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Phase 2 N=147 Randomized Quadruple-blind Treatment

Sofosbuvir in Combination With Pegylated Interferon and Ribavirin and in Treatment-Naive Hepatitis C-infected Patients

Hepatitis C Virus

Enrolled (actual)
147
Serious AEs
3.4%
Results posted
Feb 2014
Primary outcome: Primary: Percentage of Participants Who Experienced Adverse Events During the Sofosbuvir Treatment Period — 97.9; 97.9; 100.0; 96.0 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Sofosbuvir (Drug); Placebo to match sofosbuvir (Drug); PEG (Drug); RBV (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Gilead Sciences
Primary completion
Apr 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants Who Experienced Adverse Events During the Sofosbuvir Treatment Period
97.9; 97.9; 100.0; 96.0; 97.9; 95.7
SECONDARY
Change in HCV RNA From Baseline to Week 12
-5.39; -5.20; -4.16; -4.95
SECONDARY
Percentage of Participants With Rapid Virologic Response at Week 4
97.9; 97.9; 19.2; 96.0
SECONDARY
Percentage of Participants With Complete Early Virologic Response at Week 12
100.0; 91.5; 61.5; 96.0
SECONDARY
Percentage of Participants With Extended Rapid Virologic Response
97.9; 91.5; 19.2; 96.0
SECONDARY
Percentage of Participants With Virologic Response at the End of Treatment
93.8; 100.0; 61.5; 100.0
SECONDARY
Percentage of Participants With Sustained Virologic Response at Post-treatment Week 12 (SVR12) and 24 (SVR24)
89.6; 91.5; 57.7; 92.0; 89.6; 91.5
SECONDARY
Plasma Pharmacokinetics of GS-331007 (Cmax at Day 8)
331.48; 750.78; 518.18
SECONDARY
Plasma Pharmacokinetics of GS-331007 (Cmax at Day 15)
269.93; 1087.21; 515.13
SECONDARY
Plasma Pharmacokinetics of GS-331007 (Cmax at Day 29)
285.77; 897.41; 574.13
SECONDARY
Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 8)
3020.30; 8620.07; 5738.61
SECONDARY
Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 15)
3178.53; 11245.43; 5465.41
SECONDARY
Plasma Pharmacokinetics of GS-331007 (AUCtau at Day 29)
2789.62; 9191.86; 5874.52
SECONDARY
Percentage of Participants Who Developed Resistance to Sofosbuvir
0.0; 0.0; 0.0

Summary

Genotype 1: Participants with genotype 1 hepatitis C (HCV) infection were randomized to receive sofosbuvir (GS-7977; PSI-7977) 200 mg or 400 mg, or matching placebo, plus pegylated interferon alfa 2a (PEG) and ribavirin (RBV) for 12 weeks, followed by PEG+RBV for an up to an additional 36 weeks. Randomization was stratified by IL28B status (CC, CT, TT) and HCV RNA level (< 800,000 IU/ml or ≥ 800,000 IU/ml) at baseline. Participants were randomized in a 2:2:1 manner; those who achieved an extended rapid virologic response (eRVR) (HCV RNA < lower limit of detection [15 IU/mL] from Weeks 4 through 12) received an additional 12 weeks of PEG+RBV. Subjects not achieving eRVR received an additional 36 weeks of PEG+RBV. Genotype 2 and 3: Participants with genotype 2 or 3 hepatitis C (HCV) received sofosbuvir 400 mg plus PEG+RBV for 12 weeks.

Eligibility Criteria

Inclusion Criteria

  • Males or females aged 18 to 70 years, inclusive, at screening
  • Documented chronic genotype 1, 2, or 3 HCV infection
  • No previous treatment with HCV antiviral mediations
  • Body mass index (BMI) of greater than 18 kg/m2, but not exceeding 36 kg/m2.
  • Liver biopsy obtained within 3 years prior to the Day 1 visit, with a fibrosis classification of non-cirrhotic as judged by a local pathologist
  • Willing to refrain from beginning any new exercise regimens during the first 3 months of the study
  • Fasting blood glucose ≤ 300 mg/dl and/or glycosylated hemoglobin (HbA1c) ≤ 8
  • History of hypertension only if managed effectively on a stable regimen of two or fewer antihypertensives for at least three (3) months prior to screening

Exclusion Criteria

  • Females who were breastfeeding
  • Males and females of reproductive potential who are unwilling to use an "effective", protocol-specified method(s) of contraception during the study
  • Positive test at Screening for HBsAg, anti-HBc IgM Ab, or anti-HIV Ab.
  • History of any other clinically significant chronic liver disease
  • Treatment with herbal/natural remedies with antiviral activity within 30 days prior to baseline.
  • Significant history of immunologically mediated disease, cardiac or pulmonary disease, seizure disorder or anticonvulsant use
  • History of ascites, variceal hemorrhage, hepatic encephalopathy, or conditions consistent with decompensated liver disease
  • Use of medications associated with QT prolongation within 30 days prior to dosing
  • Screening electrocardiogram (ECG) QTc value greater than 450 ms and/or clinically significant ECG findings
  • Personal or family history of Torsade de pointes.
  • Positive results for drugs of abuse test at screening
  • Abnormal hematological and biochemical parameters, including alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 5 times the upper limit of the normal range (ULN)
  • History of major organ transplantation with an existing functional graft
  • History of uncontrolled thyroid disease or abnormal thyroid-stimulating hormone (TSH) levels at screening
  • Clinically significant drug allergy to nucleoside/nucleotide analogs
  • History or current evidence of psychiatric illness, immunologic disorder, pulmonary, cardiac disease, seizure disorder, cancer or history of malignancy that in the opinion of the investigator makes the patient unsuitable for the study
  • History of systemic antineoplastic or immunomodulatory treatment within 6 months prior to dosing, or the expectation of such treatment during the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01188772). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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