GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b

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Presentation transcript:

GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b Design Open-label W8 ≥ 18 years HCV genotype 1b Treatment-naïve No cirrhosis No HBV or HIV co-infection N = 166 OPV/PTV/r + DSV SVR12 Treatment regimens Co-formulated ombitasvir (OBV)/paritaprevir (PTV)/rironavir (r): 25/150/100 mg QD = 2 tablets Dasabuvir (DSV) : 250 mg bid Objectives SVR12 (HCV RNA < 15 IU/ml) Virologic failures and relapses SVR12 in patients with baseline HCV RNA < 6 000 000 IU/mL GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 1

GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b Baseline characteristics and outcome OBV/PTV/r + DSV 8W , n = 166 Median age, years 53 Female, % 57 White, % 96 Median BMI, kg/m2 25.3 HCV RNA log10 IU/mL, median < 6 000 000 IU/mL, % 6.0 93 Fibrosis stage : F0-F2 / F3, % 91 / 9 RASs at baseline, % NS5A only NS5B only NS5A + NS5B NS3A (± NS5A) 55 14 28 12 2 SVR12, n/N (%) ITT mITT-GF * mITT-VF 162/166 (98%) 160/163 (98%) 160/162 (99%) * Exclusion of 3 patients with non-1b genotype : 1 genotype 1a, 1 genotype 1d, 1 genotype 6 ** Exclusion of non-virologic failures (1 early discontinuation for non-compliance) GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 2

SRV12 rates by subgroups, mITT-GT, % GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b SRV12 rates by subgroups, mITT-GT, % % 98 99 99 99 99 97 100 92 87 80 60 40 20 n 93 70 151 12 112 51 148 15 Female Male Yes No Non-CC CC F0-F2 F3 HCV RNA < 6 million IU/mL IL28B GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 3

GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b Virologic failures, n = 2 (exclusion of a 3rd failure in a patient with genotype 6) Characteristics Patient A Patient B Time of failure Post-treatment W4 Post-treatment W12 Age / gender 40 / Male 56 / Female Race White BMI, kg/m2 30.2 26.9 Fibrosis stage F3 IL28B CT Baseline HCV RNA (IU/mL) > 6 million (7,162,669) < 6 million (1,243,706) Adherence 99% 100% Resistance-associated substitutions at baseline / at failure NS3 None / None NS5A L31M / L31M, Y93C NS5B C316N, S556G / C316N, S556G GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 4

GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b Treatment-emergent adverse events OBV/PTV/r + DSV 8W N = 166 Any treatment-emergent adverse event 67% Adverse event leading to discontinuation 1 (0.6%) * Serious adverse event, N (%) 2 (1%) ** Adverse events occurring in ≥ 5%, % Headache Fatigue Nasopharyngitis Pruritus Nausea Asthenia 21 17 8 8 6 5 Hemoglogin < 10 g/dL ALT ≥ Grade 3 (> 5 x ULN) / AST ≥ Grade 3 (> 5 x ULN), N 1 ** / 0 Total bilirubin >3-10 x ULN / > 10 x ULN, N * One 24-year-old female patient with F0–F1 fibrosis discontinued study drug on D45 due to grade 3 hyperbilirubinemia (direct and indirect) that was considered possibly related to study drugs. A grade 3 ALT elevation occurred following hyperbilirubinemia; both returned to normal. The patient achieved SVR12 ** syncope on D17, gastroenteritis on post-treatment D8; both were deemed unrelated to study drugs GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 5

GARNET Study: OBV/PTV/r + DSV 8 weeks in genotype 1b Summary The 3D regimen administered for 8 weeks achieved a 98% SVR12 in treatment-naïve genotype 1b patients without cirrhosis Both patients who experienced virologic failure had F3 fibrosis at baseline Fibrosis (F3 vs F0–F2) was the only significant predictor of SVR12 Baseline HCV RNA, sex, BMI, age, and former IV drug use were not predictive of treatment failure Presence of resistance-associated polymorphisms at baseline did not impact SVR The 8-week, RBV-free 3D regimen was well tolerated Most adverse events were mild or moderate in severity Serious adverse events and clinically significant laboratory abnormalities were rare (<1%) The 98% SVR12 rate demonstrates that treatment-naïve genotype 1b patients without cirrhosis can be effectively treated with 3D for 8 weeks GARNET Welzel TM. Lancet Gastroenterol Hepatol. 2017; 2:494-500 6