A Study of Response-Guided Duration of Combination Therapy With GS-9190, GS-9256, Pegasys® and Copegus® in Previously Untreated Subjects With Genotype 1 Chronic Hepatitis C
Chronic Hepatitis C Infection
About this trial
This is an interventional treatment trial for Chronic Hepatitis C Infection focused on measuring Hepatitis C, HCV, Rapid Virologic Response, Sustained Virologic Response, Direct Acting Antiviral, Combination Therapy, HCV RNA, Polymerase inhibitor, Protease inhibitor, Treatment naïve, GS-9190, GS-9256
Eligibility Criteria
Inclusion Criteria:
- Adult subjects 18 to 70 years of age
- Chronic HCV infection for at least 6 months prior to Baseline (Day 1)
- Liver biopsy results (performed no more than 2 years prior to Screening) indicating the absence of cirrhosis
- Monoinfection with HCV genotype 1a or 1b
- HCV treatment-naïve
- Body mass index (BMI) between 18 and 36 kg/m2
- Creatinine clearance >/= 50 mL/min
- Subject agrees to use highly effective contraception methods if female of childbearing potential or sexually active male.
- Screening laboratory values within defined thresholds for ALT, AST, leukopenia, neutropenia, anemia, thrombocytopenia, thyroid stimulating hormone (TSH), potassium, magnesium
Exclusion Criteria:
- Autoimmune disease
- Decompensated liver disease or cirrhosis
- Poorly controlled diabetes mellitus
- Severe psychiatric illness
- Severe chronic obstructive pulmonary disease (COPD)
- Serological evidence of co-infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or another HCV genotype
- Suspicion of hepatocellular carcinoma or other malignancy (with exception of certain skin cancers)
- History of hemoglobinopathy
- Known retinal disease
- Subjects who are immunosuppressed
- Subjects with known, current use of amphetamines, cocaine, opiates (i.e., morphine, heroin), methadone, or ongoing alcohol abuse
- Subjects who are on or are expected to be on a potent cytochrome P450 (CYP) 3A4 or Pgp inhibitor, or a QT prolonging medication within 2 weeks of Baseline (Day 1) or during the study
- Subjects must have no history of clinically significant cardiac disease, including a family history of Long QT syndrome, and no relevant electrocardiogram (ECG) abnormalities at screening
Sites / Locations
- Mayo Clinic
- Advanced Clinical Research Institute
- Scripps Clinic
- Cedars-Sinai Medical Center
- Medical Associates Research Group
- Kaiser Permanente
- California Pacific Medical Center
- South Denver Gastroenterology
- University of Florida
- University of Miami Center for Liver Diseases
- Orlando Immunology Center
- Bach and Godofsky Infectious Diseases
- Atlanta Gastroenterology Associates
- Emory University, Infectious Disease Clinic
- Northwestern Memorial Hospital
- Indiana University
- Gastroenterology Associates, LLC
- Johns Hopkins University
- Beth Israel Deaconess Medical Center
- Henry Ford Health System
- Southwest CARE Center
- North Shore University Hospital
- Concorde Medical Group
- Cornell University Gastroenterology & Hepatology
- Mount Sinai Medical Center
- Duke University Medical Center
- University Hospitals Case Medical Center
- University Gastroenterology
- Memphis Gastroenterology Group
- The North Texas Research Institute
- UT Southwestern Medical Center at Dallas
- Alamo Medical Research
- Metropolitan Research
- Liver Institute of Virginia, Bon Secours
- Digestive and Liver Disease Specialists
- Virginia Mason Medical Center, Digestive Disease Institute
- Medizinische Universität Graz
- LKH Innsbruck
- Krankenhaus der Elisabethinen Linz GmbH
- AKH der Stadt Wien
- Wilhelminenspital der Stadt Wien
- SGS - Clinical Pharmacology Unit Antwerpen
- ULB Erasme
- UCL Saint Luc
- UZ Antwerp
- CHU Sart Tilman
- Heritage Medical Research Clinic
- University of Alberta, Division of Gastroenterology
- Downtown ID Clinic
- Gordon & Leslie Diamond Health Care Centre
- GI Research Institute
- John Buhler Research Centre
- London Health Sciences Centre
- Ottawa Hospital, Division of Infectious Diseases
- Toronto General Hospital
- Toronto Western Hospital
- University Hospital Brno
- Melnik Hospital
- University Hospital Plzen
- Klinmed, s.r.o.
- Institute of Clinic and Experimental Medicine
- Association of Physicians for Infection Diseases
- Beaujon Hospital
- Henri Mondor Hospital
- Claude Huriez Hospital
- Hotel Dieu Hospital
- Saint Joseph Hospital
- Nancy University Hospital Center
- Charite University Medicine
- University Hospital Bonn
- University Hospital Essen
- Klinikum der Johann Wolfgang Goethe-Universität
- University Hospital Freiburg
- Ifi - Institut fuer Interdisziplinaere Medizin - Studien und Projekte GmbH
- Medizinische Hochschule Hannover
- University hospital Heidelberg
- University Hospital Leipzig
- Johannes Gutenberg University Hospital
- Ludwig-Maximilians-University Munich
- Epatologia, Azienda Ospedaliero "Spedali Civili"
- U.O. Gastroenterologia 1 - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- Medicina Generale - Azienda Ospedaliera di Padova
- U. O. C. di Gastroenterologia - Azienda Ospedaliero-Universitaria Policlinico Paolo Giaccone
- Unità di Malattie Infettive ed Epatologia, Azienda Ospedaliero-Universitaria
- Gastroepatologia - Azienda Ospedaliero-Universitaria S. Giovanni Battista
- Wojewodzki Szpital Specjalistyczny im. K. Dluskiego Oddzial Obserwacyjno-Zakazny
- Wojewodzki Szpital Obserwacyjno-Zakazny im. Tadeusza Browicza Oddział Obserwacyjno-Zakazny
- Szpital Specjalistyczny w Chorzowie
- Niepubliczny Zaklad Opieki Zdrowotnej "Pol-SaNa-Med" Spolka z ograniczona odpowiedzialnoscia
- Wojewodzki Szpital Zespolony w Kielcach
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
- Wojewodzki Specjalistyczny Szpital im. Dr Wl. Bieganskiego w Lodzi
- Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie
- Radomski Szpital Specjalistyczny im. Dr Tytusa Chalubinskiego Oddzial obserwacyjno-zakazny z odcinkiem jednego dnia leczenia chorob watroby
- Samodzielny Publiczny Wojewodzki Szpital Zespolony w Szczecinie
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Wojewodzki Szpital Zakazny Oddzial Dzienny
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Wojewodzki Szpital Zakazny Oddział X
- Centralny Szpital Kliniczny Ministerstwa Spraw Wewnetrznych i Administracji w Warszawie
- EMC Instytut Medyczny S.A.
- Hospital Universitari Vall d'Hebrón
- Hospital Clínico Universitario San Cecilio
- Hospital Universitario Ramón y Cajal
- Hospital Universitario Puerta de Hierro Majadahonda
- Hospital Universitario Ntra. Sra. de Valme
- Hospital General Universitario de Valencia
- Queen Elizabeth Hospital
- North Manchester General Hospital
- Royal Liverpool University Hospital
- Barts and The London Hospital
- University College London Hospital
- Kings College Hospital
- Chelsea and Westminster Hospital
- Institute of Cellular Medicine (Hepatology)
- Derriford Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
Arm 1
Arm 2
Arm 3
GS-9190 and GS-9256 in combination with Pegasys® and Copegus® for 16 or 24 weeks; Pegasys® and Copegus® may be continued for up to 48 weeks total duration depending on individual response to therapy
GS-9256 (active) and placebo matching GS-9190 in combination with Pegasys® and Copegus® for 24 weeks; Pegasys® and Copegus® may be continued for up to 48 weeks total duration depending on individual response to therapy
Placebo matching GS-9190 and placebo matching GS-9256 in combination with Pegasys® and Copegus® for 24 weeks; Pegasys® and Copegus® will be continued for up to 48 weeks total duration