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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01260350
Registration number
NCT01260350
Ethics application status
Date submitted
13/12/2010
Date registered
15/12/2010
Date last updated
17/11/2014
Titles & IDs
Public title
Open-Labeled Study of PSI-7977 and RBV With and Without PEG-IFN in Treatment-Naïve Patients With HCV GT2 or GT3
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Scientific title
A Multi-center, Open-Labeled Exploratory Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Oral Administration of PSI-7977 400 mg and Ribavirin for 12 Weeks With and Without Pegylated Interferon in Treatment-Naïve Patients With Chronic HCV Infection Genotype 2 or Genotype 3
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Secondary ID [1]
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Medsafe
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Secondary ID [2]
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P7977-0523
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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:
Chronic Hepatitis C Infection
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Condition category
Condition code
Infection
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Studies of infection and infectious agents
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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 - RBV
Treatment: Drugs - PEG
Treatment: Drugs - LDV
Treatment: Drugs - GS-9669
Treatment: Drugs - LDV/SOF
Experimental: Group 1: SOF+RBV 12 wk: GT 2 or 3, TN - Treatment-naive (TN) participants with genotype (GT) 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 2: SOF+RBV 12 wk+PEG 4 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks plus PEG 180 µg once weekly for 4 weeks.
Experimental: Group 3: SOF+RBV 12 wk+PEG 8 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks plus PEG 180 µg once weekly for 8 weeks.
Experimental: Group 4: SOF+RBV+PEG 12 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily+weight-based RBV (1000-1200 in a divided daily dose) plus PEG 180 µg once weekly for 12 weeks.
Experimental: Group 5: SOF 12 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily for 12 weeks.
Experimental: Group 6: SOF+RBV+PEG 8 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus PEG 180 µg once weekly for 8 weeks.
Experimental: Group 7: SOF+RBV 12 wk: GT 1, TE - Treatment-experienced (TE) participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 8: SOF+RBV 12 wk: GT 1, TN - Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 9: SOF+RBV 12 wk: GT 2 or 3, TE - Treatment-experienced participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 10: SOF+RBV 8 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 8 weeks.
Experimental: Group 11: SOF+RBV 12 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive SOF 400 mg once daily plus split-dose RBV (800 mg in a divided daily dose) for 12 weeks.
Experimental: Group 12: SOF+RBV+LDV 12 wk: GT 1, TE - Treatment-experienced participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus LDV 90 mg once daily for 12 weeks.
Experimental: Group 13: SOF+RBV+LDV 12 wk: GT 1, TN - Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus LDV 90 mg once daily for 12 weeks.
Experimental: Group 14: SOF+RBV+GS-9669 12 wk: GT 1, TE - Treatment-experienced participants with genotype 1 HCV infection who did not respond to prior treatment will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus GS-9669 500 mg once daily for 12 weeks.
Experimental: Group 15: SOF+RBV+GS-9669 12 wk: GT 1, TN - Treatment-naive participants with genotype 1 HCV infection will receive SOF 400 mg once daily plus weight-based RBV (1000-1200 in a divided daily dose) plus GS-9669 500 mg once daily for 12 weeks.
Experimental: Group 16: LDV/SOF FDC 12 wk: GT 1, fibrosis - Treatment-experienced participants with genotype 1 HCV infection and Stage F4 fibrosis who did not respond to prior treatment will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.
Experimental: Group 17: LDV/SOF FDC+RBV 12 wk: GT 1, fibrosis - Treatment-experienced participants with genotype 1 HCV infection with Stage F4 fibrosis who did not respond to prior treatment will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 18: LDV/SOF FDC 12 wk: GT 2 or 3, TN - Treatment-naive participants with genotype 2 or 3 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.
Experimental: Group 19: LDV/SOF FDC 12 wk: GT 2 or 3, TE - Treatment-experienced participants with genotype 2 or 3 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily for 12 weeks.
Experimental: Group 20: LDV/SOF FDC+RBV 12 wk: GT 1, hemophiliac - Hemophiliac participants with genotype 1 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 12 weeks.
Experimental: Group 21: LDV/SOF FDC+RBV 6 wk: GT 1, TN - Treatment-naive participants with genotype 1 HCV infection will receive LDV 90 mg/SOF 400 mg FDC once daily plus weight-based RBV (1000-1200 in a divided daily dose) for 6 weeks.
Experimental: Group 22: LDV/SOF FDC 6 wk: GT 1, TN - Treatment-naive participants with genotype 1 HCV infection were randomized to receive LDV 90 mg/SOF 400 mg FDC once daily for 6 weeks.
Treatment: Drugs: SOF
Sofosbuvir (SOF) tablets administered orally once daily
Treatment: Drugs: RBV
Ribavirin (RBV) capsules administered orally in a divided daily dose
Treatment: Drugs: PEG
Peginterferon alfa-2a (PEG) administered via subcutaneous injection once weekly
Treatment: Drugs: LDV
Ledipasvir (LDV) tablets administered orally once daily
Treatment: Drugs: GS-9669
GS-9669 tablets administered orally once daily
Treatment: Drugs: LDV/SOF
LDV/SOF fixed-dose combination (FDC) tablet administered once daily
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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 Who Experienced Adverse Events
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Assessment method [1]
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Adverse events (AEs) occurring from baseline (Day 1 for all groups) to 30 days following the last dose of study drug were summarized across the participant population. A participant was counted once if they had a qualifying event.
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Timepoint [1]
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Up to 12 weeks plus 30 days
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Secondary outcome [1]
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Percentage of Participants With Sustained Virologic Response 12 Weeks Following Completion of Treatment (SVR12)
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Assessment method [1]
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SVR12 was defined as HCV RNA \< the limit of detection (LOD; \< 15 IU/mL) 12 weeks after the last dose of study drug.
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Timepoint [1]
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Posttreatment Week 12
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Secondary outcome [2]
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Percentage of Participants With HCV RNA < LOD at Week 6
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Assessment method [2]
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Timepoint [2]
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Week 6
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Secondary outcome [3]
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Percentage of Participants With HCV RNA < LOD at Week 8
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Assessment method [3]
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Data are not presented for Group 21 which ended treatment after Week 6.
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Timepoint [3]
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Week 8
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Secondary outcome [4]
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Percentage of Participants With HCV RNA < LOD at Week 12
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Assessment method [4]
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Data are not presented for Groups 6, 10, and 21 which ended treatment after Week 8 or Week 6.
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Timepoint [4]
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Week 12
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Secondary outcome [5]
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Change From Baseline in HCV RNA at Week 6
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Assessment method [5]
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Timepoint [5]
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Baseline to Week 6
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Secondary outcome [6]
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Change From Baseline in HCV RNA at Week 8
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Assessment method [6]
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Data are not presented for Group 21 which ended treatment after Week 6.
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Timepoint [6]
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Baseline to Week 8
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Secondary outcome [7]
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Change From Baseline in HCV RNA at Week 12
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Assessment method [7]
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Data are not presented for Groups 6, 10, and 21 which ended treatment after Week 8 or Week 6. Data are not presented for Groups 16, 17, 18, and 20 because participants with detectable HCV RNA discontinued due to protocol-specified stopping rules.
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Timepoint [7]
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Baseline to Week 12
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Secondary outcome [8]
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Percentage of Participants With Virologic Failure
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Assessment method [8]
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The percentage of participants with on-treatment virologic failure (viral breakthrough, rebound, or nonresponse) or following treatment (viral relapse) was summarized.
On-treatment virologic failure was defined as:
* Viral breakthrough (confirmed HCV RNA = LOD after having previously had HCV RNA \< LOD while on treatment),
* Viral rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, or
* Nonresponse (HCV RNA persistently = LOD through 6 weeks of treatment)
Viral relapse was defined as confirmed HCV RNA = LOD during the posttreatment period having achieved HCV RNA \< LOD at the last on-treatment visit.
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Timepoint [8]
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Up to Posttreatment Week 24
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Eligibility
Key inclusion criteria
* Chronic Genotype 2 or 3 HCV-infection or Genotype 1, serum HCV RNA = 50,000 IU/mL
* Not co-infected with HIV
* 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
* History of any other clinically significant chronic liver disease
* Pregnant or nursing female or male with pregnant female partner
* History of significant drug allergy to nucleoside/nucleotide analogs.
* Participation in a clinical study within 3 months prior to first dose
* Positive result for significant drug use at Screening
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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
1/12/2010
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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
1/12/2013
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Sample size
Target
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Accrual to date
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Final
292
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Christchurch
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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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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is to assess the safety and tolerability of sofosbuvir (SOF) 400 mg with and without ribavirin (RBV) and/or with and without pegylated interferon alfa-2a (PEG) in subjects with genotype 1, 2 or 3 hepatitis C (HCV) infection.
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Trial website
https://clinicaltrials.gov/study/NCT01260350
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Trial related presentations / publications
Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskaia E, Subramanian GM, Symonds WT, McHutchison JG, Pang PS. Efficacy of nucleotide polymerase inhibitor sofosbuvir plus the NS5A inhibitor ledipasvir or the NS5B non-nucleoside inhibitor GS-9669 against HCV genotype 1 infection. Gastroenterology. 2014 Mar;146(3):736-743.e1. doi: 10.1053/j.gastro.2013.11.007. Epub 2013 Nov 18. Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskaia E, Symonds WT, Hindes RG, Berrey MM. Nucleotide polymerase inhibitor sofosbuvir plus ribavirin for hepatitis C. N Engl J Med. 2013 Jan 3;368(1):34-44. doi: 10.1056/NEJMoa1208953.
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Public notes
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Contacts
Principal investigator
Name
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Robert H. Hyland, DPhil
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Address
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Gilead Sciences
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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
Type
Citations or Other Details
Journal
Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskai...
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More Details
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Journal
Gane EJ, Stedman CA, Hyland RH, Ding X, Svarovskai...
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Results are available at
https://clinicaltrials.gov/study/NCT01260350
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