Sofosbuvir/Velpatasvir Fixed-Dose Combination in Adults With Chronic HCV Infection and Child-Pugh Class B Cirrhosis

NCT ID: NCT02201901

Last Updated: 2018-11-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

268 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 sofosbuvir (SOF)/velpatasvir (VEL) fixed dose combination (FDC) with and without ribavirin (RBV) for 12 weeks and SOF/VEL FDC for 24 weeks in adults with chronic hepatitis C virus (HCV) infection and Child-Pugh-Turcotte (CPT) class B cirrhosis.

Detailed Description

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Conditions

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Hepatitis C Virus Infection

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 12 weeks

Participants will receive SOF/VEL FDC for 12 weeks.

Group Type EXPERIMENTAL

SOF/VEL

Intervention Type DRUG

400/100 mg tablets administered orally once daily

SOF/VEL+RBV 12 weeks

Participants will receive SOF/VEL FDC plus RBV for 12 weeks.

Group Type EXPERIMENTAL

SOF/VEL

Intervention Type DRUG

400/100 mg tablets 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/VEL 24 weeks

Participants will receive SOF/VEL FDC for 24 weeks.

Group Type EXPERIMENTAL

SOF/VEL

Intervention Type DRUG

400/100 mg tablets administered orally once daily

Interventions

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SOF/VEL

400/100 mg tablets 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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GS-7977/GS-5816 Epclusa®

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent
* HCV RNA \> 10\^4 IU/mL at screening
* Chronic HCV infection (≥ 6 months)
* Confirmed CPT class B (7-9) at screening

Exclusion Criteria

* Current or prior history of solid organ transplantation, significant pulmonary disease, significant cardiac disease, or porphyria
* Inability to exclude hepatocellular carcinoma (HCC) by imaging within 6 months of baseline/Day 1
* Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
* Screening ECG with clinically significant abnormalities
* Prior exposure to SOF or any other nucleotide analogue HCV nonstructural protein 5B (NS5B) inhibitor or any HCV NS5A inhibitor
* Laboratory results outside of acceptable ranges at screening
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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Anu M Osinusi, MD, MPH

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Phoenix, Arizona, United States

Site Status

La Jolla, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Pasadena, California, United States

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San Francisco, California, United States

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Aurora, Colorado, United States

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

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Gainesville, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Tampa, Florida, United States

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Marietta, Georgia, United States

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Chicago, Illinois, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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Kansas City, Kansas, United States

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Monroe, Louisiana, United States

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New Orleans, Louisiana, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Detroit, Michigan, United States

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Rochester, Minnesota, United States

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Jackson, Mississippi, United States

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St Louis, Missouri, United States

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Santa Fe, New Mexico, United States

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New York, New York, United States

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New York, New York, United States

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New York, New York, United States

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Chapel Hill, North Carolina, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Cleveland, Ohio, United States

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Cleveland, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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Arlington, Texas, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Murray, Utah, United States

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Fairfax, Virginia, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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San Juan, , Puerto Rico

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Countries

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United States Puerto Rico

References

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Charlton MR, O'Leary JG, Bzowej NH, Muir AJ, Korenblat KM, Fenkel JM, et al. Sofosbuvir/Velapatasvir Fixed Dose Combination for the Treatment of HCV in Patients with Decompensated Liver Disease: The Phase 3 ASTRAL-4 Study. Hepatology 2015; 62 (6): 1387A-1388A.

Reference Type BACKGROUND

Curry MP, O'Leary JG, Bzowej N, Muir AJ, Korenblat KM, Fenkel JM, Reddy KR, Lawitz E, Flamm SL, Schiano T, Teperman L, Fontana R, Schiff E, Fried M, Doehle B, An D, McNally J, Osinusi A, Brainard DM, McHutchison JG, Brown RS Jr, Charlton M; ASTRAL-4 Investigators. Sofosbuvir and Velpatasvir for HCV in Patients with Decompensated Cirrhosis. N Engl J Med. 2015 Dec 31;373(27):2618-28. doi: 10.1056/NEJMoa1512614. Epub 2015 Nov 16.

Reference Type RESULT
PMID: 26569658 (View on PubMed)

Asselah T, Charlton M, Feld J, Foster GR, McNally J, Brainard DM, et al. The ASTRAL Studies: Evaluation of SOF/GS-5816 Single-Tablet Regimen for the Treatment of Genotype 1-6 HCV Infection [Poster P1332]. J Hepatol 2015; 62:S855-S6.

Reference Type RESULT

Younossi ZM, Stepanova M, Charlton M, Curry MP, O'Leary JG, Brown RS, Hunt S. Patient-reported outcomes with sofosbuvir and velpatasvir with or without ribavirin for hepatitis C virus-related decompensated cirrhosis: an exploratory analysis from the randomised, open-label ASTRAL-4 phase 3 trial. Lancet Gastroenterol Hepatol. 2016 Oct;1(2):122-132. doi: 10.1016/S2468-1253(16)30009-7. Epub 2016 Aug 3.

Reference Type DERIVED
PMID: 28404069 (View on PubMed)

Younossi ZM, Stepanova M, Feld J, Zeuzem S, Sulkowski M, Foster GR, Mangia A, Charlton M, O'Leary JG, Curry MP, Nader F, Henry L, Hunt S. Sofosbuvir and Velpatasvir Combination Improves Patient-reported Outcomes for Patients With HCV Infection, Without or With Compensated or Decompensated Cirrhosis. Clin Gastroenterol Hepatol. 2017 Mar;15(3):421-430.e6. doi: 10.1016/j.cgh.2016.10.037. Epub 2016 Nov 12.

Reference Type DERIVED
PMID: 27847279 (View on PubMed)

Other Identifiers

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GS-US-342-1137

Identifier Type: -

Identifier Source: org_study_id

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