NCT02487030

Brief Summary

The primary objective of this study was to evaluate the efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed dose combination (FDC) with or without ribavirin (RBV) in Egyptian adults with chronic genotype 4 hepatitis C virus (HCV) infection.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
255

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Sep 2015

Geographic Reach
1 country

4 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

June 27, 2015

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 1, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

September 7, 2015

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 11, 2016

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 4, 2017

Completed
10 months until next milestone

Results Posted

Study results publicly available

December 14, 2017

Completed
Last Updated

November 16, 2018

Status Verified

November 1, 2017

Enrollment Period

1.2 years

First QC Date

June 27, 2015

Results QC Date

November 9, 2017

Last Update Submit

October 19, 2018

Conditions

Keywords

HCV genotype 4 (GT-4)HCVSustained Virologic ResponseDirect Acting AntiviralCombination TherapyGS-7977GS-5885RibavirinSofosbuvirledipasvirHepatitis CHepatitis C, ChronicLiver DiseasesVirus DiseasesAntiviral Agents

Outcome Measures

Primary Outcomes (2)

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

    SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) 12 weeks following the last dose of study drug.

    Posttreatment Week 12

  • Percentage of Participants Who Discontinued LDV/SOF Drug Due to an Adverse Event (AE)

    12 weeks

Secondary Outcomes (2)

  • Percentage of Participants With Sustained Virologic Response 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)

    Posttreatment Weeks 4 and 24

  • Percentage of Participants With Overall Virologic Failure

    Up to Posttreatment Week 24

Study Arms (7)

LDV/SOF 8 wk TN (Cohort 1, Group 1)

EXPERIMENTAL

LDV/SOF for 8 weeks (treatment-naive (TN))

Drug: LDV/SOF

LDV/SOF+RBV 8 wk TN (Cohort 1, Group 2)

EXPERIMENTAL

LDV/SOF+RBV for 8 weeks (treatment-naive)

Drug: LDV/SOFDrug: RBV

LDV/SOF 12 wk TN (Cohort 1, Group 3)

EXPERIMENTAL

LDV/SOF for 12 weeks (treatment-naive)

Drug: LDV/SOF

LDV/SOF+RBV 12 wk TN (Cohort 1, Group 4)

EXPERIMENTAL

LDV/SOF+RBV for 12 weeks (treatment-naive)

Drug: LDV/SOFDrug: RBV

LDV/SOF+RBV 12 wk TE (Cohort 2)

EXPERIMENTAL

Treatment-experienced (TE) participants who completed treatment in Gilead sponsored study GS-US-334-0138 or in Cohort 1 of this study and did not achieve SVR12 will receive LDV/SOF+RBV for 12 weeks.

Drug: LDV/SOFDrug: RBV

LDV/SOF 12 wk TE (Cohort 3, Group 1)

EXPERIMENTAL

LDV/SOF for 12 weeks (treatment-experienced)

Drug: LDV/SOF

LDV/SOF+RBV 12 wk TE (Cohort 3, Group 2)

EXPERIMENTAL

LDV/SOF+RBV for 12 weeks (treatment-experienced)

Drug: LDV/SOFDrug: RBV

Interventions

90/400 mg FDC tablet administered orally once daily

Also known as: Harvoni®, GS-5885/GS-7977
LDV/SOF 12 wk TE (Cohort 3, Group 1)LDV/SOF 12 wk TN (Cohort 1, Group 3)LDV/SOF 8 wk TN (Cohort 1, Group 1)LDV/SOF+RBV 12 wk TE (Cohort 2)LDV/SOF+RBV 12 wk TE (Cohort 3, Group 2)LDV/SOF+RBV 12 wk TN (Cohort 1, Group 4)LDV/SOF+RBV 8 wk TN (Cohort 1, Group 2)
RBVDRUG

Tablets administered orally in a divided daily dose based on weight (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

LDV/SOF+RBV 12 wk TE (Cohort 2)LDV/SOF+RBV 12 wk TE (Cohort 3, Group 2)LDV/SOF+RBV 12 wk TN (Cohort 1, Group 4)LDV/SOF+RBV 8 wk TN (Cohort 1, Group 2)

Eligibility Criteria

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

You may qualify if:

  • Willing and able to provide written informed consent
  • Chronic HCV infection (≥ 6 months) documented by medical history or liver biopsy
  • HCV genotype 4 at screening
  • HCV treatment naive or prior participation in this study or study GS-US-334-0138 (Cohorts 1 and 2 only)
  • Cohort 3 only: HCV treatment-experienced (previously received therapy for HCV infection with an interferon (IFN)-containing regimen, with or without RBV and/or an HCV NS3/NS4A protease inhibitor (PI)
  • Body mass index (BMI) ≥ 18 kg/m\^2
  • Screening laboratory values within defined thresholds
  • Use of effective protocol-approved contraception methods

You may not qualify if:

  • History of clinically-significant illness or any other major medical disorder that may interfere with treatment, assessment or compliance with the protocol
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
  • Pregnant or nursing females or male with pregnant female partner
  • Clinically-relevant drug or alcohol abuse within 12 months of screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Unknown Facility

Al Mansurah, Egypt

Location

Unknown Facility

Cairo, 11559, Egypt

Location

Unknown Facility

Cairo, 11796, Egypt

Location

Unknown Facility

Shibīn al Kawm, Egypt

Location

Related Publications (2)

  • Shiha G, Waked I, Soliman R, Abdelrazek W, Hassany M, Fouad R, et al. Ledipasvir/sofosbuvir for 8 or 12 weeks with or without ribavirin in HCV genotype 4 patients in Egypt. [Abstract OP158]. Asian Pacific Association for the Study of the Liver (APASL); 2017 15-19 February; Shanghai, China

    RESULT
  • Shiha G, Esmat G, Hassany M, Soliman R, Elbasiony M, Fouad R, Elsharkawy A, Hammad R, Abdel-Razek W, Zakareya T, Kersey K, Massetto B, Osinusi A, Lu S, Brainard DM, McHutchison JG, Waked I, Doss W. Ledipasvir/sofosbuvir with or without ribavirin for 8 or 12 weeks for the treatment of HCV genotype 4 infection: results from a randomised phase III study in Egypt. Gut. 2019 Apr;68(4):721-728. doi: 10.1136/gutjnl-2017-315906. Epub 2018 Apr 17.

MeSH Terms

Conditions

Hepatitis CHepatitis C, ChronicLiver DiseasesVirus Diseases

Interventions

ledipasvir, sofosbuvir drug combination

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanFlaviviridae InfectionsRNA Virus InfectionsHepatitisDigestive System DiseasesHepatitis, ChronicChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Clinical Trial Disclosures
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
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 27, 2015

First Posted

July 1, 2015

Study Start

September 7, 2015

Primary Completion

November 11, 2016

Study Completion

February 4, 2017

Last Updated

November 16, 2018

Results First Posted

December 14, 2017

Record last verified: 2017-11

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