Trial Outcomes & Findings for Immunologic Effects of HCV Therapy With HARVONI in HCV Genotype 1 Chronically Mono-infected Active and Former IDUs (NCT NCT02347345)

NCT ID: NCT02347345

Last Updated: 2019-08-13

Results Overview

Marker of immune activation as measured by levels of soluble CD14. Note that the levels of sCD14 were only measured at baseline in the Healthy Volunteers group and therefore there are no data for weeks 4, 12, or 24 entered.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

34 participants

Primary outcome timeframe

24 weeks

Results posted on

2019-08-13

Participant Flow

Participant milestones

Participant milestones
Measure
Active Injection Drug Use (IDU)
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Former Injection Drug Use (Former IDU)
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Healthy Volunteers
HIV, HCV, and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at screening.
Overall Study
STARTED
10
12
12
Overall Study
COMPLETED
10
12
12
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Immunologic Effects of HCV Therapy With HARVONI in HCV Genotype 1 Chronically Mono-infected Active and Former IDUs

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Injection Drug Use (IDU)
n=10 Participants
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Former Injection Drug Use (Former IDU)
n=12 Participants
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Healthy Volunteers
n=12 Participants
HIV, HCV, and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at screening.
Total
n=34 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
12 Participants
n=7 Participants
12 Participants
n=5 Participants
34 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
23 Participants
n=4 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
12 Participants
n=7 Participants
12 Participants
n=5 Participants
34 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: 9/10 Active injectors, 11/12 former injectors and 12/12 healthy volunteers completed the study.

Marker of immune activation as measured by levels of soluble CD14. Note that the levels of sCD14 were only measured at baseline in the Healthy Volunteers group and therefore there are no data for weeks 4, 12, or 24 entered.

Outcome measures

Outcome measures
Measure
Active Injection Drug Use (IDU)
n=10 Participants
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Former Injection Drug Use (Former IDU)
n=12 Participants
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Healthy Volunteers
n=12 Participants
HIV, HCV and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at the screening visit.
sCD14 (ng/mL)
baseline
1986 ng/mL
Standard Deviation 217
1918 ng/mL
Standard Deviation 208
1542 ng/mL
Standard Deviation 249
sCD14 (ng/mL)
week 4
2060 ng/mL
Standard Deviation 443
1805 ng/mL
Standard Deviation 183
sCD14 (ng/mL)
week 12
2036 ng/mL
Standard Deviation 339
1782 ng/mL
Standard Deviation 193
sCD14 (ng/mL)
week 24
1973 ng/mL
Standard Deviation 266
1819 ng/mL
Standard Deviation 193

SECONDARY outcome

Timeframe: 24 weeks

Population: 9/10 Active injectors, 11/12 former injectors and 12/12 healthy volunteers completed the study. Healthy volunteers are HCV uninfected therefore HCV RNA levels are not measured on this group of participants.

HCV RNA levels in plasma (IU/mL)

Outcome measures

Outcome measures
Measure
Active Injection Drug Use (IDU)
n=10 Participants
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Former Injection Drug Use (Former IDU)
n=12 Participants
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Healthy Volunteers
HIV, HCV and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at the screening visit.
Virologic Response to Therapy as Measured by HCV RNA
baseline
7781148 HCV RNA copies/mL plasma
Standard Deviation 8662099
2320026 HCV RNA copies/mL plasma
Standard Deviation 3994266
Virologic Response to Therapy as Measured by HCV RNA
week 24
0 HCV RNA copies/mL plasma
Standard Deviation 0
0 HCV RNA copies/mL plasma
Standard Deviation 0
Virologic Response to Therapy as Measured by HCV RNA
week 12
0 HCV RNA copies/mL plasma
Standard Deviation 0
0 HCV RNA copies/mL plasma
Standard Deviation 0

SECONDARY outcome

Timeframe: 24 weeks

Population: 9/10 Active injectors, 11/12 former injectors and 12/12 healthy volunteers completed the study. Healthy volunteers were only studied at baseline. No data for weeks 4, 12, 24.

Gene expression profiles in PBMC will be determined using RNA Seq

Outcome measures

Outcome measures
Measure
Active Injection Drug Use (IDU)
n=9 Participants
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Former Injection Drug Use (Former IDU)
n=11 Participants
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill orally daily x 12 weeks Harvoni (Fixed dose combination ledipasvir/sofosbuvir): Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill daily x 12 weeks
Healthy Volunteers
n=12 Participants
HIV, HCV and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at the screening visit.
Gene Expression Profiles
baseline
9 RNA seq different from active IDU
11 RNA seq different from active IDU
12 RNA seq different from active IDU
Gene Expression Profiles
4 weeks
9 RNA seq different from active IDU
11 RNA seq different from active IDU
Gene Expression Profiles
12 weeks
9 RNA seq different from active IDU
11 RNA seq different from active IDU
Gene Expression Profiles
24 weeks
9 RNA seq different from active IDU
11 RNA seq different from active IDU

Adverse Events

Active Injection Drug Use (IDU)

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

Former Injection Drug Use (Former IDU)

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

Healthy Volunteers

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

Serious adverse events

Serious adverse events
Measure
Active Injection Drug Use (IDU)
n=10 participants at risk
In active IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Former Injection Drug Use (Former IDU)
n=12 participants at risk
In former IDU, Harvoni (Fixed dose combination ledipasvir/sofosbuvir), one pill oral daily x 12 weeks.
Healthy Volunteers
n=12 participants at risk
HIV, HCV, and HBV negative, never injected drugs, no recreational drugs for at least 2 years (does not include marijuana) and negative urine screen for opiates at screening.
General disorders
Drug overdose
0.00%
0/10
8.3%
1/12 • Number of events 1
0.00%
0/12

Other adverse events

Adverse event data not reported

Additional Information

Martin Markowitz MD

Aaron Diamond AIDS Research Center

Phone: 212-448-5020

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place