Ledipasvir/Sofosbuvir Fixed-Dose Combination ± Ribavirin in Participants With Chronic Genotype 1 HCV Who Participated in a Prior Gilead-Sponsored HCV Treatment Study

NCT ID: NCT01987453

Last Updated: 2018-11-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2015-11-30

Brief Summary

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The primary objectives of this study are to evaluate the efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) with or without ribavirin (RBV) in participants with chronic genotype 1 hepatitis C virus (HCV) infection who have participated in a prior Gilead-sponsored HCV treatment study, and who did not achieve sustained virologic response (SVR24), defined as HCV RNA \< lower limit of quantification (LLOQ) 24 weeks after last dose of study drug (SVR24).

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

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LDV/SOF+RBV 12 weeks (Group 1)

Participants who failed a prior SOF+RBV ± pegylated interferon (Peg-IFN) regimen will receive LDV/SOF FDC plus RBV for 12 weeks.

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

Tablet(s) administered orally once daily

RBV

Intervention Type DRUG

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)

Participants in the LDV/SOF+RBV 24 weeks group will dose adjust RBV according to hemoglobin and renal status as stated in the RBV package insert.

LDV/SOF 24 weeks (Group 2)

Participants who failed a prior LDV/SOF ± RBV regimen will receive LDV/SOF FDC for 24 weeks.

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

Tablet(s) administered orally once daily

LDV/SOF+RBV 24 weeks (Group 3)

Participants with advanced compensated or decompensated cirrhosis who failed a prior SOF+RBV regimen will receive LDV/SOF FDC plus RBV for 24 weeks.

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

Tablet(s) administered orally once daily

RBV

Intervention Type DRUG

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)

Participants in the LDV/SOF+RBV 24 weeks group will dose adjust RBV according to hemoglobin and renal status as stated in the RBV package insert.

Interventions

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LDV/SOF

Tablet(s) administered orally once daily

Intervention Type DRUG

RBV

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)

Participants in the LDV/SOF+RBV 24 weeks group will dose adjust RBV according to hemoglobin and renal status as stated in the RBV package insert.

Intervention Type DRUG

Other Intervention Names

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Harvoni® GS-5885/GS-7977

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent
* Infection with HCV genotype 1
* HCV RNA \> LLOQ at screening
* Participation in a prior Gilead-sponsored study
* Screening laboratory values within defined thresholds
* Use of two effective contraception methods if female of childbearing potential or sexually active male
* Must be of generally good health, with the exception of chronic HCV infection, as determined by the Investigator
* Must be able to comply with the dosing instructions for study drug administration and able to complete the study schedule of assessments

Exclusion Criteria

* Pregnant or nursing female or male with pregnant female partner
* Co-infection with HIV or hepatitis B virus (HBV)
* Current or prior history of clinical hepatic decompensation (Groups 1 and 2 only)
* Hepatocellular carcinoma (HCC)
* History of clinically significant illness or any other medical disorder that may interfere with subject 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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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Beverly Hills, California, United States

Site Status

La Jolla, California, United States

Site Status

Los Angeles, California, United States

Site Status

Los Angeles, California, United States

Site Status

Los Angeles, California, United States

Site Status

Oceanside, California, United States

Site Status

San Diego, California, United States

Site Status

San Francisco, California, United States

Site Status

Aurora, Colorado, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Gainesville, Florida, United States

Site Status

Jacksonville, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Orlando, Florida, United States

Site Status

Wellington, Florida, United States

Site Status

Marietta, Georgia, United States

Site Status

Chicago, Illinois, United States

Site Status

Downers Grove, Illinois, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Bowling Green, Kentucky, United States

Site Status

Baton Rouge, Louisiana, United States

Site Status

Baltimore, Maryland, United States

Site Status

Boston, Massachusetts, United States

Site Status

Springfield, Massachusetts, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Kansas City, Missouri, United States

Site Status

Hillsborough, New Jersey, United States

Site Status

Albuquerque, New Mexico, United States

Site Status

Binghamton, New York, United States

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Manhasset, New York, United States

Site Status

New York, New York, United States

Site Status

Asheville, North Carolina, United States

Site Status

Winston-Salem, North Carolina, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Germantown, Tennessee, United States

Site Status

San Antonio, Texas, United States

Site Status

Norfolk, Virginia, United States

Site Status

Richmond, Virginia, United States

Site Status

Seattle, Washington, United States

Site Status

Camperdown, New South Wales, Australia

Site Status

Clichy, , France

Site Status

San Juan, , Puerto Rico

Site Status

Barcelona, , Spain

Site Status

Countries

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United States Australia France Puerto Rico Spain

References

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Lawitz E, Pockros PJ, Yang JC, Pang PS, Zhu Y, Svarovskaia E, et al. Ledipasvir/sofosbuvir regimens for the retreatment of patients who failed sofosbuvir-based regimens [Abstract 10868]. Presented at: The 25th Conference of the Asian Pacific Association for the Study of Liver (APASL); 2016 February 20-24; Tokyo, Japan.

Reference Type BACKGROUND

Lawitz E, Flamm S, Yang JC, Pang PS, Zhu Y, Svarovskaia E, et al. Retreatment of patients who failed 8 or 12 weeks of ledipasvir/sofosbuvir-based regimens with ledipasvir/sofosbuvir for 24 weeks [Abstract 1627]. Presented at: The 50th Annual Congress of the European Association for the Study of Liver: The International Liver Congress (EASL); 2015 April 22-26; Vienna, Austria

Reference Type BACKGROUND

Wyles D, Pockros P, Morelli G, Younes Z, Svarovskaia E, Yang JC, Pang PS, Zhu Y, McHutchison JG, Flamm S, Lawitz E. Ledipasvir-sofosbuvir plus ribavirin for patients with genotype 1 hepatitis C virus previously treated in clinical trials of sofosbuvir regimens. Hepatology. 2015 Jun;61(6):1793-7. doi: 10.1002/hep.27814. Epub 2015 Apr 27.

Reference Type RESULT
PMID: 25846014 (View on PubMed)

Other Identifiers

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2014-001245-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-337-1118

Identifier Type: -

Identifier Source: org_study_id

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