GS-5885 Alone or in Combination With GS-9451 With Peginterferon Alfa 2a and Ribavirin in Treatment Chronic Genotype 1 Hepatitis C Virus
Primary Purpose
Hepatitis C, Chronic
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GS-5885
GS-9451
peginterferon alfa-2a
ribavirin tablet
GS-9451 Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Hepatitis C, Chronic focused on measuring Hepatitis C, HCV, Rapid Virologic Response, Sustained Virologic Response, Direct Acting Antiviral, Combination Therapy HCV RNA, Protease inhibitor, Treatment naïve, GS-5885, GS-9451
Eligibility Criteria
Inclusion Criteria:
- Males and females 18-70 years of age
- Chronic HCV infection
- Subjects must have liver biopsy results (≤ 2 years prior to Screening) indicating the absence of cirrhosis.
- Monoinfection with HCV genotype 1
- HCV RNA > 10^4 IU/mL at Screening
- HCV treatment naïve
- Candidate for PEG/RBV therapy
- Body mass index (BMI) 18-36 kg/m2, inclusive
- Agree to use two forms of highly effective contraception methods for the duration of the study and for 7 months after the last dose of study medication. Females of childbearing potential must have negative pregnancy test at Screening and Baseline.
Exclusion Criteria:
- Pregnant female or male with pregnant female partner
- Exceed defined thresholds for leukopenia, neutropenia, anemia, thrombocytopenia, thyroid stimulating hormone (TSH)
- Diagnosis of autoimmune disease, decompensated liver disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease (COPD), HIV, hepatitis B virus (HBV), hepatocellular carcinoma or other malignancy (with exception of certain resolved skin cancers), hemoglobinopathy, retinal disease, or are immunosuppressed.
- Subjects with current use of amphetamines, cocaine, opiates (e.g., morphine, heroin), or ongoing alcohol abuse are excluded. Patients on stable methadone or buprenorphine maintenance treatment for at least 6 months prior to Screening may be included into the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Arm 1
Arm 2
Arm Description
RGT with GS-5885 30 mg QD + GS-9451 200 mg QD + PEG/RBV
RGT with GS-5885 30 mg QD + GS-9451 placebo QD + PEG/RBV
Outcomes
Primary Outcome Measures
To evaluate the antiviral efficacy of response guided therapy.
To evaluate the antiviral efficacy as measured by sustained virologic response (SVR, defined as plasma HCV RNA < Lower Limit of Quantification (LLoQ) at 24 weeks post-treatment) of response guided therapy (RGT) with GS-5885 + GS-9451 + PEG/RBV, or GS-5885 + PEG/RBV.
Secondary Outcome Measures
To evaluate the safety and tolerability of each regimen.
The primary safety endpoint is any AE leading to permanent discontinuation of study drugs.
To characterize viral dynamics of GS-5885 and GS-9451 when administered with PEG and RBV.
HCV RNA levels, pharmacokinetics and viral sequencing
To characterize the viral resistance to GS-5885 and GS-9451 when administered in combination with PEG and RBV.
Plasma samples will be collected and stored at each visit for possible resistance analysis.
To characterize steady state pharmacokinetics of GS-5885 and GS-9451 when administered with PEG and RBV.
Plasma concentrations of the study drug over time will be summarized using descriptive statistics.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01356160
Brief Title
GS-5885 Alone or in Combination With GS-9451 With Peginterferon Alfa 2a and Ribavirin in Treatment Chronic Genotype 1 Hepatitis C Virus
Official Title
A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Response Guided Therapy With GS-5885 Alone or in Combination With GS-9451 With Peginterferon Alfa 2a and Ribavirin in Treatment Naïve Subjects With Chronic Genotype 1 Hepatitis C Virus Infection
Study Type
Interventional
2. Study Status
Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences
4. Oversight
5. Study Description
Brief Summary
This is a Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Response Guided Therapy with GS-5885 Alone or in Combination with GS-9451 with Peginterferon Alfa 2a and Ribavirin in Treatment Naïve Subjects with Chronic Genotype 1 Hepatitis C Virus Infection.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C, Chronic
Keywords
Hepatitis C, HCV, Rapid Virologic Response, Sustained Virologic Response, Direct Acting Antiviral, Combination Therapy HCV RNA, Protease inhibitor, Treatment naïve, GS-5885, GS-9451
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
351 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Arm 1
Arm Type
Active Comparator
Arm Description
RGT with GS-5885 30 mg QD + GS-9451 200 mg QD + PEG/RBV
Arm Title
Arm 2
Arm Type
Placebo Comparator
Arm Description
RGT with GS-5885 30 mg QD + GS-9451 placebo QD + PEG/RBV
Intervention Type
Drug
Intervention Name(s)
GS-5885
Intervention Description
tablet, 30 mg QD
Intervention Type
Drug
Intervention Name(s)
GS-9451
Intervention Description
tablet, 200 mg QD
Intervention Type
Biological
Intervention Name(s)
peginterferon alfa-2a
Intervention Description
(solution for injection) 180 µg/week
Intervention Type
Drug
Intervention Name(s)
ribavirin tablet
Intervention Description
ribavirin tablet (weight based: 1000 mg/day <75 kg; 1200 mg/day ≥ 75 kg) divided twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
GS-9451 Placebo
Intervention Description
Placebo to match GS-9451 QD
Primary Outcome Measure Information:
Title
To evaluate the antiviral efficacy of response guided therapy.
Description
To evaluate the antiviral efficacy as measured by sustained virologic response (SVR, defined as plasma HCV RNA < Lower Limit of Quantification (LLoQ) at 24 weeks post-treatment) of response guided therapy (RGT) with GS-5885 + GS-9451 + PEG/RBV, or GS-5885 + PEG/RBV.
Time Frame
Through 24 weeks post-treatment
Secondary Outcome Measure Information:
Title
To evaluate the safety and tolerability of each regimen.
Description
The primary safety endpoint is any AE leading to permanent discontinuation of study drugs.
Time Frame
Through 24 weeks post-treatment
Title
To characterize viral dynamics of GS-5885 and GS-9451 when administered with PEG and RBV.
Description
HCV RNA levels, pharmacokinetics and viral sequencing
Time Frame
Through Day 10 on study
Title
To characterize the viral resistance to GS-5885 and GS-9451 when administered in combination with PEG and RBV.
Description
Plasma samples will be collected and stored at each visit for possible resistance analysis.
Time Frame
12 or 24 weeks
Title
To characterize steady state pharmacokinetics of GS-5885 and GS-9451 when administered with PEG and RBV.
Description
Plasma concentrations of the study drug over time will be summarized using descriptive statistics.
Time Frame
Through 48 weeks of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males and females 18-70 years of age
Chronic HCV infection
Subjects must have liver biopsy results (≤ 2 years prior to Screening) indicating the absence of cirrhosis.
Monoinfection with HCV genotype 1
HCV RNA > 10^4 IU/mL at Screening
HCV treatment naïve
Candidate for PEG/RBV therapy
Body mass index (BMI) 18-36 kg/m2, inclusive
Agree to use two forms of highly effective contraception methods for the duration of the study and for 7 months after the last dose of study medication. Females of childbearing potential must have negative pregnancy test at Screening and Baseline.
Exclusion Criteria:
Pregnant female or male with pregnant female partner
Exceed defined thresholds for leukopenia, neutropenia, anemia, thrombocytopenia, thyroid stimulating hormone (TSH)
Diagnosis of autoimmune disease, decompensated liver disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease (COPD), HIV, hepatitis B virus (HBV), hepatocellular carcinoma or other malignancy (with exception of certain resolved skin cancers), hemoglobinopathy, retinal disease, or are immunosuppressed.
Subjects with current use of amphetamines, cocaine, opiates (e.g., morphine, heroin), or ongoing alcohol abuse are excluded. Patients on stable methadone or buprenorphine maintenance treatment for at least 6 months prior to Screening may be included into the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bittoo Kanwar, MD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Chair
Facility Information:
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
City
Coronado
State/Province
California
ZIP/Postal Code
92118
Country
United States
City
Costa Mesa
State/Province
California
ZIP/Postal Code
92626
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80110
Country
United States
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34209
Country
United States
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21202
Country
United States
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21229
Country
United States
City
Burlington
State/Province
Massachusetts
ZIP/Postal Code
01805
Country
United States
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64131
Country
United States
City
Forest Hills
State/Province
New York
ZIP/Postal Code
11375
Country
United States
City
Manhasset
State/Province
New York
ZIP/Postal Code
11030
Country
United States
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37211
Country
United States
City
Arlington
State/Province
Texas
ZIP/Postal Code
76012
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
City
San Juan
ZIP/Postal Code
00927
Country
Puerto Rico
12. IPD Sharing Statement
Learn more about this trial
GS-5885 Alone or in Combination With GS-9451 With Peginterferon Alfa 2a and Ribavirin in Treatment Chronic Genotype 1 Hepatitis C Virus
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