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Published byΛαλαγη Αλεβίζος Modified over 6 years ago
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MAGELLAN-3 Study: GLE/PIB + SOF + RBV in patients who failed GLE/PIB
Design No randomisation Open-label W12 W16 ≥ 18 years HCV genotype 1-6 Experienced virologic failure with GLE/PIB IFN in an AbbVie clinical study * GLE/PIB treatment completed or discontinued ≥ 1 month prior to screening No decompensated cirrhosis HI co-infection allowed No HBV co-infection No cirrhosis, GT1, 2, 4-6 No prior NS5A or PI N = 2 GLE/PIB + SOF + RBV Cirrhosis, or Genotype 3 or prior NS5A or PI GLE/PIB + SOF + RBV N = 21 * SURVEYOR-2, ENDURANCE-3, MAGELLAN-1, EXPEDITION-1 GLE/PIB: 100/40 mg 3 tablets QD SOF: 400 mg QD RBV: mg (BID regimen) Primary endpoint SVR12 (HCV < LLOQ) MAGELLAN-3 Wyles D. EASL 2018, Abs. PS-040 1
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MAGELLAN-3 Study: GLE/PIB + SOF + RBV in patients who failed GLE/PIB
Baseline characteristics GLE/PIB + SOF + RBV 12 W N = 2 GLE/PIB + SOF + RBV 16 W N = 21 Median age, years (range) 56 (56-56) 56 (38-67) Male, N (%) 1 (50%) 17 (81%) Race: White, N (%) 2 (100%) 18 (86%) Median BMI, kg/m2 (range) 35.1 ( ) 26.2 ( ) Genotype: 1 / 1a / 2 / 3, N 0 / 0 / 2 / 0 7 / 6 / 0 / 14 Median HCV RNA, log10 IU/mL 6.6 ( ) 6.3 ( ) Fibrosis F0-F2 / F3 / F4, N 2 / 0 / 0 14 / 0 / 7 Treatment naïve before GLE/PIB, N 15 NS5A inhib.-experienced before GLE/PIB, N 6 Baseline substitutions, N NS3 alone NS5A alone Both NS3 and NS5A 2 16 5 MAGELLAN-3 Wyles D. EASL 2018, Abs. PS-040 2
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MAGELLAN-3 Study: GLE/PIB + SOF + RBV in patients who failed GLE/PIB
Primary Endpoint (SVR12) Treatment arm Genotype 21 2 23 100 95 * 96 % N = 2 7 14 100 86 * % N = * One relapse: genotype 1a, compensated cirrhosis, failed LDV/SOF prior to GLE/PIB MAGELLAN-3 Wyles D. EASL 2018, Abs. PS-040 3
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MAGELLAN-3 Study: GLE/PIB + SOF + RBV in patients who failed GLE/PIB
Adverse events and laboratory abnormalities, N (%) N = 23 Any adverse event 19 (83%) Serious adverse event 1 (4%)* Adverse event leading to discontinuation Adverse events in > 10% of patients, N (%) Headache Pruritus Dizziness Irritability Fatigue Insomnia Upper respiratory tract infection 6 (26%) 5 (22%) 4 (17%) 3 (13%) Laboratory abnormalities, N (%) RBV dose reductions due to toxicity ALT grade ≥ 3 (5 x ULN) Total bilirubin grade 3 (> 3 x ULN) 1 (4%) *Not related to study drugs, not leading to drug discontinuation MAGELLAN-3 Wyles D. EASL 2018, Abs. PS-040 4
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MAGELLAN-3 Study: GLE/PIB + SOF + RBV in patients who failed GLE/PIB
Summary GLE/PIB + SOF + RBV resulted in 96% SVR12 in patients with previous GLE/PIB virologic failure 100% SVR12 in the 14 patients with genotype 3 Treatment was well-tolerated MAGELLAN-3 Wyles D. EASL 2018, Abs. PS-040 5
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