GS-5885, GS-9451, Tegobuvir and Ribovirin in Treatment-Experienced Subjects With Chronic Genotype 1a Or 1b Hepatitis C Virus (HCV) Infection
Hepatitis C, Chronic
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, Tegobuvir, Treatment Experienced, HCV RNA, Polymerase inhibitor, Protease inhibitor, Interferon intolerant, Interferon ineligible, GS-9190, GS-9451, GS-5885, Chronic Genotype 1a or 1b
Eligibility Criteria
Inclusion Criteria:
- Age ≥18 years with chronic HCV infection
- Liver biopsy results ≤ 3 years prior to screening indicating the absence of cirrhosis. Alternatively, a non-invasive procedure conducted within 6 months of screening is permitted in countries where allowed
- Monoinfection with HCV genotype (GT) 1a or 1b
- HCV RNA ≥ 104 IU/mL at screening
- Prior treatment and adherence with one course of pegylated interferon alfa and RBV
- The subject's medical records must include sufficient detail of prior treatment with pegylated interferon alfa and RBV (start/stop dates and viral response) to allow for categorization of prior response as either null, partial, breakthrough or relapse.
- Body mass index (BMI) 18-40 kg/m2 inclusive
Screening ECG without clinically significant abnormalities and with QTcF interval (QT corrected using Fridericia's formula)
≤ 450 msec for males and ≤ 470 msec for females.
- Agree to use two forms of highly effective contraception for the duration of the study and for 7 months after the last dose of study medication. Females of childbearing potential must have a negative pregnancy test at screening and baseline.
Exclusion Criteria:
- Discontinuation of prior treatment with pegylated interferon alfa and RBV due to an adverse event, toxicity reasons or were lost to follow-up
- History of significant cardiac disease
- Exceed criteria delineated in Section 4.2 for laboratory measure thresholds related to leukopenia, neutropenia, anemia, thrombocytopenia, and 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.
- Current abuse of amphetamines, cocaine, opiates, or alcohol. Methadone use is not allowed, however stable buprenorphine maintenance treatment for ≥ 6 months is permitted.
Sites / Locations
- University of Arizona
- Advanced Clinical Research Institute, LLC
- California Liver Institute
- SCTI Research Foundation Liver Center
- University of California, San Diego
- Lightsource Medical
- Medical Associates Research Group, Inc.
- Kaiser Permanente
- California Pacific Medical Center
- San Jose Gastroenterology
- Whitman Walker Clinic
- Avail Clinical Research, LLC
- University of Miami, Center for Liver Diseases
- Infectious Disease Specialists of Atlanta
- University of Kansas Medical Center
- Mercy Medical Center
- Johns Hopkins University
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Henry Ford Health System
- Montefiore Medical Center
- Weill Medical College of Cornell Univeristy
- Mount Sinai School of Medicine
- University of North Carolina at Chapel Hill
- University of Pennsylvania
- University Gastroenterology
- Gastro One
- Southwest Infectious Disease Clinical Research, Inc
- University of Texas Medical Branch
- Therapeutic Concepts, PA
- The University of Texas Health Sciences Center at Houston
- Alamo Medical Research, Ltd.
- University of Utah
- Bon Secours St. Mary's Hospital of Richmond, Inc.
- Digestive and Liver Disease Specialists
- Virginia Mason Medical Center
- University of Wisconsin Hospital and Clinics
- Leber- and Studienzentrum am Checkpoint
- Charite - Universitatsmedizin Berlin Campus Virchow-Klinikum
- Universitätsklinikum Bonn
- Center for HIV and Hepatogastroenterology
- Klinikum der Johann Wolfgang Goethe Universitaet
- Medizinische Universitatsklinik
- Universitatsklinikum Hamburg-Eppendorf
- Medizinische Hochschule Hannover
- Klinikum der Universität Heidelberg
- Gastroenterologisch-Hepatologisches Zentrum Kiel
- Universitätsklinikum Leipzig
- Johannes Gutenberg University Hospital
- Klinikum Innenstadt der LMU Munchen
- Universitätsklinikum Würzburg - Med Klinik und Poliklinik
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Arm 1
Arm 2
Arm 3
GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV BID
GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV placebo BID
GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir placebo BID + RBV BID