Phase I/II Study of the Pharmacokinetics and Safety of Glecaprevir/Pibrentasvir Initiated in Pregnancy in Women With Hepatitis C With and Without HIV
This is a Phase I/II, multi-site, open-label, single arm study to describe the pharmacokinetics (PK) and safety of glecaprevir/pibrentasvir (GLE/PIB) initiated during pregnancy in women with hepatitis C virus (HCV) infection (acute or chronic) with or without HIV and to evaluate safety for their infants through 10 weeks postpartum.
• Of legal age or circumstance to provide independent informed consent as determined by site standard operating procedures (SOPs) and consistent with institutional review board/ethics committee (IRB/EC) policies and procedures
• Willing and able to provide written informed consent for their own and their infant's study participation
• At entry, 16-45 years of age (inclusive)
• At entry, gestational age of 14-32 weeks, defined as greater than 13 weeks plus six days and less than or equal to 32 completed weeks gestation, as determined by the site investigator based on best obstetric estimate
• At screening and at study entry, no evidence of multiple gestation, fetal anomalies, or intrauterine fetal growth restriction, as determined by the site investigator based on ultrasound
• At screening, detectable HCV RNA test result based on testing of a specimen collected within 30 days prior to entry
• At screening, negative test results for hepatitis B surface antigen based on testing of a specimen collected within 30 days prior to entry
• At screening (i.e., from specimens collected within 30 days prior to entry), has normal, grade 1, grade 2, or grade 3 results for the following
‣ Aspartate aminotransferase (AST) (\<10.0 x ULN)
⁃ Alanine aminotransferase (ALT) (\<10.0 x ULN)
• At screening (i.e., from specimens collected within 30 days prior to entry), has normal, grade 1, or grade 2 results for the following
‣ Hemoglobin (≥8.5 g/dL)
⁃ Creatinine (≤1.8 x ULN)
• At screening (i.e., from specimens collected within 30 days prior to entry), has normal or grade 1 results for the following
‣ International normalized ratio (INR) (\<1.5 x ULN)
⁃ Platelet count (≥100,000 cells/mm3)
⁃ Total bilirubin (\<1.6 x ULN)
• HIV status determined based on testing meeting the requirements specified in protocol
• For pregnant participants living with HIV: has a suppressed HIV viral load (HIV-1 RNA below the limit of quantification of the assay) on an ARV regimen for at least 30 consecutive days prior to entry that does not include efavirenz, etravirine, cobicistat, or any protease inhibitor (e.g., atazanavir, darunavir, lopinavir, ritonavir), as determined by the site investigator based on available medical records
• At entry, expects to remain in the geographic area of the study site during pregnancy and for 10 weeks postpartum (or for 20 weeks post-entry, depending on gestational age at entry), as determined by the site investigator based on pregnant participant report