Efficacy and Safety of Sofosbuvir Containing Regimens for the Treatment of Chronic HCV Infection in Participants With Chronic Genotype 1, 2, 3, or 6 HCV Infection

NCT ID: NCT01826981

Last Updated: 2018-11-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

359 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2015-05-31

Brief Summary

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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.

Detailed Description

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Conditions

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Chronic Hepatitis C

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

RBV

Intervention Type DRUG

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

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

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

SOF 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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)

Peg-IFN

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

RBV

Intervention Type DRUG

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

GS-9669

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

RBV

Intervention Type DRUG

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

RBV

Intervention Type DRUG

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

SOF 400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

SOF 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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)

VEL

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

SOF 400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

SOF 400 mg tablet administered orally once daily

RBV

Intervention Type DRUG

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)

VEL

Intervention Type DRUG

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

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

RBV

Intervention Type DRUG

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

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

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

Interventions

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LDV/SOF

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

Intervention Type DRUG

SOF

SOF 400 mg tablet administered orally once daily

Intervention Type DRUG

RBV

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)

Intervention Type DRUG

Peg-IFN

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

Intervention Type DRUG

GS-9669

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

Intervention Type DRUG

VEL

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

Intervention Type DRUG

Other Intervention Names

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Harvoni® GS-5885/GS-7977 GS-7977 Sovaldi® Pegasys® GS-5816

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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
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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Robert H Hyland, DPhil

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Auckland Clinical Studies Ltd.

Auckland, , New Zealand

Site Status

Christchurch Clinical Studies Trust

Christchurch, , New Zealand

Site Status

Countries

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New Zealand

References

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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.

Reference Type RESULT
PMID: 26261007 (View on PubMed)

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.

Reference Type RESULT
PMID: 27367295 (View on PubMed)

Other Identifiers

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GS-US-337-0122

Identifier Type: -

Identifier Source: org_study_id

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