Hepatitis CPhase 3NCT01682720
Sofosbuvir and Ribavirin in Treatment-Naive and Treatment-Experienced Subjects With Chronic Genotype 2 or 3 HCV Infection
A Phase 3 study testing SOF and RBV in people with Hepatitis C, run by Gilead Sciences at 77 sites in 10 countries.
Trial summary
This study will evaluate the safety, tolerability, and antiviral efficacy of GS-7977 with ribavirin (RBV) in participants with genotype 2 or 3 hepatitis C virus (HCV) infection. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C
- What is being tested?
- SOF and RBV
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 421 participants
- Where
- 77 sitesin 10 countries
- Study dates
- Sep 2012to Jan 2014
- Phase
- Phase 3
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age > 18 with chronic genotype 2 or 3 HCV infection
- HCV RNA > 10,000 IU/mL at screening
- Subjects must be treatment naive or treatment experienced
- Presence or absence of cirrhosis; a liver biopsy may be required
- Healthy according to medical history and physical examination with the exception of HCV diagnosis
- Agree to use two forms of highly effective contraception for the duration of the study and 6 months after the last dose of study medication
Who cannot join
- Prior use of any other inhibitor of the HCV NS5B Polymerase
- History of any other clinically significant chronic liver disease
- Evidence of or history of decompensated liver disease
- HIV or chronic hepatitis B virus (HBV) infection
- Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
- Chronic use of immunosuppressive agents or immunomodulatory agents
- History or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the subject's participation for the full duration of the study or not be in the best interest of the subject in the opinion of the investigator
Trial locations and contacts
77 sites in 10 countries.
77 sites in 10 countries
France15 sites
CHRU de Lille, Hopital Claude Huriez
CHRU Lille, 59037
CHU Estaing
Clermont-Ferrand, 63003
Hopital Beaujon
Clichy, 92110
Hopital Henri Mondor
Créteil, 94000
Département Hépatogastroentérologie - CHU de Grenoble
Grenoble, 38043
Hopital Saint Joseph
Marseille, 13008
Hopital Saint Eloi
Montpellier, 34295
Hopital de l Archet 2
Nice, 6202
Hopital Saint Antoine
Paris, 75012
Hopital Pitie Salpetriere
Paris, 75013
Hopitaux Universitaires
Paris, 75679
Groupe Hospitalier Sud - Hôpital Haut-Lévêque - USN
Pessac, 33604
CHU Pontchaillou - Hématologie Clinique
Rennes, 35033
Centre Hospitalier Universitaire de Strasbourg
Strasbourg, 67091
CHU de Nancy, Hôpital de Brabois
Vandœuvre-lès-Nancy, 54511
Germany14 sites
Leber- and Studienzentrum am Checkpoint
Berlin, 10969
Universitaetsklinikum Bonn
Bonn, 53125
Heinrich Heine Unversitat
Düsseldorf, 40225
JWG-Universität Frankfurt
Frankfurt am Main, 60590
Praxiszentrum
Freiburg im Breisgau, Baden-Wurttemberg, 79098
Asklepios Klinik Sankt Georg H
Hamburg, 20099
Universitatsklinikum
Hamburg, 20246
Medizinische Hochschule Hannov
Hanover, 30625
Medizinische Klinik IV, Dep. o
Heidelberg, 69120
Gastroenterologische Gemeinsch
Herne, 44623
Leberstudienzentrum Kiel
Kiel, 24146
Universitaetsklinikum Leipzig
Leipzig, 4103
Klinikum der Universität Münch
München, 81377
Centrum fuer interdisziplinaere Medizin Muenster GmbH
Münster, D-48143
Italy12 sites
Azienda Ospedaliera di Bologna - Policlinico S. Orsola Malpighi
Bologna, 40138
Ospedale S. Annunziata
Florence, 50011
Ente Ospedaliero Ospedali Galliera
Genova, 16128
Fondazione IRCCS CA Granada - Ospedale Maggiore Policlinico
Milan, 20122
Azienda Ospedaliera Ospedale Niguarda Cà Granda
Milan, 20162
University of Padova
Padova, 35100
University of Palermo
Palermo, 90127
Azienda Ospedaliero Universitaria di Parma
Parma, 43100
Fondazione PTV - Policlinico Tor Vergata
Roma, 133
INMI "Lazzaro Spallanzani" I.R.C.C.S.
Roma, 149
Ospedale Casa Sollievo
San Giovanni Rotondo, Foggia, 71013
Azienda Ospedaliera Universitaria San Giovanni Battista di Torino
Torino, 10126
United Kingdom10 sites
Bristol Royal Infirmary
Bristol, BS2 8HW
North Manchester General Hospital
Crumpsall, Manchester, M8 5RB
King's College Hospital
Denmark Hill, London, SE5 9RS
University of Birmingham
Edgbaston, Birmingham, B15 2TH
Queen Marys University of London
London, E1 2AT
Royal Free Hospital and University College London Hospital
London, NW3 2PF
Chelsea & Westminster Hospital
London, SW109NH
Nottingham University Hospitals-NHS
Nottingham, NG7 2UH
The Liver Unit
Paddington, London, W2 1NY
Southampton University Hospital NHS Trust
Southhampton, Hampshire, SO41 3QP
Spain9 sites
Hospital Universitari Vall d'H
Barcelona, 08035
Hospital Casa de la Maternidad
Barcelona, 08036
Hospital Carlos III
Madrid, 28029
Hospital Universitario La Paz
Madrid, 28046
Hospital Puerta de Hierro Maja
Majadahonda, 28222
Complejo Hospitalario de Especialidades Virgen de la Victoria
Málaga, 29071
Hospital Universitario Marques
Santander, 39008
Valme Hospital
Seville, 41014
Hospital General Universitario de Valencia
Valencia, 46014
Netherlands4 sites
Academisch Medisch Centrum
Amsterdam, 1105 AZ
Leids Universitair Medisch Centrum
Leiden, 2300 RC
UMC St. Radboud - Gastroenterology
Nijmegen, 6500 HB
Erasmus MC
Rotterdam, 3015 CE
Poland4 sites
Wojewodzki Szpital Specjalistyczny im Dluskeigo
Bialystok, 15-540
Wojewodzki Specjalistyczny Szpital im. W. Bieganskiego
Lodz, 91-347
SP ZOZ Wojewodzki Szpital Zakazny w Warszawie
Warsaw, 01-201
NZOZ Centrum Badan Klinicznych
Wroclaw, 50-349
Sweden4 sites
Sahlgrenska University Hospital
Gothenburg, 41685
Skånes Universitetssjukhus, Lund
Lund, 22185
Skanes Universitetssjukhus
Malmö, 20502
Karolinska Instituet
Stockholm, 14186
Austria3 sites
Medizinische Universitat Graz
Graz, A-8036
Medizinische Universitat Wien
Vienna, 1090
Wilhelminenspital
Vienna, 1160
Estonia2 sites
West Tallinn Central Hospital
Tallinn, 10617
Tartu University Hospital
Tartu, 51014
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy and Safety of GS-7977+Ribavirin for 12 Weeks in Treatment Naive and Treatment Experienced Subjects With Chronic Genotype 2 or 3 HCV Infection.
This study will evaluate the safety, tolerability, and antiviral efficacy of GS-7977 with ribavirin (RBV) in participants with genotype 2 or 3 hepatitis C virus (HCV) infection.
- Conditions
- Hepatitis C
- Being tested
- SOF, RBV, Placebo to match SOF, Placebo to match RBV
- Keywords
- HCV, Genotype 2, Genotype 3
- Medical subject headings
- Hepatitis C
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SOFDrug
Also called Sovaldi®, GS-7977, PSI-7977
Sofosbuvir (SOF) 400 mg tablet administered orally once daily
RBVDrug
Ribavirin (RBV) 200 mg tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)
Placebo to match SOFDrug
Placebo to match SOF administered orally once daily
Placebo to match RBVDrug
Placebo to match RBV administered orally in a divided daily dose
| Study group | Role | What they receive |
|---|---|---|
| Placebo 12 Weeks (GT2/3) | Placebo comparator | Placebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection. Receives: Drug: Placebo to match SOF; Drug: Placebo to match RBV |
| SOF 12 Weeks (GT2/3) | Experimental | Placebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection. Receives: Drug: SOF; Drug: RBV |
| SOF 24 Weeks (GT3) | Experimental | SOF 400 mg tablet once daily + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 24 weeks in participants with genotype 3 HCV infection. Receives: Drug: SOF; 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 12 Weeks After Discontinuation of Therapy (SVR12)
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ, ie, < 25 IU/mL) 12 weeks following the last dose of study drug. Data for this outcome measure was not collected for the Placebo 12 Weeks (GT2/3) group.
Measured: Posttreatment Week 12
Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
The percentage of participants experiencing an adverse event leading to permanent discontinuation of study drug(s) was analyzed.
Measured: Up to 24 weeks
Secondary outcomes (2)
Percentage of Participants With Sustained Virologic Response at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
SVR4 and SVR24 was defined as HCV RNA < LLOQ at 4 and 24 weeks following the last dose of study drug, respectively. Data for this outcome measure was not collected for the Placebo 12 Weeks (GT2/3) group.
Measured: Posttreatment Weeks 4 and 24
Percentage of Participants Experiencing Viral Breakthrough or Viral Relapse
Viral breakthrough was defined as having confirmed detectable HCV RNA levels (HCV RNA > LLOQ) after having previously had undetectable HCV RNA levels (HCV RNA < LLOQ) while on treatment.
Viral relapse was defined as having achieved undetectable HCV RNA levels (HCV RNA < LLOQ) at end of treatment, but did not achieve an SVR.
Data for this outcome measure was not collected for the Placebo 12 Weeks (GT2/3) group.
Measured: Up to Posttreatment Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2012 (estimated)
- Study startSep 2012
- Primary completionOct 2013
- Study completionJan 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Hepatitis CStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 421 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Rob Hyland, DPhil, Study director, Gilead Sciences Study Director
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01682720
- Sponsor's protocol ID
- GS-US-334-0133
- Other IDs
- 2012-001942-16
- Status last verified
- Oct 2014
- First submitted
- 5 Sep 2012
- Last updated
- 9 Oct 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Zeuzem S, Dusheiko GM, Salupere R, Mangia A, Flisiak R, Hyland RH, Illeperuma A, Svarovskaia E, Brainard DM, Symonds WT, Subramanian GM, McHutchison JG, Weiland O, Reesink HW, Ferenci P, Hezode C, Esteban R; VALENCE Investigators. Sofosbuvir and ribavirin in HCV genotypes 2 and 3. N Engl J Med. 2014 May 22;370(21):1993-2001. doi: 10.1056/NEJMoa1316145. Epub 2014 May 4.
PubMed 24795201Younossi ZM, Stepanova M, Sulkowski M, Naggie S, Puoti M, Orkin C, Hunt SL. Sofosbuvir and Ribavirin for Treatment of Chronic Hepatitis C in Patients Coinfected With Hepatitis C Virus and HIV: The Impact on Patient-Reported Outcomes. J Infect Dis. 2015 Aug 1;212(3):367-77. doi: 10.1093/infdis/jiv005. Epub 2015 Jan 12.
PubMed 25583164
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy and Safety of GS-7977+Ribavirin for 12 Weeks in Treatment Naive and Treatment Experienced Subjects With Chronic Genotype 2 or 3 HCV Infection.
- ClinicalTrials.gov ID
- NCT01682720
- Acronym / sponsor ID
- GS-US-334-0133
- Conditions
- Hepatitis C
- Keywords
- HCV, Genotype 2, Genotype 3
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 421 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Sep 2012
- Primary completion
- Oct 2013 (actual)
- Study completion
- Jan 2014 (actual)
- First posted
- 11 Sep 2012 (estimated)
- Results
- Posted 9 Oct 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the safety, tolerability, and antiviral efficacy of GS-7977 with ribavirin (RBV) in participants with genotype 2 or 3 hepatitis C virus (HCV) infection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo 12 Weeks (GT2/3) | Placebo comparator | Drug: Placebo to match SOF, Drug: Placebo to match RBVPlacebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection. |
| SOF 12 Weeks (GT2/3) | Experimental | Drug: SOF, Drug: RBVPlacebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection. |
| SOF 24 Weeks (GT3) | Experimental | Drug: SOF, Drug: RBVSOF 400 mg tablet once daily + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 24 weeks in participants with genotype 3 HCV infection. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age > 18 with chronic genotype 2 or 3 HCV infection
- HCV RNA > 10,000 IU/mL at screening
- Subjects must be treatment naive or treatment experienced
- Presence or absence of cirrhosis; a liver biopsy may be required
- Healthy according to medical history and physical examination with the exception of HCV diagnosis
Key exclusion criteria (7 listed)
- Prior use of any other inhibitor of the HCV NS5B Polymerase
- History of any other clinically significant chronic liver disease
- Evidence of or history of decompensated liver disease
- HIV or chronic hepatitis B virus (HBV) infection
- Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
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 |
|---|---|---|
| SOFAlso: Sovaldi®, GS-7977, PSI-7977Sofosbuvir (SOF) 400 mg tablet administered orally once daily | Drug | SOF 12 Weeks (GT2/3), SOF 24 Weeks (GT3) |
| RBVRibavirin (RBV) 200 mg tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg) | Drug | SOF 12 Weeks (GT2/3), SOF 24 Weeks (GT3) |
| Placebo to match SOFPlacebo to match SOF administered orally once daily | Drug | Placebo 12 Weeks (GT2/3) |
| Placebo to match RBVPlacebo to match RBV administered orally in a divided daily dose | Drug | Placebo 12 Weeks (GT2/3) |
Primary outcome
Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
Time frame: Posttreatment Week 12
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ, ie, < 25 IU/mL) 12 weeks following the last dose of study drug. Data for this outcome measure was not collected for the Placebo 12 Weeks (GT2/3) group.
Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
Time frame: Up to 24 weeks
The percentage of participants experiencing an adverse event leading to permanent discontinuation of study drug(s) was analyzed.
2 secondary outcomes
Percentage of Participants With Sustained Virologic Response at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Time frame: Posttreatment Weeks 4 and 24
Percentage of Participants Experiencing Viral Breakthrough or Viral Relapse
Time frame: Up to Posttreatment Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Oct 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 24795201Zeuzem S, Dusheiko GM, Salupere R, Mangia A, Flisiak R, Hyland RH, Illeperuma A, Svarovskaia E, Brainard DM, Symonds WT, Subramanian GM, McHutchison JG, Weiland O, Reesink HW, Ferenci P, Hezode C, Esteban R; VALENCE Investigators. Sofosbuvir and ribavirin in HCV genotypes 2 and 3. N Engl J Med. 2014 May 22;370(21):1993-2001. doi: 10.1056/NEJMoa1316145. Epub 2014 May 4.
- Derived from this study: PubMed 25583164Younossi ZM, Stepanova M, Sulkowski M, Naggie S, Puoti M, Orkin C, Hunt SL. Sofosbuvir and Ribavirin for Treatment of Chronic Hepatitis C in Patients Coinfected With Hepatitis C Virus and HIV: The Impact on Patient-Reported Outcomes. J Infect Dis. 2015 Aug 1;212(3):367-77. doi: 10.1093/infdis/jiv005. Epub 2015 Jan 12.
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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.
Rob Hyland, DPhil study director
Gilead Sciences Study Director
77 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SOF and RBV in people with Hepatitis C, run by Gilead Sciences at 77 sites in 10 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 6 inclusion and 7 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 9 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in France, Germany, Italy, United Kingdom, Spain and 5 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 9 Oct 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 With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12) (time frame: Posttreatment Week 12). The study lists 2 primary outcomes in all. 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 NCT01682720, which also lists 2 linked publications.
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 9 Oct 2014.