Safety and Efficacy of Sofosbuvir + Velpatasvir With or Without Ribavirin in Treatment-Naive Adults With Chronic HCV Infection

NCT ID: NCT01858766

Last Updated: 2018-11-14

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

379 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2014-08-31

Brief Summary

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The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of sofosbuvir (SOF) + velpatasvir (VEL; GS-5816) with or without ribavirin (RBV) in treatment-naive adults with chronic genotype (GT) 1, 2, 3, 4, 5, or 6 hepatitis C virus (HCV) infection.

Detailed Description

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Conditions

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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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SOF+VEL 25 mg 12 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 100 mg 12 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 25 mg 12 Weeks (GT2/4/5/6)

Participants with genotype 2, 4, 5, or 6 HCV infection will receive SOF+VEL 25 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 100 mg 12 Weeks (GT2/4/5/6)

Participants with genotype 2, 4, 5, or 6 HCV infection will receive SOF+VEL 100 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 25 mg 12 Weeks (GT3)

Participants with genotype 3 HCV infection will receive SOF+VEL 25 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 100 mg 12 Weeks (GT3)

Participants with genotype 3 HCV infection will receive SOF+VEL 100 mg for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 25 mg 8 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 25 mg + RBV 8 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

RBV

Intervention Type DRUG

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)

SOF+VEL 100 mg 8 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 100 mg + RBV 8 Weeks (GT1)

Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

RBV

Intervention Type DRUG

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)

SOF+VEL 25 mg 8 Weeks (GT2)

Participants with genotype 2 HCV infection will receive SOF+VEL 25 mg for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 25 mg + RBV 8 Weeks (GT2)

Participants with genotype 2 HCV infection will receive SOF+VEL 25 mg plus RBV for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

RBV

Intervention Type DRUG

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)

SOF+VEL 100 mg 8 Weeks (GT2)

Participants with genotype 2 HCV infection will receive SOF+VEL 100 mg for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

SOF+VEL 100 mg + RBV 8 Weeks (GT2)

Participants with genotype 2 HCV infection will receive SOF+VEL 100 mg plus RBV for 8 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

400 mg tablet administered orally once daily

VEL

Intervention Type DRUG

Tablet administered orally once daily

RBV

Intervention Type DRUG

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)

Interventions

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SOF

400 mg tablet administered orally once daily

Intervention Type DRUG

VEL

Tablet administered orally once daily

Intervention Type DRUG

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

Other Intervention Names

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GS-7977 PSI-7977 Sovaldi® GS-5816 Ribasphere®

Eligibility Criteria

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Inclusion Criteria

* Chronic HCV infection
* Body mass index (BMI) ≥ 18 kg/m\^2
* HCV RNA ≥ 10000 IU/mL at screening
* Use of highly effective contraception methods if female of childbearing potential or sexually active male
* Must not have cirrhosis

Exclusion Criteria

* Current or prior history of clinically significant illness other than HCV
* Screening ECG with clinically significant abnormalities
* Prior exposure to HCV specific direct acting antiviral agent
* Prior treatment of HCV with interferon or ribavirin
* Pregnant or nursing female or male with pregnant female partner
* Chronic liver disease of non-HCV etiology
* Hepatitis B
* Active drug abuse
* Use of any prohibited concomitant medications
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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John McNally, PhD

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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UCSD

La Jolla, California, United States

Site Status

University of California San Diego Medical Center

La Jolla, California, United States

Site Status

VA Long Beach Healthcare System

Long Beach, California, United States

Site Status

Los Angeles Medical Center

Los Angeles, California, United States

Site Status

Ruane Peter J MD Incorporated

Los Angeles, California, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

National Research Institute

Los Angeles, California, United States

Site Status

Huntington Medical Research Institutes Liver Center

Pasadena, California, United States

Site Status

Kaiser Permanente Medical Grp

San Diego, California, United States

Site Status

Medical Associates Research Group, Inc.

San Diego, California, United States

Site Status

Kaiser Permante

San Francisco, California, United States

Site Status

University of Colorado

Denver, Colorado, United States

Site Status

University of Florida Center for Clinical Trials Research

Gainesville, Florida, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Tampa General Hospital

Tampa, Florida, United States

Site Status

South Florida Center of Gastroenterology, P.A

Wellington, Florida, United States

Site Status

Center For Hepatitis C/Atlanta Medical Center

Atlanta, Georgia, United States

Site Status

Gastrointestinal Specialists of Georgia, PC

Marietta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status

Indianapolis Gastroenterology & Hepatology, Inc.- ARC

Indianapolis, Indiana, United States

Site Status

Mercy Medical Ctr

Baltimore, Maryland, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

ID Care

Hillsborough, New Jersey, United States

Site Status

Southwest C.A.R.E. Center

Santa Fe, New Mexico, United States

Site Status

North Shore/Long Island Jewish PRIME

Lake Success, New York, United States

Site Status

Weill Cornell Medical College-New York Presbyterian Hospital

New York, New York, United States

Site Status

Asheville Gastroenterology Associates, P.A.

Asheville, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cumberland Research Associates, LLC

Fayetteville, North Carolina, United States

Site Status

Digestive Health Specialists, PA

Winston-Salem, North Carolina, United States

Site Status

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States

Site Status

UPMC Center For Liver Diseases

Pittsburgh, Pennsylvania, United States

Site Status

VA Pittsburgh Healthcare System

Pittsburgh, Pennsylvania, United States

Site Status

University Gastroenterology

Providence, Rhode Island, United States

Site Status

Gastro One

Germantown, Tennessee, United States

Site Status

Nashville Gastrointestinal Specialists Inc.

Nashville, Tennessee, United States

Site Status

Texas Clinical Research Institute, LLC

Arlington, Texas, United States

Site Status

Methodist Transplant Physicians

Dallas, Texas, United States

Site Status

Alamo Medical Research, LTD d/b/a American Research Corporation

San Antonio, Texas, United States

Site Status

Metropolitan Research

Fairfax, Virginia, United States

Site Status

INOVA Institute of Research & Education

Falls Church, Virginia, United States

Site Status

The Liver Institute of Virginia

Newport News, Virginia, United States

Site Status

Digestive and Liver Disease Specialists, Ltd.

Norfolk, Virginia, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Fundacion de Investigacion de Diego

Santurce, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Everson GT, Tran TT, Towner WJ , Davis MN, Wyles D, Nahass R, McNally J, Brainard DM, Han L, Doehle B, Mogalian E, Symonds WT, McHutchison JG, Morgan T, Chung RT. Safety and Efficacy of Treatment with the Interferon-Free, Ribavirin-Free Combination of Sofosbuvir + GS-5816 for 12 Weeks in Treatment Naive Patients with Genotype 1-6 HCV Infection. Journal of Hepatology, Volume 60, Issue 1, Supplement, Page S46. April 2014 (EASL 2014).

Reference Type RESULT

Tran TT, Morgan TR, Thuluvath PJ, Etzkorn K, Hinestrosa F, Tong M, McNally J, Brainard DM, Han L, Doehle B, Mogalian E, McHutchison JG, Chung RT, Everson GT. Safety and Efficacy of Treatment with Sofosbuvir+ GS-5816±Ribavirin for 8 or 12 Weeks in Treatment Naïve Patients with Genotype 1-6 HCV Infection. Hepatology (2014), 60: 4 (suppl) 237A.

Reference Type RESULT

Doehle B, Gontcharova V, Chodavarapu1 RK, McNally J, Chung RT, Everson GT, McHutchison JG, Miller MD, Mo H. Resistance Analysis of Treatment-Naive HCV Genotype 1-6 Infected Patients Treated with Sofosbuvir in Combination with GS-5816 for 12 Weeks. Hepatology (2014), 60: 4 (suppl) 1138A.

Reference Type RESULT

Everson GT, Towner WJ, Davis MN, Wyles DL, Nahass RG, Thuluvath PJ, Etzkorn K, Hinestrosa F, Tong M, Rabinovitz M, McNally J, Brainard DM, Han L, Doehle B, McHutchison JG, Morgan T, Chung RT, Tran TT. Sofosbuvir With Velpatasvir in Treatment-Naive Noncirrhotic Patients With Genotype 1 to 6 Hepatitis C Virus Infection: A Randomized Trial. Ann Intern Med. 2015 Dec 1;163(11):818-26. doi: 10.7326/M15-1000. Epub 2015 Nov 10.

Reference Type RESULT
PMID: 26551051 (View on PubMed)

Other Identifiers

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GS-US-342-0102

Identifier Type: -

Identifier Source: org_study_id

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