Trial Outcomes & Findings for 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 NCT02120300)

NCT ID: NCT02120300

Last Updated: 2016-12-06

Results Overview

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

122 participants

Primary outcome timeframe

Posttreatment Week 12

Results posted on

2016-12-06

Participant Flow

Participants were enrolled at study sites in the United States. The first participant was screened on 10 April 2014. The last study visit occurred on 17 August 2015.

147 participants were screened.

Participant milestones

Participant milestones
Measure
LDV/SOF 12 Weeks GT1 or GT4
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Overall Study
STARTED
101
5
10
6
Overall Study
COMPLETED
98
5
10
5
Overall Study
NOT COMPLETED
3
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
LDV/SOF 12 Weeks GT1 or GT4
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Overall Study
Enrolled but Never Treated
2
0
0
0
Overall Study
Lack of Efficacy
0
0
0
1
Overall Study
Lost to Follow-up
1
0
0
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Total
n=120 Participants
Total of all reporting groups
Age, Continuous
44 Years
STANDARD_DEVIATION 11.1 • n=5 Participants
49 Years
STANDARD_DEVIATION 11.1 • n=7 Participants
48 Years
STANDARD_DEVIATION 13.8 • n=5 Participants
47 Years
STANDARD_DEVIATION 6.7 • n=4 Participants
45 Years
STANDARD_DEVIATION 11.1 • n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
7 Participants
n=21 Participants
Sex: Female, Male
Male
93 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
6 Participants
n=4 Participants
113 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
95 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
6 Participants
n=4 Participants
115 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race/Ethnicity, Customized
Black or African American
18 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
20 participants
n=21 Participants
Race/Ethnicity, Customized
White
75 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
5 participants
n=4 Participants
92 participants
n=21 Participants
Race/Ethnicity, Customized
Asian
4 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
6 participants
n=21 Participants
Race/Ethnicity, Customized
Other
2 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
Cirrhosis Status
No
71 participants
n=5 Participants
0 participants
n=7 Participants
8 participants
n=5 Participants
4 participants
n=4 Participants
83 participants
n=21 Participants
Cirrhosis Status
Yes
28 participants
n=5 Participants
5 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
37 participants
n=21 Participants
HCV Genotype
Genotype 1
98 participants
n=5 Participants
5 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
103 participants
n=21 Participants
HCV Genotype
Genotype 2
0 participants
n=5 Participants
0 participants
n=7 Participants
10 participants
n=5 Participants
0 participants
n=4 Participants
10 participants
n=21 Participants
HCV Genotype
Genotype 3
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
6 participants
n=4 Participants
6 participants
n=21 Participants
HCV Genotype
Genotype 4
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
HCV RNA
6.2 log10 IU/mL
STANDARD_DEVIATION 0.67 • n=5 Participants
6.0 log10 IU/mL
STANDARD_DEVIATION 0.85 • n=7 Participants
6.2 log10 IU/mL
STANDARD_DEVIATION 1.00 • n=5 Participants
6.6 log10 IU/mL
STANDARD_DEVIATION 0.80 • n=4 Participants
6.2 log10 IU/mL
STANDARD_DEVIATION 0.71 • n=21 Participants
HCV RNA Category
< 800,000 IU/mL
23 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
28 participants
n=21 Participants
HCV RNA Category
≥ 800,000 IU/mL
76 participants
n=5 Participants
3 participants
n=7 Participants
8 participants
n=5 Participants
5 participants
n=4 Participants
92 participants
n=21 Participants
IL28b Status
CC
22 participants
n=5 Participants
2 participants
n=7 Participants
7 participants
n=5 Participants
5 participants
n=4 Participants
36 participants
n=21 Participants
IL28b Status
CT
60 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
1 participants
n=4 Participants
65 participants
n=21 Participants
IL28b Status
TT
17 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
19 participants
n=21 Participants
HIV Status
Negative
80 participants
n=5 Participants
5 participants
n=7 Participants
6 participants
n=5 Participants
3 participants
n=4 Participants
94 participants
n=21 Participants
HIV Status
Positive
19 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
3 participants
n=4 Participants
26 participants
n=21 Participants

PRIMARY outcome

Timeframe: Posttreatment Week 12

Population: Full Analysis Set: participants enrolled into the study and received at least 1 dose of study drug.

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
99.0 percentage of participants
Interval 94.5 to 100.0
100.0 percentage of participants
Interval 47.8 to 100.0
100.0 percentage of participants
Interval 69.2 to 100.0
83.3 percentage of participants
Interval 35.9 to 99.6

PRIMARY outcome

Timeframe: Up to 24 weeks

Population: Safety Analysis Set

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
0 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Posttreatment Week 4

Population: Full Analysis Set

SVR4 was defined as HCV RNA \< LLOQ at 4 weeks after stopping study treatment.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)
99.0 percentage of participants
Interval 94.5 to 100.0
100.0 percentage of participants
Interval 47.8 to 100.0
100.0 percentage of participants
Interval 69.2 to 100.0
83.3 percentage of participants
Interval 35.9 to 99.6

SECONDARY outcome

Timeframe: Weeks 1, 2, 4, 8, 12, 16, 20, and 24

Population: Participants in the Full Analysis Set with available data were analyzed.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 1
28.3 percentage of participants
20.0 percentage of participants
20.0 percentage of participants
16.7 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 2
68.7 percentage of participants
40.0 percentage of participants
70.0 percentage of participants
33.3 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 4
94.9 percentage of participants
100.0 percentage of participants
100.0 percentage of participants
66.7 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 8
100.0 percentage of participants
100.0 percentage of participants
100.0 percentage of participants
100.0 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 12
99.0 percentage of participants
100.0 percentage of participants
100.0 percentage of participants
100.0 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 16
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 20
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 24
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants
NA percentage of participants
Treatment for this group was only 12 weeks.
100.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 1, 2, 4, 8, 12, 16, 20, and 24

Population: Participants in the Full Analysis Set with available data were analyzed.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 12 (LDV/SOF 12 Weeks: n= 98)
-5.06 log10 IU/mL
Standard Deviation 0.675
-4.87 log10 IU/mL
Standard Deviation 0.847
-5.05 log10 IU/mL
Standard Deviation 1.002
-5.45 log10 IU/mL
Standard Deviation 0.803
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 16
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-4.87 log10 IU/mL
Standard Deviation 0.847
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-5.45 log10 IU/mL
Standard Deviation 0.803
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Baseline
6.21 log10 IU/mL
Standard Deviation 0.673
6.02 log10 IU/mL
Standard Deviation 0.847
6.20 log10 IU/mL
Standard Deviation 1.002
6.6 log10 IU/mL
Standard Deviation 0.803
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 1 (LDV/SOF 12 Weeks: n= 98)
-4.41 log10 IU/mL
Standard Deviation 0.580
-4.32 log10 IU/mL
Standard Deviation 0.815
-4.39 log10 IU/mL
Standard Deviation 0.633
-3.95 log10 IU/mL
Standard Deviation 0.473
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 2 (LDV/SOF 24 Week: n=4)
-4.87 log10 IU/mL
Standard Deviation 0.642
-4.65 log10 IU/mL
Standard Deviation 0.967
-5.01 log10 IU/mL
Standard Deviation 0.965
-4.76 log10 IU/mL
Standard Deviation 0.797
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 4
-5.05 log10 IU/mL
Standard Deviation 0.662
-4.87 log10 IU/mL
Standard Deviation 0.847
-5.05 log10 IU/mL
Standard Deviation 1.002
-5.26 log10 IU/mL
Standard Deviation 0.786
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 8
-5.06 log10 IU/mL
Standard Deviation 0.673
-4.87 log10 IU/mL
Standard Deviation 0.847
-5.05 log10 IU/mL
Standard Deviation 1.002
-5.45 log10 IU/mL
Standard Deviation 0.803
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 20
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-4.87 log10 IU/mL
Standard Deviation 0.847
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-5.45 log10 IU/mL
Standard Deviation 0.803
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Week 24
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-4.87 log10 IU/mL
Standard Deviation 0.847
NA log10 IU/mL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-5.45 log10 IU/mL
Standard Deviation 0.803

SECONDARY outcome

Timeframe: Up to Posttreatment Week 24

Population: Full Analysis Set

Virologic failure was defined as: * On-treatment virologic failure: * Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment), or * Rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or * Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment) * Virologic relapse: * Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 Participants
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants With Virologic Failure
0 percentage of participants
0 percentage of participants
0 percentage of participants
16.7 percentage of participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20, and 24

Population: Only the participants coinfected with HIV-1 and HCV in the Safety Analysis Set with available data were analyzed.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=19 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=4 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=3 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 4
100 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 8
100 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 12
100 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 16
NA percentage of participants
Treatment for this group was only 12 weeks.
NA percentage of participants
Treatment for this group was only 12 weeks.
100 percentage of participants
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 20
NA percentage of participants
Treatment for this group was only 12 weeks.
NA percentage of participants
Treatment for this group was only 12 weeks.
100 percentage of participants
Percentage of Participants That Maintain HIV-1 RNA < 50 Copies/mL at Weeks 4, 8, 12, 16, 20, and 24 (HIV-1/HCV Co-infected Participants Only)
Week 24
NA percentage of participants
Treatment for this group was only 12 weeks.
NA percentage of participants
Treatment for this group was only 12 weeks.
66.7 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 12, 24, and Posttreatment Week 12

Population: Participants coinfected with HIV-1 and HCV in the Safety Analysis Set with available data were analyzed.

Outcome measures

Outcome measures
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=19 Participants
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=4 Participants
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=3 Participants
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Change From Baseline in Serum Creatinine at the End of Treatment and at Posttreatment Week 12 (HIV-1/HCV Co-infected Participants Only)
Baseline
0.94 mg/dL
Standard Deviation 0.197
1.01 mg/dL
Standard Deviation 0.118
0.94 mg/dL
Standard Deviation 0.086
Change From Baseline in Serum Creatinine at the End of Treatment and at Posttreatment Week 12 (HIV-1/HCV Co-infected Participants Only)
Week 12
0.04 mg/dL
Standard Deviation 0.079
-0.03 mg/dL
Standard Deviation 0.095
-0.03 mg/dL
Standard Deviation 0.093
Change From Baseline in Serum Creatinine at the End of Treatment and at Posttreatment Week 12 (HIV-1/HCV Co-infected Participants Only)
Week 24
NA mg/dL
Standard Deviation NA
Treatment for this group was only 12 weeks.
NA mg/dL
Standard Deviation NA
Treatment for this group was only 12 weeks.
-0.08 mg/dL
Standard Deviation 0.069
Change From Baseline in Serum Creatinine at the End of Treatment and at Posttreatment Week 12 (HIV-1/HCV Co-infected Participants Only)
Posttreatment Week12
-0.01 mg/dL
Standard Deviation 0.113
-0.08 mg/dL
Standard Deviation 0.015
-0.02 mg/dL
Standard Deviation 0.081

Adverse Events

LDV/SOF 12 Weeks GT1 or GT4

Serious events: 5 serious events
Other events: 54 other events
Deaths: 0 deaths

LDV/SOF 24 Weeks GT1 (TE)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

SOF+RBV 12 Weeks GT2

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

SOF+RBV 24 Weeks GT3

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 participants at risk
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 participants at risk
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 participants at risk
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 participants at risk
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Gastrointestinal disorders
Gastrointestinal haemorrhage
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Haemarthrosis
2.0%
2/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Psychiatric disorders
Suicidal ideation
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Social circumstances
Miscarriage of partner
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Vascular disorders
Haematoma
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set

Other adverse events

Other adverse events
Measure
LDV/SOF 12 Weeks GT1 or GT4
n=99 participants at risk
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks (genotype 1 or 4)
LDV/SOF 24 Weeks GT1 (TE)
n=5 participants at risk
LDV/SOF (90/400 mg) FDC tablet once daily for 24 weeks (treatment-experienced \[TE\] participants with genotype 1 HCV infection and cirrhosis)
SOF+RBV 12 Weeks GT2
n=10 participants at risk
Sofosbuvir (SOF) 400 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 12 weeks (genotype 2)
SOF+RBV 24 Weeks GT3
n=6 participants at risk
SOF 400 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 24 weeks (genotype 3)
Blood and lymphatic system disorders
Anaemia
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Constipation
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
40.0%
2/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Diarrhoea
7.1%
7/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
50.0%
3/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Dry mouth
2.0%
2/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Food poisoning
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
20.0%
1/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Nausea
8.1%
8/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Toothache
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Gastrointestinal disorders
Vomiting
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
General disorders
Chills
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
General disorders
Fatigue
29.3%
29/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
20.0%
1/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
30.0%
3/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
33.3%
2/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
General disorders
Influenza like illness
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
20.0%
1/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Infections and infestations
Bronchitis
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Infections and infestations
Folliculitis
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Infections and infestations
Influenza
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Injury, poisoning and procedural complications
Muscle strain
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
20.0%
1/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Decreased appetite
2.0%
2/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Arthralgia
3.0%
3/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Haemarthrosis
8.1%
8/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Muscle haemorrhage
5.1%
5/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Myalgia
3.0%
3/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Musculoskeletal and connective tissue disorders
Osteorrhagia
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Nervous system disorders
Disturbance in attention
6.1%
6/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Nervous system disorders
Headache
14.1%
14/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
30.0%
3/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Psychiatric disorders
Anxiety
5.1%
5/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Psychiatric disorders
Insomnia
6.1%
6/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
50.0%
3/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Psychiatric disorders
Irritability
2.0%
2/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Psychiatric disorders
Mood altered
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Cough
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.0%
2/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Respiratory, thoracic and mediastinal disorders
Sinus congestion
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
33.3%
2/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Pruritus
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Skin and subcutaneous tissue disorders
Rash
1.0%
1/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
10.0%
1/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
16.7%
1/6 • Up to 24 weeks plus 30 days
Safety Analysis Set
Vascular disorders
Haemorrhage
0.00%
0/99 • Up to 24 weeks plus 30 days
Safety Analysis Set
20.0%
1/5 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/10 • Up to 24 weeks plus 30 days
Safety Analysis Set
0.00%
0/6 • Up to 24 weeks plus 30 days
Safety Analysis Set

Additional Information

Clinical Trial Disclosures

Gilead Sciences

Results disclosure agreements

  • Principal investigator is a sponsor employee After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: * The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or * The study has been completed at all study sites for at least 2 years
  • Publication restrictions are in place

Restriction type: OTHER