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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.

Completed

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

Official record
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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

Other trials in United States

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

Other trials in Australia

New Zealand2 sites
  • Study site

    Auckland

  • Study site

    Christchurch

Other trials in New Zealand

Puerto Rico1 site
  • Study site

    San Juan

Other trials in Puerto Rico

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 groups in NCT01909804
Study groupRoleWhat they receive
SOF+VEL 25 mg (GT3) without cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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 cirrhosisExperimentalParticipants 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)ExperimentalParticipants 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)ExperimentalParticipants 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)ExperimentalParticipants 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)ExperimentalParticipants 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.

  1. 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

  2. Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event

    Measured: Up to 12 weeks

Secondary outcomes (2)
  1. 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

  2. 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.

  1. First posted29 Jul 2013 (estimated)
  2. Study startJun 2013
  3. Primary completionMay 2014
  4. Study completionAug 2014

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
None (open label)
Enrolment
323 participants (actual)
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
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

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.

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