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Efficacy and Safety of Sofosbuvir/Ledipasvir ± Ribavirin in Japanese Participants With Chronic Genotype 1 HCV Infection

Phase 3
Completed
Conditions
Chronic HCV Infection
Interventions
Drug: LDV/SOF
Drug: RBV
Registration Number
NCT01975675
Lead Sponsor
Gilead Sciences
Brief Summary

This study will evaluate the antiviral efficacy of sofosbuvir (SOF)/ledipasvir (LDV) fixed-dose combination (FDC) tablet with or without ribavirin (RBV) in treatment-naive or treatment-experienced Japanese participants with chronic genotype 1 HCV infection. Participants receive 12 weeks of treatment and continue assessments during a 24-week posttreatment follow-up period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
341
Inclusion Criteria
  • Body weight ≥ 40 kg
  • HCV RNA ≥ 10^5 IU/mL at screening
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Exclusion Criteria
  • Current or prior history of any clinically-significant illness (other than HCV)
  • Pregnant or nursing female or male with pregnant female partner
  • Chronic liver disease of a non-HCV etiology
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LDV/SOF+RBV (treatment experienced)LDV/SOFTreatment-experienced participants will receive LDV/SOF plus RBV for 12 weeks.
LDV/SOF (treatment naive)LDV/SOFTreatment-naive participants will receive LDV/SOF for 12 weeks.
LDV/SOF+RBV (treatment naive)LDV/SOFTreatment-naive participants will receive LDV/SOF plus RBV for 12 weeks.
LDV/SOF (treatment experienced)LDV/SOFTreatment-experienced participants will receive LDV/SOF for 12 weeks.
LDV/SOF+RBV (treatment naive)RBVTreatment-naive participants will receive LDV/SOF plus RBV for 12 weeks.
LDV/SOF+RBV (treatment experienced)RBVTreatment-experienced participants will receive LDV/SOF plus RBV for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse EventUp to 12 weeks
Percentage of Participants With Sustained Virologic Response (SVR) at 12 Weeks After Discontinuation of Therapy (SVR12), Treatment-naive, Noncirrhotic ParticipantsPosttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment.

Percentage of Participants With Sustained Virologic Response at 12 Weeks After Discontinuation of Therapy (SVR12)Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Experiencing Virologic FailureUp to Posttreatment Week 24

Virologic failure was 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.

Percentage of Participants With Sustained Virologic Response at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)Posttreatment Weeks 4 and 24

SVR4 and SVR 24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks after stopping study treatment, respectively.

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