NCT02292706

Brief Summary

The primary objective of this registry study is to assess the durability of sustained virologic response (SVR) and clinical progression or regression of liver disease including the incidence of hepatocellular carcinoma following SVR in participants with cirrhosis after treatment with a sofosbuvir-based regimen for HCV infection.

Trial Health

68
Monitor

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
1,609

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2014

Longer than P75 for all trials

Geographic Reach
10 countries

138 active sites

Status
terminated

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

November 13, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 17, 2014

Completed
1 month until next milestone

Study Start

First participant enrolled

December 29, 2014

Completed
7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2021

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

October 4, 2023

Completed
Last Updated

October 4, 2023

Status Verified

December 1, 2022

Enrollment Period

7 years

First QC Date

November 13, 2014

Results QC Date

December 2, 2022

Last Update Submit

December 2, 2022

Conditions

Keywords

HCV Cirrhosis registryCirrhosisHepatitis C

Outcome Measures

Primary Outcomes (3)

  • Percentage of Participants Maintaining Sustained Virologic Response (SVR) at Week 240

    SVR at Week 240 was defined as HCV RNA\< lower limit of quantification (LLOQ i.e., 15 or 25 international units per milliliter \[IU/mL\]) or last available HCV RNA\< LLOQ with no subsequent follow-up values at Week 240 after enrollment in this registry study. Percentage of participants who maintained SVR status by Week 240 was estimated using a Kaplan-Meier model.

    Week 240

  • Percentage of Participants With Any Liver-Associated Events

    The percentage of participants with any liver-associated events since registry start (enrollment) through Week 240 was estimated using a Kaplan-Meier model.

    Enrollment up to 240 weeks

  • Percentage of Participants Who Developed Hepatocellular Carcinoma (HCC) Through Week 240

    Participants with de novo HCC since registry start were defined as participants who had not been identified with HCC prior to registry start and only had HCC since registry start. The percentage of participants who developed de novo HCC through Week 240 was estimated using a Kaplan-Meier model.

    Enrollment up to 240 weeks

Secondary Outcomes (3)

  • Number of Participants With Detectable HCV RNA Due to Re-emergence of Pre-existing Virus Through Week 240

    Enrollment up to 240 weeks

  • Number of Participants With Detectable HCV Resistance Mutations Through Week 240

    Enrollment up to 240 weeks

  • Number of Participants With Detectable HCV RNA Due to Re-infection Through Week 240

    Enrollment up to 240 weeks

Study Arms (8)

SOF+RBV

Participants who were previously treated with sofosbuvir (SOF) along with ribavirin (RBV) will be followed up to 5 years.

Drug: SofosbuvirDrug: Ribavirin

LDV/SOF

Participants who were previously treated with ledipasvir/sofosbuvir (LDV/SOF) will be followed up to 5 years.

Drug: LDV/SOF

LDV/SOF+RBV

Participants who were previously treated with LDV/SOF along with ribavirin will be followed up to 5 years.

Drug: RibavirinDrug: LDV/SOF

SOF/VEL

Participants who were previously treated with sofosbuvir/velpatasvir (SOF/VEL) will be followed up to 5 years.

Drug: SOF/VEL

SOF/VEL+RBV

Participants who were previously treated with SOF/VEL along with RBV will be followed up to 5 years.

Drug: RibavirinDrug: SOF/VEL

SOF/VEL/VOX

Participants who were previously treated with sofosbuvir/velpatasvir/voxilaprevir (SOF/VEL/VOX) with or without RBV will be followed up to 5 years.

Drug: RibavirinDrug: SOF/VEL/VOX

Other SOF-Based

Participants who previously received other SOF based regimen will be followed up to 5 years.

Drug: Other SOF-Based Regimen

Enrolled From Ineligible Parent Treatment Group

Participants were enrolled from ineligible parent treatment group.

Other: Ineligible parent treatment

Interventions

Exposure of interest for participants who received sofosbuvir in a previous Gilead study for chronic HCV infection.

Also known as: Sovaldi®, GS-7977, PSI-7977
SOF+RBV
LDV/SOF+RBVSOF+RBVSOF/VEL+RBVSOF/VEL/VOX

Exposure of interest for participants who received LDV/SOF in a previous Gilead study for chronic HCV infection.

Also known as: Harvoni®
LDV/SOFLDV/SOF+RBV

Exposure of interest for participants who received SOF/VEL in a previous Gilead study for chronic HCV infection.

Also known as: Epclusa®
SOF/VELSOF/VEL+RBV

Exposure of interest for participants who received SOF/VEL/VOX in a previous Gilead study for chronic HCV infection.

Also known as: Vosevi®
SOF/VEL/VOX

The other SOF-based regimens may have included the following: * BMS-790052 (Daclatasvir) + GS-7977 (SOF) with or without RBV * LDV/SOF + GS-9669, GS-7977 (SOF) + with or without RBV + TMC-435 (Simeprevir) * LDV/SOF + Vedroprevir (VDV), LDV/SOF + GS-9669 (250 mg and 500 mg) * LDV/SOF + VDV + RBV * Simeprevir + SOF * TMC-435 (Simeprevir) + VEL/SOF

Other SOF-Based

Participants were enrolled from ineligible parent treatment group.

Enrolled From Ineligible Parent Treatment Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants with cirrhosis who have achieved an SVR after receiving a SOF-based regimen without interferon (IFN) while participating in a Gilead-sponsored HCV study. In addition, participants with cirrhosis who have achieved SVR after an all-oral SOF-based regimen outside a clinical study may be eligible to enroll in this registry at sites preselected by Gilead.

You may qualify if:

  • Willing and able to provide written informed consent
  • Have either previously participated in a Gilead-sponsored HCV study and received a sofosbuvir-containing regimen without interferon OR at pre-selected sites only, have received an all-oral SOF-based regimen outside a clinical study. These individuals must have documentation of the regimen, start and end of treatment dates (month and year), and of having achieved SVR12.
  • Have achieved SVR either in a Gilead-sponsored study, as defined in the treatment protocol OR for individuals who enroll after receiving an all-oral SOF-based regimen outside a clinical study, SVR will be defined as HCV RNA \< lower limit of quantification (LLOQ) approximately 12 weeks following last dose of treatment.
  • Have liver cirrhosis, as defined in the treatment protocol, and have not had a liver transplant after receiving a SOF-containing regimen OR individuals who enroll after receiving an all-oral SOF-based regimen outside a clinical study, will have had cirrhosis confirmed prior to initiation of HCV treatment.

You may not qualify if:

  • Individuals planning to initiate a new course of HCV therapy, including approved products and any investigational agents, during the course of this Registry
  • History of clinically-significant illness or any other major medical disorder that may interfere with the follow-up, assessments, or compliance with the protocol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (138)

University of Alabama at Birmingham

Birmingham, Alabama, United States

Location

Scripps Clinic Medical Group

La Jolla, California, United States

Location

V.A. Long Beach Medical Center

Long Beach, California, United States

Location

Cedars Sinai Medical Center

Los Angeles, California, United States

Location

Kaiser Permanente Medical Center

Los Angeles, California, United States

Location

Tarrant County ID Associates

Los Angeles, California, United States

Location

The Liver Center

Pasadena, California, United States

Location

Inland Empire Liver Foundation

Rialto, California, United States

Location

University of California, Davis Medical Center

Sacramento, California, United States

Location

Kaiser Permanente

San Diego, California, United States

Location

Medical Associates Research Group

San Diego, California, United States

Location

Quest Clinical Research

San Francisco, California, United States

Location

University of California at San Francisco Medical Center

San Francisco, California, United States

Location

Stanford University

Stanford, California, United States

Location

University of Colorado

Aurora, Colorado, United States

Location

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Location

Whitman-Walker Health

Washington D.C., District of Columbia, United States

Location

UF Hepatology Research at CTRB

Gainesville, Florida, United States

Location

Borland-Groover Clinic

Jacksonville, Florida, United States

Location

University of Miami Miller School of Medicine

Miami, Florida, United States

Location

Orlando Immunology Center

Orlando, Florida, United States

Location

Tampa General Hospital

Tampa, Florida, United States

Location

South Florida Center of Gastroenterology

Wellington, Florida, United States

Location

Atlanta Gastroenterology Associates

Atlanta, Georgia, United States

Location

Atlanta Medical Center

Atlanta, Georgia, United States

Location

Emory University Hospital Midtown

Atlanta, Georgia, United States

Location

Gastrointestinal Specialists of Georgia, PC

Marietta, Georgia, United States

Location

Northwestern University

Chicago, Illinois, United States

Location

Indiana University

Indianapolis, Indiana, United States

Location

Indianapolis Gastroenterology Research Foundation

Indianapolis, Indiana, United States

Location

University of Kansas Medical Center Research Institute, Inc.

Kansas City, Kansas, United States

Location

Delta Research Partners

Monroe, Louisiana, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Location

Mercy Medical Center

Baltimore, Maryland, United States

Location

Digestive Disease Associates, PA

Catonsville, Maryland, United States

Location

Johns Hopkins Hospital/University

Lutherville, Maryland, United States

Location

Community Research Initiative of New England

Boston, Massachusetts, 02129, United States

Location

BIDMC Liver Center

Boston, Massachusetts, 02215, United States

Location

University of Michigan Medical Center

Ann Arbor, Michigan, United States

Location

Henry Ford Health System

Detroit, Michigan, United States

Location

University of Minnesota Medical Center

Minneapolis, Minnesota, United States

Location

Mayo Clinic

Rochester, Minnesota, United States

Location

Minnesota Gastroenterology, PA

Saint Paul, Minnesota, United States

Location

Kansas City Research Institute, LLC

Kansas City, Missouri, United States

Location

Saint Louis University

St Louis, Missouri, United States

Location

ID Care, Inc

Hillsborough, New Jersey, 08844, United States

Location

Southwest CARE Center

Santa Fe, New Mexico, United States

Location

Binghamton Gastroenterology Associates, PC

Binghamton, New York, United States

Location

North Shore Health Inc.

Manhasset, New York, United States

Location

Columbia University Medical Center

New York, New York, United States

Location

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Location

New York University Medical Center

New York, New York, United States

Location

Weill Cornell Medical College

New York, New York, United States

Location

Asheville Gastroenterology Associates, PA

Asheville, North Carolina, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, United States

Location

Duke University Medical Center

Durham, North Carolina, United States

Location

Cumberland Research Associates, LLC

Fayetteville, North Carolina, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Location

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Location

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States

Location

University of Pittsburgh Medical Center

Philadelphia, Pennsylvania, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Location

University Gastroenterology

Providence, Rhode Island, 02905, United States

Location

Gastroenterology Center of the MidSouth, P.C.

Germantown, Tennessee, United States

Location

Nashville Gastrointestinal Specialists, Inc.

Nashville, Tennessee, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Location

The North Texas Clinical Research Institute

Arlington, Texas, United States

Location

Baylor Endocrine Center

Dallas, Texas, United States

Location

North Texas Research Institute

Dallas, Texas, United States

Location

St. Luke's Episcopal Hospital

Houston, Texas, United States

Location

The Texas Liver Institute

San Antonio, Texas, United States

Location

Intermountain Medical Center

Murray, Utah, United States

Location

INOVA Fairfax Hospital

Annandale, Virginia, United States

Location

Bon Secours St. Mary's Hospital of Richmond

Newport News, Virginia, United States

Location

Digestive and Liver Disease Specialists

Norfolk, Virginia, United States

Location

Harborview Medical Center

Seattle, Washington, United States

Location

Virginia Mason Medical Center

Seattle, Washington, United States

Location

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Location

Kirby Institute

Sydney, New South Wales, Australia

Location

Westmead Hospital

Westmead, New South Wales, Australia

Location

Royal Brisbane & Women's Hospital

Herston, Queensland, Australia

Location

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Location

St Vincents Hospital Sydney

Fitzroy, Victoria, Australia

Location

Austin Health

Heidelberg, Victoria, 3084, Australia

Location

Monash Medical Centre Clayton Campus

Melbourne, Victoria, Australia

Location

The Alfred Hospital

Prahran, Victoria, Australia

Location

Fiona Stanley Hospital

Fremantle, Western Australia, Australia

Location

Royal Perth Hospital

Perth, Western Australia, Australia

Location

University of Calgary

Calgary, Alberta, Canada

Location

GI Research Institute

Vancouver, British Columbia, Canada

Location

Vancouver Infectious Disease Research and Care Centre

Vancouver, British Columbia, Canada

Location

London Health Sciences Centre - University Campus

London, Ontario, Canada

Location

University Health Network

Toronto, Ontario, Canada

Location

CRCHUM

Montreal, Quebec, Canada

Location

University of Alberta

Edmonton, T6G 2B7, Canada

Location

Hôpital Pontchaillou

Rennes, Brittany Region, France

Location

CHU Montpellier - Hopital St. Eloi

Montpellier, Languedoc-Rousillon, France

Location

Hôpital Universitaire Dupuytren

Limoges, Limousin, France

Location

Hopital Purpan

Toulouse, Midi-Pyrenees, France

Location

Groupe Hospitalier Archet I Et II

Nice, Provence Alpes Cote D'Azu, 06202, France

Location

Hopital Saint Joseph

Marseille, Provence-Alpes-Côte d'Azur Region, France

Location

Hopital Haut Leveque

Bordeaux, France

Location

CHU Estaing

Clermont-Ferrand, France

Location

Hôpital Beaujon

Clichy, France

Location

Hopital Henri Mondor

Créteil, France

Location

CHU de Grenoble- Hopital Michallon

Grenoble, France

Location

Hopital Cochin

Paris, France

Location

Hopital Tenon

Paris, France

Location

Hôpital de la Croix Rousse

Paris, France

Location

Hôpitaux Universitaires de Strasbourg

Strasbourg, France

Location

CHU de Nancy-Hopital Brabois Adulte

Vandœuvre-lès-Nancy, France

Location

Hôpital Paul Brousse

Villejuif, France

Location

Hopital de La Pitié-Salpêtrière

Paris, Île-de-France Region, France

Location

Universitatsklinikum Koln

Cologne, Germany

Location

Klinikum der Johann Wolfgang Goethe Universitat

Frankfurt am Main, Germany

Location

Universitätsklinikum Hamburg-Eppendorf

Hamburg, 20251, Germany

Location

Asklepios Klinik St. Georg

Hamburg, Germany

Location

Technische Universität München

Mücheln, Germany

Location

Azienda Ospedaliera Ospedale Niguarda Cà Granda

Milan, Italy

Location

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico

Milan, Italy

Location

Ospedale Casa Sollievo Della Sofferenza IRCCS

San Giovanni Rotondo, Italy

Location

Azienda Ospedaliera Città della Salute e della Scienza di Torino

Torino, Italy

Location

Auckland Clinical Studies Ltd

Auckland, North Island, New Zealand

Location

Waikato Hospital

Hamilton, North Island, New Zealand

Location

Christchurch Hospital

Christchurch, South Island, New Zealand

Location

Fundacion de Investigation de Diego

San Juan, 00927, Puerto Rico

Location

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Madrid, Spain

Location

Hospital Clinic de Barcelona

Barcelona, 08028, Spain

Location

Hospital Universitario Vall d'Hebron

Barcelona, 08035, Spain

Location

Hospital Virgen de Valme

Seville, Spain

Location

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, Spain

Location

Barts Health NHS Trust

London, England, United Kingdom

Location

Kings College Hospital

London, England, United Kingdom

Location

St Georges University of London

London, England, United Kingdom

Location

North Manchester General Hospital

Manchester, England, United Kingdom

Location

Nottingham University Hospitals NHS Trust

Nottingham, England, United Kingdom

Location

Gartnavel General Hospital

Glasgow, Scotland, United Kingdom

Location

Queen Alexandra Hospital

Portsmouth, United Kingdom

Location

Related Publications (9)

  • Dunn W, Koestler D, Ni L, Kersey K, Kreter B, Hammond K et al. Cirrhosis regression based on both Enhanced Liver Fibrosis (ELF) and Fibrotest after Direct-acting Hepatitis C therapeutics corresponds to a lower incidence rate of hepatocellular carcinoma below the cost-effective threshold for surveillance [Poster 1289]. The International Liver Congress™ EASL - European Association for the Study of the Liver (EASL); 2021 23-26 June.

    BACKGROUND
  • Fan R, Papatheodoridis G, Sun J, Innes H, Toyoda H, Xie Q, Mo S, Sypsa V, Guha IN, Kumada T, Niu J, Dalekos G, Yasuda S, Barnes E, Lian J, Suri V, Idilman R, Barclay ST, Dou X, Berg T, Hayes PC, Flaherty JF, Zhou Y, Zhang Z, Buti M, Hutchinson SJ, Guo Y, Calleja JL, Lin L, Zhao L, Chen Y, Janssen HLA, Zhu C, Shi L, Tang X, Gaggar A, Wei L, Jia J, Irving WL, Johnson PJ, Lampertico P, Hou J. aMAP risk score predicts hepatocellular carcinoma development in patients with chronic hepatitis. J Hepatol. 2020 Dec;73(6):1368-1378. doi: 10.1016/j.jhep.2020.07.025. Epub 2020 Jul 21.

    PMID: 32707225BACKGROUND
  • Jacobson I, Muir AJ, Lawitz EJ, Gane E, Conway B, Ruane PJ, et al. Course of Cirrhosis Regression: Lessons From Patients With HCV Cirrhosis Following Successful Sofosbuvir-Based Treatment [Poster 537]. AASLD: The Liver Meeting® 2019, November 11-15.

    BACKGROUND
  • Mangia A, Lawitz E, Gane E Conway B, Ruane PJ, Abergel A, et al. Long-Term Follow-up of Patients with Chronic HCV Infection and Compensated or Decompensated Cirrhosis Following Treatment with Sofosbuvir-Based Regimens. The International Liver Congress™ EASL - European Association for the Study of the Liver (EASL); 2018 April 11-15.

    BACKGROUND
  • Muir AJ, Buti M, Nahass R, Agarwal K, Gane EJ, Strasser SI, et al. Long-term Follow-up of Patients With Chronic HCV Infection and Compensated or Decompensated Cirrhosis Following Treatment With Sofosbuvir-Based Regimens [Poster 880]. AASLD: The Liver Meeting® 2019, November 11-15.

    BACKGROUND
  • Reddy KR, Bourlière M, Agarwal K, Lawitz E, Osinusi A, Kersey K, et al. Sustained Viral Response Following Treatment With Direct-Acting Antiviral Agents for Chronic Hepatitis C and the Risk of Hepatocellular Carcinoma [Poster FRI-185]. The International Liver Congress™ EASL - European Association for the Study of the Liver (EASL); 2017 19-23 April.

    BACKGROUND
  • Reddy R, Muir A, Naggie S, Lawitz E, Gane E, Conway B et al. Noninvasive Tests of Fibrosis and Risk of Liver-Related Complications: Lessons From Patients With HCV Cirrhosis Following Successful Sofosbuvir-Based Treatment [Poster 452]. The International Liver Congress™ EASL - European Association for the Study of the Liver (EASL); 2020 27-29 August.

    BACKGROUND
  • Reddy R, Muir A, Naggie S, Lawitz E, Gane E, Conway B et al. Non-invasive tests of fibrosis and risk of liver-related complications: observations following successful sofosbuvir-based treatment in patients with HCV cirrhosis. J Hepatology 2020;73: S401-S652.

    BACKGROUND
  • Younossi ZM, Racila A, Muir A, Bourliere M, Mangia A, Esteban R, Zeuzem S, Colombo M, Manns M, Papatheodoridis GV, Buti M, Chokkalingam A, Gaggar A, Nader F, Younossi I, Henry L, Stepanova M. Long-term Patient-Centered Outcomes in Cirrhotic Patients With Chronic Hepatitis C After Achieving Sustained Virologic Response. Clin Gastroenterol Hepatol. 2022 Feb;20(2):438-446. doi: 10.1016/j.cgh.2021.01.026. Epub 2021 Jan 22.

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Blood samples

MeSH Terms

Conditions

Hepatitis CFibrosis

Interventions

SofosbuvirRibavirinledipasvir, sofosbuvir drug combinationsofosbuvir-velpatasvir drug combinationsofosbuvir velpatasvir voxilaprevir drug combination

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitisLiver DiseasesDigestive System DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Results Point of Contact

Title
Gilead Clinical Study Information Center
Organization
Gilead Sciences

Study Officials

  • Gilead Study Director

    Gilead Sciences

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 13, 2014

First Posted

November 17, 2014

Study Start

December 29, 2014

Primary Completion

December 31, 2021

Study Completion

December 31, 2021

Last Updated

October 4, 2023

Results First Posted

October 4, 2023

Record last verified: 2022-12

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 https://www.gileadclinicaltrials.com/transparency-policy/

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