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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01826981
Registration number
NCT01826981
Ethics application status
Date submitted
1/04/2013
Date registered
9/04/2013
Titles & IDs
Public title
Efficacy and Safety of Sofosbuvir Containing Regimens for the Treatment of Chronic HCV Infection in Participants With Chronic Genotype 1, 2, 3, or 6 HCV Infection
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Scientific title
A Phase 2, Multicenter, Open-Label Study to Assess the Efficacy and Safety of Sofosbuvir Containing Regimens for the Treatment of Chronic HCV Infection
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Secondary ID [1]
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GS-US-337-0122
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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
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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 - LDV/SOF
Treatment: Drugs - SOF
Treatment: Drugs - RBV
Treatment: Drugs - Peg-IFN
Treatment: Drugs - GS-9669
Treatment: Drugs - VEL
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: Cohort 2,Group 3: LDV/SOF 12 wk (GT3 TN) - LDV/SOF for 12 weeks in treatment-naive participants with genotype 3 HCV infection
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Experimental: 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
Treatment: Drugs: LDV/SOF
Ledipasvir/sofosbuvir (LDV/SOF) (90 /400 mg) fixed-dose combination (FDC) tablet administered orally once daily
Treatment: Drugs: SOF
SOF 400 mg tablet administered orally once daily
Treatment: Drugs: RBV
Ribavirin (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)
Treatment: Drugs: Peg-IFN
pegylated interferon (Peg-IFN) 180 µg administered subcutaneously once weekly
Treatment: Drugs: GS-9669
GS-9669 500 mg (2 × 250 mg tablet) administered orally once daily
Treatment: Drugs: VEL
Velpatasvir (VEL) tablet(s) administered orally 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 With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
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Assessment method [1]
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SVR12 is defined as HCV RNA \< lower limit of quantification (LLOQ) 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 With Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
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Assessment method [2]
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Timepoint [2]
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Up to 24 weeks plus 30 days
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Secondary outcome [1]
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Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment
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Assessment method [1]
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Timepoint [1]
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Weeks 1 and 2
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Secondary outcome [2]
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Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment
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Assessment method [2]
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Timepoint [2]
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Weeks 4, 6, and 8
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Secondary outcome [3]
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Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment
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Assessment method [3]
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Timepoint [3]
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Week 10
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Secondary outcome [4]
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Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment
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Assessment method [4]
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Timepoint [4]
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Week 12
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Secondary outcome [5]
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Percentage of Participants With HCV RNA < LLOQ (15 IU/mL) While on Treatment
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Assessment method [5]
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Timepoint [5]
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Weeks 16, 20, and 24
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Secondary outcome [6]
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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)
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Assessment method [6]
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Timepoint [6]
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Posttreatment Weeks 2, 4, 8, and 24
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Secondary outcome [7]
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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)
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Assessment method [7]
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Timepoint [7]
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Posttreatment Weeks 16 and 20
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Secondary outcome [8]
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Percentage of Participants With On-treatment Virologic Failure
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Assessment method [8]
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On-treatment virologic failure was defined as:
* 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)
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Timepoint [8]
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Up to Posttreatment Week 24
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Secondary outcome [9]
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Percentage of Participants Experiencing Viral Relapse
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Assessment method [9]
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Viral relapse is defined as HCV RNA = LLOQ during the post-treatment period having achieved HCV RNA \< LLOQ at end of treatment, confirmed with 2 consecutive values or last available post-treatment measurement.
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Timepoint [9]
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Up to Posttreatment Week 24
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Eligibility
Key inclusion criteria
* 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
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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
* 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
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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
1/04/2013
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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
1/05/2015
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Sample size
Target
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Accrual to date
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Final
359
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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
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.
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Trial website
https://clinicaltrials.gov/study/NCT01826981
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Trial related presentations / publications
Gane EJ, Hyland RH, An D, Svarovskaia E, Pang PS, Brainard D, Stedman CA. Efficacy of ledipasvir and sofosbuvir, with or without ribavirin, for 12 weeks in patients with HCV genotype 3 or 6 infection. Gastroenterology. 2015 Nov;149(6):1454-1461.e1. doi: 10.1053/j.gastro.2015.07.063. Epub 2015 Aug 7. Gane EJ, Hyland RH, An D, Svarovskaia ES, Brainard D, McHutchison JG. Ledipasvir and sofosbuvir for HCV infection in patients coinfected with HBV. Antivir Ther. 2016;21(7):605-609. doi: 10.3851/IMP3066. Epub 2016 Jul 1.
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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
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
Gane EJ, Hyland RH, An D, Svarovskaia E, Pang PS, ...
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Journal
Gane EJ, Hyland RH, An D, Svarovskaia ES, Brainard...
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Results are available at
https://clinicaltrials.gov/study/NCT01826981