A Phase 2 interventional study of SOF and RBV in Hepatitis C Virus, sponsored by Gilead Sciences. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-11-25.
Sponsored by Gilead Sciences · Phase 2, Interventional, and Treatment
This study is to evaluate the safety, tolerability, and antiviral activity of sofosbuvir (SOF) with ribavirin (RBV) in Egyptian adults with chronic genotype 4 hepatitis C virus (HCV) infection.
2,356 studies on the registry are indexed under Hepatitis C; 101 are open to participants now.
This study's enrollment of 60 is below the median of 79 across 1,660 interventional studies indexed under Hepatitis C.
Browse Hepatitis C studies →Gilead Sciences is the lead sponsor of 689 studies on the registry; 24 are open to participants now.
Of its 261 completed or terminated interventional studies of FDA-regulated products, 251 (96%) have results posted.
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Exclusion Criteria:
Treatment-naive and treatment-experienced participants will receive SOF+RBV for 12 weeks.
Drug: SOF · Drug: RBV
Treatment-naive and treatment-experienced participants will receive SOF+RBV for 24 weeks.
Drug: SOF · Drug: RBV
Percentage of Participants With Sustained Virologic Response (SVR) at 12 Weeks After Discontinuation of Therapy (SVR12)
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment.
Time frame: Posttreatment Week 12
Incidence of Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
The percentage of participants discontinuing any study drug due to an adverse event was summarized.
Time frame: Up to 24 weeks
Percentage of Participants With Sustained Virologic Response at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
SVR4 and SVR24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks following the last dose of study drug, respectively.
Time frame: Posttreatment Weeks 4 and 24
Percentage of Participants Experiencing On-treatment Virologic Failure
On-treatment virologic failure was defined as: 1. Viral breakthrough: HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment, confirmed with 2 consecutive values (second confirmation value may have been posttreatment) or with a last available on-treatment measurement and no subsequent follow-up values, or 2. Viral rebound: \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, confirmed with 2 consecutive values (second confirmation value may have been posttreatment) or with a last available on-treatment measurement and no subsequent follow-up values, or 3. Nonresponse: HCV RNA persistently ≥ LLOQ through 8 weeks of treatment
Time frame: Up to 24 weeks
Percentage of Participants Experiencing Viral Relapse
Viral relapse was defined as having achieved undetectable HCV RNA levels (HCV RNA \< LLOQ) at end of treatment, but did not achieve an SVR.
Time frame: Up to Posttreatment Week 24
Participants were enrolled at one study site in the United States. The first participant was screened on 01 October 2012. The last participant observation occurred on 12 February 2014.
| Milestone | SOF+RBV 12 Wk | SOF+RBV 24 Wk |
|---|---|---|
| Started | 31 | 29 |
| Completed | 20 | 26 |
| Not completed | 11 | 3 |
| Withdrew: Lack of efficacy | 10 | 2 |
| Withdrew: Lost to follow-up | 1 | 1 |
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment.
| percentage of participants | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE |
|---|---|---|---|---|
| Percentage of Participants With Sustained Virologic Response (SVR) at 12 Weeks After Discontinuation of Therapy (SVR12) | 78.6 | 58.8 | 100.0 | 86.7 |
The percentage of participants discontinuing any study drug due to an adverse event was summarized.
| percentage of participants | SOF+RBV 12 Wk | SOF+RBV 24 Wk |
|---|---|---|
| Incidence of Adverse Events Leading to Permanent Discontinuation of Study Drug(s) | 0 | 3.4 |
SVR4 and SVR24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks following the last dose of study drug, respectively.
| percentage of participants | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE |
|---|---|---|---|---|
| SVR4 | 78.6 | 58.8 | 100.0 | 93.3 |
| SVR24 | 78.6 | 58.8 | 100.0 | 86.7 |
On-treatment virologic failure was defined as: 1. Viral breakthrough: HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment, confirmed with 2 consecutive values (second confirmation value may have been posttreatment) or with a last available on-treatment measurement and no subsequent follow-up values, or 2. Viral rebound: \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, confirmed with 2 consecutive values (second confirmation value may have been posttreatment) or with a last available on-treatment measurement and no subsequent follow-up values, or 3. Nonresponse: HCV RNA persistently ≥ LLOQ through 8 weeks of treatment
| percentage of participants | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE |
|---|---|---|---|---|
| Percentage of Participants Experiencing On-treatment Virologic Failure | 7.1 | 0 | 0 | 0 |
Viral relapse was defined as having achieved undetectable HCV RNA levels (HCV RNA \< LLOQ) at end of treatment, but did not achieve an SVR.
| percentage of participants | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE |
|---|---|---|---|---|
| Percentage of Participants Experiencing Viral Relapse | 15.4 | 41.2 | 0 | 13.3 |
Collected over Up to 24 weeks plus 30 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| SOF+RBV 12 Wk | — | 0/31 (0%) | 28/31 (90.3%) |
| SOF+RBV 24 Wk | — | 3/29 (10.3%) | 29/29 (100%) |
| Event | SOF+RBV 12 Wk | SOF+RBV 24 Wk |
|---|---|---|
| Abdominal painGastrointestinal disorders | 0/31 | 1/29 |
| Non-cardiac chest painGeneral disorders | 0/31 | 1/29 |
| Loss of consciousnessNervous system disorders | 0/31 | 1/29 |
| Event | SOF+RBV 12 Wk | SOF+RBV 24 Wk |
|---|---|---|
| HeadacheNervous system disorders | 18/31 | 19/29 |
| FatigueGastrointestinal disorders | 14/31 | 15/29 |
| InsomniaPsychiatric disorders | 16/31 | 14/29 |
| CoughRespiratory, thoracic and mediastinal disorders | 6/31 | 13/29 |
| IrritabilityGastrointestinal disorders | 6/31 | 10/29 |
| DizzinessNervous system disorders | 5/31 | 9/29 |
| RashSkin and subcutaneous tissue disorders | 1/31 | 9/29 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 5/31 | 8/29 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 5/31 | 7/29 |
| PruritusSkin and subcutaneous tissue disorders | 7/31 | 7/29 |
Safety Analysis Set: participants who were randomized and received at least 1 dose of study drug
| Age, Continuous(years) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| Mean | 53 ± 12.4 | 54 ± 11.5 | 52 ± 15.6 | 57 ± 9.9 | 54 ± 12.2 |
| Sex: Female, Male(Participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| Female | 6 | 3 | 9 | 1 | 19 |
| Male | 8 | 14 | 5 | 14 | 41 |
| Ethnicity (NIH/OMB)(Participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 14 | 17 | 14 | 15 | 60 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| White | 14 | 17 | 14 | 15 | 60 |
| Liver Cirrhosis(participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| No | 11 | 13 | 11 | 11 | 46 |
| Yes | 3 | 4 | 3 | 4 | 14 |
| IL28b Status(participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| CC | 3 | 1 | 6 | 0 | 10 |
| CT | 9 | 11 | 7 | 12 | 39 |
| TT | 2 | 5 | 1 | 3 | 11 |
| HCV RNA (log10 IU/mL)(log10 IU/mL) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| Mean | 5.7 ± 0.59 | 6.2 ± 0.58 | 5.9 ± 0.74 | 6.1 ± 0.45 | 6.0 ± 0.61 |
| HCV RNA Category(participants) | SOF+RBV 12 Wk TN | SOF+RBV 12 Wk TE | SOF+RBV 24 Wk TN | SOF+RBV 24 Wk TE | Total |
|---|---|---|---|---|---|
| < 800,000 IU/mL | 7 | 4 | 8 | 7 | 26 |
| ≥ 800,000 IU/mL | 7 | 13 | 6 | 8 | 34 |
This study is completed, as verified in Nov 2014. You cannot join it, but the record below documents what was studied.
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Studies of the drugs tested here: Sofosbuvir · Ribavirin