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Safety Study of Regimens of Sofosbuvir, GS-0938, and Ribavirin in Patients With Chronic Hepatitis C Infection

Phase 2
Completed
Conditions
Hepatitis C, Chronic
Interventions
Drug: Placebo to match sofosbuvir
Drug: Placebo to match GS-0938
Registration Number
NCT01435044
Lead Sponsor
Gilead Sciences
Brief Summary

This study was designed to assess the safety and efficacy of multiple interferon-free treatment regimens of sofosbuvir (Sovaldi™; GS-7977; PSI-7977) and GS-0938 (PSI-352938) alone and in combination, with and without ribavirin (RBV). Each regimen was to be evaluated over 12 and 24 weeks to identify the optimal duration of therapy to maximize the benefit (sustained virologic response \[SVR\]) versus risk (safety and resistance).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
239
Inclusion Criteria
  • Chronic HCV-infection
  • Naive to all HCV antiviral treatment
  • Otherwise healthy patients
Exclusion Criteria
  • Positive test at Screening for HBsAg, anti-HBc IgM Ab, or anti-HIV Ab
  • History of any other clinically significant chronic liver disease
  • Medical history which the investigator considers the patient unsuitable for the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SOF+RBV 12 WeeksSofosbuvirParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 12 weeks.
SOF+RBV 12 WeeksRBVParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 12 weeks.
GS-0938 AloneGS-0938Participants were randomized to receive GS-0938 plus placebo to match sofosbuvir for up to 24 weeks.
GS-0938 AlonePlacebo to match sofosbuvirParticipants were randomized to receive GS-0938 plus placebo to match sofosbuvir for up to 24 weeks.
GS-0938+SOFGS-0938Participants were randomized to receive GS-0938 plus sofosbuvir for up to 24 weeks.
GS-0938+SOF+RBVSofosbuvirParticipants were randomized to receive GS-0938 plus sofosbuvir plus RBV for up to 24 weeks.
GS-0938+SOFSofosbuvirParticipants were randomized to receive GS-0938 plus sofosbuvir for up to 24 weeks.
GS-0938+SOF+RBVRBVParticipants were randomized to receive GS-0938 plus sofosbuvir plus RBV for up to 24 weeks.
PlaceboPlacebo to match sofosbuvirDeferred start group: Participants were randomized to receive placebo to match GS-0938 plus placebo to match sofosbuvir for 24 Weeks.
PlaceboPlacebo to match GS-0938Deferred start group: Participants were randomized to receive placebo to match GS-0938 plus placebo to match sofosbuvir for 24 Weeks.
GS-0938+SOF+RBVGS-0938Participants were randomized to receive GS-0938 plus sofosbuvir plus RBV for up to 24 weeks.
SOF+RBV 24 WeeksSofosbuvirParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 24 weeks.
SOF+RBV 24 WeeksRBVParticipants were randomized to receive sofosbuvir plus RBV plus placebo to match GS-0938 for 24 weeks.
Retreatment Group - SOF+RBV 24 WeeksSofosbuvirAfter discontinuing a regimen containing GS-0938, participants received sofosbuvir plus RBV for up to 24 weeks.
Retreatment Group - SOF+RBV 24 WeeksRBVAfter discontinuing a regimen containing GS-0938, participants received sofosbuvir plus RBV for up to 24 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of participants with sustained virologic response (SVR) 12 weeks after discontinuation of study drug (SVR12)Post-treatment Week 12

SVR12 was defined as HCV RNA \< LLOQ 12 weeks after the last dose of all study drugs.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Who Experienced Adverse EventsBaseline to Week 24 plus 30 days

Adverse events (AEs) were summarized across the participant population. A participant was counted once if they had a qualifying event.

Change from baseline in HCV RNABaseline to Week 12
Percentage of Participants Who Developed Resistance to SofosbuvirBaseline to Week 24
Percentage of Participants With ALT NormalizationBaseline to post-treatment Week 4

ALT normalization was defined as ALT \> ULN at baseline and ALT ≤ ULN at a subsequent visit.

Percentage of Participants With HCV RNA < LLOQ during treatmentBaseline to Week 12
Percentage of participants with SVR at 4 and 24 weeks after discontinuation of study drug (SVR4; SVR24)Post-treatment Weeks 4 and 24

SVR4 and SVR24 was defined as HCV RNA \< LLOQ 4 and 24 weeks after the last dose of all study drugs, respectively.

Trial Locations

Locations (32)

Advanced Research Institute

🇺🇸

Trinity, Florida, United States

UCSD Antiviral Research Center

🇺🇸

San Diego, California, United States

eStudy Site

🇺🇸

San Diego, California, United States

Avail Clinical Research

🇺🇸

Deland, Florida, United States

Ashville Gastroenterology Associates

🇺🇸

Ashville, North Carolina, United States

Concorde Medical Group

🇺🇸

New York, New York, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

CLI

🇺🇸

Los Angeles, California, United States

South Denver Gastroenterology

🇺🇸

Englewood, Colorado, United States

Alabama Liver & Digestive Specialists

🇺🇸

Montgomery, Alabama, United States

Carolina's Center for Liver Disease

🇺🇸

Statesville, North Carolina, United States

Central Texas Clinical Research

🇺🇸

Austin, Texas, United States

Alamo Medical Research

🇺🇸

San Antonio, Texas, United States

Medical Associates Research Group

🇺🇸

San Diego, California, United States

University of Miami Center for Liver Diseases

🇺🇸

Miami, Florida, United States

South Florida Center of Gastroenterology

🇺🇸

Wellington, Florida, United States

ID Care

🇺🇸

Hillsborough, New Jersey, United States

Investigative Clinical Research

🇺🇸

Annapolis, Maryland, United States

Nashville Gastrointestinal Specialists

🇺🇸

Nashville, Tennessee, United States

Fundacion de Investigacion de Diego

🇵🇷

San Juan, Puerto Rico

Digestive and Liver Disease Specialists

🇺🇸

Norfolk, Virginia, United States

Digestive Health Specialists

🇺🇸

Winston-Salem, North Carolina, United States

Texas Clinical Research Institute

🇺🇸

Arlington, Texas, United States

Quest Clinical Research

🇺🇸

San Francisco, California, United States

Internal Medicine Specialists

🇺🇸

Orlando, Florida, United States

University of Florida Hepatology

🇺🇸

Gainesville, Florida, United States

AIDS Research Consortium of Atlanta

🇺🇸

Atlanta, Georgia, United States

Miami Research Associates

🇺🇸

South Miami, Florida, United States

Gastro One

🇺🇸

Germantown, Tennessee, United States

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

Digestive Health Services

🇺🇸

Downers Grove, Illinois, United States

Orlando Immunology Center

🇺🇸

Orlando, Florida, United States

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