Evidence map›Paper›PMID 28187751›Full record

Trial reportBMC gastroenterology2017

Efficacy, safety and pharmacokinetics of simeprevir and TMC647055/ritonavir with or without ribavirin and JNJ-56914845 in HCV genotype 1 infection.

Stefan Bourgeois, Hans Van Vlierberghe, Christophe Moreno, Hans Orlent, Frederik Nevens, Keikawus Arastéh, Yves Horsmans, Jörn M Schattenberg, Peter Buggisch, Sven Francque and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01724086 (A Phase IIa, Open-label Trial to Evaluate the Safety, Tolerability and Efficacy of a 12 Weeks Combination Therapy of TMC647055 and TMC435 With and Without GSK23336805 With a Pharmacokinetic Enhancer With and Without Ribavirin in Chronic Genotype 1 Hepatitis C Infected Patients), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01724086 phase2completednot on this map

A Phase IIa, Open-label Trial to Evaluate the Safety, Tolerability and Efficacy of a 12 Weeks Combination Therapy of TMC647055 and TMC435 With and Without GSK23336805 With a Pharmacokinetic Enhancer With and Without Ribavirin in Chronic Genotype 1 Hepatitis C Infected Patients

TypeinterventionalSponsorJanssen R&D IrelandRan2012 to 2014Enrolled90ConditionsChronic Hepatitis CArmsTMC647055, TMC435, Ritonavir, Ribavirin, Pegylated interferon alpha-2a (PegIFN)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Stefan BourgeoisDepartment of Gastroenterology & Hepatology, ZNA Antwerp, Antwerpen, Belgium. stefan.bourgeois@zna.be.
Hans Van VlierbergheDepartment of Hepatology and Gastroenterology, Universitair Ziekenhuis Gent, Ghent, Belgium.
Christophe MorenoLiver Unit, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Hans OrlentDepartment of Gastroenterology and Hepatology, AZ Sint-Jan AV Hospital, Bruges, Belgium.
Frederik NevensDepartment of Liver and Biliopancreatic Disorders, University Hospitals KU Leuven, Leuven, Belgium.
Keikawus ArastéhEPIMED/Vivantes-Auguste-Viktoria-Klinikum, Berlin, Germany.
Yves HorsmansHepato-gastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Jörn M SchattenbergDepartment of Medicine, University Medical Center Mainz, Mainz, Germany.
Peter BuggischIFI, Liver Center Hamburg, Asklepiosklinik St. Georg, Hamburg, Germany.
Sven FrancqueDepartment of Gastroenterology and Hepatology, Universitair Ziekenhuis Antwerpen, Antwerp, Belgium.
Leen VijgenJanssen Pharmaceutica NV, Beerse, Belgium.
Thomas N KakudaAlios BioPharma Inc, South San Francisco, CA, USA.
Eva HoebenJanssen Research & Development BVBA, Beerse, Belgium.
Donghan LuoJanssen Pharmaceuticals LLC, Titusville, NJ, USA.
An VandeboschJanssen Research & Development BVBA, Beerse, Belgium.
Bert JacquemynJanssen Pharmaceutica NV, Beerse, Belgium.
Pieter Van RemoortereJanssen Pharmaceuticals LLC, Titusville, NJ, USA.
René VerloesJanssen Research & Development BVBA, Beerse, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA Phase 2a, open-label study (NCT01724086) was conducted to assess the efficacy and safety of a once-daily, 2-direct-acting-antiviral-agent (2-DAA) combination of simeprevir + TMC647055/ritonavir ± ribavirin and of the 3-DAA combination of simeprevir + TMC647055/ritonavir + JNJ-56914845 in chronic hepatitis C virus genotype (GT)1-infected treatment-naïve and prior-relapse patients.

methodsThe study comprised four 12-week treatment panels: Panel 1 (n = 10; GT1a) and Panel 2-Arm 1 (n = 12; GT1b): simeprevir 75 mg once daily + TMC647055 450 mg once daily/ritonavir 30 mg once daily + ribavirin 1000-1200 mg/day; Panel 2-Arm 2 (n = 9; GT1b): simeprevir 75 mg + TMC647055 450 mg/ritonavir 30 mg without ribavirin; Panel 3: simeprevir 75 mg + TMC647055 600 mg/ritonavir 50 mg with (Arm 1: GT1a; n = 7) or without (Arm 2: GT1b; n = 8) ribavirin; Panel 4: simeprevir 75 mg + TMC647055 450 mg/ritonavir 30 mg + JNJ-56914845 30 mg once daily (Arm 1: n = 22; GT1a/GT1b) or 60 mg once daily (Arm 2: n = 22; GT1a/GT1b). Primary endpoint was sustained virologic response 12 weeks after end of treatment (12 weeks of combination treatment; SVR12).

resultsIn Panel 1 and Panel 2-Arm 1, 5/10 and 6/12 (50%) GT1a/GT1b + ribavirin patients achieved SVR12, versus 3/9 (33%) GT1b without ribavirin patients in Panel 2-Arm 2. In Panel 3-Arm 1 and Panel 3-Arm 2, 6/7 (86%) GT1a + ribavirin and 4/8 (50%) GT1b without ribavirin patients, respectively, achieved SVR12. In Panel 4, 10/14 (71%) and 14/15 (93%) GT1a patients in Arms 1 and 2 achieved SVR12 compared with 8/8 and 7/7 (100%) GT1b patients in each arm, respectively. No deaths, serious adverse events (AEs), Grade 4 AEs or AEs leading to treatment discontinuation occurred.

conclusionsThe 2- and 3-DAA combinations were well tolerated. High SVR rates of 93% and 100% in GT1a- and GT1b-infected patients, respectively, were achieved in this study by combining simeprevir with JNJ-56914845 60 mg and TMC647055/ritonavir.

trial registrationNCT01724086 (date of registration: September 26, 2012).

Indexed as

AdultAgedAntiviral AgentsCarbamatesDrug Therapy, CombinationFemaleGenotypeHepatitis C, ChronicHeterocyclic Compounds, 4 or More RingsHumansMaleMiddle AgedRibavirinRitonavirSimeprevirSulfonamides27-cyclohexyl-12,13,16,17-tetrahydro-22-methoxy-11,17-dimethyl-10,10-dioxide-2,19-methano-3,7:4,1-dimetheno-1H,11H-14,10,2,9,11,17-benzoxathiatetraazacyclo docosine-8,18(9H,15H)-dioneAntiviral AgentsCarbamatesGSK2336805Heterocyclic Compounds, 4 or More RingsRibavirinRitonavirSimeprevirSulfonamidesValineDirect-acting antiviral agentsEfficacygenotype 1Hepatitis C virusJNJ-56914845RibavirinSafetySimeprevirTMC647055/ritonavir

Identifiers

PMID28187751
PMCPMC5303260

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.