NCT01260350

Brief Summary

This study is to assess the safety and tolerability of sofosbuvir (SOF) 400 mg with and without ribavirin (RBV) and/or with and without pegylated interferon alfa-2a (PEG) in subjects with genotype 1, 2 or 3 hepatitis C (HCV) infection.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
292

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2010

Typical duration for phase_2

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2010

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

December 13, 2010

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 15, 2010

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2013

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
12 months until next milestone

Results Posted

Study results publicly available

November 17, 2014

Completed
Last Updated

November 17, 2014

Status Verified

November 1, 2014

Enrollment Period

2.8 years

First QC Date

December 13, 2010

Results QC Date

November 7, 2014

Last Update Submit

November 7, 2014

Conditions

Keywords

PSI-7977SofosbuvirGS-7977GS-5885GS-9669FDCribavirinRBVPegylated InterferonPEG-IFNChronic Hepatitis C InfectionHCVHepatitisGenotype 1Genotype 2Genotype 3GT 1GT 2GT 3Hemophilia

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Who Experienced Adverse Events

    Adverse events (AEs) occurring from baseline (Day 1 for all groups) to 30 days following the last dose of study drug were summarized across the participant population. A participant was counted once if they had a qualifying event.

    Up to 12 weeks plus 30 days

Secondary Outcomes (8)

  • Percentage of Participants With Sustained Virologic Response 12 Weeks Following Completion of Treatment (SVR12)

    Posttreatment Week 12

  • Percentage of Participants With HCV RNA < LOD at Week 6

    Week 6

  • Percentage of Participants With HCV RNA < LOD at Week 8

    Week 8

  • Percentage of Participants With HCV RNA < LOD at Week 12

    Week 12

  • Change From Baseline in HCV RNA at Week 6

    Baseline to Week 6

  • +3 more secondary outcomes

Study Arms (22)

Group 1: SOF+RBV 12 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive (TN) participants with genotype (GT) 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: SOFDrug: RBV

Group 2: SOF+RBV 12 wk+PEG 4 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks plus PEG 180 µg once weekly for 4 weeks.

Drug: SOFDrug: RBVDrug: PEG

Group 3: SOF+RBV 12 wk+PEG 8 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks plus PEG 180 µg once weekly for 8 weeks.

Drug: SOFDrug: RBVDrug: PEG

Group 4: SOF+RBV+PEG 12 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily+weight-based RBV (1000-1200 in a divided daily dose) plus PEG 180 µg once weekly for 12 weeks.

Drug: SOFDrug: RBVDrug: PEG

Group 5: SOF 12 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily for 12 weeks.

Drug: SOF

Group 6: SOF+RBV+PEG 8 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus PEG 180 µg once weekly for 8 weeks.

Drug: SOFDrug: RBVDrug: PEG

Group 7: SOF+RBV 12 wk: GT 1, TE

EXPERIMENTAL

Treatment-experienced (TE) participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: SOFDrug: RBV

Group 8: SOF+RBV 12 wk: GT 1, TN

EXPERIMENTAL

Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: SOFDrug: RBV

Group 9: SOF+RBV 12 wk: GT 2 or 3, TE

EXPERIMENTAL

Treatment-experienced participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: SOFDrug: RBV

Group 10: SOF+RBV 8 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 8 weeks.

Drug: SOFDrug: RBV

Group 11: SOF+RBV 12 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus split-dose RBV (800 mg in a divided daily dose) for 12 weeks.

Drug: SOFDrug: RBV

Group 12: SOF+RBV+LDV 12 wk: GT 1, TE

EXPERIMENTAL

Treatment-experienced participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus LDV 90 mg once daily for 12 weeks.

Drug: SOFDrug: RBVDrug: LDV

Group 13: SOF+RBV+LDV 12 wk: GT 1, TN

EXPERIMENTAL

Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus LDV 90 mg once daily for 12 weeks.

Drug: SOFDrug: RBVDrug: LDV

Group 14: SOF+RBV+GS-9669 12 wk: GT 1, TE

EXPERIMENTAL

Treatment-experienced participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus GS-9669 500 mg once daily for 12 weeks.

Drug: SOFDrug: RBVDrug: GS-9669

Group 15: SOF+RBV+GS-9669 12 wk: GT 1, TN

EXPERIMENTAL

Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus GS-9669 500 mg once daily for 12 weeks.

Drug: SOFDrug: RBVDrug: GS-9669

Group 16: LDV/SOF FDC 12 wk: GT 1, fibrosis

EXPERIMENTAL

Treatment-experienced participants with genotype 1 HCV infection and Stage F4 fibrosis who did not respond to prior treatment will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.

Drug: LDV/SOF

Group 17: LDV/SOF FDC+RBV 12 wk: GT 1, fibrosis

EXPERIMENTAL

Treatment-experienced participants with genotype 1 HCV infection with Stage F4 fibrosis who did not respond to prior treatment will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: RBVDrug: LDV/SOF

Group 18: LDV/SOF FDC 12 wk: GT 2 or 3, TN

EXPERIMENTAL

Treatment-naive participants with genotype 2 or 3 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.

Drug: LDV/SOF

Group 19: LDV/SOF FDC 12 wk: GT 2 or 3, TE

EXPERIMENTAL

Treatment-experienced participants with genotype 2 or 3 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.

Drug: LDV/SOF

Group 20: LDV/SOF FDC+RBV 12 wk: GT 1, hemophiliac

EXPERIMENTAL

Hemophiliac participants with genotype 1 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.

Drug: RBVDrug: LDV/SOF

Group 21: LDV/SOF FDC+RBV 6 wk: GT 1, TN

EXPERIMENTAL

Treatment-naive participants with genotype 1 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 6 weeks.

Drug: RBVDrug: LDV/SOF

Group 22: LDV/SOF FDC 6 wk: GT 1, TN

EXPERIMENTAL

Treatment-naive participants with genotype 1 HCV infection were randomized to receive LDV 90 mg/SOF 400 mg FDC once daily for 6 weeks.

Drug: LDV/SOF

Interventions

SOFDRUG

Sofosbuvir (SOF) tablets administered orally once daily

Also known as: Sovaldi®, GS-7977, PSI-7977
Group 10: SOF+RBV 8 wk: GT 2 or 3, TNGroup 11: SOF+RBV 12 wk: GT 2 or 3, TNGroup 12: SOF+RBV+LDV 12 wk: GT 1, TEGroup 13: SOF+RBV+LDV 12 wk: GT 1, TNGroup 14: SOF+RBV+GS-9669 12 wk: GT 1, TEGroup 15: SOF+RBV+GS-9669 12 wk: GT 1, TNGroup 1: SOF+RBV 12 wk: GT 2 or 3, TNGroup 2: SOF+RBV 12 wk+PEG 4 wk: GT 2 or 3, TNGroup 3: SOF+RBV 12 wk+PEG 8 wk: GT 2 or 3, TNGroup 4: SOF+RBV+PEG 12 wk: GT 2 or 3, TNGroup 5: SOF 12 wk: GT 2 or 3, TNGroup 6: SOF+RBV+PEG 8 wk: GT 2 or 3, TNGroup 7: SOF+RBV 12 wk: GT 1, TEGroup 8: SOF+RBV 12 wk: GT 1, TNGroup 9: SOF+RBV 12 wk: GT 2 or 3, TE
RBVDRUG

Ribavirin (RBV) capsules administered orally in a divided daily dose

Also known as: Copegus®
Group 10: SOF+RBV 8 wk: GT 2 or 3, TNGroup 11: SOF+RBV 12 wk: GT 2 or 3, TNGroup 12: SOF+RBV+LDV 12 wk: GT 1, TEGroup 13: SOF+RBV+LDV 12 wk: GT 1, TNGroup 14: SOF+RBV+GS-9669 12 wk: GT 1, TEGroup 15: SOF+RBV+GS-9669 12 wk: GT 1, TNGroup 17: LDV/SOF FDC+RBV 12 wk: GT 1, fibrosisGroup 1: SOF+RBV 12 wk: GT 2 or 3, TNGroup 20: LDV/SOF FDC+RBV 12 wk: GT 1, hemophiliacGroup 21: LDV/SOF FDC+RBV 6 wk: GT 1, TNGroup 2: SOF+RBV 12 wk+PEG 4 wk: GT 2 or 3, TNGroup 3: SOF+RBV 12 wk+PEG 8 wk: GT 2 or 3, TNGroup 4: SOF+RBV+PEG 12 wk: GT 2 or 3, TNGroup 6: SOF+RBV+PEG 8 wk: GT 2 or 3, TNGroup 7: SOF+RBV 12 wk: GT 1, TEGroup 8: SOF+RBV 12 wk: GT 1, TNGroup 9: SOF+RBV 12 wk: GT 2 or 3, TE
PEGDRUG

Peginterferon alfa-2a (PEG) administered via subcutaneous injection once weekly

Also known as: Pegasys®
Group 2: SOF+RBV 12 wk+PEG 4 wk: GT 2 or 3, TNGroup 3: SOF+RBV 12 wk+PEG 8 wk: GT 2 or 3, TNGroup 4: SOF+RBV+PEG 12 wk: GT 2 or 3, TNGroup 6: SOF+RBV+PEG 8 wk: GT 2 or 3, TN
LDVDRUG

Ledipasvir (LDV) tablets administered orally once daily

Also known as: GS-5885
Group 12: SOF+RBV+LDV 12 wk: GT 1, TEGroup 13: SOF+RBV+LDV 12 wk: GT 1, TN

GS-9669 tablets administered orally once daily

Group 14: SOF+RBV+GS-9669 12 wk: GT 1, TEGroup 15: SOF+RBV+GS-9669 12 wk: GT 1, TN

LDV/SOF fixed-dose combination (FDC) tablet administered once daily

Also known as: Harvoni®
Group 16: LDV/SOF FDC 12 wk: GT 1, fibrosisGroup 17: LDV/SOF FDC+RBV 12 wk: GT 1, fibrosisGroup 18: LDV/SOF FDC 12 wk: GT 2 or 3, TNGroup 19: LDV/SOF FDC 12 wk: GT 2 or 3, TEGroup 20: LDV/SOF FDC+RBV 12 wk: GT 1, hemophiliacGroup 21: LDV/SOF FDC+RBV 6 wk: GT 1, TNGroup 22: LDV/SOF FDC 6 wk: GT 1, TN

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Chronic Genotype 2 or 3 HCV-infection or Genotype 1, serum HCV RNA ≥ 50,000 IU/mL
  • Not co-infected with HIV
  • Use of highly effective contraception methods if female of childbearing potential or sexually active male

You may not qualify if:

  • History of any other clinically significant chronic liver disease
  • Pregnant or nursing female or male with pregnant female partner
  • History of significant drug allergy to nucleoside/nucleotide analogs.
  • Participation in a clinical study within 3 months prior to first dose
  • Positive result for significant drug use at Screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Auckland Clinical Studies Ltd.

Auckland, New Zealand

Location

Christchurch Clinical Studies Trust

Christchurch, New Zealand

Location

Related Publications (2)

  • Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskaia E, Subramanian GM, Symonds WT, McHutchison JG, Pang PS. Efficacy of nucleotide polymerase inhibitor sofosbuvir plus the NS5A inhibitor ledipasvir or the NS5B non-nucleoside inhibitor GS-9669 against HCV genotype 1 infection. Gastroenterology. 2014 Mar;146(3):736-743.e1. doi: 10.1053/j.gastro.2013.11.007. Epub 2013 Nov 18.

  • Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskaia E, Symonds WT, Hindes RG, Berrey MM. Nucleotide polymerase inhibitor sofosbuvir plus ribavirin for hepatitis C. N Engl J Med. 2013 Jan 3;368(1):34-44. doi: 10.1056/NEJMoa1208953.

MeSH Terms

Conditions

HepatitisHemophilia A

Interventions

SofosbuvirRibavirinpeginterferon alfa-2aledipasvirGS-9669ledipasvir, sofosbuvir drug combination

Condition Hierarchy (Ancestors)

Liver DiseasesDigestive System DiseasesBlood Coagulation Disorders, InheritedBlood Coagulation DisordersHematologic DiseasesHemic and Lymphatic DiseasesCoagulation Protein DisordersHemorrhagic DisordersGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Uridine MonophosphateUracil NucleotidesPyrimidine NucleotidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsNucleotidesNucleic Acids, Nucleotides, and NucleosidesRibonucleotidesRibonucleosidesNucleosides

Results Point of Contact

Title
Clinical Trial Disclosures
Organization
Gilead Sciences, Inc.

Study Officials

  • Robert H. Hyland, DPhil

    Gilead Sciences

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 13, 2010

First Posted

December 15, 2010

Study Start

December 1, 2010

Primary Completion

October 1, 2013

Study Completion

December 1, 2013

Last Updated

November 17, 2014

Results First Posted

November 17, 2014

Record last verified: 2014-11

Locations