Ledipasvir/Sofosbuvir Fixed-Dose Combination + Ribavirin in Subjects 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 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 or kidney
Sites / Locations
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