Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Velpatasvir in Participants With Chronic HCV Infection
Phase 1b, Randomized, Double-Blind, Multiple-Dose Ranging Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of GS-5816 in Subjects With Chronic Hepatitis C Virus Infection
1 other identifier
interventional
103
2 countries
10
Brief Summary
The primary objective of the study is to evaluate the safety, tolerability, and antiviral activity of velpatasvir (formerly GS-5816) in HCV treatment naive participants with genotypes 1-6.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Nov 2012
10 active sites
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
November 6, 2012
CompletedFirst Submitted
Initial submission to the registry
November 26, 2012
CompletedFirst Posted
Study publicly available on registry
December 4, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 15, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
January 24, 2014
CompletedResults Posted
Study results publicly available
December 16, 2020
CompletedDecember 16, 2020
December 1, 2020
4 months
November 26, 2012
October 27, 2020
December 11, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Percentage of Participants Experiencing Treatment Emergent Adverse Events
Treatment-emergent adverse events were defined as any new or worsening adverse event that began on or after the date of the first dose of study drug until the Day 17 study visit date + 2 (Day 19 if Day 17 visit missing).
First dose date up to Day 17 + 2 (Day 19 if Day 17 visit missing)
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
A treatment-emergent laboratory abnormality was defined as an increase of at least 1 abnormality grade from baseline at any postbaseline visit up to the Day 17 visit date + 2 days (or Day 19 if Day 17 visit was missing). The criteria used to grade laboratory results were as follows: Grade 1 (mild), Grade 2 (moderate), or Grade 3 (severe). Graded laboratory abnormalities were defined using the grading scheme defined in protocol (Gilead Sciences, Inc. Grading Scale for Severity of Adverse Events and Laboratory Abnormalities) for analysis purpose.
First dose date up to Day 17 + 2 (Day 19 if Day 17 visit missing)
Antiviral Activity of Velpatasvir as Measured by Change in Plasma HCV RNA From Baseline
Participants who were genotyped incorrectly but received appropriate treatment for that genotype were included in that treatment group for the efficacy analysis. Data were summarized by treatment and placebo.
Baseline; Days 4, 5, 6, 7, 8, 10, and 17
Secondary Outcomes (10)
Absolute HCV RNA Level
Baseline; Days 4, 5, 6, 7, 8, 10, and 17
Number of Participants Achieving Reductions From Baseline in HCV RNA
Baseline; Days 4, 5, 6, 7, 8, 10, and 17
Number of Participants Who Have HCV RNA < Lower Limit of Quantitation (LLOQ) Detected
Days 4, 5, 6, 7, and 8
Plasma HCV RNA Levels by Treatment and IL28B Genotype
Days 4, 5, 6, 7, 8, 10, and 17
Pharmacokinetic (PK) Parameter of Velpatasvir: AUCinf
0 (predose), 0.5, 1, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 16, and 24 hours postdose at Day 1
- +5 more secondary outcomes
Study Arms (12)
Velpatasvir 5 mg (GT 1a)
EXPERIMENTALParticipants with genotype (GT) 1a HCV infection will receive velpatasvir 5 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 25 mg (GT 1a)
EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 25 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 50 mg (GT 1a)
EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 50 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 100 mg (GT 1a)
EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 100 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 1a)
EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 1b)
EXPERIMENTALParticipants with GT 1b HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 2)
EXPERIMENTALParticipants with GT 2 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 25 mg (GT 3)
EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 25 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 50 mg (GT 3)
EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 50 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 3)
EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 4)
EXPERIMENTALParticipants with GT 4 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir up to 400 mg (GT 2)
EXPERIMENTALParticipants with GT 2 HCV infection will receive velpatasvir up to 400 mg or placebo once daily for 3 days under fasted conditions.
Interventions
Tablets administered orally
Tablets administered orally
Eligibility Criteria
You may qualify if:
- HCV treatment-naive adult participants (18-65 years of age) with chronic HCV infection and plasma HCV RNA ≥ 5 log10 IU/mL at screening
- Agree to use protocol defined precautions against pregnancy
You may not qualify if:
- Chronic liver disease of a non-HCV etiology (e.g., hemochromatosis, Wilson's disease, α1 antitrypsin deficiency, cholangitis)
- Evidence of cirrhosis
- Evidence of current drug abuse
- Screening laboratory results outside the protocol specified requirements
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
Study Sites (10)
West Coast Clinical Trials, LLC
Costa Mesa, California, 92626, United States
Avail Clinical Research, LLC
DeLand, Florida, 32720, United States
Orlando Clinical Research Center
Orlando, Florida, 32809, United States
Kansas City Gastroenterology and Hepatology
Kansas City, Missouri, 64131, United States
CRI Worldwide, LLC
Marlton, New Jersey, 08053, United States
CRI Worldwide, LLC
Philadelphia, Pennsylvania, 19139, United States
New Orleans Center for Clinical Research-Knoxville
Knoxville, Tennessee, 37920, United States
Alamo Medical Research
San Antonio, Texas, 78215, United States
Charles River Clinical Services Northwest, Inc.
Tacoma, Washington, 98418, United States
Fundacion De Investigacion De Diego
San Juan, 00927, Puerto Rico
Related Publications (4)
Hebner C, Gontcharova V, Chodavarapu RK, Rodriguez-Torres M, Lawitz E, Yang C, et al. Deep Sequencing of HCV NS5A From a 3-Day Study of GS-5816 Monotherapy Confirms the Potency of GS-5816 Against Pre-Existing Genotype 1-3 NS5A Resistance-Associated Variants [Abstract 470]. The Liver Meeting The 64th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD); 2013 November 1-5; Washington, D.C.
RESULTLawitz E, Glass SJ, Gruener D, Freilich B, Hill JM, Link JO, et al. GS-5816, a Once-Daily NS5A Inhibitor, Demonstrates Potent Antiviral Activity in Patients with Genotype 1, 2, 3, or 4 HCV Infection in a 3-Day Monotherapy Study [Abstract 1082]. The Liver Meeting The 64th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD); 2013 November 1-5; Washington, D.C.
RESULTLawitz EJ, Dvory-Sobol H, Doehle BP, Worth AS, McNally J, Brainard DM, Link JO, Miller MD, Mo H. Clinical Resistance to Velpatasvir (GS-5816), a Novel Pan-Genotypic Inhibitor of the Hepatitis C Virus NS5A Protein. Antimicrob Agents Chemother. 2016 Aug 22;60(9):5368-78. doi: 10.1128/AAC.00763-16. Print 2016 Sep.
PMID: 27353271DERIVEDLawitz E, Freilich B, Link J, German P, Mo H, Han L, Brainard DM, McNally J, Marbury T, Rodriguez-Torres M. A phase 1, randomized, dose-ranging study of GS-5816, a once-daily NS5A inhibitor, in patients with genotype 1-4 hepatitis C virus. J Viral Hepat. 2015 Dec;22(12):1011-9. doi: 10.1111/jvh.12435. Epub 2015 Jul 16.
PMID: 26183611DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Gilead Clinical Study Information Center
- Organization
- Gilead Sciences
Study Officials
- STUDY DIRECTOR
Gilead Study Director
Gilead Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 26, 2012
First Posted
December 4, 2012
Study Start
November 6, 2012
Primary Completion
March 15, 2013
Study Completion
January 24, 2014
Last Updated
December 16, 2020
Results First Posted
December 16, 2020
Record last verified: 2020-12