SOF (Sovaldi®) +RBV for 16 or 24 Weeks and SOF+RBV+Peg-IFN for 12 Weeks in Adults With Genotype 2 or 3 Chronic HCV Infection
Primary Purpose
Hepatitis C
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
SOF
RBV
Peg-IFN
Sponsored by

About this trial
This is an interventional treatment trial for Hepatitis C focused on measuring 7977, GS-7977, PSI-7977, Sofosbuvir (SOF), Pegylated Interferon (Peg-IFN), Ribavirin (RBV)
Eligibility Criteria
Key Inclusion Criteria:
- Male or female, age greater than or equal to 18 years.
- Confirmed chronic HCV infection.
- Subjects will have cirrhosis status assessment; liver biopsy may be required.
- Genotype 2 subjects must have cirrhosis of the liver to be eligible.
- Treatment-naive or prior treatment failure to ≥12 weeks of an interferon- based regimen that was not discontinued prematurely due to an adverse event
- Infection with HCV genotype 2 or 3 as determined at Screening
- Body mass index (BMI) greater than or equal to 18 kg/m^2
- Screening laboratory values within predefined thresholds.
- Liver imaging (e.g., ultrasound) within 6 months of Baseline/Day 1 is required in cirrhotic patients to exclude hepatocellular carcinoma (HCC). In the event of intrahepatic lesions, triple phase CT scan or MRI should be performed to exclude HCC.
- Subject must be of generally good health as determined by the Investigator.
Key Exclusion Criteria:
- Prior use of any other inhibitor of the HCV nonstructural protein (NS)5B polymerase
- Pregnant or nursing female or male with pregnant female partner
- History of any other clinically significant chronic liver disease.
- HIV or chronic hepatitis B virus (HBV) infection.
- Malignancy with the exception of certain resolved skin cancers.
- Chronic use of systemically administered immunosuppressive agents.
- Clinically-relevant drug or alcohol abuse.
- History of solid organ transplantation.
- Current or prior history of clinical hepatic decompensation.
- History of clinically-significant illness or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol.
- Known hypersensitivity to interferon, RBV, the study investigational medicinal product, the metabolites, or formulation excipients.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
SOF+RBV 16 weeks
SOF+RBV 24 weeks
SOF+RBV+Peg-IFN 12 weeks
Retreatment Substudy
Arm Description
SOF+RBV for 16 weeks
SOF+RBV for 24 weeks
SOF+RBV+Peg-IFN for 12 weeks
Participants from the SOF+RBV arms (16 weeks or 24 weeks) who experienced virologic failure on treatment, or during the posttreatment period at or before Posttreatment Week 24 may be eligible to enroll into the Retreatment Substudy to receive SOF+RBV+Peg-IFN for 12 weeks.
Outcomes
Primary Outcome Measures
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Secondary Outcome Measures
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
SVR4 and SVR 24 were defined as HCV RNA < LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
HCV RNA at Weeks 1, 2, 4, 8, and 12
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, and 12
Percentage of Participants Experiencing On-Treatment Virologic Failure
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)
Percentage of Participants Experiencing Viral Relapse
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.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01962441
Brief Title
SOF (Sovaldi®) +RBV for 16 or 24 Weeks and SOF+RBV+Peg-IFN for 12 Weeks in Adults With Genotype 2 or 3 Chronic HCV Infection
Official Title
A Phase 3B Randomized, Open-Label, Multi-Center Trial Assessing Sofosbuvir + Ribavirin for 16 or 24 Weeks and Sofosbuvir + Pegylated Interferon + Ribavirin for 12 Weeks in Subjects With Genotype 2 or 3 Chronic HCV Infection.
Study Type
Interventional
2. Study Status
Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
September 24, 2013 (Actual)
Primary Completion Date
January 7, 2015 (Actual)
Study Completion Date
July 7, 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study will assess the efficacy, safety, and tolerability of 16 or 24 weeks of sofosbuvir (Sovaldi®; SOF) + ribavirin (RBV), and 12 weeks of SOF+RBV+ pegylated interferon (Peg-IFN) in treatment-naive and treatment-experienced adults with chronic genotype 3 hepatitis C virus (HCV) infection, and treatment-experienced adults with cirrhosis and chronic genotype 2 HCV infection.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C
Keywords
7977, GS-7977, PSI-7977, Sofosbuvir (SOF), Pegylated Interferon (Peg-IFN), Ribavirin (RBV)
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
601 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SOF+RBV 16 weeks
Arm Type
Experimental
Arm Description
SOF+RBV for 16 weeks
Arm Title
SOF+RBV 24 weeks
Arm Type
Experimental
Arm Description
SOF+RBV for 24 weeks
Arm Title
SOF+RBV+Peg-IFN 12 weeks
Arm Type
Experimental
Arm Description
SOF+RBV+Peg-IFN for 12 weeks
Arm Title
Retreatment Substudy
Arm Type
Experimental
Arm Description
Participants from the SOF+RBV arms (16 weeks or 24 weeks) who experienced virologic failure on treatment, or during the posttreatment period at or before Posttreatment Week 24 may be eligible to enroll into the Retreatment Substudy to receive SOF+RBV+Peg-IFN for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
SOF
Other Intervention Name(s)
Sovaldi®, GS-7977, PSI-7977
Intervention Description
400 mg tablet administered orally once daily
Intervention Type
Drug
Intervention Name(s)
RBV
Intervention Description
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)
Intervention Type
Drug
Intervention Name(s)
Peg-IFN
Intervention Description
180 µg administered via subcutaneous injection once weekly
Primary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
Description
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Time Frame
Posttreatment Week 12
Title
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Time Frame
Up to 24 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Description
SVR4 and SVR 24 were defined as HCV RNA < LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
Time Frame
Posttreatment Weeks 4 and 24
Title
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Time Frame
Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Title
HCV RNA at Weeks 1, 2, 4, 8, and 12
Time Frame
Weeks 1, 2, 4, 8, and 12
Title
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, and 12
Time Frame
Baseline; Weeks 1, 2, 4, 8, and 12
Title
Percentage of Participants Experiencing On-Treatment Virologic Failure
Description
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)
Time Frame
Up to 24 weeks
Title
Percentage of Participants Experiencing Viral Relapse
Description
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.
Time Frame
Up to Posttreatment Week 24
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Male or female, age greater than or equal to 18 years.
Confirmed chronic HCV infection.
Subjects will have cirrhosis status assessment; liver biopsy may be required.
Genotype 2 subjects must have cirrhosis of the liver to be eligible.
Treatment-naive or prior treatment failure to ≥12 weeks of an interferon- based regimen that was not discontinued prematurely due to an adverse event
Infection with HCV genotype 2 or 3 as determined at Screening
Body mass index (BMI) greater than or equal to 18 kg/m^2
Screening laboratory values within predefined thresholds.
Liver imaging (e.g., ultrasound) within 6 months of Baseline/Day 1 is required in cirrhotic patients to exclude hepatocellular carcinoma (HCC). In the event of intrahepatic lesions, triple phase CT scan or MRI should be performed to exclude HCC.
Subject must be of generally good health as determined by the Investigator.
Key Exclusion Criteria:
Prior use of any other inhibitor of the HCV nonstructural protein (NS)5B polymerase
Pregnant or nursing female or male with pregnant female partner
History of any other clinically significant chronic liver disease.
HIV or chronic hepatitis B virus (HBV) infection.
Malignancy with the exception of certain resolved skin cancers.
Chronic use of systemically administered immunosuppressive agents.
Clinically-relevant drug or alcohol abuse.
History of solid organ transplantation.
Current or prior history of clinical hepatic decompensation.
History of clinically-significant illness or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol.
Known hypersensitivity to interferon, RBV, the study investigational medicinal product, the metabolites, or formulation excipients.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gilead Study Director
Organizational Affiliation
Gilead Sciences
Official's Role
Study Director
Facility Information:
City
Riverside
State/Province
California
ZIP/Postal Code
92501
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
City
Wellington
State/Province
Florida
ZIP/Postal Code
33414
Country
United States
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
City
Novi
State/Province
Michigan
ZIP/Postal Code
48377
Country
United States
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States
City
Hillsborough
State/Province
New Jersey
ZIP/Postal Code
08844
Country
United States
City
Newark
State/Province
New Jersey
ZIP/Postal Code
07102
Country
United States
City
Binghamton
State/Province
New York
ZIP/Postal Code
13903
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37211
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37212-1610
Country
United States
City
Arlington
State/Province
Texas
ZIP/Postal Code
76012
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
City
Camperdown
State/Province
New South Wales
ZIP/Postal Code
2050
Country
Australia
City
Kogarah
State/Province
New South Wales
ZIP/Postal Code
2217
Country
Australia
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
City
Brisbane
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
City
Greenslopes
State/Province
Queensland
ZIP/Postal Code
4120
Country
Australia
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
City
Fitzroy
State/Province
Victoria
ZIP/Postal Code
3065
Country
Australia
City
Heidelberg
State/Province
Victoria
ZIP/Postal Code
3084
Country
Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
City
Nedlands Perth
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4Z6
Country
Canada
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1M9
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6Z 2C7
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6Z 2K5
Country
Canada
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E 3P4
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8N 4A6
Country
Canada
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 8L6
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T 2S8
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M6H 3M1
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2X 3J4
Country
Canada
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1V 4G2
Country
Canada
City
Grafton
State/Province
Auckland
ZIP/Postal Code
1010
Country
New Zealand
City
Grafton
State/Province
Auckland
ZIP/Postal Code
1023
Country
New Zealand
City
Christchurch
State/Province
Chatham Islands
ZIP/Postal Code
8011
Country
New Zealand
City
Hamilton
State/Province
Waikato
ZIP/Postal Code
3204
Country
New Zealand
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand
City
Edgbaston
State/Province
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom
City
Cambridge
State/Province
Cambridgeshire
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
City
London
State/Province
LN
ZIP/Postal Code
E1 1BB
Country
United Kingdom
City
London
State/Province
LN
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
City
London
State/Province
LN
ZIP/Postal Code
SW17 ORE
Country
United Kingdom
City
London
State/Province
LN
ZIP/Postal Code
W2 1NY
Country
United Kingdom
City
Birmingham
ZIP/Postal Code
B9 5SS
Country
United Kingdom
City
Bradford
ZIP/Postal Code
BD9 6RJ
Country
United Kingdom
City
Dundee
ZIP/Postal Code
DD1 9SY
Country
United Kingdom
City
Edinburgh
ZIP/Postal Code
EH16 4SA
Country
United Kingdom
City
Edinburgh
ZIP/Postal Code
EH4 2XU
Country
United Kingdom
City
Frimley
ZIP/Postal Code
GU46 6HU
Country
United Kingdom
City
Glasgow
ZIP/Postal Code
G12 0YN
Country
United Kingdom
City
Glasgow
ZIP/Postal Code
G4 0SF
Country
United Kingdom
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
City
London
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
City
London
ZIP/Postal Code
SW10 9NH
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M85RB
Country
United Kingdom
City
Newcastle Upon Tyne
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
City
Nottingham
ZIP/Postal Code
NG7 2UH
Country
United Kingdom
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
City
Plymouth
ZIP/Postal Code
PL6 8DH
Country
United Kingdom
City
Portsmouth
ZIP/Postal Code
PO6 3LY
Country
United Kingdom
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
26248087
Citation
Foster GR, Pianko S, Brown A, Forton D, Nahass RG, George J, Barnes E, Brainard DM, Massetto B, Lin M, Han B, McHutchison JG, Subramanian GM, Cooper C, Agarwal K; BOSON Study Group. Efficacy of sofosbuvir plus ribavirin with or without peginterferon-alfa in patients with hepatitis C virus genotype 3 infection and treatment-experienced patients with cirrhosis and hepatitis C virus genotype 2 infection. Gastroenterology. 2015 Nov;149(6):1462-70. doi: 10.1053/j.gastro.2015.07.043. Epub 2015 Aug 4.
Results Reference
result
Learn more about this trial
SOF (Sovaldi®) +RBV for 16 or 24 Weeks and SOF+RBV+Peg-IFN for 12 Weeks in Adults With Genotype 2 or 3 Chronic HCV Infection
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