT3 C TE MK-3682B (12 Weeks)0
B17: GT3 C TE MK-3682B + RBV (12 Weeks)0
B18: GT3 C TE MK-3682B (16 Weeks)1
B19: GT3 C TE MK-3682B + RBV (16 Weeks)0
B20: GT4 NC TN MK-3682B (8 Weeks)0
B22: GT6 NC TN MK-3682B (12 Weeks)0
Part C: GT3 NC TN: MK-3682B + RBV (16 Weeks)0

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Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period Plus First 14 Follow-up Days

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 was temporally associated with the use of the Sponsor's product, was also an AE. The percentage of participants who experienced at least one AE was reported for each treatment arm. (NCT02358044)
Timeframe: Treatment + First 14 days of follow-up (Up to Week 14)

Interventionpercentage of participants (Number)
Grazoprevir + Elbasvir51.9
SOF + PR93.7

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Primary: Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of All Treatment (SVR12)

Hepatitis C Virus ribonucleic acid (HCV-RNA) levels in plasma were measured using the Roche COBAS®AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 on blood samples drawn from each participant. SVR12 was defined as HCV RNA below the lower limit of quantification (NCT02358044)
Timeframe: 12 weeks after end of all therapy (Study Week 24)

Interventionpercentage of participants (Number)
Grazoprevir + Elbasvir99.2
SOF + PR90.5

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Percentage of Participants Experiencing at Least One Tier 1 Safety Event (Key Safety Parameter) During the Treatment Period and First 14 Follow-up Days

Tier 1 safety events were pre-specified by the protocol to evaluate safety and test the safety superiority hypothesis. Tier 1 safety events were chosen to assess broad tolerability, hematological side effects and liver-related laboratory abnormalities. For this study, Tier 1 safety events included: any serious drug-related AE, any drug-related AE leading to permanent discontinuation (DC) of all study drugs, neutrophil count <0.75 x 10^9/L, hemoglobin <10 g/dL, severe depression, hepatic events of clinical interest (defined by abnormal increases in alanine aminotransferase [ALT], aspartate aminotransferase [AST], or alkaline phosphatase [ALP]), or events meeting stopping rule criteria for DC from trial (due to abnormal increases of ALT, AST, or ALP with/without pre-specified related AEs). The percentage of participants who experienced each individual event that was defined as a Tier 1 safety event during the study treatment period was reported for each treatment arm. (NCT02358044)
Timeframe: Treatment + First 14 days of follow-up (Up to Week 14)

,
Interventionpercentage of participants (Number)
Total Tier 1 AEsTier 1 AE: Serious drug-related AETier 1 AE: DC due to drug-related AETier 1 AE: Neutrophil count <0.75 x 10^9/LTier 1 AE: Hemoglobin <10 g/dLTier 1 AE: Severe depressionTier 1 AE: Hepatic event of clinical interestTier 1 AE: Trial DC due to stopping rule
Grazoprevir + Elbasvir0.80.00.00.00.80.00.00.0
SOF + PR27.82.40.812.714.30.00.00.0

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)

HCV-RNA levels in plasma were measured using the Roche COBAS®AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 on blood samples drawn from each participant. SVR24 was defined as HCV RNA NCT02358044)
Timeframe: 24 weeks after end of all therapy (Study Week 36)

Interventionpercentage of participants (Number)
Grazoprevir + Elbasvir98.4
SOF + PR89.7

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Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After Ending Study Treatment (SVR4)

HCV-RNA levels in plasma were measured using the Roche COBAS®AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 on blood samples drawn from each participant. SVR4 was defined as HCV RNA NCT02358044)
Timeframe: 4 weeks after end of all therapy (Study Week 16)

Interventionpercentage of participants (Number)
Grazoprevir + Elbasvir99.2
SOF + PR92.1

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Percentage of Participants Discontinuing Study Treatment Due to an AE

"An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), 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 was temporally associated with the use of the Sponsor's product, was also an AE.~The percentage of participants who discontinued study treatment due to an AE was reported for each treatment arm. Participants that discontinued study drug treatment due to an AE may have still continued on trial." (NCT02358044)
Timeframe: Up to Week 12

Interventionpercentage of participants (Number)
Grazoprevir + Elbasvir0.8
SOF + PR0.8

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SVR12 (Reinfection Not Considered Failure)

Sustained viral response (SVR) 12 weeks after the end of therapy in all patients who started treatment in which reinfections are not considered failure (NCT02600325)
Timeframe: 12 weeks

Interventionparticipants (Number)
Treatment Group79

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SVR12 (Reinfection Equals Failure)

Sustained viral response (SVR) 12 weeks after the end of therapy in all patients who started treatment in which reinfections are considered failure (NCT02600325)
Timeframe: week 12

InterventionParticipants (Count of Participants)
Treatment Group75

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Percentage of Participants Experiencing an Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02601573)
Timeframe: Up to 18 weeks (up to 2 weeks after completion of study treatment)

InterventionPercentage of Participants (Number)
Arm 1: HCV GT3 TN EBG/GZR+SOF+RBV 8 Weeks87.0
Arm 2: HCV GT3 TN EBG/GZR+SOF 12 Weeks87.5
Arm 3: HCV GT3 TE EBG/GZR+SOF 12 Weeks82.4
Arm 4: HCV GT3 TE EBG/GZR+SOF+RBV 12 Weeks94.4
Arm 5: HCV GT3 TE EBG/GZR+SOF 16 Weeks94.4

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Percentage of Participants Discontinuing From Study Therapy Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT02601573)
Timeframe: Up to 16 weeks

InterventionPercentage of Participants (Number)
Arm 1: HCV GT3 TN EBG/GZR+SOF+RBV 8 Weeks0.0
Arm 2: HCV GT3 TN EBG/GZR+SOF 12 Weeks0.0
Arm 3: HCV GT3 TE EBG/GZR+SOF 12 Weeks0.0
Arm 4: HCV GT3 TE EBG/GZR+SOF+RBV 12 Weeks0.0
Arm 5: HCV GT3 TE EBG/GZR+SOF 16 Weeks5.6

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Percentage of Participants Achieving SVR24 (Sustained Virologic Response 24 Weeks After the End of All Study Therapy)

The percentage of participants achieving SVR24 (i.e., HCV RNA < LLOQ 24 weeks after completing study treatment) was determined. Plasma HCV RNA levels were determined with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL. (NCT02601573)
Timeframe: Up to Week 40

InterventionPercentage of Participants (Number)
Arm 1: HCV GT3 TN EBG/GZR+SOF+RBV 8 Weeks91.3
Arm 2: HCV GT3 TN EBG/GZR+SOF 12 Weeks100.0
Arm 3: HCV GT3 TE EBG/GZR+SOF 12 Weeks100.0
Arm 4: HCV GT3 TE EBG/GZR+SOF+RBV 12 Weeks100.0
Arm 5: HCV GT3 TE EBG/GZR+SOF 16 Weeks93.8

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Percentage of Participants Achieving SVR12 (Sustained Virologic Response 12 Weeks After the End of All Study Therapy)

The percentage of participants achieving SVR12 (i.e., HCV ribnonucleic acid [RNA] < Lower Limit of Quantification [LLOQ] 12 weeks after completing study treatment) was determined. Plasma HCV RNA levels were determined with the COBAS™ AmpliPrep/COBAS™ Taqman™ HCV Test, v2.0 ® assay, which has a LLOQ of 15 IU/mL. (NCT02601573)
Timeframe: Up to Week 28

InterventionPercentage of Participants (Number)
Arm 1: HCV GT3 TN EBG/GZR+SOF+RBV 8 Weeks91.3
Arm 2: HCV GT3 TN EBG/GZR+SOF 12 Weeks100.0
Arm 3: HCV GT3 TE EBG/GZR+SOF 12 Weeks100.0
Arm 4: HCV GT3 TE EBG/GZR+SOF+RBV 12 Weeks100.0
Arm 5: HCV GT3 TE EBG/GZR+SOF 16 Weeks94.4

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Number of Participants With Nonstructural Protein 5A (NS5A) Resistance Mutations in the HCV Population From the Deceased Donors

"Number of participants with NS5A resistance mutations in the HCV population from the deceased donors.~Number of donors with NS5A resistance mutations" (NCT02781649)
Timeframe: Baseline

InterventionParticipants (Count of Participants)
Donor Genotype 1a no Resistance or 1b0
Donor Genotype 1a With Resistance0
Donor Genotype 2 or 30

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Kidney Function at 12 Months

Serum creatinine mg/dL at 12 months following transplantation (NCT02781649)
Timeframe: 12 months following transplantation

Interventionmg/dL (Median)
Donor Genotype 1a no Resistance or 1b1.0
Donor Genotype 2 or 31.3

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Antibody Development

Number of kidney transplant recipients who become reactive for HCV antibody (NCT02781649)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Donor Genotype 1a no Resistance or 1b3
Donor Genotype 1a With Resistance0
Donor Genotype 2 or 32

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Kidney Function at 6 Months

Serum creatinine mg/dL at 6 months following transplantation (NCT02781649)
Timeframe: 6 months following transplantation

Interventionmg/dL (Median)
Donor Genotype 1a no Resistance or 1b1.12
Donor Genotype 2 or 30.9

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Viral Response

This is the number of participants with undetectable hepatitis C RNA in the blood at 12 weeks after stopping treatment. Proportion of kidney transplant recipients with HCV RNA < Lower Limit Of Quantification (LLOQ) at week 12 (NCT02781649)
Timeframe: 12 weeks after completing treatment

InterventionParticipants (Count of Participants)
Donor Genotype 1a no Resistance or 1b7
Donor Genotype 1a With Resistance0
Donor Genotype 2 or 33

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Mean Change in HCV- PRO- Phase 1

"HCV-PRO, a survey for patients with HCV that measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess 'overall functioning and well-being'. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Baseline to End of Treatment

Interventionunits on a scale (Mean)
EBR/GZR With RBV-0.9
EBR/GZR5.6
SOF/LDV With RBV2.5
SOF/LDV6.9
PrOD With RBV3.2
PrOD9.9

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Post-treatment Progression/Regression of Liver Disease-Fib-4

Mean change (delta) in FIB-4, an indirect non-invasive measure of liver fibrosis, calculated as baseline median -long term follow up median, following SVR after any of the study treatment regimens. Change in FIB-4 where negative values indicate improvement in liver fibrosis score and positive values indicate worsening of fibrosis score. There is no upper or lower limit for change. FIB-4 = age (years) * AST(IU/L)/Platelets (10^3/L) * ALT^.5(IU/L). In general, Score of 0-1.29 is low risk for advanced fibrosis, 1.30-1.67: intermediate risk for advanced liver fibrosis, >2.67: high risk for advanced fibrosis. (NCT02786537)
Timeframe: Baseline to up to 3 years post treatment discontinuation

Interventionscore on a scale (Median)
EBR/GZR, SOF/LDV or PrOD Based HCV Treatment-1.36

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Median Change in Fatigue-Phase 2

Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline-On Treatment (up to 16 weeks)

Interventionunits on a scale (Median)
EBR/GZR With RBV-1.3
EBR/GZR-1.2
SOF/LDV With RBV-2.4
SOF/LDV-1.4

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Median Change in Fatigue -Phase 1

Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline to End of Treatment

Interventionunits on a scale (Median)
EBR/GZR With RBV2.2
EBR/GZR Regimen-0.9
SOF/LDV With RBV-10.2
SOF/LDV-3.4
PrOD Regimen With RBV-0.2
PrOD-4.1

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Mean Change in Nausea/Vomiting PROMIS Score -EBR/GZR vs. LDV/SOF

"Participants completed the Patient Reported Outcomes surveys (PROs) 'PROMIS Nausea/Vomiting -4 Short Form' at baseline and during treatment. Raw scores are converted to standardized T-scores with a range of 45.0-80.1. Higher scores indicate worse nausea/vomiting.~Results presented as mean difference from baseline to average of on Treatment Scores (highest/worst) score during treatment.~A negative (-) PROMIS change score is suggestive of symptom improvement or lack of drug side effect. Estimates of mean change were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline and Average On-Treatment Score

Interventionunits on a scale (Mean)
EBR/GZR With RBV-0.3
EBR/GZR-0.6
SOF/LDV With RBV-1.6
SOF/LDV-0.4

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Mean Change in Headache-PRO Scores -Phase 1

Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Mean change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement in symptom. (NCT02786537)
Timeframe: Baseline to On-Treatment

Interventionunits on a scale (Mean)
EBR/GZR With Ribavirin (RBV)0.0
EBR/GZR Regimen-0.8
SOF/LDV With RBV-0.7
SOF/LDV-0.5
PrOD With RBV Regimen-0.2
PrOD-2.2

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Mean Change in Headache-EBR/GZR and SOF/LDV

Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Mean change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: Baseline to On-Treatment

Interventionunits on a scale (Mean)
EBR/GZR With RBV-0.8
EBR/GZR-0.7
SOF/LDV With RBV0.4
SOF/LDV-0.8

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Mean Change in HCV-PRO (Functional Well-being) EBR/GZR vs. SOF/LDV Score-Phase 2

"HCV-PRO, a survey designed to assess functional status of patients with HCV and measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess functional well-being. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered. End of Treatment -Baseline were used to calculate CHANGE in outcome. Number of subjects reflects participants from both Phase 1 and 2." (NCT02786537)
Timeframe: End of Treatment - Baseline

Interventionscore on a scale (Mean)
EBR/GZR With RBV3.2
EBR/GZR6.1
SOF/LDV With RBV6.3
SOF/LDV6.8

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Median Change in Nausea PRO Score -Phase 1

"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.~The estimates of change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline to end of treatment

Interventionunits on a scale (Median)
EBR/GZR With RBV0.4
EBR/GZR0.0
SOF/LDV With RBV-6.1
SOF/LDV0.0
PrOD With RBV0.0
PrOD0.0

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Mean Change in Fatigue PRO Score -Phase 1

Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline to On-treatment

Interventionunits on a scale (Mean)
EBR/GZR With RBV1.5
EBR/GZR-1.2
SOF/LDV With RBV-7.2
SOF/LDV-2.0
PrOD With RBV-1.9
PrOD-3.0

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Phase 1/2 Number of Participants With Sustained Virologic Response (SVR12-mITT Without Imputation)

"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~Number of subjects reflects participants who started EBR/GZR or SOF/LDV- based treatment (with or without RBV) during Phase 1 and 2." (NCT02786537)
Timeframe: 12-24 weeks post HCV treatment

InterventionParticipants (Count of Participants)
EBR/GZR With RBV40
EBR/GZR516
SOF/LDV With RBV14
SOF/LDV335

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Mean Change in Fatigue PRO -EBR/GZR vs SOF/LDV

Fatigue severity collected from validated, Patient Reported Outcomes survey (PROs), 'PROMIS Fatigue Short Form'. PROMIS® T-scores were computated to compare difference between baseline value of PROMIS score to the highest (worst) score during treatment. Results presented as computated t-score from baseline to average of on Treatment Scores. A positive (+) score suggests improvements in functional well-being. A negative (-) PRO change score is suggestive of symptom improvement or lack of drug side effect. PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35. (NCT02786537)
Timeframe: Baseline and Average On-Treatment Score

Interventionscore on a scale (Mean)
EBR/GZR With RBV-1.0
EBR/GZR-2.1
SOF/LDV With RBV-3.7
SOF/LDV-2.2

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Sustained Virologic Response (SVR12) mITT With Imputation-Phase 1 and 2 EBR/GZR, SOF/LDV

"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation at discretion of provider).~mITT with imputation (missing=failure). Total number of subjects reflects participants from EBR/GZR with or without RBV and SOF/LDV with or without RBV randomized during Phase 1 and Phase 2." (NCT02786537)
Timeframe: 12 weeks post-treatment

InterventionParticipants (Count of Participants)
EBR/GZR With RBV40
EBR/GZR516
SOF/LDV With RBV14
SOF/LDV335

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Change in Functional Status (HCV-PRO) Within Treatment

"HCV-PRO score, a validated PROMIS survey used to evaluate overall functioning and well-being in HCV patients, was utilized to compare long-term 'within treatment' changes of functional well-being. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive estimate (Post treatment to baseline) suggests baseline functional well-being improvement.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Treatment start date up to 2 years post-treatment

,
Interventionscore on a scale (Mean)
9 months post treatment20 months post treatment
EBR/GZR Regimen8.029.87
SOF/LDV Regimen9.9011.54

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Change in HCV-associated Symptoms (PROMIS Measures) After HCV Treatment Initiation

Change in HCV-associated symptoms was calculated as the mean differences of mean scores from multiple surveys from the NIH Patient-Reported Outcomes Measurement Information System (PROMIS)-- Fatigue, nausea, belly pain, sleep disturbance, and diarrhea) and functional status (well-being) when comparing baseline to early post-treatment and late post treatment surveys. Mean change scores were calculated by comparing baseline to early post-treatment (1 yr) and late post-treatment (approximately 3 years) surveys. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.Negative numbers suggest better symptoms (improvement in HCV-associated symptoms). PROMIS Fatigue Score scale per question: 1=Never, 2=Rarely, 3=Sometimes, 4=Often, 5=Always with 7 questions for a total maximum score of 35.HCV-PRO positive estimates suggest baseline functional well-being improvement. (NCT02786537)
Timeframe: 1 year post treatment discontinuation (Early post-tx)

,
Interventionunits on a scale (Mean)
NauseaBelly PainDiarrheaFatigueSleep DisturbanceCognitive ImpairmentHCV-PRO
EBR/GZR Regimen0.00-0.82-1.12-2.080.65-0.548.02
SOF/LDV Regimen-4.99-6.47-5.77-7.59-1.72-4.489.90

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Impact of Baseline NS5A RASs on Treatment Outcomes-Phase 2

Number of participants who achieved SVR (sustained virologic response), defined as undetectable HCV RNA 12 weeks post-treatment with RASs (Resistant Associated Substitutions) after treatment with EBR/GZR or SOF/LDV regimen (NCT02786537)
Timeframe: 12 weeks post HCV treatment

,
InterventionParticipants (Count of Participants)
With NS5a RASWithout NS5a RAS
EBR/GZR Regimen47485
SOF/LDV Regimen42286

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Median Change in HCV-PRO (Overall Well Being) -Phase 1

"HCV-PRO, a survey for patients with HCV that measures physical, emotional, and social functioning, productivity, intimacy, and perception of quality of life, was used to assess 'Overall Functioning and Well-being'. In general, lower score is worst outcome and higher scores indicate greater well-being and functioning. However, for ease of interpretation, HCV-PRO scale has been transformed by using '100 - HCV-PRO' ultimately revising the score to mean 0 (lowest score) is best to 100 (worst outcome). A positive change (End of treatment to baseline) suggests improvements in functional well-being.~Total score = (SUM-N)/(4*N)*100, where N is the number of questions answered." (NCT02786537)
Timeframe: Baseline to End of Treatment

Interventionscore on a scale (Median)
EBR/GZR With RBV0.0
EBR/GZR4.3
SOF/LDV With RBV4.7
SOF/LDV4.7
PrOD With RBV3.1
PrOD8.6

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HCV SVR Durability-Patients With Cirrhosis

Percentage of Cirrhotic patients with persistence of viral cure, SVR, (SVR= Sustained Virologic Response) defined as undetectable HCV RNA at least 24 weeks following HCV Treatment. (NCT02786537)
Timeframe: Up to 132 weeks post HCV treatment

InterventionParticipants (Count of Participants)
EBR/GZR43
EBR/GZR With RBV7
SOF/LDV35
SOF/LDV With RBV7
PrOD6
PrOD With RBV7

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Mean Change in Nausea/Vomiting PRO Score -Phase 1

"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for mean change represent improvement.~The estimates of mean change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes. The model expressed mean score as a function of DAA regimen, cirrhosis status, HCV genotype, sex, age, race, and previous treatment status." (NCT02786537)
Timeframe: Baseline to On-Treatment

Interventionunits on a scale (Mean)
EBR/GZR With RBV1.3
EBR/GZR-1.4
SOF/LDV With RBV-3.9
SOF/LDV-0.7
PrOD With RBV2.5
PrOD0.7

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HCV SVR Durability -No Cirrhosis

Number/Percentage of patients with persistence of viral cure, SVR (SVR = Sustained Virologic Response)- defined as undetectable HCV RNA at least 24 weeks following HCV Treatment. (NCT02786537)
Timeframe: 24 weeks post-end of treatment up to 153 weeks

InterventionParticipants (Count of Participants)
EBR/GZR255
EBR/GZR With Ribavirin17
SOF/LDV146
SOF/LDV With RBV2
PrOD14
PrOD With RBV36

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Treatment Non-Adherence Probability Estimates

"The Voils Medication Adherence Survey (VMAS) was used to evaluate medication adherence during HCV treatment. Participants responded to three questions about the extent of adherence during the past seven days of treatment (during early and late on-treatment occasions). Participants responded using a five-point ordinal scale of missed dosing from 1 (none of the time) to 5 (all of the time). On each occasion participants were coded as being Non-adherent if any response was > 1, otherwise they were coded as Adherent. Probability estimates of percentage of patients reporting non-adherence were calculated per HCV treatment (Direct Acting Antiviral-DAA) regimen: 1)EBR/GZV (elbasvir/grazoprevir, 2)SOF/LDV (sofosbuvir/ledipasvir), 3)PrOD" (NCT02786537)
Timeframe: 12-16 weeks of HCV treatment

Interventionpercentage of patients (Number)
EBR/GZR23
SOF/LDV19
PrOD26

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16 Wk EBR/GZR With RBV Efficacy on Patients With HCV RASs

"Efficacy of Hepatitis C Virus (HCV) Treatment with Zepatier (Elbasvir/Grazobevir) with Ribavirin (RBV) for 16 weeks when used in Genotype 1a patients with Baseline RASs (NS5a Resistance Associated Substitutions or RAPs -Resistance Associated Polymorphisms).~Efficacy defined as HCV RNA undetectable 12 weeks post treatment. Table excludes Genotype 1b patients." (NCT02786537)
Timeframe: 12 weeks post treatment

InterventionParticipants (Count of Participants)
EBR/GZR With RBV-16 Weeks34

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Median Change in Headache -Phase 1

Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Median change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of mean change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: 12 weeks (Baseline and Average On-treatment Score)

Interventionunits on a scale (Median)
EBR/GZR (Elbasvir/Grazoprevir) With RBV0.0
EBR/GZR (Elbasvir/Grazoprevir)0.0
SOF/LDV (Sofosbuvir/Ledipasvir) With RBV-2.0
SOF/LDV (Sofosbuvir/Ledipasvir)-1.0
PrOD (Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir) With RBV (Phase 1 Only)0.0
PrOD (Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir)-1.0

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Median Change in Headache-Phase 2

Headache was evaluated by the HIT-6 score, a validated, Patient Reported Outcomes survey (PROs) 'PROMIS Headache Impact Test (HIT)' with scores ranging from 36 to 78 with higher score reflecting greater impact. Median change in headache side effect was evaluated using difference between baseline value of HIT-6 score to the highest (worst) score during treatment. Estimates of median change and differences obtained from a constrained longitudinal linear mixed-effects model that treated baseline score as one of outcomes. Negative values for mean change represent improvement, while negative values for 'difference' indicate LDV/SOF performed better than PrOD (NCT02786537)
Timeframe: Baseline -on Treatment (12-16 weeks)

Interventionunits on a scale (Median)
EBR/GZR With RBV-1.0
EBR/GZR0.0
SOF/LDV With RBV0.5
SOF/LDV-0.5

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Median Change in Nausea PROMIS Score-EBR/GZR SOF/LDV

"Patients completed the PROMIS® Nausea Short Form at Baseline (T1) and on-treatment. PROMIS raw scores from each of the completed questionnaires were converted to standardized T-scores. Change was calculated as the difference between baseline and on-treatment score. T-scores for the PROMIS Nausea and Vomiting 4a scale range from 45.0 - 80.1. Higher scores indicate worse nausea. Negative values for change represent improvement.~The estimates of change and differences were obtained from a constrained longitudinal linear mixed-effects model that treated the baseline score as one of the outcomes." (NCT02786537)
Timeframe: Baseline- On Treatment (up to 16 weeks)

Interventionscore on a scale (Median)
EBR/GZR With RBV0.0
EBR/GZR0.0
SOF/LDV With RBV0.0
SOF/LDV0.0

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Number of Participants With Adverse Events That Caused Treatment Discontinuation-EBR/GZR vs. LDV/SOF

The number of participants with adverse events that led to early treatment discontinuation (defined as duration less than originally prescribed treatment regimen) (NCT02786537)
Timeframe: Treatment start date through treatment completion (up to 24 weeks)

InterventionParticipants (Count of Participants)
EBR/GZR Regimen12
SOF/LDV Regimen4

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Phase 1 Number of Participants With Sustained Virologic Response (SVR12-mITT Without Imputation)

"SVR (Sustained Virologic Response) 12 will be defined as undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~Number of subjects reflects participants randomized during Phase 1 only." (NCT02786537)
Timeframe: 12 -24 weeks post-treatment

InterventionParticipants (Count of Participants)
EBR/GZR With RBV9
EBR/GZR108
SOF/LDV With RBV6
SOF/LDV88
PrOD With RBV77
PrOD (Phase 1 Only)42

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Phase 1-Sustained Virologic Response (SVR12) mITT With Imputation

"SVR (Sustained Virologic Response) 12 will be defined as patients who have undetectable hepatitis C virus (HCV) RNA at 12 week follow-up visit (12 -24 weeks after HCV treatment discontinuation as dictated by standard of care at each individual site).~mITT with imputation (missing=failure). Total number of subjects reflects participants from Phase 1 only." (NCT02786537)
Timeframe: 12 weeks post-treatment

InterventionParticipants (Count of Participants)
EBR/GZR With RBV9
EBR/GZR108
SOF/LDV With RBV6
SOF/LDV88
PrOD With RBV77
PrOD42

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Incidence of HCV Re-infection

Number of patients with positive HCV RNA 48-weeks post treatment. (NCT02886624)
Timeframe: 48 weeks

InterventionParticipants (Count of Participants)
With phylogentically different strainWith phylogentically similar strain
Grazoprevir/Elbasvir21

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Virological Failure

Number of patients harboring HCV (NS5A and NS3/4) resistance mutations 12 weeks post treatment (NCT02886624)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Grazoprevir/Elbasvir1

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Treatment Adherence

Number of patients missing study drug within the last four days during treatment (NCT02886624)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Grazoprevir/Elbasvir2

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Sustained Virological Response 12 Weeks Post-treatment (SVR12)

Undetectable plasma HCV RNA (<12 IU/mL) 12 weeks post-treatment. (NCT02886624)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Grazoprevir/Elbasvir28

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Number of Participants With Undetectable HIV RNA

Number of participants with undetectable HIV RNA at 12 weeks post treatment (in HIV-positive co-infected patients) (NCT02886624)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Grazoprevir/Elbasvir27

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CD4 Cell Count

CD4+ T cell count at 12 weeks post treatment (in HIV-positive co-infected patients) (NCT02886624)
Timeframe: 12 weeks

Interventioncells/mm^3 (Median)
Grazoprevir/Elbasvir655

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Kidney Function

Clinical review using labs and the patient's chart will be performed for change in kidney graft function by change in eGFR or creatinine (NCT02902120)
Timeframe: This will be measured at day 0, treatment week 2, treatment week 4, treatment week 8, treatment week 12, ( treatment week 16, if applicable), post-treatment week 4 (week 16/20), and post-treatment week 12 (week 24/28)

InterventionParticipants (Count of Participants)
Increase in Cr >30% on treatment72497995Decrease eGFR >30%72497995
yesno
Post-transplant5
Post-transplant16
Post-transplant4
Post-transplant17

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Safety as Assessed by Adverse Event Monitoring, Including Routine Lab Work

Safety will be assessed by adverse event monitoring, including routine lab work (NCT02902120)
Timeframe: This will be measured at day 0, weeks 2, 4, 8, 12 (and 16 if resistance mutations are present)

InterventionParticipants (Count of Participants)
Any Adverse Event72497995Any Serious Adverse Event72497995Decrease in eGFR >30% from baseline72497995Elevated tacrolimus level while on treatment72497995
NoYes
Post-transplant14
Post-transplant7
Post-transplant6
Post-transplant15
Post-transplant4
Post-transplant17
Post-transplant13
Post-transplant8

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Sensitivity and Specificity of the Finger-stick Xpert® HCV Viral Load Assay for HCV RNA Detection

To determine the sensitivity and specificity of the Xpert® HCV Viral Load assay for HCV RNA detection in samples collected by finger-stick capillary whole-blood. (NCT02940691)
Timeframe: 12 week post treatment

InterventionPercentage (Number)
SensitivitySpecificity
Xpert HCV VL Fingerstick10095.7

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Number of Participants With Undetectable HCV RNA at SVR12

Sustained virologic response at 12-weeks post-treatment (SVR12), as defined by negative HCV viral load, after 12-16 weeks of elbasvir/grazoprevir treatment in patients who receive a kidney transplant from a deceased donor infected with HCV. (NCT02945150)
Timeframe: 12 weeks post-treatment (24 weeks post-transplant)

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir for HCV+ Kidney Transplant Recipients8

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Number of Subjects With Undetectable Serum HCV RNA at Study Day 7, 14, 28, 56, 84, 112, 168, 252, 365

Subjects had Hepatitis C viral load assessed at each study visit. Here we looked at the proportion of subjects with undetectable serum HCV RNA at study day 7, 14, 28, 56, 84, 112, 168, 252, 365. (NCT02945150)
Timeframe: 1 year post transplant

Interventionparticipants (Number)
Day 7Day 14Day 28Day 56Day 84Day 112Day 168Day 252Day 365
Elbasvir/Grazoprevir for HCV+ Kidney Transplant Recipients788888888

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Percentage of Subjects Who Attain SVR 24 Weeks After Cessation of Treatment (SVR 24)

blood samples were collected at 24 weeks after cessation of treatment and HCV RNA was measured using local laboratories tests (NCT02973503)
Timeframe: at 24 weeks after cessation of treatment

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir106

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Evaluation of the Efficacy of of Elbasvir/Grazoprevir Fixed-Dose Combination for 8 Weeks in Treatment-Naïve as Measured by the Proportion of Subjects With Sustained Viral Response 12 Weeks After Cessation of Treatment (SVR 12).

Blood samples for HCV RNA determination were collected 12 weeks after cessation of treatment and analysed by local laboratories tests (NCT02973503)
Timeframe: at 12 weeks post-treatment

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir109

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Evaluation of the Emergence of Viral Resistance to EBV/GZR at 24 Weeks After Cessation of Treatment

Patients with HCV RNA> low limit of quantification in two consecutive blood samples were considered as relapsers. (NCT02973503)
Timeframe: at 24 weeks after end of treatment

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir5

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Percentage of Subjects With Virologic Failure

patient with HCV RNA > low limit of quantification in two different consecutive blood samples were considered as relapser (NCT02973503)
Timeframe: at 12 weeks after cessation of treatment

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir3

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Percentage of Subjects Who Attain SVR at 4 Weeks After Cessation of Treatment (SVR4)

blood samples were collected at 4 weeks after cessation of treatment and HCV RNA was measured using local laboratories tests (NCT02973503)
Timeframe: at 4 weeks after cessation of treatment

InterventionParticipants (Count of Participants)
Elbasvir/Grazoprevir111

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Prevalence of Baseline NS3 Resistance-Associated Substitutions (RASs) to EBR or GZR

Blood samples for viral resistance assays were collected at Baseline (Day 1) and analyzed for substitutions in the NS3 gene region. Results are pooled for all participants with baseline sequencing data available, and the number of participants with RASs is reported according HCV genotype. Resistance-associated substitutions are defined as amino acid substitutions that confer reduced susceptibility to a direct-acting antiviral (DAA) and may contribute to virologic failure. The prevalence of baseline substitutions in participants infected with HCV GT4 subtypes was assessed by evaluating amino acid substitutions in NS3. (NCT03111108)
Timeframe: Day 1

,
InterventionParticipants (Number)
GT4GT4DGT4-Other
Arm 1: EBR/GZR for 8 Weeks536
Arm 2: EBR/GZR for 12 Weeks639

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Number of Participants Who Discontinued From Study Treatment Due to an AE

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT03111108)
Timeframe: Up to Study Week 12

InterventionParticipants (Number)
Arm 1: EBR/GZR for 8 Weeks0
Arm 2: EBR/GZR for 12 Weeks0

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Number of Participants With ≥ 1 Adverse Events (AEs)

An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. (NCT03111108)
Timeframe: Up to 14 weeks

InterventionParticipants (Number)
Arm 1: EBR/GZR for 8 Weeks33
Arm 2: EBR/GZR for 12 Weeks46

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Percentage of Participants Achieving Sustained Virologic Response 12 Weeks After End of Treatment (SVR12)

The percentage of participants to achieve SVR12 was determined for each arm (SVR12 was defined as HCV ribonucleic acid [RNA] < lower limit of quantification [LLOQ] at 12 weeks after the end of all study therapy). Plasma HCV RNA was measured using the COBAS™ AmpliPrep/COBAS™ TaqMan HCV Test, v2.0®, which has a LLOQ of 15 IU/mL. (NCT03111108)
Timeframe: 12 weeks after completing study treatment (Arm 1: Week 20 / Arm 2: Week 24)

InterventionPercentage of Participants (Number)
Arm 1: EBR/GZR for 8 Weeks94.3
Arm 2: EBR/GZR for 12 Weeks95.3

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Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After End of Treatment (SVR24)

The percentage of participants to achieve SVR24 was determined for each arm (SVR24 was defined as HCV RNA < LLOQ at 24 weeks after the end of all study therapy). Plasma HCV RNA was measured using the COBAS™ AmpliPrep/COBAS™ TaqMan HCV Test, v2.0®, which has a LLOQ of 15 IU/mL. (NCT03111108)
Timeframe: 24 weeks after completing study treatment (Arm 1: Week 32 / Arm 2: Week 36)

InterventionPercentage of Participants (Number)
Arm 1: EBR/GZR for 8 Weeks94.3
Arm 2: EBR/GZR for 12 Weeks93.8

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Prevalence of Baseline NS5A RASs to EBR or GZR

Blood samples for viral resistance assays were collected at Baseline (Day 1) and analyzed for substitutions in the NS5A gene region. Results are pooled for all participants with baseline sequencing data available, and the number of participants with RASs is reported according HCV genotype. Resistance-associated substitutions are defined as amino acid substitutions that confer reduced susceptibility to a DAA and may contribute to virologic failure. The prevalence of baseline substitutions in participants infected with HCV GT4 subtypes was assessed by evaluating amino acid substitutions in NS5A. (NCT03111108)
Timeframe: Day 1

,
InterventionParticipants (Number)
GT4GT4DGT4-Other
Arm 1: EBR/GZR for 8 Weeks31013
Arm 2: EBR/GZR for 12 Weeks21621

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Change of Serum Endostatin Level (ng/mL) From Baseline to 3 Months

We evaluated the serum endostatin at baseline and 3 months after the treatment initiation. (NCT03144635)
Timeframe: 3 months

Interventionng/mL (Mean)
Baseline3 months
Grazoprevir Plus Elbasvir156176

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Change of Serum Alanine Aminotransferase (ALT) Level (U/L) From Baseline to 3 Months

We evaluated the serum ALT levels at baseline and 3 months after the treatment initiation. (NCT03144635)
Timeframe: 3 months

InterventionU/L (Mean)
Baseline3 months
Grazoprevir Plus Elbasvir4721

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Change of Serum Alpha-fetoprotein Level (ng/mL) From Baseline to 3 Months

We evaluated the serum alpha-fetoprotein levels at baseline and 3 months after the treatment initiation. (NCT03144635)
Timeframe: 3 months

Interventionng/mL (Mean)
Baseline3 months
Grazoprevir Plus Elbasvir10.74.6

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Change of eGFR Level (mL/Min/1.73m^2) From Baseline to 3 Months

We evaluated eGFR level at baseline and 3 months after the treatment initiation. (NCT03144635)
Timeframe: 3 months

InterventionmL/min/1.73m^2 (Mean)
Baseline3 months
Grazoprevir Plus Elbasvir5253

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Sustained Virological Response-12 (SVR12)

SVR12 was defined as undetectable HCV RNA at week 12 after the end of treatment. (NCT03144635)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Intention-to-treat Populations76
Per-protocol Populations76

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Count of Participants With NS3/4A or NS5A Muttations Who Achieved SVR12

We identified the NS3/4A or NS5A muttations by direct sequencing at baseline. Among participants who had mutations, we calcualted the rate of SVR12. (NCT03144635)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Grazoprevir Plus Elbasvir15

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Adherence as Assessed by the Total Percentage of Tablets Taken (Out of Those Dispensed) During the Treatment Period

Adherence of daily directly observed therapy group from daily logs Adherence measured by counting tablets returned after each 2 week treatment period (fortnightly pickup groups) Adherence of participants infected with genotype 3 and treated with Sovaldi measured using medication event monitoring system (MEMS®) cap. (NCT03236506)
Timeframe: 12 weeks for genotype 1 HCV, 8 weeks for genotype 3 HCV infection

Interventionpercentage of medication taken (Mean)
Daily Observed Therapy69
Fortnightly Pick-up96
Fortnightly Pick-up +Psych Intervention98

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Approval for DAA by Third Party Payers

The number of participants for whom their third party insurance approved payment of the DAA (study drug) (NCT03365635)
Timeframe: Within one month of last patient enrolled

InterventionParticipants (Count of Participants)
Genotype 1a -Rx Naive -no NS5A Polymorph0
Genotype 1b - Rx Naive0

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SVR - Sustained Virologic Response

Absence of HCV by viral RNA quantitation at 12 weeks post treatment (NCT03365635)
Timeframe: 12 weeks after completion of Elbasivir/Grazoprevir treatment

InterventionParticipants (Count of Participants)
Genotype 1a -Rx Naive -no NS5A Polymorph3
Genotype 1a, Rx Naive + NS5A Polymorph0
Genotype 1b - Rx Naive1
Genotype 1a/1b -Prior INF or NS3/4A0
Genotype4 - Treatment Naive0

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Apparent Clearance (CL/F) of EBR at Steady State

The CL/F of EBR at steady state (Week 4) was determined in each cohort. (NCT03379506)
Timeframe: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose

InterventionL/hr (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded23.53
Age Cohort 2: 7 to <12 Years: Mini and Expanded12.21
Age Cohort 3: 3 to <7 Years: Mini9.94
Age Cohort 3: 3 to <7 Years: Expanded8.98

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AUC0-24hr of GZR at Steady State

The AUC0-24hr of GZR at steady state (Week 4) was determined in each cohort. (NCT03379506)
Timeframe: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose

InterventionµM*hr (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded1.45
Age Cohort 2: 7 to <12 Years: Mini and Expanded1.42
Age Cohort 3: 3 to <7 Years: Mini0.77
Age Cohort 3: 3 to <7 Years: Expanded1.66

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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. (NCT03379506)
Timeframe: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose

InterventionµM*hr (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded2.41
Age Cohort 2: 7 to <12 Years: Mini and Expanded2.79
Age Cohort 3: 3 to <7 Years: Mini1.71
Age Cohort 3: 3 to <7 Years: Expanded3.15

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Cmax of GZR

The Cmax of GZR at steady state (Week 4) was determined in each cohort. (NCT03379506)
Timeframe: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose

InterventionµM (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded0.25
Age Cohort 2: 7 to <12 Years: Mini and Expanded0.19
Age Cohort 3: 3 to <7 Years: Mini0.09
Age Cohort 3: 3 to <7 Years: Expanded0.29

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Ctrough of GZR

The Ctrough of GZR at steady state (Week 4) was determined at steady state prior to dosing in each cohort. (NCT03379506)
Timeframe: Week 4: Predose

InterventionnM (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded16.20
Age Cohort 2: 7 to <12 Years: Mini and Expanded16.27
Age Cohort 3: 3 to <7 Years: Mini13.79
Age Cohort 3: 3 to <7 Years: Expanded16.17

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Maximum Plasma Concentration (Cmax) of EBR

The Cmax of EBR at steady state (Week 4) was determined in each cohort. (NCT03379506)
Timeframe: Week 4: Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours postdose

InterventionµM (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded0.19
Age Cohort 2: 7 to <12 Years: Mini and Expanded0.21
Age Cohort 3: 3 to <7 Years: Mini0.14
Age Cohort 3: 3 to <7 Years: Expanded0.28

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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. (NCT03379506)
Timeframe: Up to 12 weeks

InterventionPercentage of Participants (Number)
Age Cohort 1: 12 to <18 Years: Mini and Expanded0.0
Age Cohort 2: 7 to <12 Years: Mini and Expanded0.0
Age Cohort 3: 3 to <7 Years: Mini0.0
Age Cohort 3: 3 to <7 Years: Expanded0.0

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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. (NCT03379506)
Timeframe: Up to 36 weeks

InterventionPercentage of Participants (Number)
Age Cohort 1: 12 to <18 Years: Mini and Expanded81.8
Age Cohort 2: 7 to <12 Years: Mini and Expanded76.5
Age Cohort 3: 3 to <7 Years: Mini85.7
Age Cohort 3: 3 to <7 Years: Expanded81.8

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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. (NCT03379506)
Timeframe: Week 24

InterventionPercentage of Participants (Number)
Age Cohort 1: 12 to <18 Years: Mini and Expanded100.0
Age Cohort 2: 7 to <12 Years: Mini and Expanded100.0
Age Cohort 3: 3 to <7 Years: Mini100.0
Age Cohort 3: 3 to <7 Years: Expanded100.0

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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. (NCT03379506)
Timeframe: Week 4: Predose

InterventionnM (Geometric Mean)
Age Cohort 1: 12 to <18 Years: Mini and Expanded59.76
Age Cohort 2: 7 to <12 Years: Mini and Expanded59.43
Age Cohort 3: 3 to <7 Years: Mini34.61
Age Cohort 3: 3 to <7 Years: Expanded68.92

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Change in Cardiovascular Disease Risk From Baseline to After Functional Cure of Hepatitis C, as Measured by High-sensitivity C-reactive Protein

Change in high-sensitivity C-reactive protein (NCT03823911)
Timeframe: Baseline to 72 weeks after functional cure of HCV

Interventionmg/L (Mean)
Hepatitis C Mono-Infected0.6
HIV and Hepatitis C Co-Infected0

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