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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01909804
Registration number
NCT01909804
Ethics application status
Date submitted
17/07/2013
Date registered
29/07/2013
Titles & IDs
Public title
Safety and Efficacy of Sofosbuvir Plus Velpatasvir With or Without Ribavirin in Treatment-experienced Subjects With Chronic HCV Infection
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Scientific title
A Phase 2, Multicenter, Randomized, Open-Label Study to Investigate the Safety and Efficacy of Sofosbuvir + GS-5816 for 12 Weeks in Treatment-Experienced Subjects With Chronic HCV Infection
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Secondary ID [1]
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GS-US-342-0109
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Universal Trial Number (UTN)
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Trial acronym
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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 - SOF
Treatment: Drugs - VEL
Treatment: Drugs - RBV
Experimental: SOF+VEL 25 mg (GT3) without cirrhosis - Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg for 12 weeks.
Experimental: SOF+VEL 25mg+RBV (GT3) without cirrhosis - Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks.
Experimental: SOF+VEL 100 mg (GT3) without cirrhosis - Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg for 12 weeks.
Experimental: SOF+VEL 100 mg+RBV (GT3) without cirrhosis - Participants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks.
Experimental: SOF+VEL 25 mg (GT3) with cirrhosis - Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg for 12 weeks.
Experimental: SOF+VEL 25 mg+RBV (GT3) with cirrhosis - Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks.
Experimental: SOF+VEL 100 mg (GT3) with cirrhosis - Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg for 12 weeks.
Experimental: SOF+VEL 100 mg+RBV (GT3) with cirrhosis - Participants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks.
Experimental: SOF+VEL 25 mg (GT1) - Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks.
Experimental: SOF+VEL 25 mg+RBV (GT1) - Participants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 12 weeks.
Experimental: SOF+VEL 100 mg (GT1) - Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks.
Experimental: SOF+VEL 100 mg+RBV (GT1) - Participants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 12 weeks.
Treatment: Drugs: SOF
400 mg tablet administered orally once daily
Treatment: Drugs: VEL
Tablet administered orally once daily
Treatment: Drugs: RBV
200 mg tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (\< 75 kg = 1000 mg and = 75 kg = 1200 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 (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
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Assessment method [1]
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SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
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Timepoint [1]
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Posttreatment Week 12
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Primary outcome [2]
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Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
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Assessment method [2]
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Timepoint [2]
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Up to 12 weeks
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Secondary outcome [1]
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Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
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Assessment method [1]
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SVR4 and SVR 24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
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Timepoint [1]
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Posttreatment Weeks 4 and 24
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Secondary outcome [2]
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Percentage of Participants With Virologic Failure
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Assessment method [2]
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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.
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Timepoint [2]
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Up to Posttreatment Week 24
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Eligibility
Key inclusion criteria
* Body mass index (BMI) = 18 kg/m^2
* HCV RNA = 10000 IU/mL at screening
* Prior treatment failure to a regimen including interferon with or without RBV
* HCV genotype 1 or 3
* Chronic HCV infection
* Cirrhosis determination
* Use of highly effective contraception methods if female of childbearing potential or sexually active male
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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
* Current or prior history of clinically significant illness other than HCV
* Screening ECG with clinically significant abnormalities
* Prior exposure to HCV specific direct acting antiviral agent
* Pregnant or nursing female or male with pregnant female partner
* Chronic liver disease of non-HCV etiology
* Hepatitis B
* Active drug abuse
* Use of any prohibited concomitant medications
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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 2
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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
1/06/2013
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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
1/08/2014
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Sample size
Target
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Accrual to date
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Final
323
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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- Camperdown
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Recruitment hospital [2]
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- Darlinghurst
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Recruitment hospital [3]
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- Clayton
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Recruitment hospital [4]
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- Melbourne
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Recruitment hospital [5]
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- Fremantle
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Recruitment hospital [6]
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- Perth
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Recruitment postcode(s) [1]
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- Camperdown
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Recruitment postcode(s) [2]
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- Darlinghurst
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Recruitment postcode(s) [3]
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- Clayton
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Recruitment postcode(s) [4]
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- Melbourne
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Recruitment postcode(s) [5]
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- Fremantle
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Recruitment postcode(s) [6]
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- Perth
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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United States of America
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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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United States of America
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Maryland
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Massachusetts
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Michigan
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Washington
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New Zealand
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Auckland
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New Zealand
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Christchurch
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Puerto Rico
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State/province [23]
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San Juan
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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
The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of sofosbuvir (SOF) + velpatasvir (VEL; GS-5816) with or without ribavirin (RBV) in treatment-naive adults with chronic genotype (GT) 1 or 3 hepatitis C virus (HCV) infection.
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Trial website
https://clinicaltrials.gov/study/NCT01909804
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Trial related presentations / publications
Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, et al. High Efficacy of Treatment with Sofosbuvir+GS-5816±Ribavirin for 12 Weeks in Treatment-Experienced Patients with Genotype 1 or 3 HCV Infection [Abstract 197]. American Association for the Study of Liver Diseases (AASLD); 2014 November 7-11; Boston MA United States. Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser SI, Dore GJ, McNally J, Brainard DM, Han L, Doehle B, Mogalian E, McHutchison JG, Rabinovitz M, Towner WJ, Gane EJ, Stedman CA, Reddy KR, Roberts SK. Sofosbuvir Plus Velpatasvir Combination Therapy for Treatment-Experienced Patients With Genotype 1 or 3 Hepatitis C Virus Infection: A Randomized Trial. Ann Intern Med. 2015 Dec 1;163(11):809-17. doi: 10.7326/M15-1014. Epub 2015 Nov 10.
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Public notes
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Contacts
Principal investigator
Name
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John McNally
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Address
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Gilead Sciences
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Email
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
18 months after study completion
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Available to whom?
A secured external environment with username, password, and RSA code.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: http://www.gilead.com/research/disclosure-and-transparency
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser...
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Journal
Pianko S, Flamm SL, Shiffman ML, Kumar S, Strasser...
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Results are available at
https://clinicaltrials.gov/study/NCT01909804