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Hepatitis C Virus InfectionPhase 3NCT02600351

Efficacy and Safety of Ledipasvir/Sofosbuvir, With or Without Ribavirin, in HCV Infected Participants Who Have Failed Prior Treatment With Sofosbuvir-based Therapies

A Phase 3 study testing LDV/SOF and RBV in people with Hepatitis C Virus Infection, run by Gilead Sciences at 42 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objective of this study is to evaluate the efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed dose combination (FDC) for 12 weeks with or without ribavirin (RBV) in participants without cirrhosis, and LDV/SOF FDC for 12 weeks with RBV or LDV/SOF FDC for 24 weeks without RBV in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C Virus Infection
What is being tested?
LDV/SOF and RBV
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
87 participants
Where
42 sitesin 3 countries
Study dates
11 Nov 2015to 29 May 2017
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

  • HCV RNA > 15 IU/mL at screening
  • HCV genotype 1 or 4
  • Chronic HCV infection (≥ 6 months)
  • Prior virologic failure after treatment with SOF in combination with simeprevir (SMV) ± RBV or with RBV ± pegylated interferon (PEG)
  • Cirrhotic and non-cirrhotic as determined by standard methods
  • Male and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception

Who cannot join

  • Prior exposure to approved or experimental non-structural protein (NS5A) inhibitors
  • Prior exposure to nucleos(t)ide polymerase inhibitors, other than SOF
  • Pregnant or nursing female or male with pregnant female partner
  • Coinfection with HIV or hepatitis B virus
  • Current or prior history of clinical hepatic decompensation
  • Hepatocellular carcinoma or other malignancy (with exception of certain resolved skin cancers)
Show all 9Show fewer
  • Chronic use of systemic immunosuppressive agents
  • History of clinically significant illness or any other medical disorder that may interfere with individual's treatment, assessment or compliance with the protocol
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

42 sites in 3 countries.

42 sites in 3 countries

United States38 sites
  • Study site

    Austin, Texas, 78758

  • Study site

    Baltimore, Maryland, 21202

  • Study site

    Chapel Hill, North Carolina, 27599

  • Study site

    Charlotte, North Carolina, 28204

  • Study site

    Charlottesville, Virginia, 22908

  • Study site

    Chicago, Illinois, 60612

  • Study site

    Cleveland, Ohio, 44109

  • Study site

    Columbia, Maryland, 21045

  • Study site

    Columbus, Ohio, 43212

  • Study site

    Dallas, Texas, 75203

  • Study site

    Dallas, Texas, 75246

  • Study site

    Dallas, Texas, 75390

  • Study site

    Durham, North Carolina, 27710

  • Study site

    Egg Harbor, New Jersey, 08234

  • Study site

    Houston, Texas, 77030

  • Study site

    Kansas City, Missouri, 64131

  • Study site

    Largo, Florida, 33777

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Los Angeles, California, 90027

  • Study site

    Memphis, Tennessee, 38104

  • Study site

    Nashville, Tennessee, 37232

  • Study site

    New Haven, Connecticut, 06520

  • Study site

    New York, New York, 10025

  • Study site

    New York, New York, 10032

  • Study site

    Pasadena, California, 91105

  • Study site

    Philadelphia, Pennsylvania, 19141

  • Study site

    Rialto, California, 92377

  • Study site

    Sacramento, California, 95817

  • Study site

    Saint Paul, Minnesota, 55114

  • Study site

    Salt Lake City, Utah, 84132

  • Study site

    Seattle, Washington, 98101

  • Study site

    Seattle, Washington, 98122

  • Study site

    Skokie, Illinois, 60076

  • Study site

    St Louis, Missouri, 63110

  • Study site

    The Bronx, New York, 10467

  • Study site

    Ventura, California, 93003

  • Study site

    Weston, Florida, 33331

  • Study site

    Worcester, Massachusetts, 01655

Other trials in United States

Canada3 sites
  • Study site

    Montreal, Quebec, H2L 4P9

  • Study site

    Montreal, Quebec, H4A 3J1

  • Study site

    Vancouver, British Columbia, V5Z 1H2

Other trials in Canada

Puerto Rico1 site
  • Study site

    Ponce, PR, 00716

Other trials in Puerto Rico

About this study

Official title: A Phase 3b, Multicenter, Open-Label Study to Investigate the Efficacy and Safety of Ledipasvir/Sofosbuvir, With or Without Ribavirin, in HCV Infected Subjects Who Have Failed Prior Treatment With Sofosbuvir-based Therapies

The primary objective of this study is to evaluate the efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed dose combination (FDC) for 12 weeks with or without ribavirin (RBV) in participants without cirrhosis, and LDV/SOF FDC for 12 weeks with RBV or LDV/SOF FDC for 24 weeks without RBV in participants with cirrhosis.

Being tested
LDV/SOF, RBV
Keywords
Hepatitis C Virus (HCV), Ledipasvir/Sofosbuvir, Ribavirin
Medical subject headings
Hepatitis C

What participants receive

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

  • LDV/SOFDrug

    Also called Harvoni®, GS-5885/GS-7977

    90/400 mg FDC tablet administered orally once daily

  • RBVDrug

    Tablets administered orally in a divided daily dose according to weight-based dosing recommendations (< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)

Study groups in NCT02600351
Study groupRoleWhat they receive
LDV/SOF 12 weeks, without cirrhosisExperimentalLDV/SOF for 12 weeks
Receives: Drug: LDV/SOF
LDV/SOF + RBV 12 weeks, without cirrhosisExperimentalLDV/SOF + RBV for 12 weeks
Receives: Drug: LDV/SOF; Drug: RBV
LDV/SOF + RBV 12 weeks, with compensated cirrhosisExperimentalLDV/SOF + RBV for 12 weeks
Receives: Drug: LDV/SOF; Drug: RBV
LDV/SOF 24 weeks, with compensated cirrhosisExperimentalLDV/SOF for 24 weeks
Receives: Drug: LDV/SOF

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 12 Weeks After Cessation 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 Discontinued From Study Treatment for an Adverse Event

    Measured: Up to 24 weeks

Secondary outcomes (4)
  1. Percentage of Participants With HCV RNA < the Lower Limit of Quantitation (LLOQ) at 4 and 24 Weeks Posttreatment

    SVR4 and SVR24 were defined as HCV RNA < LLOQ at 4 and 24 weeks following the last dose of study drug, respectively.

    Measured: Posttreatment Weeks 4 and 24

  2. Percentage of Participants With Viral Breakthrough

    Viral breakthrough was defined as HCV RNA ≥ LLOQ after having previously had HCV RNA < LLOQ while receiving treatment.

    Measured: Up to 24 weeks

  3. Percentage of Participants With Viral Relapse

    Viral relapse was defined as confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA <LLOQ at last on-treatment visit.

    Measured: Up to Posttreatment Week 24

  4. Number of Participants With Emerging Resistance

    The full-length NS3, NS5A, and NS5B coding regions were deep sequenced at pretreatment (baseline) for all participants included in the Full Analysis Set, and at posttreatment for all participants who relapsed.

    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 posted9 Nov 2015 (estimated)
  2. Study start11 Nov 2015
  3. Primary completion21 Mar 2017
  4. Study completion29 May 2017

Why it stopped: Due to lack of feasibility of enrolling participants, the study was terminated early.

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
87 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02600351
Sponsor's protocol ID
GS-US-337-1746
Status last verified
Aug 2018
First submitted
5 Nov 2015
Last updated
16 Nov 2018
Data monitoring committee
No
FDA-regulated drug
Yes
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

  • Tam E, Brown RS, Satapathy S, Shen X, Camus G, Copans A, et al. Efficacy and Safety of Ledipasvir/Sofosbuvir (LDV/SOF), with or without Ribavirin (RBV), for Treatment of HCV-mono and HIV/HCV Co-infected Patients Who Have Failed Prior Treatment with Non-NS5A, SOF-based Therapies [Poster THU-265]. The International Liver Congress™ 2017: European Association for the Study of the Liver (EASL); 2017 19-23 April; Amsterdam, the Netherlands.

  • Tam E, Mantry PS, Satapathy SK, Ghali P, Shen X, Han LL, et al. A Phase 3b, Multicenter, Open-Label Study to Investigate the Efficacy and Safety of Ledipasvir/Sofosbuvir (LDV/SOF), with or without Ribavirin (RBV), in HCV Infected Subjects Who Have Failed Prior Treatment with Non-NS5A, SOF-based Therapies (RESCUE) [Poster PP0217]. Asian Pacific Association for the Study of the Liver (APASL); 2017 15-19 February; Shanghai, China.

  • Tam E, Brown RS, Satapathy S, Camus G, Copans A, Rossaro L, et al. Ledipasvir/Sofosbuvir ± Ribavirin in HCV and HIV/HCV Prior SOF-based Virologic Failures (RESCUE and ACTG A5348 Studies) [Poster 568LB]. Conference on Retroviruses and Opportunistic Infections (CROI); 2017 13-16 February; Seattle, WA.

  • Tam E, Luetkemeyer AF, Mantry PS, Satapathy SK, Ghali P, Kang M, Haubrich R, Shen X, Ni L, Camus G, Copans A, Rossaro L, Guyer B, Brown RS Jr; RESCUE and ACTG A5348 study investigators. Ledipasvir/sofosbuvir for treatment of hepatitis C virus in sofosbuvir-experienced, NS5A treatment-naive patients: Findings from two randomized trials. Liver Int. 2018 Jun;38(6):1010-1021. doi: 10.1111/liv.13616. Epub 2017 Dec 5.

    PubMed 29091342

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing LDV/SOF and RBV in people with Hepatitis C Virus Infection, run by Gilead Sciences at 42 sites in 3 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 9 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: stopped early, as of the sponsor's last update on 16 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 42 sites in United States, Canada, 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 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 11 Apr 2018). 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 Cessation 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 NCT02600351, which also lists 4 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 16 Nov 2018.

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