NCT01826981

Brief Summary

The purpose of this study is to evaluate the antiviral efficacy, safety, tolerability of combination therapy with sofosbuvir (SOF) containing regimens for the treatment of chronic hepatitis C virus (HCV) infection.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
359

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Apr 2013

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

First Submitted

Initial submission to the registry

April 1, 2013

Completed
Same day until next milestone

Study Start

First participant enrolled

April 1, 2013

Completed
8 days until next milestone

First Posted

Study publicly available on registry

April 9, 2013

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2015

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

September 16, 2016

Completed
Last Updated

November 16, 2018

Status Verified

September 1, 2016

Enrollment Period

1.9 years

First QC Date

April 1, 2013

Results QC Date

July 28, 2016

Last Update Submit

October 19, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)

    SVR12 is defined as HCV RNA \< lower limit of quantification (LLOQ) at 12 weeks after stopping study treatment.

    Posttreatment Week 12

  • Percentage of Participants With Adverse Events Leading to Permanent Discontinuation of Study Drug(s)

    Up to 24 weeks plus 30 days

Secondary Outcomes (9)

  • Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment

    Weeks 1 and 2

  • Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment

    Weeks 4, 6, and 8

  • Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment

    Week 10

  • Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment

    Week 12

  • Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment

    Weeks 16, 20, and 24

  • +4 more secondary outcomes

Study Arms (15)

Cohort 1,Group 1: LDV/SOF + RBV 12 wk (GT1 SOF retreatment)

EXPERIMENTAL

LDV/SOF + RBV for 12 weeks in participants with genotype 1 HCV infection and who failed to achieve sustained virologic response (SVR) in a previous Gilead sofosbuvir study

Drug: LDV/SOFDrug: RBV

Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)

EXPERIMENTAL

SOF + PEG + RBV for 12 weeks in participants with genotype 2 or 3 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study

Drug: SOFDrug: RBVDrug: Peg-IFN

Cohort 2,Group 1: LDV/SOF+RBV 12 wk (GT 1 TE, liver disease)

EXPERIMENTAL

LDV/SOF+RBV for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis

Drug: LDV/SOFDrug: RBV

Cohort 2,Group 2: LDV/SOF+GS-9669 12wk (GT1 TE, liver disease)

EXPERIMENTAL

LDV/SOF + GS-9669 for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis

Drug: LDV/SOFDrug: GS-9669

Cohort 2,Group 3: LDV/SOF 12 wk (GT3 TN)

EXPERIMENTAL

LDV/SOF for 12 weeks in treatment-naive participants with genotype 3 HCV infection

Drug: LDV/SOF

Cohort 2,Group 4: LDV/SOF+RBV 12 wk (GT3 TN)

EXPERIMENTAL

LDV/SOF + RBV for 12 weeks in treatment-naive participants with genotype 3 HCV infection

Drug: LDV/SOFDrug: RBV

Cohort 2,Group 5: LDV/SOF 12 wk (GT6 TE/TN)

EXPERIMENTAL

LDV/SOF for 12 weeks in treatment-naive or treatment-experienced participants with genotype 6 HCV infection

Drug: LDV/SOF

Cohort 2,Group 6: LDV/SOF+RBV 12 wk (GT3 TE)

EXPERIMENTAL

LDV/SOF + RBV for 12 weeks in treatment-experienced participants with genotype 3 HCV infection

Drug: LDV/SOFDrug: RBV

Cohort 3,Group 1: LDV/SOF 12 wk (GT1 cirrhotic CPT B)

EXPERIMENTAL

LDV/SOF for 12 weeks in participants with genotype 1 HCV infection and Child-Pugh Turcotte (CPT) B cirrhosis

Drug: LDV/SOF

Cohort 4,Group 1: SOF+VEL 25mg 8 wk (GT3 TN noncirrhotic)

EXPERIMENTAL

SOF+VEL (25 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection

Drug: SOFDrug: VEL

Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)

EXPERIMENTAL

SOF+VEL(25 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection

Drug: SOFDrug: RBVDrug: VEL

Cohort 4,Group 3: SOF+VEL 100mg 8 wk (GT3 TN noncirrhotic)

EXPERIMENTAL

SOF+VEL (100 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection

Drug: SOFDrug: VEL

Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)

EXPERIMENTAL

SOF+VEL (100 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection

Drug: SOFDrug: RBVDrug: VEL

Cohort 5,Group 1: LDV/SOF + RBV 24 wk (SOF retreatment)

EXPERIMENTAL

LDV/SOF+RBV for 24 weeks in participants with genotype 1, 2, 3, or 6 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study

Drug: LDV/SOFDrug: RBV

Cohort 6,Group 1: LDV/SOF 12 wk (GT1, HBV coinfection)

EXPERIMENTAL

LDV/SOF for 12 weeks in participants with genotype 1 HCV and hepatitis B virus (HBV) coinfection

Drug: LDV/SOF

Interventions

Ledipasvir/sofosbuvir (LDV/SOF) (90 /400 mg) fixed-dose combination (FDC) tablet administered orally once daily

Also known as: Harvoni®, GS-5885/GS-7977
Cohort 1,Group 1: LDV/SOF + RBV 12 wk (GT1 SOF retreatment)Cohort 2,Group 1: LDV/SOF+RBV 12 wk (GT 1 TE, liver disease)Cohort 2,Group 2: LDV/SOF+GS-9669 12wk (GT1 TE, liver disease)Cohort 2,Group 3: LDV/SOF 12 wk (GT3 TN)Cohort 2,Group 4: LDV/SOF+RBV 12 wk (GT3 TN)Cohort 2,Group 5: LDV/SOF 12 wk (GT6 TE/TN)Cohort 2,Group 6: LDV/SOF+RBV 12 wk (GT3 TE)Cohort 3,Group 1: LDV/SOF 12 wk (GT1 cirrhotic CPT B)Cohort 5,Group 1: LDV/SOF + RBV 24 wk (SOF retreatment)Cohort 6,Group 1: LDV/SOF 12 wk (GT1, HBV coinfection)
SOFDRUG

SOF 400 mg tablet administered orally once daily

Also known as: GS-7977, Sovaldi®
Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)Cohort 4,Group 1: SOF+VEL 25mg 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 3: SOF+VEL 100mg 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)
RBVDRUG

Ribavirin (RBV) 200 mg tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

Cohort 1,Group 1: LDV/SOF + RBV 12 wk (GT1 SOF retreatment)Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)Cohort 2,Group 1: LDV/SOF+RBV 12 wk (GT 1 TE, liver disease)Cohort 2,Group 4: LDV/SOF+RBV 12 wk (GT3 TN)Cohort 2,Group 6: LDV/SOF+RBV 12 wk (GT3 TE)Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)Cohort 5,Group 1: LDV/SOF + RBV 24 wk (SOF retreatment)

pegylated interferon (Peg-IFN) 180 µg administered subcutaneously once weekly

Also known as: Pegasys®
Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)

GS-9669 500 mg (2 × 250 mg tablet) administered orally once daily

Cohort 2,Group 2: LDV/SOF+GS-9669 12wk (GT1 TE, liver disease)
VELDRUG

Velpatasvir (VEL) tablet(s) administered orally once daily

Also known as: GS-5816
Cohort 4,Group 1: SOF+VEL 25mg 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 3: SOF+VEL 100mg 8 wk (GT3 TN noncirrhotic)Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)

Eligibility Criteria

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

You may qualify if:

  • Chronic genotype 1, 2, 3, or 6 HCV infection
  • Cirrhosis determination; a liver biopsy may be required
  • Screening laboratory values within defined thresholds
  • Use of two effective contraception methods if female of childbearing potential or sexually active male

You may not qualify if:

  • Pregnant or nursing female or male with pregnant female partner
  • Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
  • Chronic use of systemic immunosuppressive agents
  • History of clinically significant illness or any other medical disorder that may interfere with the individual's treatment, assessment or compliance with the protocol

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, Hyland RH, An D, Svarovskaia E, Pang PS, Brainard D, Stedman CA. Efficacy of ledipasvir and sofosbuvir, with or without ribavirin, for 12 weeks in patients with HCV genotype 3 or 6 infection. Gastroenterology. 2015 Nov;149(6):1454-1461.e1. doi: 10.1053/j.gastro.2015.07.063. Epub 2015 Aug 7.

  • Gane EJ, Hyland RH, An D, Svarovskaia ES, Brainard D, McHutchison JG. Ledipasvir and sofosbuvir for HCV infection in patients coinfected with HBV. Antivir Ther. 2016;21(7):605-609. doi: 10.3851/IMP3066. Epub 2016 Jul 1.

MeSH Terms

Conditions

Hepatitis C, Chronic

Interventions

ledipasvir, sofosbuvir drug combinationSofosbuvirpeginterferon alfa-2aGS-9669velpatasvir

Condition Hierarchy (Ancestors)

Hepatitis CBlood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitis, ChronicHepatitisLiver DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Limitations and Caveats

There were no limitations affecting the analysis or results.

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

April 1, 2013

First Posted

April 9, 2013

Study Start

April 1, 2013

Primary Completion

March 1, 2015

Study Completion

May 1, 2015

Last Updated

November 16, 2018

Results First Posted

September 16, 2016

Record last verified: 2016-09

Data Sharing

IPD Sharing
Will share

Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
18 months after study completion
Access Criteria
A secured external environment with username, password, and RSA code.
More information

Locations