Trial Outcomes & Findings for Safety And Efficacy of Sofosbuvir/Velpatasvir/Voxilaprevir Fixed-Dose Combination for 12 Weeks in Adults Who Participated in a Prior Gilead-Sponsored HCV Treatment Study (NCT NCT03118843)

NCT ID: NCT03118843

Last Updated: 2019-04-03

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

PHASE3

Target enrollment

31 participants

Primary outcome timeframe

Posttreatment Week 12

Results posted on

2019-04-03

Participant Flow

Participants were enrolled at study sites in North America, Europe, New Zealand, and Australia. The first participant was screened on 25 April 2017. The last study visit occurred on 19 March 2018.

38 participants were screened.

Participant milestones

Participant milestones
Measure
SOF/VEL/VOX
Sofosbuvir/velpatasvir/voxilaprevir (SOF/VEL/VOX) (400/100/100 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks
Overall Study
STARTED
31
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety And Efficacy of Sofosbuvir/Velpatasvir/Voxilaprevir Fixed-Dose Combination for 12 Weeks in Adults Who Participated in a Prior Gilead-Sponsored HCV Treatment Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Age, Continuous
60 years
STANDARD_DEVIATION 7.1 • n=93 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
Sex: Female, Male
Male
23 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race/Ethnicity, Customized
Race · White
25 Participants
n=93 Participants
Race/Ethnicity, Customized
Race · Black or African American
5 Participants
n=93 Participants
Race/Ethnicity, Customized
Race · Not Disclosed
1 Participants
n=93 Participants
Region of Enrollment
New Zealand
3 Participants
n=93 Participants
Region of Enrollment
Canada
2 Participants
n=93 Participants
Region of Enrollment
United States
20 Participants
n=93 Participants
Region of Enrollment
United Kingdom
1 Participants
n=93 Participants
Region of Enrollment
Australia
2 Participants
n=93 Participants
Region of Enrollment
France
1 Participants
n=93 Participants
Region of Enrollment
Germany
2 Participants
n=93 Participants
HCV Genotype
Genotype 1
19 Participants
n=93 Participants
HCV Genotype
Genotype 2
2 Participants
n=93 Participants
HCV Genotype
Genotype 3
8 Participants
n=93 Participants
HCV Genotype
Genotype 4
1 Participants
n=93 Participants
HCV Genotype
Genotype 5
1 Participants
n=93 Participants
IL28b Status
CC
3 Participants
n=93 Participants
IL28b Status
CT
21 Participants
n=93 Participants
IL28b Status
TT
7 Participants
n=93 Participants
Cirrhosis Status
Yes
15 Participants
n=93 Participants
Cirrhosis Status
No
16 Participants
n=93 Participants
HCV RNA (log10 IU/mL)
6.5 log10 IU/mL
STANDARD_DEVIATION 0.56 • n=93 Participants
HCV RNA Category
< 800,000 IU/mL
6 Participants
n=93 Participants
HCV RNA Category
≥ 800,000 IU/mL
25 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Posttreatment Week 12

Population: Full Analysis Set included all enrolled participants who took 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
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
100.0 percentage of participants
Interval 88.8 to 100.0

PRIMARY outcome

Timeframe: Up to Week 12

Population: Participants in the Safety Analysis Set were analyzed.

Outcome measures

Outcome measures
Measure
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
0 percentage of participants

SECONDARY outcome

Timeframe: Posttreatment Week 4

Population: Participants in the Full Analysis Set were analyzed.

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

Outcome measures

Outcome measures
Measure
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)
100.0 percentage of participants
Interval 88.8 to 100.0

SECONDARY outcome

Timeframe: Weeks 2, 4, 8, and 12

Population: Participants in the Full Analysis Set were analyzed.

Outcome measures

Outcome measures
Measure
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Percentage of Participants With HCV RNA < LLOQ On Treatment
Week 4
96.8 percentage of participants
Interval 83.3 to 99.9
Percentage of Participants With HCV RNA < LLOQ On Treatment
Week 8
100.0 percentage of participants
Interval 88.8 to 100.0
Percentage of Participants With HCV RNA < LLOQ On Treatment
Week 12
100.0 percentage of participants
Interval 88.8 to 100.0
Percentage of Participants With HCV RNA < LLOQ On Treatment
Week 2
51.6 percentage of participants
Interval 33.1 to 69.8

SECONDARY outcome

Timeframe: Up to Posttreatment Week 12

Population: Participants in the Full Analysis Set were analyzed.

Virologic failure was defined as: * On-treatment virologic failure: * Breakthrough (confirmed HCV RNA ≥ LLOQ after 2 consecutive HCV RNA \< LLOQ), 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
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Percentage of Participants With Virologic Failure
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 2, 4, 8, and 12

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

Outcome measures

Outcome measures
Measure
SOF/VEL/VOX
n=31 Participants
SOF/VEL/VOX (400/100/100 mg) FDC tablet once daily for 12 weeks
Change From Baseline in HCV RNA
Change at Week 2
-5.16 log10 IU/mL
Standard Deviation 0.560
Change From Baseline in HCV RNA
Change at Week 4
-5.34 log10 IU/mL
Standard Deviation 0.571
Change From Baseline in HCV RNA
Change at Week 8
-5.34 log10 IU/mL
Standard Deviation 0.563
Change From Baseline in HCV RNA
Change at Week 12
-5.34 log10 IU/mL
Standard Deviation 0.563

Adverse Events

SOF/VEL/VOX

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SOF/VEL/VOX
n=31 participants at risk
SOF/VEL/VOX (400/100/100 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks
Gastrointestinal disorders
Gastrointestinal haemorrhage
3.2%
1/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
General disorders
Asthenia
3.2%
1/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.

Other adverse events

Other adverse events
Measure
SOF/VEL/VOX
n=31 participants at risk
SOF/VEL/VOX (400/100/100 mg) fixed-dose combination (FDC) tablet once daily for 12 weeks
Gastrointestinal disorders
Abdominal distension
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Gastrointestinal disorders
Abdominal pain
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Gastrointestinal disorders
Diarrhoea
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Gastrointestinal disorders
Dyspepsia
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Gastrointestinal disorders
Nausea
16.1%
5/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
General disorders
Fatigue
16.1%
5/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
General disorders
Pain
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Infections and infestations
Pneumonia
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Infections and infestations
Upper respiratory tract infection
9.7%
3/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Nervous system disorders
Headache
12.9%
4/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Psychiatric disorders
Anxiety
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Psychiatric disorders
Insomnia
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
6.5%
2/31 • Adverse Events: Up to 12 weeks plus 30 days; All-Cause Mortality: Up to Posttreatment Week 12
Safety Analysis Set included all participants who took at least 1 dose of study drug.

Additional Information

Gilead Clinical Study Information Center

Gilead Sciences

Phone: 1-833-445-3230 (GILEAD-0)

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