A Phase 2, Multicenter, Open-Label Study to Assess the Efficacy and Safety of Sofosbuvir Containing Regimens for the Treatment of Chronic HCV Infection
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 359
- 试验地点
- 2
- 主要终点
- Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
研究概览
简要总结
The purpose of this study is to evaluate the antiviral efficacy, safety, tolerability of combination therapy with sofosbuvir (SOF) containing regimens for the treatment of chronic hepatitis C virus (HCV) infection.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chronic genotype 1, 2, 3, or 6 HCV infection
- •Cirrhosis determination; a liver biopsy may be required
- •Screening laboratory values within defined thresholds
- •Use of two effective contraception methods if female of childbearing potential or sexually active male
排除标准
- •Pregnant or nursing female or male with pregnant female partner
- •Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
- •Chronic use of systemic immunosuppressive agents
- •History of clinically significant illness or any other medical disorder that may interfere with the individual's treatment, assessment or compliance with the protocol
研究组 & 干预措施
Cohort 1,Group 1: LDV/SOF + RBV 12 wk (GT1 SOF retreatment)
LDV/SOF + RBV for 12 weeks in participants with genotype 1 HCV infection and who failed to achieve sustained virologic response (SVR) in a previous Gilead sofosbuvir study
干预措施: LDV/SOF (Drug)
Cohort 1,Group 1: LDV/SOF + RBV 12 wk (GT1 SOF retreatment)
LDV/SOF + RBV for 12 weeks in participants with genotype 1 HCV infection and who failed to achieve sustained virologic response (SVR) in a previous Gilead sofosbuvir study
干预措施: RBV (Drug)
Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)
SOF + PEG + RBV for 12 weeks in participants with genotype 2 or 3 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study
干预措施: SOF (Drug)
Cohort 4,Group 3: SOF+VEL 100mg 8 wk (GT3 TN noncirrhotic)
SOF+VEL (100 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: VEL (Drug)
Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)
SOF + PEG + RBV for 12 weeks in participants with genotype 2 or 3 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study
干预措施: RBV (Drug)
Cohort 1,Group 2:SOF+Peg-IFN+RBV 12 wk (GT2,3 SOF retreatment)
SOF + PEG + RBV for 12 weeks in participants with genotype 2 or 3 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study
干预措施: Peg-IFN (Drug)
Cohort 2,Group 1: LDV/SOF+RBV 12 wk (GT 1 TE, liver disease)
LDV/SOF+RBV for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis
干预措施: LDV/SOF (Drug)
Cohort 2,Group 1: LDV/SOF+RBV 12 wk (GT 1 TE, liver disease)
LDV/SOF+RBV for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis
干预措施: RBV (Drug)
Cohort 2,Group 2: LDV/SOF+GS-9669 12wk (GT1 TE, liver disease)
LDV/SOF + GS-9669 for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis
干预措施: LDV/SOF (Drug)
Cohort 2,Group 2: LDV/SOF+GS-9669 12wk (GT1 TE, liver disease)
LDV/SOF + GS-9669 for 12 weeks in treatment-experienced participants with genotype 1 HCV infection and advanced liver fibrosis or compensated liver fibrosis
干预措施: GS-9669 (Drug)
Cohort 2,Group 3: LDV/SOF 12 wk (GT3 TN)
LDV/SOF for 12 weeks in treatment-naive participants with genotype 3 HCV infection
干预措施: LDV/SOF (Drug)
Cohort 2,Group 4: LDV/SOF+RBV 12 wk (GT3 TN)
LDV/SOF + RBV for 12 weeks in treatment-naive participants with genotype 3 HCV infection
干预措施: LDV/SOF (Drug)
Cohort 2,Group 4: LDV/SOF+RBV 12 wk (GT3 TN)
LDV/SOF + RBV for 12 weeks in treatment-naive participants with genotype 3 HCV infection
干预措施: RBV (Drug)
Cohort 2,Group 5: LDV/SOF 12 wk (GT6 TE/TN)
LDV/SOF for 12 weeks in treatment-naive or treatment-experienced participants with genotype 6 HCV infection
干预措施: LDV/SOF (Drug)
Cohort 2,Group 6: LDV/SOF+RBV 12 wk (GT3 TE)
LDV/SOF + RBV for 12 weeks in treatment-experienced participants with genotype 3 HCV infection
干预措施: LDV/SOF (Drug)
Cohort 2,Group 6: LDV/SOF+RBV 12 wk (GT3 TE)
LDV/SOF + RBV for 12 weeks in treatment-experienced participants with genotype 3 HCV infection
干预措施: RBV (Drug)
Cohort 3,Group 1: LDV/SOF 12 wk (GT1 cirrhotic CPT B)
LDV/SOF for 12 weeks in participants with genotype 1 HCV infection and Child-Pugh Turcotte (CPT) B cirrhosis
干预措施: LDV/SOF (Drug)
Cohort 4,Group 1: SOF+VEL 25mg 8 wk (GT3 TN noncirrhotic)
SOF+VEL (25 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: SOF (Drug)
Cohort 4,Group 1: SOF+VEL 25mg 8 wk (GT3 TN noncirrhotic)
SOF+VEL (25 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: VEL (Drug)
Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL(25 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: SOF (Drug)
Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL(25 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: RBV (Drug)
Cohort 4,Group 2:SOF+VEL 25mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL(25 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: VEL (Drug)
Cohort 4,Group 3: SOF+VEL 100mg 8 wk (GT3 TN noncirrhotic)
SOF+VEL (100 mg) for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: SOF (Drug)
Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL (100 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: SOF (Drug)
Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL (100 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: RBV (Drug)
Cohort 4,Group 4: SOF+VEL 100mg+RBV 8 wk (GT3 TN noncirrhotic)
SOF+VEL (100 mg)+RBV for 8 weeks in treatment-naive noncirrhotic participants with genotype 3 HCV infection
干预措施: VEL (Drug)
Cohort 5,Group 1: LDV/SOF + RBV 24 wk (SOF retreatment)
LDV/SOF+RBV for 24 weeks in participants with genotype 1, 2, 3, or 6 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study
干预措施: LDV/SOF (Drug)
Cohort 5,Group 1: LDV/SOF + RBV 24 wk (SOF retreatment)
LDV/SOF+RBV for 24 weeks in participants with genotype 1, 2, 3, or 6 HCV infection and who failed to achieve SVR in a previous Gilead sofosbuvir study
干预措施: RBV (Drug)
Cohort 6,Group 1: LDV/SOF 12 wk (GT1, HBV coinfection)
LDV/SOF for 12 weeks in participants with genotype 1 HCV and hepatitis B virus (HBV) coinfection
干预措施: LDV/SOF (Drug)
结局指标
主要结局
Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
时间窗: Posttreatment Week 12
SVR12 is defined as HCV RNA \< lower limit of quantification (LLOQ) at 12 weeks after stopping study treatment.
Percentage of Participants With Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
时间窗: Up to 24 weeks plus 30 days
次要结局
- Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment(Weeks 16, 20, and 24)
- Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) at 2, 4, 8, and 24 Weeks After Discontinuation of Therapy (SVR2, SVR4, SVR8, and SVR 24)(Posttreatment Weeks 2, 4, 8, and 24)
- For Cohort 6, Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) at 16 and 20 Weeks After Discontinuation of Therapy (SVR16 and SVR 20)(Posttreatment Weeks 16 and 20)
- Percentage of Participants With On-treatment Virologic Failure(Up to Posttreatment Week 24)
- Percentage of Participants Experiencing Viral Relapse(Up to Posttreatment Week 24)