Seraprevir and sofosbuvir for treatment of chronic hepatitis C virus infection: A single‐arm, open‐label, phase 3 trial

• Published in: Journal of gastroenterology and hepatology Vol. 36; no. 9; pp. 2375 - 2382
• Main Authors: Kong, Fei, Wen, Xiaoyu, Wen, Xiaofeng, Wang, Xiaozhong, Wu, Guicheng, Lin, Shide, Wang, Li, Xing, Huichun, Yan, Xuebing, Zheng, Sujun, Ning, Qin, Wang, Zheng, Zhang, Liaoyun, Lin, Jianmei, Tong, Zhaowei, Huang, Chengyu, Su, Minghua, Tong, Lixin, Jia, Jidong, Xin, Yongning, Zhu, Qingjing, Wang, Jing, Chen, Li, Li, Xiaowen, Wu, Xuegang, Niu, Duan, Liu, Quan, Wei, Wei, Zhang, Yuexin, Li, Guangming, Niu, Junqi
• Format: Journal Article
• Language: English
• Published: Australia Wiley Subscription Services, Inc 01.09.2021; John Wiley and Sons Inc
• Subjects: Adult; Adverse events; Antiviral Agents - adverse effects; China - epidemiology; Chronic infection; Cirrhosis; Clinical Trials and Therapeutics; Drug Therapy, Combination; Genotype; Genotype & phenotype; Genotypes; Hepacivirus - genetics; Hepatitis C; Hepatitis C, Chronic - drug therapy; Hepatitis C, Chronic - genetics; Humans; Infections; Interferon; Liver cirrhosis; Liver Cirrhosis - epidemiology; Patients; Ribavirin; safety; seraprevir; sofosbuvir; Sofosbuvir - adverse effects; sustained virologic response; Treatment Outcome; Viral Nonstructural Proteins - adverse effects; Viral Nonstructural Proteins - antagonists & inhibitors; China; sofosbuvir; seraprevir; sustained virologic response; hepatitis C; safety
• ISSN: 0815-9319; 1440-1746
• DOI: 10.1111/jgh.15412

Background and Aim This single‐arm, open‐label, multicenter, phase 3 trial evaluated the efficacy and safety of seraprevir, an hepatitis C virus (HCV) nonstructural protein 3/4A (NS3/4A) inhibitor, combined with sofosbuvir for treating Chinese patients with chronic HCV infection without cirrhosis. Methods Treatment‐naive or interferon‐experienced adult patients without cirrhosis were treated with a universal, combinational regimen of seraprevir 100 mg, twice daily and sofosbuvir 400 mg, once daily, for 12 or 24 weeks. The primary efficacy endpoint was sustained virologic response at week 12 after treatment (SVR12). Results Overall, 205 patients with genotype 1 HCV infection without cirrhosis were enrolled from 23 sites, 202 of whom completed the full treatment and post‐treatment course and 3 discontinued follow‐up. In total, 27 patients (13.2%) were interferon experienced. SVR12 was achieved by 201 out of 205 (98.0% [95% CI, 95.1%, 99.5%]) patients, 100.0% of patients with genotype 1a, and 98.0% of genotype 1b. In the other exploratory study, SVR 12 was achieved by 100% patients with genotype 2 (n = 21), genotype 3 (n = 7), and genotype 6 (n = 8). The majority of adverse events were mild to moderate and transient and did not require a specific medical intervention. Conclusions The all‐oral, ribavirin‐free regimen of seraprevir and sofosbuvir is an effective and well‐tolerated treatment option for Chinese patients mono‐infected with HCV, including those with a history of interferon treatment.