Trial Outcomes & Findings for Ledipasvir/Sofosbuvir Fixed-Dose Combination and Vedroprevir With or Without Ribavirin in Treatment-Experienced Participants With Chronic Genotype 1 HCV Infection and Cirrhosis (NCT NCT02226549)

NCT ID: NCT02226549

Last Updated: 2018-11-16

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

47 participants

Primary outcome timeframe

Posttreatment Week 12

Results posted on

2018-11-16

Participant Flow

Participants were enrolled at 1 study site in the United States. The first participant was screened on 24 July 2014. The last study visit occurred on 06 February 2015.

72 participants were screened.

Participant milestones

Participant milestones
Measure
LDV/SOF+VDV
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet + vedroprevir (VDV) 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Overall Study
STARTED
23
24
Overall Study
COMPLETED
22
23
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
LDV/SOF+VDV
Ledipasvir/sofosbuvir (LDV/SOF) (90/400 mg) fixed-dose combination (FDC) tablet + vedroprevir (VDV) 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + ribavirin (RBV) tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Overall Study
Randomized but Never Treated
1
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Ledipasvir/Sofosbuvir Fixed-Dose Combination and Vedroprevir With or Without Ribavirin in Treatment-Experienced Participants With Chronic Genotype 1 HCV Infection and Cirrhosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LDV/SOF+VDV
n=22 Participants
LDV/SOF (90/400 mg) FDC tablet + VDV 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
n=24 Participants
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
58 years
STANDARD_DEVIATION 7.9 • n=5 Participants
56 years
STANDARD_DEVIATION 7.7 • n=7 Participants
57 years
STANDARD_DEVIATION 7.7 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
18 Participants
n=7 Participants
30 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Race/Ethnicity, Customized
White
21 participants
n=5 Participants
23 participants
n=7 Participants
44 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
6 participants
n=5 Participants
11 participants
n=7 Participants
17 participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
16 participants
n=5 Participants
12 participants
n=7 Participants
28 participants
n=5 Participants
Race/Ethnicity, Customized
Not Permitted
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
HCV Genotype
Genotype 1a
14 participants
n=5 Participants
18 participants
n=7 Participants
32 participants
n=5 Participants
HCV Genotype
Genotype 1b
7 participants
n=5 Participants
6 participants
n=7 Participants
13 participants
n=5 Participants
HCV Genotype
Genotype 1a,1b
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
IL28b Status
CC
4 participants
n=5 Participants
1 participants
n=7 Participants
5 participants
n=5 Participants
IL28b Status
CT
12 participants
n=5 Participants
16 participants
n=7 Participants
28 participants
n=5 Participants
IL28b Status
TT
6 participants
n=5 Participants
6 participants
n=7 Participants
12 participants
n=5 Participants
IL28b Status
Missing
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: Posttreatment Week 12

Population: Full Analysis Set: participants who were randomized 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+VDV
n=22 Participants
LDV/SOF (90/400 mg) FDC tablet + VDV 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
n=24 Participants
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
95.5 percentage of participants
87.5 percentage of participants

PRIMARY outcome

Timeframe: Up to 8 weeks

Population: Safety Analysis Set: participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
LDV/SOF+VDV
n=22 Participants
LDV/SOF (90/400 mg) FDC tablet + VDV 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
n=24 Participants
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
0 percentage of participants
8.3 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+VDV
n=22 Participants
LDV/SOF (90/400 mg) FDC tablet + VDV 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
n=24 Participants
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 8 weeks
Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)
95.5 percentage of participants
95.8 percentage of participants

Adverse Events

LDV/SOF+VDV

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

LDV/SOF+VDV+RBV

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LDV/SOF+VDV
n=22 participants at risk
LDV/SOF (90/400 mg) FDC tablet + VDV 80 mg tablet once daily for 8 weeks
LDV/SOF+VDV+RBV
n=24 participants at risk
LDV/SOF (90/400 mg) FDC tablet once daily + VDV 80 mg tablet once daily + RBV tablets (1000 or 1200 mg daily based on weight) for 8 weeks
General disorders
Fatigue
0.00%
0/22 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
8.3%
2/24 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
Infections and infestations
Sinusitis
9.1%
2/22 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
12.5%
3/24 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
Nervous system disorders
Headache
13.6%
3/22 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
20.8%
5/24 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/22 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
8.3%
2/24 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
Skin and subcutaneous tissue disorders
Rash
9.1%
2/22 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.
12.5%
3/24 • Up to 8 weeks plus 30 days
Safety Analysis Set: participants who received at least 1 dose of study drug.

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