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Sofosbuvir + Ribavirin for 12 Weeks in Subjects With Chronic Genotype 2 or 3 Hepatitis C Infection Who Are Interferon Intolerant, Interferon Ineligible or Unwilling to Take Interferon

Phase 3
Completed
Conditions
Chronic Hepatitis C
Interventions
Drug: SOF
Drug: Placebo to match SOF
Drug: Placebo to match RBV
Registration Number
NCT01542788
Lead Sponsor
Gilead Sciences
Brief Summary

This multicenter study was to evaluate subjects with chronic genotype 2 or 3 HCV infection who were interferon (IFN) ineligible, IFN intolerant or unwilling to take IFN. Participants were randomized in a 3:1 ratio to receive sofosbuvir (SOF)+ribavirin (RBV), or placebo to match SOF+placebo to match RBV. Randomization was stratified by presence/absence of cirrhosis. Approximately 20% of participants may have had evidence of cirrhosis at screening.

Detailed Description

Participants who were randomized to the placebo arm and completed all scheduled study procedures were eligible to receive active SOF+RBV in open-label Study GS-US-334-0109.

Participants who do not achieve sustained virologic response (SVR) were eligible for enrollment in the Sequence Registry Study GS-US-248-0123. The purpose of the Sequence Registry Study is to monitor the persistence of resistant mutations for up to 3 years.

Participants who achieved SVR were eligible for enrollment in the SVR Registry Study GS-US-248-0122. The purpose of the SVR Registry Study is to evaluate durability of SVR for up to 3 years after treatment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
278
Inclusion Criteria
  • Infection with HCV genotype 2 or 3

  • Cirrhosis determination

  • Subject meets one of the following classifications:

    1. IFN unwilling
    2. IFN ineligible
    3. IFN intolerant
  • Screening laboratory values within defined thresholds

  • Subject has not been treated with any investigational drug or device within 30 days of the Screening visit

  • Use of highly effective contraception methods if female of childbearing potential or sexually active male

Exclusion Criteria
  • Prior exposure to an direct-acting antiviral targeting the HCV nonstructural protein (NS)5B polymerase
  • Pregnant or nursing female or male with pregnant female partner
  • Current or prior history of clinical hepatic decompensation
  • History of clinically-significant illness or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol
  • Excessive alcohol ingestion or significant drug abuse

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SOF+RBVSOFParticipants were randomized to receive SOF+RBV for 12 weeks.
PlaceboPlacebo to match SOFParticipants were randomized to receive placebo to match SOF plus placebo to match RBV for 12 weeks.
PlaceboPlacebo to match RBVParticipants were randomized to receive placebo to match SOF plus placebo to match RBV for 12 weeks.
SOF+RBVRBVParticipants were randomized to receive SOF+RBV for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving SVR12Post-treatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ, ie, \< 25 IU/mL) 12 weeks after cessation of therapy

Number of Participants Experiencing Adverse Events Leading to Permanent Discontinuation of Study DrugBaseline to Week 12

The number of subjects experiencing adverse events leading to permanent discontinuation of study drug was summarized. Adverse events may or may not have been related to study treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving SVR4Post-treatment Week 4

SVR4 was defined as HCV RNA \< LLOQ 4 weeks after cessation of therapy

Percentage of Participants Achieving SVR24Post-treatment Week 24

SVR24 was defined as HCV RNA \< LLOQ 24 weeks after cessation of therapy

Percentage of Participants Experiencing Viral BreakthroughBaseline to Week 12

Viral breakthrough was defined as HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while receiving treatment, confirmed with 2 consecutive values (second confirmation value could be posttreatment), or last available on-treatment measurement with no subsequent follow-up values

Percentage of Participants Experiencing Viral RelapseEnd of treatment to post-treatment Week 24

Viral relapse was defined as HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at end of treatment, confirmed with 2 consecutive values or last available posttreatment measurement

Trial Locations

Locations (62)

Anthony Mills MD, Inc.

🇺🇸

Los Angeles, California, United States

Gastroenterology Associates, LLC

🇺🇸

Baton Rouge, Louisiana, United States

Henry Ford Health System

🇺🇸

Novi, Michigan, United States

Comprehensive Clinical Research

🇺🇸

Berlin, New Jersey, United States

CHUM - The Research Centre

🇨🇦

Montreal, Quebec, Canada

Auckland Clinical Studies Limited

🇳🇿

Auckland, New Zealand

(G.I.R.I.) Gastrointestinal Research Institute

🇨🇦

Vancouver, British Columbia, Canada

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Clinical Research Puerto Rico Inc

🇵🇷

San Juan, Puerto Rico

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University Gastroenterology

🇺🇸

Providence, Rhode Island, United States

Minnesota Gastroenterology, P.A.

🇺🇸

St. Paul, Minnesota, United States

South Denver Gastroenterology

🇺🇸

Englewood, Colorado, United States

South Florida Center of Gastroenterology, P.A.

🇺🇸

Wellington, Florida, United States

Advanced Research Institute

🇺🇸

New Port Richey, Florida, United States

Lightspeed Medical

🇺🇸

Los Angeles, California, United States

The Research Institute

🇺🇸

Springfield, Massachusetts, United States

Graves-Gilbert Clinic

🇺🇸

Bowling Green, Kentucky, United States

ID Care

🇺🇸

Hillsborough, New Jersey, United States

Johns Hopkins University

🇺🇸

Lutherville, Maryland, United States

Mount Sinai School of Medicine

🇺🇸

New York, New York, United States

Gastrointestinal Specialists of Georgia, PC

🇺🇸

Marietta, Georgia, United States

Weill Cornell Medical College

🇺🇸

New York, New York, United States

Westmead Hospital

🇦🇺

Westmead,, New South Wales, Australia

Binghamton Gastroenterology Associates

🇺🇸

Binghamton, New York, United States

Digestive and Liver Disease Specialists

🇺🇸

Norfolk, Virginia, United States

Southwest Infectious Disease Clinical Research, Inc.

🇺🇸

Dallas, Texas, United States

Metropolitan Research

🇺🇸

Fairfax, Virginia, United States

Inova Fairfax Hospital Center for Liver Diseases

🇺🇸

Falls Church, Virginia, United States

Toronto Liver Centre

🇨🇦

Toronto, Ontario, Canada

Gastro One

🇺🇸

Germantown, Tennessee, United States

Liver Institute of Virginia, Bon Secours St.Mary's

🇺🇸

Newport News, Virginia, United States

Royal Brisbane & Women's Hospital

🇦🇺

Herston, Queensland, Australia

St. Vincent's Hospital

🇦🇺

Melbourne, Australia

Monash Medical Centre

🇦🇺

Melbourne, Australia

Gordon & Leslie Diamond Health Care Centre

🇨🇦

Vancouver, British Columbia, Canada

Fundacion De Investigacion De Diego

🇵🇷

San Juan, Puerto Rico

SCTI Research Foundation Liver Center

🇺🇸

Coronado, California, United States

Whitman Walker Clinic

🇺🇸

Washington, District of Columbia, United States

Borland-Groover Clinic

🇺🇸

Jacksonville, Florida, United States

University of Calgary

🇨🇦

Calgary, Alberta, Canada

Digestive Healthcare of Georgia

🇺🇸

Atlanta, Georgia, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Digestive Health Specialists, PA

🇺🇸

Winston-Salem, North Carolina, United States

University of Alabama Birmingham

🇺🇸

Birmingham, Alabama, United States

Kaiser Permanente

🇺🇸

San Diego, California, United States

Medical Associates Research Group

🇺🇸

San Diego, California, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

Duke University

🇺🇸

Durham, North Carolina, United States

UCSD Antiviral Research Center

🇺🇸

San Diego, California, United States

Quest Clinical Research

🇺🇸

San Francisco, California, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

University of Miami, Center for Liver Diseases

🇺🇸

Miami, Florida, United States

Orlando Immunology Center (ACH)

🇺🇸

Orlando, Florida, United States

Internal Medicine Specialists

🇺🇸

Orlando, Florida, United States

Alamo Medical Research

🇺🇸

San Antonio, Texas, United States

Indianapolis Gastroenterology Research Foundation

🇺🇸

Indianapolis, Indiana, United States

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

Nashville Gastrointestinal Specialists, Inc

🇺🇸

Nashville, Tennessee, United States

Therapeutic Concepts, PA

🇺🇸

Houston, Texas, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Kansas City Gastroenterology and Hepatology

🇺🇸

Kansas City, Missouri, United States

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