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Hepatitis C VirusPhase 2NCT01188772

Sofosbuvir in Combination With Pegylated Interferon and Ribavirin and in Treatment-Naive Hepatitis C-infected Patients

A Phase 2 study testing Sofosbuvir, PEG and RBV in people with Hepatitis C Virus, run by Gilead Sciences at 23 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Genotype 1: Participants with genotype 1 hepatitis C (HCV) infection were randomized to receive sofosbuvir (GS-7977; PSI-7977) 200 mg or 400 mg, or matching placebo, plus pegylated interferon alfa 2a (PEG) and ribavirin (RBV) for 12 weeks, followed by PEG+RBV for an up to an additional 36 weeks. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C Virus
What is being tested?
Sofosbuvir, PEG and RBV
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
147 participants
Where
23 sitesin 2 countries
Study dates
Aug 2010to May 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females aged 18 to 70 years, inclusive, at screening
  • Documented chronic genotype 1, 2, or 3 HCV infection
  • No previous treatment with HCV antiviral mediations
  • Body mass index (BMI) of greater than 18 kg/m2, but not exceeding 36 kg/m2.
  • Liver biopsy obtained within 3 years prior to the Day 1 visit, with a fibrosis classification of non-cirrhotic as judged by a local pathologist
  • Willing to refrain from beginning any new exercise regimens during the first 3 months of the study
  • Fasting blood glucose ≤ 300 mg/dl and/or glycosylated hemoglobin (HbA1c) ≤ 8
  • History of hypertension only if managed effectively on a stable regimen of two or fewer antihypertensives for at least three (3) months prior to screening

Who cannot join

  • Females who were breastfeeding
  • Males and females of reproductive potential who are unwilling to use an "effective", protocol-specified method(s) of contraception during the study
  • Positive test at Screening for HBsAg, anti-HBc IgM Ab, or anti-HIV Ab.
  • History of any other clinically significant chronic liver disease
  • Treatment with herbal/natural remedies with antiviral activity within 30 days prior to baseline.
  • Significant history of immunologically mediated disease, cardiac or pulmonary disease, seizure disorder or anticonvulsant use
Show all 17Show fewer
  • History of ascites, variceal hemorrhage, hepatic encephalopathy, or conditions consistent with decompensated liver disease
  • Use of medications associated with QT prolongation within 30 days prior to dosing
  • Screening electrocardiogram (ECG) QTc value greater than 450 ms and/or clinically significant ECG findings
  • Personal or family history of Torsade de pointes.
  • Positive results for drugs of abuse test at screening
  • Abnormal hematological and biochemical parameters, including alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 5 times the upper limit of the normal range (ULN)
  • History of major organ transplantation with an existing functional graft
  • History of uncontrolled thyroid disease or abnormal thyroid-stimulating hormone (TSH) levels at screening
  • Clinically significant drug allergy to nucleoside/nucleotide analogs
  • History or current evidence of psychiatric illness, immunologic disorder, pulmonary, cardiac disease, seizure disorder, cancer or history of malignancy that in the opinion of the investigator makes the patient unsuitable for the study
  • History of systemic antineoplastic or immunomodulatory treatment within 6 months prior to dosing, or the expectation of such treatment during the study

Trial locations and contacts

23 sites in 2 countries.

23 sites in 2 countries

United States22 sites
  • Advanced Clinical Research Institute

    Anaheim, California

  • Liver Research Center Beth Israel Deaconess Medical Center

    Boston, Massachusetts

  • Dr. Jama Darling

    Chapel Hill, North Carolina

  • University of Chicago

    Chicago, Illinois

  • Columbia Gastroenterology and Liver Associates

    Columbia, South Carolina

  • SCTI Research Foundation

    Coronado, California

  • Dr. David Nelson

    Gainesville, Florida

  • Kansas City Gastroenterology and Hepatology

    Kansas City, Missouri

  • Cedars Sinai Medical Center

    Los Angeles, California

  • Dr. Mark Sulkowski

    Lutherville, Maryland

  • North Shore University Hospital

    Manhasset, New York

  • Gastrointestinal Specialists of Georgia

    Marietta, Georgia

  • Alabama Liver and Digestive Specialists

    Montgomery, Alabama

  • Dr. Ira Jacobson

    New York, New York

  • Mount Sinai School of Medicine

    New York, New York

  • Orlando Immunology Center

    Orlando, Florida

  • Dr. Raj Reddy

    Philadelphia, Pennsylvania

  • Dr. Eric Lawitz

    San Antonio, Texas

  • Dr. Jay Lalezari

    San Francisco, California

  • Dr. Natalie Bzowej

    San Francisco, California

  • Digestive Disease Institute Virginia Mason Medical Center

    Seattle, Washington

  • Dr. Bruce Bacon

    St Louis, Missouri

Other trials in United States

Puerto Rico1 site
  • Fundacion de Investigacion de Diego

    Santurce, Puerto Rico

Other trials in Puerto Rico

About this study

Official title: A Multi-center, Placebo-Controlled, Dose Ranging Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Oral Administration of PSI-7977 in Combination With Pegylated Interferon and Ribavirin in Treatment-Naïve Patients With Chronic HCV Infection Genotype 1, and an Open Label Assessment of PSI-7977 in Patients With HCV Genotypes 2 or 3

Genotype 1: Participants with genotype 1 hepatitis C (HCV) infection were randomized to receive sofosbuvir (GS-7977; PSI-7977) 200 mg or 400 mg, or matching placebo, plus pegylated interferon alfa 2a (PEG) and ribavirin (RBV) for 12 weeks, followed by PEG+RBV for an up to an additional 36 weeks. Randomization was stratified by IL28B status (CC, CT, TT) and HCV RNA level (< 800,000 IU/ml or ≥ 800,000 IU/ml) at baseline. Participants were randomized in a 2:2:1 manner; those who achieved an extended rapid virologic response (eRVR) (HCV RNA < lower limit of detection [15 IU/mL] from Weeks 4 through 12) received an additional 12 weeks of PEG+RBV. Subjects not achieving eRVR received an additional 36 weeks of PEG+RBV.

Genotype 2 and 3: Participants with genotype 2 or 3 hepatitis C (HCV) received sofosbuvir 400 mg plus PEG+RBV for 12 weeks.

Being tested
Sofosbuvir, Placebo to match sofosbuvir, PEG, RBV
Keywords
Hepatitis C Virus, HCV, hepatitis, Genotype 1, Genotype 2, Genotype 3
Medical subject headings
Hepatitis C, Hepatitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SofosbuvirDrug

    Also called Sovaldi®, GS-7977, PSI-7977

    Sofosbuvir tablets were administered orally once daily.

  • Placebo to match sofosbuvirDrug

    Placebo tablets to match sofosbuvir were administered orally once daily.

  • PEGDrug

    Also called Pegasys®

    Pegylated interferon alfa-2a (PEG) 180 μg was administered once weekly by subcutaneous injection.

  • RBVDrug

    Also called Copegus®

    Ribavirin (RBV) was administered as a tablet orally according to package insert dosing recommendations (Genotype 1: < 75kg = 1000 mg and ≥ 75 kg = 1200 mg; Genotype 2/3: 800 mg).

Study groups in NCT01188772
Study groupRoleWhat they receive
Sofosbuvir 200 mg (Genotype 1)ExperimentalParticipants with genotype 1 HCV infection were randomized to receive sofosbuvir 200 mg (2 x 100 mg tablets)+placebo to match sofosbuvir (2 tablets)+PEG+RBV for 12 weeks followed by PEG+RBV for up to an additional 36 weeks.
Receives: Drug: Sofosbuvir; Drug: Placebo to match sofosbuvir; Drug: PEG; Drug: RBV
Sofosbuvir 400 mg (Genotype 1)ExperimentalParticipants with genotype 1 HCV infection were randomized to receive sofosbuvir 400 mg (4 x 100 mg tablets)+PEG+RBV for 12 weeks followed by PEG+RBV for up to an additional 36 weeks.
Receives: Drug: PEG; Drug: RBV
Placebo (Genotype 1)Active comparatorParticipants with genotype 1 HCV infection were randomized to receive placebo to match sofosbuvir (4 tablets)+PEG+RBV for 12 weeks followed by PEG+RBV for up to an additional 36 weeks.
Receives: Drug: Placebo to match sofosbuvir; Drug: PEG; Drug: RBV
Sofosbuvir 400 mg (Genotype 2/3)ExperimentalParticipants with genotype 2 or 3 HCV infection received sofosbuvir 400 mg (4 x 100 mg tablets)+PEG+RBV for 12 weeks.
Receives: Drug: Sofosbuvir; Drug: PEG; Drug: RBV

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Experienced Adverse Events During the Sofosbuvir Treatment Period

    Adverse events (AEs) occurring during the sofosbuvir treatment period and for 30 days following the last dose of sofosbuvir were summarized across the participant population. A participant was counted once if they had a qualifying event.

    Measured: Baseline to Week 12 plus 30 days

Secondary outcomes (13)
  1. Change in HCV RNA From Baseline to Week 12

    Measured: Baseline to Week 12

  2. Percentage of Participants With Rapid Virologic Response at Week 4

    Rapid virologic response was defined as HCV RNA below the limit of detection (< 15 IU/mL) at Week 4 (Day 29)

    Measured: Week 4

  3. Percentage of Participants With Complete Early Virologic Response at Week 12

    Complete early virologic response was defined as HCV RNA below the limit of detection (< 15 IU/mL) at Week 12

    Measured: Week 12

  4. Percentage of Participants With Extended Rapid Virologic Response

    Extended rapid virologic response was defined as HCV RNA below the limit of detection (< 15 IU/mL) at Week 4 (Day 29) which was maintained through Week 12.

    Measured: Week 4 to Week 12

  5. Percentage of Participants With Virologic Response at the End of Treatment

    End-of-treatment virologic response was defined as HCV RNA below the limit of detection (< 15 IU/mL) at the last on-treatment visit.

    Measured: Week 48 (genotype 1) or Week 12 (genotype 2/3)

  6. Percentage of Participants With Sustained Virologic Response at Post-treatment Week 12 (SVR12) and 24 (SVR24)

    SVR12 and SVR24 were defined as HCV RNA below the limit of detection (< 15 IU/mL) at post-treatment Weeks 12 and 24, respectively.

    Measured: Post-treatment Weeks 12 and 24

  7. Plasma Pharmacokinetics of GS-331007 (Cmax at Day 8)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the maximum observed concentration of drug in plasma (Cmax) at Day 8. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  8. Plasma Pharmacokinetics of GS-331007 (Cmax at Day 15)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the Cmax at Day 15. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  9. Plasma Pharmacokinetics of GS-331007 (Cmax at Day 29)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the Cmax at Day 29. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  10. Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 8)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the the area under the plasma concentration versus time curve over the dosing interval (AUCtau) at Day 8. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  11. Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 15)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the the area under the plasma concentration versus time curve over the dosing interval (AUCtau) at Day 15. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  12. Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 29)

    The pharmacokinetics of sofosbuvir metabolite GS-331007 were analyzed as the the area under the plasma concentration versus time curve over the dosing interval (AUCtau) at Day 29. Blood samples were collected at 1, 2, and 4 hours postdose for all participants, and at 8 and 12 hours postdose for participants enrolled at selected sites.

    Measured: 1, 2, 4, 8, and 12 hours postdose

  13. Percentage of Participants Who Developed Resistance to Sofosbuvir

    Resistance monitoring was completed in all subjects who received sofosbuvir and who had non-response, viral rebound, virologic breakthrough, or HCV RNA plateaus between Day 0 and Week 24.

    Measured: Baseline to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Aug 2010 (estimated)
  2. Study startAug 2010
  3. Primary completionApr 2011
  4. Study completionMay 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
147 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01188772
Sponsor's protocol ID
P7977-0422
Status last verified
Apr 2014
First submitted
23 Aug 2010
Last updated
21 Apr 2014
Data monitoring committee
Yes

Publications

  • Lawitz E, Lalezari JP, Hassanein T, Kowdley KV, Poordad FF, Sheikh AM, Afdhal NH, Bernstein DE, Dejesus E, Freilich B, Nelson DR, Dieterich DT, Jacobson IM, Jensen D, Abrams GA, Darling JM, Rodriguez-Torres M, Reddy KR, Sulkowski MS, Bzowej NH, Hyland RH, Mo H, Lin M, Mader M, Hindes R, Albanis E, Symonds WT, Berrey MM, Muir A. Sofosbuvir in combination with peginterferon alfa-2a and ribavirin for non-cirrhotic, treatment-naive patients with genotypes 1, 2, and 3 hepatitis C infection: a randomised, double-blind, phase 2 trial. Lancet Infect Dis. 2013 May;13(5):401-8. doi: 10.1016/S1473-3099(13)70033-1. Epub 2013 Mar 15.

    PubMed 23499158

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sofosbuvir, PEG and RBV in people with Hepatitis C Virus, run by Gilead Sciences at 23 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Feb 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Who Experienced Adverse Events During the Sofosbuvir Treatment Period (time frame: Baseline to Week 12 plus 30 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01188772, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Apr 2014.

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