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Safety and Efficacy of Voxilaprevir Plus Sofosbuvir/Velpatasvir Fixed Dose Combination in Adults With Chronic Non-Genotype 1 HCV Infection

Phase 2
Completed
Conditions
Hepatitis C Virus Infection
Interventions
Drug: VOX
Registration Number
NCT02378961
Lead Sponsor
Gilead Sciences
Brief Summary

The primary objectives of the study are to evaluate the safety, tolerability, and efficacy of voxilaprevir (VOX) plus sofosbuvir/velpatasvir (SOF/VEL) fixed dose combination (FDC) in adults with chronic non genotype 1 hepatitis C virus (HCV) infection.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
128
Inclusion Criteria
  • Individuals with chronic HCV infection
  • HCV RNA ≥10^4 IU/mL at screening
  • HCV genotypes 2, 3, 4, 5, or 6
  • Cirrhosis determination; a liver biopsy may be required
  • Screening laboratory values within defined thresholds
  • Use of two contraception methods if female of childbearing potential or sexually active male

Key

Exclusion Criteria
  • Pregnant or nursing female
  • Current or prior history of hepatic decompensation
  • Hepatocellular carcinoma (HCC) or other clinically significant malignancy
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
  • History of clinically significant illness or any other medical disorder that may interfere with the individual's treatment, assessment or compliance with the protocol

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
VOX+SOF/VEL 8 wk,TE, without cirrhosisVOXGS-9857 + SOF/VEL for 8 weeks (treatment experienced (TE), without cirrhosis)
VOX+SOF/VEL 8 wk,TE, without cirrhosisSOF/VELGS-9857 + SOF/VEL for 8 weeks (treatment experienced (TE), without cirrhosis)
VOX+SOF/VEL 12 wk, TE, without cirrhosisVOXVOX + SOF/VEL for 12 weeks (treatment experienced, without cirrhosis)
GS-9857+SOF/VEL 8 wk, TE, with cirrhosisSOF/VELGS-9857 + SOF/VEL for 8 weeks (treatment experienced, with cirrhosis)
VOX+SOF/VEL 6 wk, TN, without cirrhosisVOXVOX + SOF/VEL for 6 weeks (treatment naive (TN), without cirrhosis)
VOX+SOF/VEL 6 wk, TN, without cirrhosisSOF/VELVOX + SOF/VEL for 6 weeks (treatment naive (TN), without cirrhosis)
GS-9857+SOF/VEL 6 wk, TN, with cirrhosisVOXGS-9857 + SOF/VEL for 6 weeks (treatment naive, with cirrhosis)
GS-9857+SOF/VEL 6 wk, TN, with cirrhosisSOF/VELGS-9857 + SOF/VEL for 6 weeks (treatment naive, with cirrhosis)
VOX+SOF/VEL 8 wk, TN, with cirrhosisVOXGS-9857 + SOF/VEL for 8 weeks (treatment naive, with cirrhosis)
VOX+SOF/VEL 8 wk, TN, with cirrhosisSOF/VELGS-9857 + SOF/VEL for 8 weeks (treatment naive, with cirrhosis)
VOX+SOF/VEL 12 wk, TE, without cirrhosisSOF/VELVOX + SOF/VEL for 12 weeks (treatment experienced, without cirrhosis)
GS-9857+SOF/VEL 8 wk, TE, with cirrhosisVOXGS-9857 + SOF/VEL for 8 weeks (treatment experienced, with cirrhosis)
VOX+SOF/VEL 12 wk, TE, with cirrhosisVOXVOX + SOF/VEL for 12 weeks (treatment experienced, without cirrhosis)
VOX+SOF/VEL 12 wk, TE, with cirrhosisSOF/VELVOX + SOF/VEL for 12 weeks (treatment experienced, without cirrhosis)
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) 12 weeks following the last dose of study treatment.

Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse EventUp to 12 Weeks
Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With Sustained Virologic Response 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)Posttreatment Weeks 4 and 24

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

Percentage of Participants With HCV RNA < LLOQ on TreatmentBaseline through end of treatment (Week 6, Week 8 or Week 12, as applicable)
HCV RNA Change From BaselineBaseline through end of treatment (Week 6, Week 8 or Week 12, as applicable)
Percentage of Participants With Virologic FailureUp to Posttreatment Week 24

* 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.

Trial Locations

Locations (34)

Stanford University

🇺🇸

Palo Alto, California, United States

Cedars Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Borland-Groover Clinic

🇺🇸

Jacksonville, Florida, United States

Huntington Memorial Hospital Liver Center

🇺🇸

Pasadena, California, United States

ID Care

🇺🇸

Hillsborough, New Jersey, United States

UPMC Center for Liver Diseases

🇺🇸

Pittsburgh, Pennsylvania, United States

Auckland Clinical Studies

🇳🇿

Grafton, New Zealand

Gastrointestinal Specialists of Georgia, PC

🇺🇸

Marietta, Georgia, United States

University of Chicago

🇺🇸

Chicago, Illinois, United States

Indiana University School of Medicine

🇺🇸

Indianapolis, Indiana, United States

Henry Ford Hospital and Health System

🇺🇸

Detroit, Michigan, United States

Fundacion de Investigacion de Diego

🇵🇷

San Juan, Puerto Rico

University of Miami

🇺🇸

Miami, Florida, United States

Orlando Immunology center

🇺🇸

Orlando, Florida, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

Medical Associates Research Group, Inc.

🇺🇸

San Diego, California, United States

Center for Hep C/Atlanta Medical Center

🇺🇸

Atlanta, Georgia, United States

Beth Isreal Deconess Medical Center

🇺🇸

Boston, Massachusetts, United States

South Florida Center of Gastroenterology, P.A.

🇺🇸

Wellington, Florida, United States

Indianapolis Gastroenterology & Hepatology, Inc.

🇺🇸

Indianapolis, Indiana, United States

Southwest Care Center

🇺🇸

Santa Fe, New Mexico, United States

Digestive Health Specialists, PA

🇺🇸

Winston-Salem, North Carolina, United States

North Shore/Long Island Jewish PRIME

🇺🇸

Manhasset, New York, United States

Mount Sinai Beth Israel

🇺🇸

New York, New York, United States

University of Pennsylvania Health Systems

🇺🇸

Philadelphia, Pennsylvania, United States

Gastro One

🇺🇸

Germantown, Tennessee, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Texas Liver Institute

🇺🇸

San Antonio, Texas, United States

Nashville Gastrointestinal Specialists Inc.

🇺🇸

Nashville, Tennessee, United States

Liver Institute of Virginia

🇺🇸

Richmond, Virginia, United States

Christchurch Clinical Studies Trust

🇳🇿

Christchurch, New Zealand

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Swedish Medical

🇺🇸

Seattle, Washington, United States

Cumberland Research Associates, LLC

🇺🇸

Fayetteville, North Carolina, United States

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