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Hepatitis C Virus InfectionPhase 1NCT02185794

Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Voxilaprevir in Adults With Chronic Hepatitis C Virus Infection

A Phase 1 study testing Voxilaprevir and SOF/VEL in people with Hepatitis C Virus Infection, run by Gilead Sciences at 11 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the study is to evaluate the safety and tolerability of voxilaprevir (formerly GS-9857) alone or with sofosbuvir (SOF)/velpatasvir (VEL) fixed dose combination (FDC) and antiviral activity of voxilaprevir in adults with genotype 1, 2, 3, 4 hepatitis C virus (HCV) infection. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hepatitis C Virus Infection
What is being tested?
Voxilaprevir and SOF/VEL
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
101 participants
Where
11 sitesin 2 countries
Study dates
13 Jun 2014to 28 Sep 2015
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chronic genotype 1-4 HCV infection
  • For Cohorts 1-9, HCV RNA ≥ 100,000 IU/mL at screening (no HCV RNA restriction for Cohort 10)
  • Screening laboratory values within defined thresholds
  • Use of two effective contraception methods if female of childbearing potential or sexually active male

Who cannot join

  • Pregnant or nursing female or male with pregnant female partner
  • Presence of cirrhosis
  • Prior exposure to approved or experimental HCV Protease Inhibitors
  • Co-infection with HIV or hepatitis B virus (HBV)
  • Current or prior history of clinical hepatic decompensation
  • Chronic use of systemic immunosuppressive agents
  • History of clinically significant illness or any other medical disorder that may interfere with participant's treatment, assessment or compliance with the protocol
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

United States10 sites
  • Study site

    Berlin, New Jersey

  • Study site

    Costa Mesa, California

  • Study site

    DeLand, Florida

  • Study site

    Kansas City, Missouri

  • Study site

    Knoxville, Tennessee

  • Study site

    Marlton, New Jersey

  • Study site

    Orlando, Florida

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    San Antonio, Texas

  • Study site

    St Louis, Missouri

Other trials in United States

Puerto Rico1 site
  • Study site

    San Juan

Other trials in Puerto Rico

About this study

Official title: Phase 1b, Randomized, Double-Blind, Multiple-Dose Ranging Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of GS-9857 in Subjects With Chronic Hepatitis C Virus Infection

The primary objective of the study is to evaluate the safety and tolerability of voxilaprevir (formerly GS-9857) alone or with sofosbuvir (SOF)/velpatasvir (VEL) fixed dose combination (FDC) and antiviral activity of voxilaprevir in adults with genotype 1, 2, 3, 4 hepatitis C virus (HCV) infection. All participants will be monitored for up to 48 weeks after the last dose.

Being tested
Voxilaprevir, Placebo to match voxilaprevir, SOF/VEL
Keywords
Sustained Virologic Response, Direct Acting Antiviral, Combination Therapy, Liver Diseases, Digestive System Diseases, Hepatitis, Viral, Human, Enterovirus Infections, Picornaviridae Infections, RNA Virus Infections, Flaviviridae Infections, Antiviral Agents, Anti-Infective Agents, Therapeutic Uses, Pharmacologic Actions, Antimetabolites, Molecular Mechanisms of Pharmacological Action
Medical subject headings
Hepatitis C, Liver Diseases, Digestive System Diseases, Hepatitis, Viral, Human, Enterovirus Infections, Picornaviridae Infections, RNA Virus Infections, Flaviviridae Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VoxilaprevirDrug

    Also called GS-9857

    Voxilaprevir tablets administered orally once daily

  • Placebo to match voxilaprevirDrug

    Placebo to match voxilaprevir tablets administered orally once daily

  • SOF/VELDrug

    400 mg/100 mg FDC tablet administered orally once daily

Study groups in NCT02185794
Study groupRoleWhat they receive
Placebo (GT 1a, Cohort 1)Placebo comparatorParticipants with genotype (GT) 1a HCV infection will receive placebo once daily for 3 days under fasted conditions.
Receives: Drug: Placebo to match voxilaprevir
Voxilaprevir 50 mg (GT 1a, Cohort 1)ExperimentalParticipants with GT 1a HCV infection will receive voxilaprevir 50 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg (GT 1a, Cohort 1)ExperimentalParticipants with GT 1a HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 300 mg (GT 1a, Cohort 1)ExperimentalParticipants with GT 1a HCV infection will receive voxilaprevir 300 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Placebo (GT 3, Cohort 2)Placebo comparatorParticipants with GT 3 HCV infection will receive placebo once daily for 3 days under fasted conditions.
Receives: Drug: Placebo to match voxilaprevir
Voxilaprevir 50 mg (GT 3, Cohort 2)ExperimentalParticipants with GT 3 HCV infection will receive voxilaprevir 50 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg (GT 3, Cohort 2)ExperimentalParticipants with GT 3 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 300 mg (GT 3, Cohort 2)ExperimentalParticipants with GT 3 HCV infection will receive voxilaprevir 300 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Placebo (GT 2, Cohort 3)Placebo comparatorParticipants with GT 2 HCV infection will receive placebo once daily for 3 days under fasted conditions.
Receives: Drug: Placebo to match voxilaprevir
Voxilaprevir 100 mg (GT 2, Cohort 3)ExperimentalParticipants with GT 2 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg (GT 4, Cohort 4)ExperimentalParticipants with GT 4 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg (GT 1b, Cohort 5)ExperimentalParticipants with GT 1b HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg Fed (GT 3a, Cohort 6)ExperimentalParticipants with GT 3a HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fed conditions.
Receives: Drug: Voxilaprevir
Voxilaprevir 600 mg (Cohorts 7-9)ExperimentalParticipants with genotypes 1a, 1b, 2, 3, or 4 HCV infection will receive voxilaprevir up to 600 mg under fasted or fed conditions for 3 days.
Receives: Drug: Voxilaprevir
Voxilaprevir 100 mg + SOF/VEL 400/100 mg (Group 1, Cohort 10)ExperimentalParticipants with any GT HCV infection received voxilaprevir 100 mg on Day 1 after moderate fat meal and voxilaprevir 100 mg plus sofosbuvir (SOF)/velpatasvir (VEL) (400/100 mg) fixed-dose combination (FDC)on Days 2 and 3 after either a light or moderate-fat meal.
Receives: Drug: Voxilaprevir; Drug: SOF/VEL
Voxilaprevir 100 mg + SOF/VEL 400/100 mg (Group 2, Cohort 10)ExperimentalParticipants with any GT HCV infection received voxilaprevir 100 mg on Day 1 and voxilaprevir 100 mg plus SOF/VEL (400/100 mg) FDC on Days 2 and 3 after moderate fat meal.
Receives: Drug: Voxilaprevir; Drug: SOF/VEL

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Experiencing Treatment Emergent Adverse Events

    Measured: First dose date up to Day 3 plus 30 days

  2. Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities

    Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The severity of laboratory abnormalities was assessed as Grade 0, 1 (mild), 2 (moderate), 3 (severe), or 4 (potentially life threatening) using the Common Terminology Criteria for Adverse Events (CTCAE), version 4.03. The most severe graded abnormality from all tests was counted for each participant.

    Measured: First dose date up to Day 3 plus 30 days

  3. Antiviral Activity of Voxilaprevir as Measured by Change From Baseline in Plasma HCV RNA

    The outcome measure was assessed to evaluate antiviral activity of voxilaprevir only (cohorts 1 through 6). Data are summarized by treatment/cohort and placebo.

    Measured: Baseline; Days 4, 5, 6, 7, 8, 10, and Week 48

Secondary outcomes (3)
  1. Antiviral Activity of Voxilaprevir as Measured by Absolute HCV RNA Level Through Week 48

    The outcome measure was assessed to evaluate antiviral activity of voxilaprevir only (cohorts 1 through 6).

    Measured: Baseline (Pre Day 1 Dose); Days 4, 5, 6, 7, 8, 10, and Week 48

  2. Antiviral Activity of Voxilaprevir as Measured by Number of Participants Achieving Reductions From Baseline in HCV RNA

    Categorical declines from baseline were summarized by the number of participants with a < 1, ≥ 1 to <2, ≥ 2 to <3, or ≥ 3 log10 IU/mL decrease in HCV RNA from baseline to each postdose assessment up to Week 48 by treatment/cohort and placebo. The outcome measure was assessed to evaluate antiviral activity of voxilaprevir only (cohorts 1 through 6).

    Measured: Baseline; Days 4, 5, 6, 7, 8, 10, and Week 48

  3. Percentage of Participants Who Have HCV RNA < Lower Limit of Quantitation (LLOQ) Detected, and < LLOQ Target Not Detected (TND)

    The lower limit of quantitation (LLOQ) detection for HCV RNA levels was 15 IU/mL. HCV detected means calculated HCV RNA level is below LLOQ of the assay. The outcome measure was assessed to evaluate antiviral activity of voxilaprevir only (cohorts 1 through 6).

    Measured: Days 4, 5, 6, 7, 8, 10, and Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2014 (estimated)
  2. Study start13 Jun 2014
  3. Primary completion22 Dec 2014
  4. Study completion28 Sep 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02185794
Sponsor's protocol ID
GS-US-338-1121
Status last verified
Aug 2020
First submitted
7 Jul 2014
Last updated
17 Sep 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Rodriguez-Torres M, Glass S, Hill J, Freilich B, Hassman D, Di Bisceglie A, Taylor J, Kirby B, Yang J, An D, Stamm L, Brainard D, Kim S, Krefetz D, Smith W, Marbury T, Lawitz E. The Pangenotypic NS3/4A Protease Inhibitor GS-9857 Demonstrates Potent Antiviral Activity in Patients Infected With HCV Genotype 1, 2, 3, or 4 in a 3-Day Monotherapy Study [Poster P0901]. Presented at the European Association for the Study of the Liver (EASL) 50th International Liver Congress 2015, April 22-26, 2015, Vienna, Austria.

  • Lawitz E, Yang JC, Stamm LM, Taylor JG, Cheng G, Brainard DM, Miller MD, Mo H, Dvory-Sobol H. Characterization of HCV resistance from a 3-day monotherapy study of voxilaprevir, a novel pangenotypic NS3/4A protease inhibitor. Antivir Ther. 2018;23(4):325-334. doi: 10.3851/IMP3202.

    PubMed 29063860

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Voxilaprevir and SOF/VEL in people with Hepatitis C Virus Infection, run by Gilead Sciences at 11 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Experiencing Treatment Emergent Adverse Events (time frame: First dose date up to Day 3 plus 30 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02185794, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Sep 2020.

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