Efficacy and Safety of Ledipasvir/Sofosbuvir Fixed-Dose Combination and Sofosbuvir + Ribavirin for Subjects With Chronic Hepatitis C Virus (HCV) and Inherited Bleeding Disorders

NCT ID: NCT02120300

Last Updated: 2016-12-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2015-08-31

Brief Summary

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The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of treatment with ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) in participants with genotypes 1 and 4 hepatitis C virus (HCV) infection and sofosbuvir (SOF) plus ribavirin (RBV) in participants with genotypes 2 and 3 HCV infection. Participants with an inherited bleeding disorder and chronic HCV infection (either monoinfected or HIV-1/HCV coinfected) will be enrolled.

Detailed Description

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Conditions

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Chronic 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 GT 1 or 4

Participants with chronic genotypes (GT) 1 or 4 HCV infection will receive LDV/SOF for 12 or 24 weeks. Treatment-experienced cirrhotic participants with genotype 1 HCV infection will receive LDV/SOF for 24 weeks.

Group Type EXPERIMENTAL

LDV/SOF

Intervention Type DRUG

90/400 mg FDC tablet administered orally

SOF+RBV 12 wks GT 2

Participants with chronic genotype 2 HCV infection will receive SOF+RBV for 12 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

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 (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

SOF+RBV 24 wks GT 3

Participants with chronic genotype 3 HCV infection will receive SOF+RBV for 24 weeks.

Group Type EXPERIMENTAL

SOF

Intervention Type DRUG

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 (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

Interventions

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LDV/SOF

90/400 mg FDC tablet administered orally

Intervention Type DRUG

SOF

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 (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

Intervention Type DRUG

Other Intervention Names

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Harvoni® GS-5885/GS-7977 Sovaldi® GS-7977 PSI-7977

Eligibility Criteria

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Inclusion Criteria

* Hemophilia A, B or C, or Von Willebrand's disease
* Chronic genotype 1, 2, 3 or 4 HCV infection
* HCV RNA ≥ 1000 IU/mL at screening
* Use of protocol specified method(s) of contraception if female of childbearing potential or sexually active male
* Screening laboratory values within defined thresholds
* For HIV-1/HCV co-infected individuals:

* Suppressed HIV-1 RNA on an antiretroviral (ARV) regimen for at least 6 months prior to screening
* Stable protocol-approved ARV regimen for \> 8 weeks prior to screening
* CD4 T-cell count \> 200 cells/mm\^3 at screening

Exclusion Criteria

* Clinically-significant illness (other than HCV, inherited bleeding disorder or HIV-1) or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol
* Current or prior history of any of the following:

* Hepatic decompensation
* Chronic liver disease of a non-HCV etiology
* Hepatocellular carcinoma (HCC)
* Infection with hepatitis B virus (HBV)
* Pregnant or nursing female
* Prior treatment with inhibitors of nonstructural protein 5A (NS5A) or the NS5B polymerase
* Chronic use of systemically administered immunosuppressive agents
* For HIV-1/HCV co-infected individuals:

* Opportunistic infection within 6 months prior to screening
* Active, serious infection (other than HIV-1 or HCV) requiring parental antibiotics, antivirals or antifungals within 30 days prior to baseline
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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Sacramento, California, United States

Site Status

San Diego, California, United States

Site Status

San Francisco, California, United States

Site Status

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

Site Status

Atlanta, Georgia, United States

Site Status

Boston, Massachusetts, United States

Site Status

Boston, Massachusetts, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Newark, New Jersey, United States

Site Status

New York, New York, United States

Site Status

Rochester, New York, United States

Site Status

Chapel Hill, North Carolina, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Walsh C, Workowski K, Terrault N, Sax S, Cohen A, et al. Approved All-Oral Sofosbuvir Regimens Are Safe and Highly Effective in Patients With Hereditary Bleeding Disorders. (2015). Hepatology, 62 (S1): 714A-807A. doi:10.1002/hep.28228

Reference Type BACKGROUND

Other Identifiers

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GS-US-334-1274

Identifier Type: -

Identifier Source: org_study_id