A Phase 3, Open-label Study to Investigate the Efficacy and Safety of Sofosbuvir Plus Ribavirin in Chronic Genotype 1, 2, 3 and 4 Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) Co-infected Adults

NCT ID: NCT01783678

Last Updated: 2015-04-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

275 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-07-31

Brief Summary

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This is an Open-label Phase 3 study in adults with chronic genotypes 1, 2, 3, and 4 HCV infection who are co-infected with HIV-1.

Detailed Description

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Conditions

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Chronic Hepatitis C Human Immunodeficiency Virus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Genotype 2 treatment-naive

Treatment-naive (TN) participants with HIV-1 and genotype 2 HCV coinfection will receive sofosbuvir plus RBV for 12 weeks.

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

Sofosbuvir 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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

Genotype 2/3 treatment-experienced

Treatment-experienced (TE) participants with HIV-1 and genotype 2 or 3 HCV co-infection will receive sofosbuvir plus RBV for 24 weeks.

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

Sofosbuvir 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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

Genotype 1/3/4 treatment-naive

Treatment naive (TN) participants with HIV-1 and genotype 1, 3, or 4 HCV co-infection will receive sofosbuvir plus RBV for 24 weeks.

Group Type EXPERIMENTAL

Sofosbuvir

Intervention Type DRUG

Sofosbuvir 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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

Interventions

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Sofosbuvir

Sofosbuvir 400 mg tablet administered orally once daily

Intervention Type DRUG

RBV

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

Intervention Type DRUG

Other Intervention Names

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Sovaldi® GS-7977 PSI-7977

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years with HIV-1 and chronic HCV genotype 1, 2, 3, or 4 co-infection
* HCV RNA \> 10,000 IU/mL at screening
* HCV treatment history:

* Treatment-naive for HCV genotypes 1, 2, 3, or 4, or
* Treatment-experienced for HCV genotypes 2 or 3
* HIV antiretroviral (ARV) criteria:

* On a stable, protocol-approved, HIV ARV regimen with undetectable HIV RNA for \> 8 weeks prior to screening, or
* ARV untreated for ≥ 8 weeks prior to screening, with a CD4 T-cell count \> 500 cells/mm\^3
* Presence or absence of cirrhosis; a liver biopsy may be required
* Healthy according to medical history and physical examination with the exception of HCV and HIV diagnosis
* Agree to use two forms of highly effective contraception for the duration of the study and 6 months after the last dose of study medication

Exclusion Criteria

* HCV genotype 1 or 4 with previous HCV treatment
* Poor control with HIV ARV regimen requiring a possible dose modification of therapy within 4 weeks of study medication dosing
* A new AIDS-defining condition diagnosed within 30 days prior to screening
* Prior use of any other inhibitor of the HCV NS5B polymerase
* History of any other clinically significant chronic liver disease
* Evidence of or history of decompensated liver disease
* Chronic hepatitis B virus (HBV) infection
* Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
* Chronic use of immunosuppressive agents or immunomodulatory agents
* Clinically relevant drug or alcohol abuse within 12 months of screening
* History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the participant's participation for the full duration of the study or not be in the best interest of the participant in the opinion of the investigator
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anuj Gaggar, MD, PhD

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Darlinghurst, New South Wales, Australia

Site Status

Sydney, New South Wales, Australia

Site Status

Melbourne, Victoria, Australia

Site Status

Parkville, Victoria, Australia

Site Status

Lyon, , France

Site Status

Nice, , France

Site Status

Paris, , France

Site Status

Berlin, , Germany

Site Status

Bonn, , Germany

Site Status

Düsseldorf, , Germany

Site Status

Frankfurt, , Germany

Site Status

Hamburg, , Germany

Site Status

Würzburg, , Germany

Site Status

Bergamo, , Italy

Site Status

Milan, , Italy

Site Status

Napoli, , Italy

Site Status

Rome, , Italy

Site Status

Torino, , Italy

Site Status

Barcelona, , Spain

Site Status

Madrid, , Spain

Site Status

Seville, , Spain

Site Status

Glasgow, , United Kingdom

Site Status

London, , United Kingdom

Site Status

Sussex, , United Kingdom

Site Status

Countries

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Portugal Australia France Germany Italy Spain United Kingdom

References

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Molina JM, Orkin C, Iser DM, Zamora FX, Nelson M, Stephan C, Massetto B, Gaggar A, Ni L, Svarovskaia E, Brainard D, Subramanian GM, McHutchison JG, Puoti M, Rockstroh JK; PHOTON-2 study team. Sofosbuvir plus ribavirin for treatment of hepatitis C virus in patients co-infected with HIV (PHOTON-2): a multicentre, open-label, non-randomised, phase 3 study. Lancet. 2015 Mar 21;385(9973):1098-106. doi: 10.1016/S0140-6736(14)62483-1. Epub 2015 Feb 4.

Reference Type DERIVED
PMID: 25659285 (View on PubMed)

Younossi ZM, Stepanova M, Sulkowski M, Naggie S, Puoti M, Orkin C, Hunt SL. Sofosbuvir and Ribavirin for Treatment of Chronic Hepatitis C in Patients Coinfected With Hepatitis C Virus and HIV: The Impact on Patient-Reported Outcomes. J Infect Dis. 2015 Aug 1;212(3):367-77. doi: 10.1093/infdis/jiv005. Epub 2015 Jan 12.

Reference Type DERIVED
PMID: 25583164 (View on PubMed)

Other Identifiers

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GS-US-334-0124

Identifier Type: -

Identifier Source: org_study_id