Sofosbuvir Plus Ribavirin, or Ledipasvir/Sofosbuvir in Adults With HCV Infection and Renal Insufficiency

NCT ID: NCT01958281

Last Updated: 2018-08-08

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-07

Study Completion Date

2017-10-19

Brief Summary

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The primary objectives of this study are to evaluate the safety and efficacy of sofosbuvir (SOF) plus ribavirin (RBV) for 24 weeks and ledipasvir/sofosbuvir (LDV/SOF) for 12 weeks, and to evaluate the steady state pharmacokinetics (PK) of SOF and its metabolites and LDV in participants with genotype (GT) 1, 3, or 4 hepatitis C virus (HCV) infection who have chronic renal insufficiency (impaired kidney function).

Detailed Description

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Conditions

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HCV Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SOF 200 mg + RBV 200 mg (Cohort 1)

Participants with genotype 1 or 3 HCV infection will receive SOF 200 mg (2 × 100 mg tablets) plus RBV once daily for 24 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

Tablet(s) administered orally once daily

RBV

Intervention Type DRUG

200 mg tablet administered orally once daily

SOF 400 mg + RBV 200 mg (Cohort 2)

Participants with genotype 1 or 3 HCV infection will receive SOF 400 mg (4 × 100 mg tablets or 1 × 400 mg tablet) plus RBV once daily for 24 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

Tablet(s) administered orally once daily

RBV

Intervention Type DRUG

200 mg tablet administered orally once daily

LDV/SOF (Cohort 3)

Participants with genotype 1 or 4 HCV infection will receive LDV/SOF once daily for 12 weeks.

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

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

Interventions

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SOF

Tablet(s) administered orally once daily

Intervention Type DRUG

RBV

200 mg tablet administered orally once daily

Intervention Type DRUG

LDV/SOF

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

Intervention Type DRUG

Other Intervention Names

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Sovaldi® GS-7977 Harvoni®

Eligibility Criteria

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Inclusion Criteria

* Cohorts 1 and 2: chronic genotype 1 or 3 HCV infection
* Cohort 3: chronic genotype 1 or 4 HCV infection
* HCV RNA ≥ 10\^4 IU/mL at screening
* Screening labs within defined thresholds
* Cirrhosis determination at screening

Exclusion Criteria

* Females who are pregnant or nursing or males who have a pregnant partner
* Prior null response to pegylated interferon (Peg-IFN)+RBV therapy (Cohorts 1 and 2) or for individuals with cirrhosis, prior treatment failure with IFN-based therapy not resulting from treatment intolerance (Cohort 3)
* Current of prior history of hepatic decompensation
* Infection with hepatitis B virus (HBV) or HIV
* History of clinically significant illness (including psychiatric or cardiac) or any other medical disorder that may interfere with individual's treatment and/or adherence to 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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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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San Francisco, California, United States

Site Status

Miami, Florida, United States

Site Status

Chicago, Illinois, United States

Site Status

Detroit, Michigan, United States

Site Status

Rochester, New York, United States

Site Status

San Antonio, Texas, United States

Site Status

Seattle, Washington, United States

Site Status

Grafton, Auckland, New Zealand

Site Status

Christchurch, , New Zealand

Site Status

San Juan, , Puerto Rico

Site Status

Countries

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United States New Zealand Puerto Rico

References

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Gane EJ, Robson RA, Bonacini M, Maliakkal B, Kirby B, Liu L, et al. Safety, Antiviral Efficacy, and Pharmacokinetics of Sofosbuvir in Patients With Severe Renal Impairment [Poster 966]. The 65th Annual meeting of the American Association for the Study of Liver Diseases: The Liver Meeting (AASLD); 2014 November 07-11; Boston, MA.

Reference Type BACKGROUND

Martin P, Gane E, Ortiz-Lasanta G, Liu L, Sajwani K, Kirby B, et al. Safety and Efficacy of Treatment With Daily Sofosbuvir 400 mg + Ribavirin 200 mg for 24 Weeks in Genotype 1 or 3 HCV-Infected Patients With Severe Renal Impairment [Poster 1128]. American Association for the Study of Liver Diseases (AASLD); 2015 November 13-17; San Francisco, CA.

Reference Type BACKGROUND

Lawitz E, Landis CS, Maliakkal BJ, Bonacini M, Ortiz-Lasanta G, Zhang J, et al. Safety and Efficacy of Treatment with Once- Daily Ledipasvir/Sofosbuvir (90/400 mg) for 12 Weeks in Genotype 1 HCV-Infected Patients with Severe Renal Impairment [Abstract 1587]. The Liver Meeting® 2017 - The 68th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD); 2017 20-24 October; Washington, D. C.

Reference Type BACKGROUND

Lawitz E, Landis CS, Flamm SL, Bonacini M, Ortiz-Lasanta G, Huang J, Zhang J, Kirby BJ, De-Oertel S, Hyland RH, Osinusi AO, Brainard DM, Robson R, Maliakkal BJ, Gordon SC, Gane EJ. Sofosbuvir plus ribavirin and sofosbuvir plus ledipasvir in patients with genotype 1 or 3 hepatitis C virus and severe renal impairment: a multicentre, phase 2b, non-randomised, open-label study. Lancet Gastroenterol Hepatol. 2020 Oct;5(10):918-926. doi: 10.1016/S2468-1253(19)30417-0. Epub 2020 Jun 10.

Reference Type DERIVED
PMID: 32531259 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Original

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Document Type: Study Protocol: Amendment 1

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Document Type: Study Protocol: Amendment 2

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Document Type: Study Protocol: Amendment 3

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Document Type: Study Protocol: Amendment 4

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Document Type: Statistical Analysis Plan: Statistical Analysis Plan for Cohorts 1 and 2

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Document Type: Statistical Analysis Plan: Statistical Analysis Plan for Cohort 3

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Other Identifiers

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2013-002897-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-334-0154

Identifier Type: -

Identifier Source: org_study_id

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