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SVR 12, ITT (%) 1 relapse on ABT ABT mg: white male, 55 years, genotype 1a, IL28B CC, F0-F1, treatment-naïve, no RAVs at baseline, emergent NS5A RAVs at relapse (Q30K + H58D) All patients (58%) with baseline NS3 and/or NS5A RAVs achieved SVR 12 Poordad F. AASLD 2015, Abs. 41 SURVEYOR-I - Part 1 SURVEYOR-I Study - Part 1: ABT ABT-530 in genotype 1 – Phase II 100% (29/29) treatment-experienced patients achieved SVR 12 98% (49/50) treatment-naïve patients achieved SVR %
Citation preview
No randomisationOpen-label
18-70 yearsHCV genotype 1
Naïve or null-response to PEG-IFN + RBV
HCV RNA > 10,000 IU/mlNo cirrhosis
No HBV or HIV co-infection
Design
N = 39
W12
N = 40
Objective– SVR12 (HCV RNA < LLOQ)
Poordad F. AASLD 2015, Abs. 41SURVEYOR-I - Part 1
SURVEYOR-I Study - Part 1: ABT-493 + ABT-530 in genotype 1 – Phase II
SVR12
ABT-493 200 mg qd + ABT-530 120 mg qd
ABT-493 200 mg qd + ABT-530 40 mg qd
ABT-493 200 mg + ABT-530 40 mg
N = 39
ABT-493 200 mg + ABT-530 120 mg
N = 40Mean age, years 53 52Female 54% 42%Race, White 90% 85%Mean BMI, kg/m2 28 28Mean HCV RNA, log10 IU/ml 6.6 ± 0.6 6.7 ± 0.6Genotype 1a 77% 85%
Fibrosis stage (%) : F0-F1 / F2 / F3 69 / 13 / 18 55 / 13 / 32
IL28B CC 18% 22%
Treatment-naïveNull-responder to PEG-IFN + RBV
64%36%
63%37%
Baseline characteristics
Poordad F. AASLD 2015, Abs. 41SURVEYOR-I - Part 1
SURVEYOR-I Study - Part 1: ABT-493 + ABT-530 in genotype 1 – Phase II
SVR12, ITT (%)
1 relapse on ABT-493 + ABT-530 40 mg: white male, 55 years, genotype 1a, IL28B CC,F0-F1, treatment-naïve, no RAVs at baseline,emergent NS5A RAVs at relapse (Q30K + H58D)
All patients (58%) with baseline NS3 and/or NS5A RAVsachieved SVR12
Poordad F. AASLD 2015, Abs. 41SURVEYOR-I - Part 1
SURVEYOR-I Study - Part 1: ABT-493 + ABT-530 in genotype 1 – Phase II
100% (29/29) treatment-experienced patients achieved SVR12
98% (49/50) treatment-naïve patients achieved SVR12
ABT-493 200 mg + ABT-530 40 mg
ABT-493 200 mg + ABT-530 120 mg
0
20
40
60
80
100
4039
97 100%
ABT-493 200 mg + ABT-530 40 mg
N = 39
ABT-493 200 mg + ABT-530 120 mg
N = 40
Grade 3 adverse event1
(decreased phosphoremia)
2(elevated blood
glucose)Serious adverse event 0 1Adverse event leading to study discontinuation 0 0Adverse events in > 10% of patients
FatigueHeadacheNausea
13%21%21%
23%13%13%
Laboratory abnormalitiesALT > 3 x ULNAST > 3 x ULNAlkaline phosphatase > 2.5 x ULNTotal bilirubin > 5 x ULNHemoglobin 8-10 g/dl
00000
00001
Adverse events and laboratory abnormalities
Poordad F. AASLD 2015, Abs. 41SURVEYOR-I - Part 1
SURVEYOR-I Study - Part 1: ABT-493 + ABT-530 in genotype 1 – Phase II
Summary
– High SVR rates were achieved in HCV genotype 1-infected patients without cirrhosis after 12 weeks of ABT-493 + ABT-530
• All but one patient achieved SVR12
• 1 relapse in a patient treated with the lowest ABT-530 40 mg dose– Adverse events were mostly mild in severity– Selected doses for future studies: ABT-493 300 mg qd
+ ABT-530 120 mg qd
Poordad F. AASLD 2015, Abs. 41SURVEYOR-I - Part 1
SURVEYOR-I Study - Part 1: ABT-493 + ABT-530 in genotype 1 – Phase II