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Hepatitis CPhase 3POLARIS-1NCT02607735

Safety and Efficacy of Sofosbuvir/Velpatasvir/Voxilaprevir in Adults With Chronic HCV Infection Who Have Previously Received Treatment With Direct-Acting Antiviral Therapy

A Phase 3 study testing SOF/VEL/VOX in people with Hepatitis C, run by Gilead Sciences at 86 sites in 8 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 safety and efficacy of treatment with sofosbuvir/velpatasvir/voxilaprevir (SOF/VEL/VOX) in adults with chronic hepatitis C virus (HCV) infection who have previously received treatment with direct-acting antiviral therapy. 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/VOX
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
416 participants
Where
86 sitesin 8 countries
Study dates
11 Nov 2015to 21 Jun 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

  • Willing and able to provide written informed consent
  • HCV RNA ≥ 10^4 IU/mL at screening
  • Chronic HCV infection (≥ 6 months)
  • Treatment experienced with a direct acting antiviral medication for HCV
  • Use of protocol specified methods of contraception

Who cannot join

  • Current or prior history of clinically significant illness that may interfere with participation in the study
  • Screening ECG with clinically significant abnormalities
  • Laboratory results outside of acceptable ranges at screening
  • Pregnant or nursing female
  • Chronic liver disease not caused by HCV
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

86 sites in 8 countries.

86 sites in 8 countries

United States43 sites
  • Study site

    Ann Arbor, Michigan

  • Study site

    Asheville, North Carolina

  • Study site

    Atlanta, Georgia

  • Study site

    Aurora, Colorado

  • Study site

    Baltimore, Maryland

  • Study site

    Boston, Massachusetts

  • Study site

    Catonsville, Maryland

  • Study site

    Chicago, Illinois

  • Study site

    Detroit, Michigan

  • Study site

    Englewood, Colorado

  • Study site

    Falls Church, Virginia

  • Study site

    Gainesville, Florida

  • Study site

    Germantown, Tennessee

  • Study site

    Hillsborough, New Jersey

  • Study site

    Houston, Texas

  • Study site

    Indianapolis, Indiana

  • Study site

    Kansas City, Missouri

  • Study site

    Knoxville, Tennessee

  • Study site

    Long Beach, California

  • Study site

    Los Angeles, California

  • Study site

    Madison, Wisconsin

  • Study site

    Marietta, Georgia

  • Study site

    Miami, Florida

  • Study site

    Murray, Utah

  • Study site

    Nashville, Tennessee

  • Study site

    New York, New York

  • Study site

    Norfolk, Virginia

  • Study site

    Orlando, Florida

  • Study site

    Palo Alto, California

  • Study site

    Pasadena, California

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Providence, Rhode Island

  • Study site

    Rialto, California

  • Study site

    Richmond, Virginia

  • Study site

    San Antonio, Texas

  • Study site

    San Diego, California

  • Study site

    San Francisco, California

  • Study site

    Seattle, Washington

  • Study site

    St Louis, Missouri

  • Study site

    The Bronx, New York

  • Study site

    Washington D.C., District of Columbia

  • Study site

    Wellington, Florida

Other trials in United States

France18 sites
  • Study site

    Clermont-Ferrand

  • Study site

    Clichy

  • Study site

    Créteil

  • Study site

    Grenoble

  • Study site

    Lille

  • Study site

    Limoges

  • Study site

    Lyon

  • Study site

    Marseille

  • Study site

    Montpellier

  • Study site

    Nice

  • Study site

    Paris

  • Study site

    Pessac

  • Study site

    Rennes

  • Study site

    Rouen

  • Study site

    Strasbourg

  • Study site

    Toulouse

  • Study site

    Vandœuvre-lès-Nancy

  • Study site

    Villejuif

Other trials in France

Australia6 sites
  • Study site

    Camperdown, New South Wales

  • Study site

    Clayton, Victoria

  • Study site

    Darlinghurst, New South Wales

  • Study site

    Fitzroy, Victoria

  • Study site

    Herston, Queensland

  • Study site

    Melbourne, Victoria

Other trials in Australia

Canada6 sites
  • Study site

    Brampton, Ontario

  • Study site

    Calgary, Alberta

  • Study site

    Edmonton, Alberta

  • Study site

    Montreal, Quebec

  • Study site

    Toronto, Ontario

  • Study site

    Vancouver, British Columbia

Other trials in Canada

Germany6 sites
  • Study site

    Berlin

  • Study site

    Bonn

  • Study site

    Cologne

  • Study site

    Frankfurt am Main

  • Study site

    Hamburg

  • Study site

    Hanover

Other trials in Germany

United Kingdom4 sites
  • Study site

    London

  • Study site

    Manchester

  • Study site

    Nottingham

  • Study site

    Portsmouth

Other trials in United Kingdom

New Zealand2 sites
  • Study site

    Christchurch

  • Study site

    Grafton

Other trials in New Zealand

Puerto Rico1 site
  • Study site

    San Juan

Other trials in Puerto Rico

About this study

Official title: A Phase 3, Global, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Safety and Efficacy of Sofosbuvir/Velpatasvir/GS-9857 Fixed-Dose Combination for 12 Weeks in Direct-Acting Antiviral-Experienced Subjects With Chronic HCV Infection

The primary objectives of this study are to evaluate the safety and efficacy of treatment with sofosbuvir/velpatasvir/voxilaprevir (SOF/VEL/VOX) in adults with chronic hepatitis C virus (HCV) infection who have previously received treatment with direct-acting antiviral therapy.

Participants randomized to placebo may be eligible for deferred treatment with active SOF/VEL/VOX.

Conditions
Hepatitis C
Being tested
SOF/VEL/VOX, Placebo
Keywords
Chronic Hepatitis C Infection
Medical subject headings
Hepatitis C

What participants receive

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

  • SOF/VEL/VOXDrug

    Also called Vosevi®, GS-7977/GS-5816/GS-9857

    400/100/100 mg fixed dose-combination (FDC) tablet administered orally once daily with food

  • PlaceboDrug

    Tablet administered orally once daily with food

Study groups in NCT02607735
Study groupRoleWhat they receive
SOF/VEL/VOX (Primary Study)ExperimentalSOF/VEL/VOX for 12 weeks
Receives: Drug: SOF/VEL/VOX
Placebo (Primary Study)ExperimentalPlacebo to match SOF/VEL/VOX for 12 weeks
Receives: Drug: Placebo
SOF/VEL/VOX (Deferred Treatment Substudy)ExperimentalSOF/VEL/VOX for 12 weeks for eligible participants initially randomized to receive placebo
Receives: Drug: SOF/VEL/VOX

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) (Primary Study)

    SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment.

    Measured: Posttreatment Week 12

  2. Percentage of Participants Who Permanently Discontinued Study Drug Due to an Adverse Event (Primary Study)

    Measured: Up to 12 weeks

Secondary outcomes (9)
  1. Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4) (Primary Study)

    SVR4 was defined as HCV RNA < LLOQ at 4 weeks after stopping study treatment, respectively.

    Measured: Posttreatment Week 4

  2. Percentage of Participants With HCV RNA < LLOQ On Treatment (Primary Study)

    Measured: Weeks 1, 2, 4, 8 and 12

  3. Change From Baseline in HCV RNA (Primary Study)

    Measured: Baseline; Weeks 1, 2, 4, 8 and 12

  4. Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24) (Primary Study)

    SVR24 was defined as HCV RNA < LLOQ at 24 weeks after stopping study treatment.

    Measured: Posttreatment Week 24

  5. Percentage of Participants With Virologic Failure (Primary Study)

    Virologic failure is 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

  6. Percentage of Participants With SVR at 4, 12, and 24 Weeks After Discontinuation of Therapy (Deferred Treatment Substudy)

    SVR4, SVR12 and SVR24 was defined as HCV RNA < LLOQ at 4, 12 and 24 weeks after stopping study treatment, respectively.

    Measured: Posttreatment Weeks 4, 12, and 24 (Deferred Treatment Substudy)

  7. Percentage of Participants With HCV RNA < LLOQ On Treatment (Deferred Treatment Substudy)

    Measured: Weeks 1, 2, 4, 8 and 12 (Deferred Treatment Substudy)

  8. Change From Baseline in HCV RNA (Deferred Treatment Substudy)

    Measured: Baseline; Weeks 1, 2, 4, 8, and 12 (Deferred Treatment Substudy)

  9. Percentage of Participants With Virologic Failure (Deferred Treatment Substudy)

    Virologic failure is 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 (Deferred Treatment Substudy)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2015 (estimated)
  2. Study start11 Nov 2015
  3. Primary completion10 Oct 2016
  4. Study completion21 Jun 2017

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
Double blind
Who is masked
Participant, Investigator
Enrolment
416 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02607735
Sponsor's protocol ID
GS-US-367-1171
Other IDs
2015-003455-21, 2015
Acronym
POLARIS-1
Status last verified
Jul 2018
First submitted
16 Nov 2015
Last updated
5 Mar 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
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 https://www.gilead.com/about/ethics-and-code-of-conduct/policies.

Publications

  • Bourlière M, Gordon SC, Ramji A, Ravendhran N, Tran TT, Hyland RH, et al. Sofosbuvir/Velpatasvir/Voxilaprevir for 12 Weeks as a Salvage Regimen in NS5A Inhibitor-Experienced Patients with Genotype 1-6 Infection: The Phase 3 POLARIS-1 Study [Abstract 194]. J Hepatology 2016;63 (1S):102A.

  • Younossi ZM, Stepanova M, Gordon S, Zeuzem S, Mann MP, Jacobson I, Bourliere M, Cooper C, Flamm S, Reddy KR, Kowdley K, Younossi I, Hunt S. Patient-Reported Outcomes Following Treatment of Chronic Hepatitis C Virus Infection With Sofosbuvir and Velpatasvir, With or Without Voxilaprevir. Clin Gastroenterol Hepatol. 2018 Apr;16(4):567-574.e6. doi: 10.1016/j.cgh.2017.11.023. Epub 2017 Nov 16.

    PubMed 29155352
  • Bourliere M, Gordon SC, Schiff ER, Tran TT, Ravendhran N, Landis CS, Hyland RH, Stamm LM, Zhang J, Dvory-Sobol H, Subramanian GM, Brainard DM, McHutchison JG, Serfaty L, Thompson AJ, Sepe TE, Curry MP, Reddy KR, Manns MP. Deferred treatment with sofosbuvir-velpatasvir-voxilaprevir for patients with chronic hepatitis C virus who were previously treated with an NS5A inhibitor: an open-label substudy of POLARIS-1. Lancet Gastroenterol Hepatol. 2018 Aug;3(8):559-565. doi: 10.1016/S2468-1253(18)30118-3. Epub 2018 May 31.

    PubMed 29859740
  • Bourliere M, Gordon SC, Flamm SL, Cooper CL, Ramji A, Tong M, Ravendhran N, Vierling JM, Tran TT, Pianko S, Bansal MB, de Ledinghen V, Hyland RH, Stamm LM, Dvory-Sobol H, Svarovskaia E, Zhang J, Huang KC, Subramanian GM, Brainard DM, McHutchison JG, Verna EC, Buggisch P, Landis CS, Younes ZH, Curry MP, Strasser SI, Schiff ER, Reddy KR, Manns MP, Kowdley KV, Zeuzem S; POLARIS-1 and POLARIS-4 Investigators. Sofosbuvir, Velpatasvir, and Voxilaprevir for Previously Treated HCV Infection. N Engl J Med. 2017 Jun 1;376(22):2134-2146. doi: 10.1056/NEJMoa1613512.

    PubMed 28564569

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SOF/VEL/VOX in people with Hepatitis C, run by Gilead Sciences at 86 sites in 8 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 5 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 5 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 86 sites in United States, France, Australia, Canada, Germany and 3 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. 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 13 Dec 2017). 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) (Primary Study) (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 NCT02607735, 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 5 Mar 2019.

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