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Hepatitis C Virus InfectionPhase 2NCT02378935

Safety and Efficacy of Voxilaprevir Plus Sofosbuvir/Velpatasvir Fixed Dose Combination in Adults With Chronic Genotype 1 HCV Infection

A Phase 2 study testing VOX, SOF/VEL and RBV in people with Hepatitis C Virus Infection, run by Gilead Sciences at 34 sites in 3 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

This primary objectives of the study are to evaluate the safety, tolerability, and efficacy of voxilaprevir (VOX) plus sofosbuvir/velpatasvir (SOF/VEL) fixed dose combination (FDC) ± ribavirin (RBV) in adults with chronic genotype 1 hepatitis C virus (HCV) infection. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C Virus Infection
What is being tested?
VOX, SOF/VEL and RBV
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
205 participants
Where
34 sitesin 3 countries
Study dates
17 Feb 2015to 12 Apr 2016
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individuals with chronic HCV infection
  • HCV RNA ≥10^4 IU/mL at screening
  • HCV genotype 1
  • Cirrhosis determination; a liver biopsy may be required
  • Screening laboratory values within defined thresholds
  • Use of two contraception methods if female of childbearing potential or sexually active male

Who cannot join

  • Pregnant or nursing female
  • Current or prior history of hepatic decompensation
  • Hepatocellular carcinoma (HCC) or other clinically significant malignancy
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
  • History of clinically significant illness or any other medical disorder that may interfere with the individual's treatment, assessment or compliance with the protocol
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

34 sites in 3 countries.

34 sites in 3 countries

United States31 sites
  • Center for Hep C/Atlanta Medical Center

    Atlanta, Georgia

  • Beth Isreal Deconess Medical Center

    Boston, Massachusetts

  • Massachusetts General Hospital

    Boston, Massachusetts

  • Medical University of South Carolina

    Charleston, South Carolina

  • University of Chicago

    Chicago, Illinois

  • University of Colorado

    Denver, Colorado

  • Henry Ford Hospital and Health System

    Detroit, Michigan

  • Cumberland Research Associates, LLC

    Fayetteville, North Carolina

  • Gastro One

    Germantown, Tennessee

  • ID Care

    Hillsborough, New Jersey

  • Indiana University

    Indianapolis, Indiana

  • Indianapolis Gastroenterology & Hepatology, Inc.

    Indianapolis, Indiana

  • Borland-Groover Clinic

    Jacksonville, Florida

  • Cedars Sinai Medical Center

    Los Angeles, California

  • North Shore/Long Island Jewish PRIME

    Manhasset, New York

  • Gastrointestinal Specialists of Georgia, PC

    Marietta, Georgia

  • University of Miami

    Miami, Florida

  • Nashville Gastrointestinal Specialists, Inc.

    Nashville, Tennessee

  • Mount Sinai Beth Israel

    New York, New York

  • Orlando Immunology center

    Orlando, Florida

  • Stanford University

    Palo Alto, California

  • Huntington Memorial Hospital Liver Center

    Pasadena, California

  • University of Pennsylvania Health Systems

    Philadelphia, Pennsylvania

  • UPMC Center for Liver Diseases

    Pittsburgh, Pennsylvania

  • Liver Institute of Virginia

    Richmond, Virginia

  • Texas Liver Institute

    San Antonio, Texas

  • Medical Associates Research Group, Inc.

    San Diego, California

  • Southwest Care Center

    Santa Fe, New Mexico

  • Swedish Medical Center

    Seattle, Washington

  • South Florida Center of Gastroenterology, P.A.

    Wellington, Florida

  • Digestive Health Specialists, PA

    Winston-Salem, North Carolina

Other trials in United States

New Zealand2 sites
  • Auckland Clinical Studies

    Auckland

  • Christchurch Clinical Studies Trust

    Christchurch

Other trials in New Zealand

Puerto Rico1 site
  • Fundacion de Investigacion de Diego

    San Juan

Other trials in Puerto Rico

About this study

Official title: A Phase 2, Global, Multicenter, Open-Label Study to Investigate the Safety and Efficacy of GS-9857 Plus Sofosbuvir/GS-5816 Fixed Dose Combination in Subjects With Chronic Genotype 1 HCV Infection

This primary objectives of the study are to evaluate the safety, tolerability, and efficacy of voxilaprevir (VOX) plus sofosbuvir/velpatasvir (SOF/VEL) fixed dose combination (FDC) ± ribavirin (RBV) in adults with chronic genotype 1 hepatitis C virus (HCV) infection.

Being tested
VOX, SOF/VEL, RBV
Medical subject headings
Hepatitis C

What participants receive

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

  • VOXDrug

    Also called GS-9857

    100 mg tablet(s) administered orally once daily with food

  • SOF/VELDrug

    Also called GS-7977/GS-5816, Epclusa®

    400/100 mg FDC tablet administered orally once daily with food

  • RBVDrug

    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)

Study groups in NCT02378935
Study groupRoleWhat they receive
VOX+SOF/VEL 6 wk, TN, without cirrhosisExperimentalVOX + SOF/VEL for 6 weeks (treatment naive (TN), without cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 8 wk, TN, without cirrhosisExperimentalVOX + SOF/VEL for 8 weeks (treatment naive, without cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 6 wk, TN, with cirrhosisExperimentalVOX + SOF/VEL for 6 weeks (treatment naive, with cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 8 wk, TN, with cirrhosisExperimentalVOX + SOF/VEL for 8 weeks (treatment naive, with cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL+RBV 8 wk, TN, with cirrhosisExperimentalVOX + SOF/VEL+RBV for 8 weeks (treatment naive, with cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL; Drug: RBV
VOX+SOF/VEL 8 wk, DAA-E, without cirrhosisExperimentalVOX + SOF/VEL for 8 weeks (direct-acting antiviral experienced (DAA-E), without cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 12 wk, DAA-E, without cirrhosisExperimentalVOX + SOF/VEL for 12 weeks (direct-acting antiviral experienced, without cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 8 wk, DAA-E, with cirrhosisExperimentalGS-9857 + SOF/VEL for 8 weeks (direct-acting antiviral experienced, with cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 12 wk, DAA-E, with cirrhosisExperimentalGS-9857 + SOF/VEL for 12 weeks (direct-acting antiviral experienced, with cirrhosis)
Receives: Drug: VOX; Drug: SOF/VEL
VOX+SOF/VEL 12 wk (GS-US-338-1121)ExperimentalVOX + SOF/VEL for 12 weeks (participants who were previously enrolled in GS-US-338-1121 phase 1b study)
Receives: Drug: VOX; Drug: SOF/VEL

What is being measured

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

  1. Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)

    SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ) 12 weeks following the last dose of study treatment.

    Measured: Posttreatment Week 12

  2. Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event

    Measured: Up to 12 Weeks

Secondary outcomes (4)
  1. Percentage of Participants With Sustained Virologic Response 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)

    SVR4 and SVR24 were defined as HCV RNA < LLOQ at 4 and 24 weeks following the last dose of study drug, respectively.

    Measured: Posttreatment Weeks 4 and 24

  2. Percentage of Participants With HCV RNA < LLOQ on Treatment

    Measured: Baseline through end of treatment (Week 6, Week 8 or Week 12, as applicable)

  3. HCV RNA Change From Baseline

    Measured: Baseline through end of treatment (Week 6, Week 8 or Week 12, as applicable)

  4. Percentage of Participants With Virologic Failure

    • 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.

    Measured: Up to Posttreatment Week 24

Timeline

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

  1. First posted4 Mar 2015 (estimated)
  2. Study start17 Feb 2015
  3. Primary completion1 Feb 2016
  4. Study completion12 Apr 2016

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
205 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02378935
Sponsor's protocol ID
GS-US-367-1168
Status last verified
Nov 2017
First submitted
27 Feb 2015
Last updated
6 Mar 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.

Publications

  • Lawitz E, Reau N, Hinestrosa F, Rabinovitz M, Schiff E, Sheikh A, Younes Z, Herring R Jr, Reddy KR, Tran T, Bennett M, Nahass R, Yang JC, Lu S, Dvory-Sobol H, Stamm LM, Brainard DM, McHutchison JG, Pearlman B, Shiffman M, Hawkins T, Curry M, Jacobson I. Efficacy of Sofosbuvir, Velpatasvir, and GS-9857 in Patients With Genotype 1 Hepatitis C Virus Infection in an Open-Label, Phase 2 Trial. Gastroenterology. 2016 Nov;151(5):893-901.e1. doi: 10.1053/j.gastro.2016.07.039. Epub 2016 Jul 30.

    PubMed 27486034

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VOX, SOF/VEL and RBV in people with Hepatitis C Virus Infection, run by Gilead Sciences at 34 sites in 3 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 6 inclusion and 6 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 6 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, New Zealand, 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 8 Dec 2017). 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 With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12) (time frame: Posttreatment Week 12). The study lists 2 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 NCT02378935, which also lists 1 linked publication.

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 6 Mar 2020.

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