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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01497366
Registration number
NCT01497366
Ethics application status
Date submitted
19/12/2011
Date registered
22/12/2011
Date last updated
2/04/2014
Titles & IDs
Public title
Phase 3 Study of Sofosbuvir and Ribavirin
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Scientific title
A Phase 3, Multicenter, Randomized, Active-Controlled Study to Investigate the Safety and Efficacy of PSI-7977 and Ribavirin for 12 Weeks Compared to Pegylated Interferon and Ribavirin for 24 Weeks in Treatment-Naïve Patients With Chronic Genotype 2 or 3 HCV Infection
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Secondary ID [1]
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P7977-1231
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Universal Trial Number (UTN)
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Trial acronym
FISSION
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sofosbuvir
Treatment: Drugs - PEG
Treatment: Drugs - RBV
Experimental: Sofosbuvir+RBV - Participants were randomized to receive sofosbuvir+RBV for 12 weeks.
Active comparator: PEG+RBV - Participants were randomized to receive PEG+RBV for 24 weeks.
Treatment: Drugs: Sofosbuvir
Sofosbuvir 400 mg (2 × 200 mg tablets) administered orally once daily
Treatment: Drugs: PEG
Pegylated interferon alfa-2a (PEG) 180 µg administered once weekly by subcutaneous injection
Treatment: Drugs: RBV
Ribavirin (RBV) administered as 200 mg tablets up to 1200 mg in a divided daily dose
* Dose of sofosbuvir+RBV group based on baseline weight: \< 75kg = 1000 mg and = 75 kg = 1200 mg
* Dose of PEG+RBV group: 800 mg
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants With Sustained Virologic Response 12 Weeks After Stopping All Study Drugs (SVR12)
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Assessment method [1]
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SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; \< 25 IU/mL) 12 weeks after study drug cessation.
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Timepoint [1]
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Post-treatment Week 12
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Secondary outcome [1]
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Number of Participants Who Experienced Adverse Events (AEs) and Graded Laboratory Abnormalities
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Assessment method [1]
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Timepoint [1]
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Up to 24 weeks plus 30 days following the last dose of study drug
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Secondary outcome [2]
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Percentage of Participants With Sustained Virologic Response 24 Weeks After Stopping All Study Drugs (SVR24)
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Assessment method [2]
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SVR24 was defined as HCV RNA \< LLOQ 24 weeks after study drug cessation.
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Timepoint [2]
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Post-treatment Week 24
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Secondary outcome [3]
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Percentage of Participants With HCV RNA < LLOQ on Treatment
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Assessment method [3]
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Timepoint [3]
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Up to 12 Weeks
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Secondary outcome [4]
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Change From Baseline in HCV RNA
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Assessment method [4]
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Timepoint [4]
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Baseline to Week 12
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Secondary outcome [5]
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Percentage of Participants With Virologic Failure During Treatment
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Assessment method [5]
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Virologic failure was defined as either
* Viral breakthrough: HCV RNA = 25 IU/mL after having previously had HCV RNA \< 25 IU/mL while on treatment, confirmed with 2 consecutive values or last available measurement
* Viral rebound: \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, confirmed with 2 consecutive values or last available measurement
* Non-response: HCV RNA persistently = 25 IU/ml while on treatment (through Week 12)
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Timepoint [5]
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Baseline up to Week 24
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Secondary outcome [6]
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Percentage of Participants With Viral Relapse Following Treatment
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Assessment method [6]
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Viral relapse was defined as HCV RNA = 25 IU/mL in post-treatment after having achieved \< LLOQ at last on-treatment measurement, confirmed with 2 consecutive values or last available measurement.
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Timepoint [6]
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Up to Post-treatment Week 24
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Eligibility
Key inclusion criteria
* Chronic Genotype 2 or 3 HCV-infection
* Naive to all HCV antiviral treatment(s)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Positive test at Screening for HBsAg, anti-hepatitis B core immunoglobulin M antibody (anti-HBc IgM Ab), or anti-HIV Ab
* History of any other clinically significant chronic liver disease
* A history consistent with decompensated liver disease
* History or current evidence of psychiatric illness, immunologic disorder, hemoglobinopathy, pulmonary or cardiac disease, seizure disorder or anticonvulsant use, poorly controlled diabetes, cancer, or a history of malignancy, that makes the subject unsuitable for the study.
* Participation in a clinical study within 3 months prior to first dose
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2013
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Sample size
Target
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Accrual to date
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Final
527
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Canberra Hospital - Garran
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Royal Prince Alfred Hospital - Camperdown
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Concord Repatriation General Hospital - Concord
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St. George Hospital - Kogarah
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Gallipoli MRF - Greenslopes
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Royal Brisbane Hospital Research Foundation - Herston
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Princess Alexandria - Woollongabba
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [9]
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Monash Medical Centre - Clayton
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Recruitment hospital [10]
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Austin Hospital - Heidelberg
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Recruitment hospital [11]
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The Alfred - Melbourne
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Recruitment hospital [12]
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Fremantle Hospital - Fremantle
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Recruitment hospital [13]
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Sir Charles Gairdner - Nedlands
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Recruitment hospital [14]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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2605 - Garran
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2137 - Concord
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2217 - Kogarah
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Recruitment postcode(s) [5]
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4120 - Greenslopes
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Recruitment postcode(s) [6]
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4029 - Herston
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Recruitment postcode(s) [7]
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4102 - Woollongabba
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Recruitment postcode(s) [8]
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5000 - Adelaide
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Recruitment postcode(s) [9]
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3168 - Clayton
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Recruitment postcode(s) [10]
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3084 - Heidelberg
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Recruitment postcode(s) [11]
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3004 - Melbourne
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Recruitment postcode(s) [12]
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6160 - Fremantle
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6009 - Nedlands
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Recruitment postcode(s) [14]
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6000 - Perth
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Recruitment outside Australia
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United States of America
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Alabama
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California
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Colorado
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Florida
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Georgia
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Illinois
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Indiana
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Maryland
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Massachusetts
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Michigan
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Mississippi
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North Carolina
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British Columbia
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Canada
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Ontario
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Italy
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San Giovanni Rotondo
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Netherlands
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Amsterdam
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New Zealand
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Auckland
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New Zealand
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BOP
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Canterbury
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New Zealand
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San Juan
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Sweden
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Göteborg
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Sweden
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Stockholm
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Gilead Sciences
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study was to assess the safety and efficacy of sofosbuvir (GS-7977; PSI-7977) in combination with ribavirin (RBV) administered for 12 weeks compared with pegylated interferon (PEG)/RBV administered for 24 weeks in treatment-naive patients with Hepatitis C (HCV) genotype 2 or 3. Efficacy was assessed by the rate of sustained viral response (SVR) 12 weeks after the discontinuation of therapy (SVR12). This was a non-inferiority study, and if non-inferiority was demonstrated, the study was then allowed to test for superiority.
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Trial website
https://clinicaltrials.gov/study/NCT01497366
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Trial related presentations / publications
Stepanova M, Nader F, Cure S, Bourhis F, Hunt S, Younossi ZM. Patients' preferences and health utility assessment with SF-6D and EQ-5D in patients with chronic hepatitis C treated with sofosbuvir regimens. Aliment Pharmacol Ther. 2014 Sep;40(6):676-85. doi: 10.1111/apt.12880. Epub 2014 Jul 15. Lawitz E, Mangia A, Wyles D, Rodriguez-Torres M, Hassanein T, Gordon SC, Schultz M, Davis MN, Kayali Z, Reddy KR, Jacobson IM, Kowdley KV, Nyberg L, Subramanian GM, Hyland RH, Arterburn S, Jiang D, McNally J, Brainard D, Symonds WT, McHutchison JG, Sheikh AM, Younossi Z, Gane EJ. Sofosbuvir for previously untreated chronic hepatitis C infection. N Engl J Med. 2013 May 16;368(20):1878-87. doi: 10.1056/NEJMoa1214853. Epub 2013 Apr 23.
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Public notes
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Contacts
Principal investigator
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01497366
Download to PDF