Hepatitis C, ChronicPhase 2QUANTUMNCT01435044
Safety Study of Regimens of Sofosbuvir, GS-0938, and Ribavirin in Patients With Chronic Hepatitis C Infection
A Phase 2 study testing Sofosbuvir, GS-0938 and RBV in people with Hepatitis C, Chronic, run by Gilead Sciences at 44 sites in 2 countries.
Trial summary
This study was designed to assess the safety and efficacy of multiple interferon-free treatment regimens of sofosbuvir (Sovaldi™; GS-7977; PSI-7977) and GS-0938 (PSI-352938) alone and in combination, with and without ribavirin (RBV). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- Sofosbuvir, GS-0938 and RBV
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 239 participants
- Where
- 44 sitesin 2 countries
- Study dates
- Sep 2011to May 2013
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic HCV-infection
- Naive to all HCV antiviral treatment
- Otherwise healthy patients
Who cannot join
- Positive test at Screening for HBsAg, anti-HBc IgM Ab, or anti-HIV Ab
- History of any other clinically significant chronic liver disease
- Medical history which the investigator considers the patient unsuitable for the study
Trial locations and contacts
44 sites in 2 countries.
44 sites in 2 countries
United States42 sites
Investigative Clinical Research
Annapolis, Maryland, 21401
Texas Clinical Research Institute
Arlington, Texas, 76012
Ashville Gastroenterology Associates
Ashville, North Carolina, 28801
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Study site
Atlanta, Georgia, 30308
Central Texas Clinical Research
Austin, Texas, 78705
Study site
Bakersfield, California, 93301
Study site
Baltimore, Maryland, 21229
Study site
Cincinnati, Ohio
Study site
Coronado, California, 92118
Avail Clinical Research
DeLand, Florida, 32720
Study site
Denver, Colorado, 80220
Digestive Health Services
Downers Grove, Illinois, 60515
Study site
Engelwood, Colorado, 80113
South Denver Gastroenterology
Englewood, Colorado, 80113
University of Florida Hepatology
Gainesville, Florida, 32610
Gastro One
Germantown, Tennessee, 38138
ID Care
Hillsborough, New Jersey, 08844
Study site
La Mesa, California, 91942
Study site
Los Angeles, California, 90036
CLI
Los Angeles, California, 90048
Study site
Marietta, Georgia, 30060
University of Miami Center for Liver Diseases
Miami, Florida, 33136
Alabama Liver & Digestive Specialists
Montgomery, Alabama, 36116
Nashville Gastrointestinal Specialists
Nashville, Tennessee, 37211
Concorde Medical Group
New York, New York, 10016
Mount Sinai Medical Center
New York, New York, 10029
Digestive and Liver Disease Specialists
Norfolk, Virginia, 23502
Orlando Immunology Center
Orlando, Florida, 32803
Internal Medicine Specialists
Orlando, Florida, 32806
Alamo Medical Research
San Antonio, Texas, 78215
UCSD Antiviral Research Center
San Diego, California, 92103
eStudy Site
San Diego, California, 92120
Medical Associates Research Group
San Diego, California, 92193
Quest Clinical Research
San Francisco, California, 94115
Virginia Mason Medical Center
Seattle, Washington, 98101
Miami Research Associates
South Miami, Florida, 33143
Carolina's Center for Liver Disease
Statesville, North Carolina, 28677
Advanced Research Institute
Trinity, Florida, 34655
Study site
Washington D.C., District of Columbia, 20009
South Florida Center of Gastroenterology
Wellington, Florida, 33414
Digestive Health Specialists
Winston-Salem, North Carolina, 27103
Puerto Rico2 sites
Study site
San Juan, Puerto Rico, 00909
Fundacion de Investigacion de Diego
San Juan, 00927
About this study
Official title: QUANTUM: An International, Multi-center, Blinded, Randomized Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Administration of Regimens Containing PSI-352938, PSI-7977, and Ribavirin in Patients With Chronic Hepatitis C Virus (HCV) Infection
This study was designed to assess the safety and efficacy of multiple interferon-free treatment regimens of sofosbuvir (Sovaldi™; GS-7977; PSI-7977) and GS-0938 (PSI-352938) alone and in combination, with and without ribavirin (RBV). Each regimen was to be evaluated over 12 and 24 weeks to identify the optimal duration of therapy to maximize the benefit (sustained virologic response [SVR]) versus risk (safety and resistance).
- Conditions
- Hepatitis C, Chronic
- Being tested
- Sofosbuvir, GS-0938, RBV, Placebo to match sofosbuvir, Placebo to match GS-0938
- Keywords
- Hepatitis C, Chronic, HCV
- Medical subject headings
- Hepatitis C, Chronic, Hepatitis C, Bronchiolitis Obliterans Syndrome
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 400 mg (2 × 200 mg tablets) administered orally once daily
GS-0938Drug
Also called PSI-352938
GS-0938 300 mg (3 × 100 mg tablets) administered orally once daily
RBVDrug
Also called Ribasphere®
Ribavirin (RBV) tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg)
Placebo to match sofosbuvirDrug
Placebo to match sofosbuvir administered orally once daily
Placebo to match GS-0938Drug
Placebo to match GS-0938 administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| SOF+RBV 12 Weeks | Experimental | Participants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 12 weeks. Receives: Drug: Sofosbuvir; Drug: RBV |
| SOF+RBV 24 Weeks | Experimental | Participants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 24 weeks. Receives: Drug: Sofosbuvir; Drug: RBV |
| GS-0938 Alone | Experimental | Participants were randomized to receive GS-0938 plus placebo to match sofosbuvir for up to 24 weeks. Receives: Drug: GS-0938; Drug: Placebo to match sofosbuvir |
| GS-0938+SOF | Experimental | Participants were randomized to receive GS-0938 plus sofosbuvir for up to 24 weeks. Receives: Drug: Sofosbuvir; Drug: GS-0938 |
| GS-0938+SOF+RBV | Experimental | Participants were randomized to receive GS-0938 plus sofosbuvir plus RBV for up to 24 weeks. Receives: Drug: Sofosbuvir; Drug: GS-0938; Drug: RBV |
| Placebo | Experimental | Deferred start group: Participants were randomized to receive placebo to match GS-0938 plus placebo to match sofosbuvir for 24 Weeks. Receives: Drug: Placebo to match sofosbuvir; Drug: Placebo to match GS-0938 |
| Retreatment Group - SOF+RBV 24 Weeks | Experimental | After discontinuing a regimen containing GS-0938, participants received sofosbuvir plus RBV for up to 24 weeks. Receives: Drug: Sofosbuvir; Drug: RBV |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants with sustained virologic response (SVR) 12 weeks after discontinuation of study drug (SVR12)
SVR12 was defined as HCV RNA < LLOQ 12 weeks after the last dose of all study drugs.
Measured: Post-treatment Week 12
Secondary outcomes (6)
Percentage of Participants Who Experienced Adverse Events
Adverse events (AEs) were summarized across the participant population. A participant was counted once if they had a qualifying event.
Measured: Baseline to Week 24 plus 30 days
Change from baseline in HCV RNA
Measured: Baseline to Week 12
Percentage of Participants With HCV RNA < LLOQ during treatment
Measured: Baseline to Week 12
Percentage of Participants With ALT Normalization
ALT normalization was defined as ALT > ULN at baseline and ALT ≤ ULN at a subsequent visit.
Measured: Baseline to post-treatment Week 4
Percentage of participants with SVR at 4 and 24 weeks after discontinuation of study drug (SVR4; SVR24)
SVR4 and SVR24 was defined as HCV RNA < LLOQ 4 and 24 weeks after the last dose of all study drugs, respectively.
Measured: Post-treatment Weeks 4 and 24
Percentage of Participants Who Developed Resistance to Sofosbuvir
Measured: Baseline to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Sep 2011 (estimated)
- Study startSep 2011
- Primary completionApr 2013
- Study completionMay 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 239 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Responsible party
- Sponsor
- Investigators
- Robert H. Hyland, DPhil, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01435044
- Sponsor's protocol ID
- P2938-0721
- Acronym
- QUANTUM
- Status last verified
- Jan 2014
- First submitted
- 9 Sep 2011
- Last updated
- 6 Feb 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Feb 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- QUANTUM: An International, Multi-center, Blinded, Randomized Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Administration of Regimens Containing PSI-352938, PSI-7977, and Ribavirin in Patients With Chronic Hepatitis C Virus (HCV) Infection
- ClinicalTrials.gov ID
- NCT01435044
- Acronym / sponsor ID
- QUANTUM / P2938-0721
- Conditions
- Hepatitis C, Chronic
- Keywords
- Hepatitis C, Chronic, HCV
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 239 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Collaborators
- Quintiles, Inc.
- Study start
- Sep 2011
- Primary completion
- Apr 2013 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 15 Sep 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was designed to assess the safety and efficacy of multiple interferon-free treatment regimens of sofosbuvir (Sovaldi™; GS-7977; PSI-7977) and GS-0938 (PSI-352938) alone and in combination, with and without ribavirin (RBV). Each regimen was to be evaluated over 12 and 24 weeks to identify the optimal duration of therapy to maximize the benefit (sustained virologic response [SVR]) versus risk (safety and resistance).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| SOF+RBV 12 Weeks | Experimental | Drug: Sofosbuvir, Drug: RBVParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 12 weeks. |
| SOF+RBV 24 Weeks | Experimental | Drug: Sofosbuvir, Drug: RBVParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 24 weeks. |
| GS-0938 Alone | Experimental | Drug: GS-0938, Drug: Placebo to match sofosbuvirParticipants were randomized to receive GS-0938 plus placebo to match sofosbuvir for up to 24 weeks. |
| GS-0938+SOF | Experimental | Drug: Sofosbuvir, Drug: GS-0938Participants were randomized to receive GS-0938 plus sofosbuvir for up to 24 weeks. |
| GS-0938+SOF+RBV | Experimental | Drug: Sofosbuvir, Drug: GS-0938, Drug: RBVParticipants were randomized to receive GS-0938 plus sofosbuvir plus RBV for up to 24 weeks. |
| Placebo | Experimental | Drug: Placebo to match sofosbuvir, Drug: Placebo to match GS-0938Deferred start group: Participants were randomized to receive placebo to match GS-0938 plus placebo to match sofosbuvir for 24 Weeks. |
| Retreatment Group - SOF+RBV 24 Weeks | Experimental | Drug: Sofosbuvir, Drug: RBVAfter discontinuing a regimen containing GS-0938, participants received sofosbuvir plus RBV for up to 24 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Chronic HCV-infection
- Naive to all HCV antiviral treatment
- Otherwise healthy patients
Key exclusion criteria (3 listed)
- Positive test at Screening for HBsAg, anti-HBc IgM Ab, or anti-HIV Ab
- History of any other clinically significant chronic liver disease
- Medical history which the investigator considers the patient unsuitable for the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SofosbuvirAlso: Sovaldi™, GS-7977, PSI-7977Sofosbuvir 400 mg (2 × 200 mg tablets) administered orally once daily | Drug | GS-0938+SOF, GS-0938+SOF+RBV, Retreatment Group - SOF+RBV 24 Weeks, SOF+RBV 12 Weeks, SOF+RBV 24 Weeks |
| GS-0938Also: PSI-352938GS-0938 300 mg (3 × 100 mg tablets) administered orally once daily | Drug | GS-0938 Alone, GS-0938+SOF, GS-0938+SOF+RBV |
| RBVAlso: Ribasphere®Ribavirin (RBV) tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg) | Drug | GS-0938+SOF+RBV, Retreatment Group - SOF+RBV 24 Weeks, SOF+RBV 12 Weeks, SOF+RBV 24 Weeks |
| Placebo to match sofosbuvirPlacebo to match sofosbuvir administered orally once daily | Drug | GS-0938 Alone, Placebo |
| Placebo to match GS-0938Placebo to match GS-0938 administered orally once daily | Drug | Placebo |
Primary outcome
Percentage of participants with sustained virologic response (SVR) 12 weeks after discontinuation of study drug (SVR12)
Time frame: Post-treatment Week 12
SVR12 was defined as HCV RNA < LLOQ 12 weeks after the last dose of all study drugs.
6 secondary outcomes
Percentage of Participants Who Experienced Adverse Events
Time frame: Baseline to Week 24 plus 30 days
Change from baseline in HCV RNA
Time frame: Baseline to Week 12
Percentage of Participants With HCV RNA < LLOQ during treatment
Time frame: Baseline to Week 12
Percentage of Participants With ALT Normalization
Time frame: Baseline to post-treatment Week 4
Percentage of participants with SVR at 4 and 24 weeks after discontinuation of study drug (SVR4; SVR24)
Time frame: Post-treatment Weeks 4 and 24
Percentage of Participants Who Developed Resistance to Sofosbuvir
Time frame: Baseline to Week 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Feb 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert H. Hyland, DPhil study director
Gilead Sciences
44 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sofosbuvir, GS-0938 and RBV in people with Hepatitis C, Chronic, run by Gilead Sciences at 44 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 3 inclusion and 3 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 6 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 44 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 with sustained virologic response (SVR) 12 weeks after discontinuation of study drug (SVR12) (time frame: Post-treatment Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Feb 2014.