Hepatitis CPhase 2NCT01909804
Safety and Efficacy of Sofosbuvir Plus Velpatasvir With or Without Ribavirin in Treatment-experienced Subjects With Chronic HCV Infection
A Phase 2 study testing SOF, VEL and RBV in people with Hepatitis C, run by Gilead Sciences at 49 sites in 4 countries.
Trial summary
The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of sofosbuvir (SOF) + velpatasvir (VEL; GS-5816) with or without ribavirin (RBV) in treatment-naive adults with chronic genotype (GT) 1 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, VEL and RBV
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 323 participants
- Where
- 49 sitesin 4 countries
- Study dates
- Jun 2013to Aug 2014
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Body mass index (BMI) ≥ 18 kg/m^2
- HCV RNA ≥ 10000 IU/mL at screening
- Prior treatment failure to a regimen including interferon with or without RBV
- HCV genotype 1 or 3
- Chronic HCV infection
- Cirrhosis determination
- Use of highly effective contraception methods if female of childbearing potential or sexually active male
Who cannot join
- Current or prior history of clinically significant illness other than HCV
- Screening ECG with clinically significant abnormalities
- Prior exposure to HCV specific direct acting antiviral agent
- Pregnant or nursing female or male with pregnant female partner
- Chronic liver disease of non-HCV etiology
- Hepatitis B
- Active drug abuse
- Use of any prohibited concomitant medications
Trial locations and contacts
49 sites in 4 countries.
49 sites in 4 countries
United States40 sites
Study site
Annandale, Virginia
Study site
Arlington, Texas
Study site
Asheville, North Carolina
Study site
Atlanta, Georgia
Study site
Baltimore, Maryland
Study site
Boston, Massachusetts
Study site
Chicago, Illinois
Study site
Dallas, Texas
Study site
Denver, Colorado
Study site
Detroit, Michigan
Study site
Durham, North Carolina
Study site
Fairfax, Virginia
Study site
Fayetteville, North Carolina
Study site
Gainesville, Florida
Study site
Germantown, Tennessee
Study site
Great Neck, New York
Study site
Hillsborough, New Jersey
Study site
Indianapolis, Indiana
Study site
Jacksonville, Florida
Study site
Long Beach, California
Study site
Los Angeles, California
Study site
Marietta, Georgia
Study site
Miami, Florida
Study site
Nashville, Tennessee
Study site
New York, New York
Study site
Newport News, Virginia
Study site
Norfolk, Virginia
Study site
Orlando, Florida
Study site
Pasadena, California
Study site
Philadelphia, Pennsylvania
Study site
Pittsburgh, Pennsylvania
Study site
Portland, Oregon
Study site
Providence, Rhode Island
Study site
San Antonio, Texas
Study site
San Diego, California
Study site
Santa Fe, New Mexico
Study site
Seattle, Washington
Study site
Tampa, Florida
Study site
Wellington, Florida
Study site
Winston-Salem, North Carolina
Australia6 sites
Study site
Camperdown, New South Wales
Study site
Clayton, Victoria
Study site
Darlinghurst, New South Wales
Study site
Fremantle, Western Australia
Study site
Melbourne, Victoria
Study site
Perth, Western Australia
About this study
Official title: A Phase 2, Multicenter, Randomized, Open-Label Study to Investigate the Safety and Efficacy of Sofosbuvir + GS-5816 for 12 Weeks in Treatment-Experienced Subjects With Chronic HCV Infection
The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of sofosbuvir (SOF) + velpatasvir (VEL; GS-5816) with or without ribavirin (RBV) in treatment-naive adults with chronic genotype (GT) 1 or 3 hepatitis C virus (HCV) infection.
- Conditions
- Hepatitis C
- Being tested
- SOF, VEL, RBV
- Keywords
- Hepatitis, Genotype 1, Genotype 3, Treatment experienced
- 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.
SOFDrug
Also called Sovaldi®, GS-7977, PSI-7977
400 mg tablet administered orally once daily
VELDrug
Also called GS-5816
Tablet administered orally once daily
RBVDrug
Also called Ribasphere®
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)
| Study group | Role | What they receive |
|---|---|---|
| SOF+VEL 25 mg (GT3) without cirrhosis | Experimental | Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg for 12 weeks. Receives: Drug: SOF |
| SOF+VEL 25mg+RBV (GT3) without cirrhosis | Experimental | Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: VEL; Drug: RBV |
| SOF+VEL 100 mg (GT3) without cirrhosis | Experimental | Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg for 12 weeks. Receives: Drug: SOF; Drug: VEL |
| SOF+VEL 100 mg+RBV (GT3) without cirrhosis | Experimental | Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: VEL; Drug: RBV |
| SOF+VEL 25 mg (GT3) with cirrhosis | Experimental | Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg for 12 weeks. Receives: Drug: SOF; Drug: VEL |
| SOF+VEL 25 mg+RBV (GT3) with cirrhosis | Experimental | Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: RBV |
| SOF+VEL 100 mg (GT3) with cirrhosis | Experimental | Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg for 12 weeks. Receives: Drug: SOF; Drug: VEL |
| SOF+VEL 100 mg+RBV (GT3) with cirrhosis | Experimental | Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: VEL; Drug: RBV |
| SOF+VEL 25 mg (GT1) | Experimental | Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks. Receives: Drug: SOF; Drug: VEL |
| SOF+VEL 25 mg+RBV (GT1) | Experimental | Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: VEL; Drug: RBV |
| SOF+VEL 100 mg (GT1) | Experimental | Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks. Receives: Drug: SOF; Drug: VEL |
| SOF+VEL 100 mg+RBV (GT1) | Experimental | Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 12 weeks. Receives: Drug: SOF; Drug: VEL; 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 Therapy (SVR12)
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Measured: Posttreatment Week 12
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Measured: Up to 12 weeks
Secondary outcomes (2)
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
SVR4 and SVR 24 were defined as HCV RNA < LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
Measured: Posttreatment Weeks 4 and 24
Percentage of Participants With Virologic Failure
Virologic failure was defined as:
- On-treatment virologic failure:
- Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA < LLOQ while on treatment), 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.
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 posted29 Jul 2013 (estimated)
- Study startJun 2013
- Primary completionMay 2014
- Study completionAug 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 323 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- John McNally, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01909804
- Sponsor's protocol ID
- GS-US-342-0109
- Status last verified
- Jul 2016
- First submitted
- 17 Jul 2013
- Last updated
- 15 Nov 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
Publications
Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, et al. High Efficacy of Treatment with Sofosbuvir+GS-5816±Ribavirin for 12 Weeks in Treatment-Experienced Patients with Genotype 1 or 3 HCV Infection [Abstract 197]. American Association for the Study of Liver Diseases (AASLD); 2014 November 7-11; Boston MA United States.
Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, McNally J, Brainard DM, Han L, Doehle B, Mogalian E, McHutchison JG, Rabinovitz M, Towner WJ, Gane EJ, Stedman CA, Reddy KR, Roberts SK. Sofosbuvir Plus Velpatasvir Combination Therapy for Treatment-Experienced Patients With Genotype 1 or 3 Hepatitis C Virus Infection: A Randomized Trial. Ann Intern Med. 2015 Dec 1;163(11):809-17. doi: 10.7326/M15-1014. Epub 2015 Nov 10.
PubMed 26551263
Study at a glance
From the registry record, last updated by the sponsor on 15 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, Randomized, Open-Label Study to Investigate the Safety and Efficacy of Sofosbuvir + GS-5816 for 12 Weeks in Treatment-Experienced Subjects With Chronic HCV Infection
- ClinicalTrials.gov ID
- NCT01909804
- Acronym / sponsor ID
- GS-US-342-0109
- Conditions
- Hepatitis C
- Keywords
- Hepatitis, Genotype 1, Genotype 3, Treatment experienced
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 323 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Jun 2013
- Primary completion
- May 2014 (actual)
- Study completion
- Aug 2014 (actual)
- First posted
- 29 Jul 2013 (estimated)
- Results
- Posted 16 Sep 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of sofosbuvir (SOF) + velpatasvir (VEL; GS-5816) with or without ribavirin (RBV) in treatment-naive adults with chronic genotype (GT) 1 or 3 hepatitis C virus (HCV) infection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 12
| Arm | Type | Receives |
|---|---|---|
| SOF+VEL 25 mg (GT3) without cirrhosis | Experimental | Drug: SOFParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg for 12 weeks. |
| SOF+VEL 25mg+RBV (GT3) without cirrhosis | Experimental | Drug: SOF, Drug: VEL, Drug: RBVParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks. |
| SOF+VEL 100 mg (GT3) without cirrhosis | Experimental | Drug: SOF, Drug: VELParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg for 12 weeks. |
| SOF+VEL 100 mg+RBV (GT3) without cirrhosis | Experimental | Drug: SOF, Drug: VEL, Drug: RBVParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks. |
| SOF+VEL 25 mg (GT3) with cirrhosis | Experimental | Drug: SOF, Drug: VELParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg for 12 weeks. |
| SOF+VEL 25 mg+RBV (GT3) with cirrhosis | Experimental | Drug: SOF, Drug: RBVParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks. |
| SOF+VEL 100 mg (GT3) with cirrhosis | Experimental | Drug: SOF, Drug: VELParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg for 12 weeks. |
| SOF+VEL 100 mg+RBV (GT3) with cirrhosis | Experimental | Drug: SOF, Drug: VEL, Drug: RBVParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks. |
| SOF+VEL 25 mg (GT1) | Experimental | Drug: SOF, Drug: VELParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks. |
| SOF+VEL 25 mg+RBV (GT1) | Experimental | Drug: SOF, Drug: VEL, Drug: RBVParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 12 weeks. |
| SOF+VEL 100 mg (GT1) | Experimental | Drug: SOF, Drug: VELParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks. |
| SOF+VEL 100 mg+RBV (GT1) | Experimental | Drug: SOF, Drug: VEL, Drug: RBVParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 12 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Body mass index (BMI) ≥ 18 kg/m^2
- HCV RNA ≥ 10000 IU/mL at screening
- Prior treatment failure to a regimen including interferon with or without RBV
- HCV genotype 1 or 3
- Chronic HCV infection
Key exclusion criteria (8 listed)
- Current or prior history of clinically significant illness other than HCV
- Screening ECG with clinically significant abnormalities
- Prior exposure to HCV specific direct acting antiviral agent
- Pregnant or nursing female or male with pregnant female partner
- Chronic liver disease of non-HCV etiology
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-7977400 mg tablet administered orally once daily | Drug | SOF+VEL 100 mg (GT1), SOF+VEL 100 mg (GT3) with cirrhosis, SOF+VEL 100 mg (GT3) without cirrhosis, SOF+VEL 100 mg+RBV (GT1), SOF+VEL 100 mg+RBV (GT3) with cirrhosis, SOF+VEL 100 mg+RBV (GT3) without cirrhosis, SOF+VEL 25 mg (GT1), SOF+VEL 25 mg (GT3) with cirrhosis, SOF+VEL 25 mg (GT3) without cirrhosis, SOF+VEL 25 mg+RBV (GT1), SOF+VEL 25 mg+RBV (GT3) with cirrhosis, SOF+VEL 25mg+RBV (GT3) without cirrhosis |
| VELAlso: GS-5816Tablet administered orally once daily | Drug | SOF+VEL 100 mg (GT1), SOF+VEL 100 mg (GT3) with cirrhosis, SOF+VEL 100 mg (GT3) without cirrhosis, SOF+VEL 100 mg+RBV (GT1), SOF+VEL 100 mg+RBV (GT3) with cirrhosis, SOF+VEL 100 mg+RBV (GT3) without cirrhosis, SOF+VEL 25 mg (GT1), SOF+VEL 25 mg (GT3) with cirrhosis, SOF+VEL 25 mg+RBV (GT1), SOF+VEL 25mg+RBV (GT3) without cirrhosis |
| RBVAlso: Ribasphere®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+VEL 100 mg+RBV (GT1), SOF+VEL 100 mg+RBV (GT3) with cirrhosis, SOF+VEL 100 mg+RBV (GT3) without cirrhosis, SOF+VEL 25 mg+RBV (GT1), SOF+VEL 25 mg+RBV (GT3) with cirrhosis, SOF+VEL 25mg+RBV (GT3) without cirrhosis |
Primary outcome
Percentage of Participants With Sustained Virologic Response (SVR) 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, 15 IU/mL) at 12 weeks after stopping study treatment.
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Time frame: Up to 12 weeks
2 secondary outcomes
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Time frame: Posttreatment Weeks 4 and 24
Percentage of Participants With Virologic Failure
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 15 Nov 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publicationPianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, et al. High Efficacy of Treatment with Sofosbuvir+GS-5816±Ribavirin for 12 Weeks in Treatment-Experienced Patients with Genotype 1 or 3 HCV Infection [Abstract 197]. American Association for the Study of Liver Diseases (AASLD); 2014 November 7-11; Boston MA United States.
- Results publication: PubMed 26551263Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, McNally J, Brainard DM, Han L, Doehle B, Mogalian E, McHutchison JG, Rabinovitz M, Towner WJ, Gane EJ, Stedman CA, Reddy KR, Roberts SK. Sofosbuvir Plus Velpatasvir Combination Therapy for Treatment-Experienced Patients With Genotype 1 or 3 Hepatitis C Virus Infection: A Randomized Trial. Ann Intern Med. 2015 Dec 1;163(11):809-17. doi: 10.7326/M15-1014. Epub 2015 Nov 10.
- Individual participant dataSharing planned: Yes. Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
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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.
John McNally study director
Gilead Sciences
49 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing SOF, VEL and RBV in people with Hepatitis C, run by Gilead Sciences at 49 sites in 4 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 7 inclusion and 8 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 15 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 49 sites in United States, Australia, New Zealand, 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 16 Sep 2016). 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 (SVR) 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 NCT01909804, 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 15 Nov 2018.