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临床试验/EUCTR2016-003489-25-BE
EUCTR2016-003489-25-BE进行中(未招募)1 期

A Phase 2, Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Ledipasvir/Sofosbuvir in Subjects with Genotype 1, 4, 5 and 6 Chronic HCV Infection Who are on Dialysis for End Stage Renal Disease

Gilead Sciences, Inc.0 个研究点目标入组 100 人开始时间: 2017年1月5日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
100

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Subjects must meet all of the following inclusion criteria to be eligible for participation in this
  • 1) Willing and able to provide written informed consent
  • 2) Male or female age = 18 years
  • 3) Chronic HCV infection (= 6 months) as documented by prior medical history or liver biopsy
  • 4) HCV RNA = LLOQ at screening
  • 5) Genotype 1,4, 5 and 6 HCV as determined at Screening
  • 6) End stage renal disease (ESRD) requiring peritoneal dialysis (PD) or hemodialysis (HD)
  • 7)he most recent HCV treatment must have been completed at least 8
  • weeks prior to Screening.
  • 8) Subjects must have a determination of treatment experience (treatment naïve vs. treatment experienced). Treatment naïve is defined as having never been exposed to an approved or experimental HCV-specific direct acting antiviral agents or prior treatment of HCV with interferon or ribavirin. All other patients will be considered treatment experienced.
  • 9) Subjects must have appropriate testing for determination of cirrhosis status.
  • a) Presence of cirrhosis is defined as any one of the following:
  • i) Fibroscan with a result of > 12.5 kPa
  • ii) Liver biopsy showing cirrhosis (e.g., Metavir score = 4 or Ishak score = 5)
  • iii) In the absence of liver biopsy or availability of Fibroscan, FibroTest® score = 0.75 at screening
  • b) Absence of cirrhosis is defined as any one of the following:
  • i) Fibroscan with a result of = 12.5 kPa within = 6 months of Baseline/Day 1
  • ii) Liver biopsy performed within 2 years of Screening showing absence of cirrhosis
  • iii) In the absence of liver biopsy or availability of Fibroscan, FibroTest® score < 0.75 at screening
  • 10) Liver imaging within 6 months of Baseline/Day 1 is required in cirrhotic subjects only, to exclude HCC
  • 11) Subjects with HIV-1 coinfection may be eligible, provided they satisfy these additional inclusion criteria:
  • i) Completed at least 3 months of any prior HIV ARV therapy and maintained HIV RNA<50 copies/mL (or 100 cells/mm3 prior to Screening. Subjects with an isolated or
  • unconfirmed HIV RNA >50 copies/mL (or >LLOQ if the local laboratory assay’s LLOQ
  • is 50= copies/mL) are not excluded ii) On a stable ARV regimen for = 8 weeks prior to Screening and is expected to continue
  • the current ARV regimen through the end of study (See exclusion criteria 7).
  • 12) A negative serum pregnancy test is required for female subjects (unless permanently sterile
  • or greater than two years post-menopausal).
  • 13) Male subjects and female subjects of childbearing potential who engage in heterosexual
  • intercourse must agree to use protocol specified method(s) of contraception as described in Appendix 4.
  • 14) Lactating females must agree to discontinue nursing before the study drug is administered.
  • 15) Subject must be able to comply with the dosing instructions for study drug administration and able to complete the study schedule of assessments
  • Are the trial subjects under 18

排除标准

  • Subjects who meet any of the following exclusion criteria are not to be enrolled in this study.
  • 1) Current or prior history of any of the following:
  • a) Clinically-significant illness (other than HCV, HIV and kidney disease or co-morbidities
  • associated with ESRD except as noted below) any other major medical disorder that may
  • interfere with subject treatment, assessment or compliance with the protocol; subjects
  • currently under evaluation for a potentially clinically significant illness (other than HCV
  • or ESRD) are also excluded.
  • b) Current or prior history of significant cardiac disease including or resulting in:
  • ? Hospital admission for significant cardiovascular disease (myocardial infarction,
  • unstable angina, heart failure, hypertensive emergency) or has had a cardiovascular
  • procedure (e.g. CABG or PTCA), within 6 months of Screening
  • ? Cardiomyopathy with ejection fraction <50%
  • c) Gastrointestinal disorder or postoperative condition that could interfere with the
  • absorption of the study drug.
  • d) Difficulty with blood collection and/or poor venous access for the purposes of
  • phlebotomy.
  • e) Clinical hepatic decompensation (i.e., ascites, encephalopathy or variceal hemorrhage).
  • f) Solid organ transplantation other than failed kidney transplants (current use of =5 mg/day
  • of prednisone, or equivalent dose of corticosteroid, allowed).
  • g) Significant pulmonary disease
  • h) Psychiatric hospitalization, suicide attempt, and/or a period of disability as a result of
  • their psychiatric illness within the last 2 years.
  • i) Malignancy within the 5 years prior to screening, with the exception of specific cancers
  • that have been cured by surgical resection (basal cell skin cancer, etc). Subjects under
  • evaluation for possible malignancy are not eligible
  • 2) Screening ECG with clinically significant abnormalities
  • 3) Chronic liver disease of a non-HCV etiology (e.g., hemochromatosis, Wilson’s disease,
  • alfa-1 antitrypsin deficiency, cholangitis).
  • 4) Infection with hepatitis B virus (HBV).
  • 5) Opportunistic infection (Appendix 5) within 6 months prior to Screening
  • 6) Infection (other than HIV or HCV) requiring parenteral therapy within 30 days prior to
  • 7) Life threatening SAE during the screening period
  • 8) Subjects has the following laboratory parameters at screening:
  • a) ALT > 10 X the upper limit of normal (ULN)
  • b) AST > 10 X ULN
  • c) Direct bilirubin > 1.5 X ULN. For subjects receiving ritonavir boosted atazanavir
  • regimen, a direct bilirubin > 1.5 x ULN will be allowed if < 25% of the total bilirubin
  • d) Platelets < 25,000/µL
  • e) HbA1c > 9%
  • f) Hemoglobin < 9 g/dL
  • g) Albumin < 2.8 g/dL
  • h) INR > 1.5 x ULN unless subject has known hemophilia or is stable on an anticoagulant
  • regimen affecting INR
  • i) Hepatitis B surface antigen positive

研究者

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