Methods | Randomised clinical trial | |
Participants | 40 participants Sex: 33 men, 7 women Mean age: 46 years Country: USA Inclusion criteria: participants aged 18–55 years with a BMI 18.5 to 636 kg/m2 and chronic, compensated, genotype1 HCV infection. All participants had a baseline HCV RNA > 106 IU/mL and no evidence of cirrhosis or bridging fibrosis (according to biopsy within 3 years of screening). Participants also had laboratory values within pre‐specified criteria at study entry. Exclusion criteria: participants previously treated with approved HCV therapy or with a DAA for HCV, or with chronic HBV or HIV infection were excluded. |
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Interventions | Experimental group: received different doses of vaniprevir orally, for 8 days twice daily (25 mg, 75 mg, 250 mg, 500 mg, 700 mg) or 8 days once daily (125 mg, 600 mg). Control group: matching placebo. | |
Outcomes | Safety, tolerability and efficacy, pharmacokinetics, medication adherence. | |
Notes | We emailed Lawitz and colleagues on 26 April 2016 for additional information on allocation concealment, blinding of outcome assessors, sample size and protocol for trial 1 and 2 but reply not received yet. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated centralised randomisation |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Matching placebo delivered in equal amounts |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not described |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Only on person dropped out |
Selective reporting (reporting bias) | Low risk | All outcomes stated in the protocol were assessed |
Vested‐interest bias | High risk | This study was funded by Merck Sharp & Dohme Corp |
Other bias | Low risk | The trial appeared to be free of other components that could put it at risk of bias |