Ledipasvir/Sofosbuvir Fixed-Dose Combination Plus Ribavirin in Participants With Chronic HCV With Advanced Liver Disease or Post-Liver Transplant
Chronic HCV Infection

About this trial
This is an interventional treatment trial for Chronic HCV Infection
Eligibility Criteria
Inclusion Criteria:
- Able to provide written informed consent
- Chronic genotype 1 and/or 4 HCV infection
- Normal ECG
- Negative serum pregnancy test for female subjects
- Male subjects and female subjects of childbearing potential must agree to use contraception
- Able to comply with the dosing instructions for study drug and able to complete the study schedule of assessments, including all required post treatment visits
Exclusion Criteria:
- Serious or active medical or psychiatric illness
- HIV or hepatitis B viral (HBV) infection
- Stomach disorder that could interfere with the absorption of the study drug
- Treated with an anti-HCV medication in the last 30 days
- Any prior exposure to an HCV nonstructural protein (NS)5a-specific inhibitor
- Use of human granulocyte-macrophage colony-stimulating factor (GM-CSF), epoetin alfa or other therapeutic hematopoietic agents within 2 weeks of screening
- History of clinically significant medical condition associated with other chronic liver disease
- Active spontaneous bacterial peritonitis at screening
- Females who are breastfeeding
- Infection requiring systemic antibiotics
- Participated in a clinical study with an investigational drug or biologic within the last 30 days
- Active or history (last 6 months) of drug or alcohol abuse
- History of organ transplant other than liver, kidney, or corneal.
Sites / Locations
- Royal Prince Alfred Hospital, University of Sydney
- Austin Repatriation Hospital (Melbourne) // Victorian Transplant Centre
- Medizinische Universitaet Innsbruck
- Medizinische Universitat Wien
- UCL St-Luc Brussels
- Universitair Ziekenhuis Gent
- Division of Gastroenterology, University of Alberta, Edmonton
- University of British Columbia and Vancouver General Hospital
- London Health Sciences Centre-University Hospital
- University Health Network // Toronto General Hospital
- Hopital St. Luc
- McGill University Health Centre \\ Royal Victoria Hospital
- Hospital Beaujon
- Hospital Mondor \\ Service d'Hépatologie et de Gastroentérologie,
- Hopital Saint-Eloi
- Hopital Paul Brousse
- Universitätsklinikum RWTH Aachen
- Universitätsklinikum Essen - klinikum für Gastroenterolgie und Hepatologie
- University Hospital Johann Wolfgang Goethe University, Department of Internal Medicine I
- Medical School of Hannover
- IRCCS Cà Grande Ospedale Maggiore Policlinico
- Azienda Ospedaliera San Giovanni, Battista di Torino \\ Professor of Gastroenterology-San Giovanni Battista Hospital-University of Torino
- Leids Universitair Medisch Centrum
- Erasmus MC in Rotterdam
- Auckland City Hospital
- Hospital General Universitari Vall d' Hebron
- Hospital Clinic i Provincial
- Puerta de Hierro, Madrid
- Hospital Universitario y Politecnico La Fe de Valencia
- University of Berne
- University Hospital Zurich
- University Hospitals Birmingham NHS Foundation Trust
- Royal Infirmary of Edinburgh \\ Scottish Liver Transplant Unit-Edinburgh
- Kings College Hospital, Institute of Liver Studies
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Cohort A, Group 1 (12 wk): CPT Class B (7-9)
Cohort A, Group 1 (24 wk): CPT Class B (7-9)
Cohort A, Group 2 (12 wk): CPT Class C (10-12)
Cohort A, Group 2 (24 wk): CPT Class C (10-12)
Cohort B, Group 3 (12 wk): F0-F3 Fibrosis
Cohort B, Group 3 (24 wk): F0-F3 Fibrosis
Cohort B, Group 4 (12 wk): CPT Class A (5-6)
Cohort B, Group 4 (24 wk): CPT Class A (5-6)
Cohort B, Group 5 (12 wk): CPT Class B (7-9)
Cohort B, Group 5 (24 wk): CPT Class B (7-9)
Cohort B, Group 6 (12 wk): CPT Class C (10-12)
Cohort B, Group 6 (24 wk): CPT Class C (10-12)
Cohort B, Group 7 (12 wk): FCH
Cohort B, Group 7 (24 wk): FCH
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 12 weeks in participants with CPT Class B (CPT score 7-9)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 24 weeks in participants with CPT Class B (CPT score 7-9)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 12 weeks in participants with CPT Class C (CPT score 10-12)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 24 weeks in participants with CPT Class C (CPT score 10-12)
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 12 weeks in participants with Fibrosis Stage F0-F3
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 24 weeks in participants with Fibrosis Stage F0-F3
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 12 weeks in participants with CPT Class A (CPT score 5-6)
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 24 weeks in participants with CPT Class A (CPT score 5-6)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 12 weeks in participants with CPT Class B (CPT score 7-9)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 24 weeks in participants with CPT Class B (CPT score 7-9)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 12 weeks in participants with CPT Class C (CPT score 10-12)
LDV/SOF (90/400 mg) plus RBV (starting at 600 mg, then adjusted ± based on tolerability [weight-based maximum: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg]) for 24 weeks in participants with CPT Class C (CPT score 10-12)
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 12 weeks in participants with FCH
LDV/SOF (90/400 mg) plus RBV (weight-based: < 75 kg = 1000 mg, ≥ 75 kg = 1200 mg) for 24 weeks in participants with FCH