A Phase 3 interventional study of LDV/SOF and RBV in Chronic Hepatitis C Virus, sponsored by Gilead Sciences. Completed at 53 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-11-16.
Sponsored by Gilead Sciences · Phase 3, Interventional, and Treatment
This study is to evaluate the safety, tolerability, and antiviral efficacy of ledipasvir/sofosbuvir fixed dose combination (FDC) with or without ribavirin (RBV) administered for 12 or 24 weeks in treatment-experienced subjects with chronic genotype 1 hepatitis C virus (HCV) infection.
6,687 studies on the registry are indexed under Infections; 807 are open to participants now.
This study's enrollment of 441 is above the median of 120 across 4,200 interventional studies indexed under Infections.
Browse Infections studies →Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.
Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive LDV/SOF FDC for 12 weeks.
Drug: LDV/SOF
Participants will receive LDV/SOF FDC plus RBV for 12 weeks.
Drug: LDV/SOF · Drug: RBV
Participants will receive LDV/SOF FDC for 24 weeks.
Drug: LDV/SOF
Participants will receive LDV/SOF FDC plus RBV for 24 weeks.
Drug: LDV/SOF · Drug: RBV
Ledipasvir (LDV) 90 mg/sofosbuvir (SOF) 400 mg fixed-dose combination (FDC) tablet administered orally once daily
Also known as: Harvoni®, GS-5885/GS-7997
Ribavirin (RBV) tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) 12 weeks following the last dose of study drug.
Time frame: Posttreatment Week 12
Incidence of Adverse Events Leading to Permanent Discontinuation From Any Study Drug
The percentage of participants who experienced an adverse event leading to permanent discontinuation from any study drug was summarized.
Time frame: Up to 24 weeks
Percentage of Participants With SVR 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 With HCV RNA < LLOQ at Week 1
Time frame: Week 1
Percentage of Participants With HCV RNA < LLOQ at Week 2
Time frame: Week 2
Percentage of Participants With HCV RNA < LLOQ at Week 4
Time frame: Week 4
Percentage of Participants With HCV RNA < LLOQ at Week 8
Time frame: Week 8
Percentage of Participants With HCV RNA < LLOQ at Week 12
Time frame: Week 12
Percentage of Participants With HCV RNA < LLOQ at Week 24
Time frame: Week 24
Change From Baseline in HCV RNA at Week 1
Time frame: Baseline; Week 1
Change From Baseline in HCV RNA at Week 2
Time frame: Baseline; Week 2
Change From Baseline in HCV RNA at Week 4
Time frame: Baseline; Week 4
Change From Baseline in HCV RNA at Week 8
Time frame: Baseline; Week 8
Percentage of Participants With Virologic Failure
Virologic failure was defined as on-treatment virologic failure or virologic relapse. * On-Treatment Virologic Failure was defined as * Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment), or * Rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or * Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment) Virologic relapse was defined as confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.
Time frame: Baseline to posttreatment Week 24
Participants were enrolled at a total of 64 study sites in the United States. The first participant was screened on 03 January 2013. The last participant observation occurred on 20 February 2014.
| Milestone | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Started | 109 | 111 | 110 | 111 |
| Completed | 102 | 107 | 108 | 110 |
| Not completed | 7 | 4 | 2 | 1 |
| Withdrew: Randomized but not treated | 0 | 0 | 1 | 0 |
| Withdrew: Lack of efficacy | 7 | 4 | 0 | 1 |
| Withdrew: Withdrew consent | 0 | 0 | 1 | 0 |
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) 12 weeks following the last dose of study drug.
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12) | 93.6 | 96.4 | 99.1 | 99.1 |
The percentage of participants who experienced an adverse event leading to permanent discontinuation from any study drug was summarized.
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Incidence of Adverse Events Leading to Permanent Discontinuation From Any Study Drug | 0 | 0 | 0 | 0 |
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 | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| SVR4 | 94.5 | 96.4 | 100.0 | 99.1 |
| SVR24 | 93.6 | 96.4 | 99.1 | 99.1 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 1 | 26.6 | 33.3 | 20.2 | 29.7 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 2 | 81.7 | 82.9 | 81.7 | 83.8 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 4 | 100.0 | 99.1 | 99.1 | 99.1 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 8 | 100.0 | 100.0 | 100.0 | 100.0 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 12 | 99.1 | 100.0 | 100.0 | 100.0 |
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Percentage of Participants With HCV RNA < LLOQ at Week 24 | — | — | 100.0 | 100.0 |
| log10 IU/mL | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Change From Baseline in HCV RNA at Week 1 | -4.57 ± 0.501 | -4.50 ± 0.540 | -4.47 ± 0.569 | -4.50 ± 0.575 |
| log10 IU/mL | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Change From Baseline in HCV RNA at Week 2 | -5.08 ± 0.443 | -4.94 ± 0.520 | -4.99 ± 0.571 | -4.99 ± 0.617 |
| log10 IU/mL | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Change From Baseline in HCV RNA at Week 4 | -5.16 ± 0.439 | -5.02 ± 0.543 | -5.06 ± 0.571 | -5.04 ± 0.779 |
| log10 IU/mL | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Change From Baseline in HCV RNA at Week 8 | -5.16 ± 0.439 | -5.02 ± 0.544 | -5.06 ± 0.571 | -5.08 ± 0.605 |
Virologic failure was defined as on-treatment virologic failure or virologic relapse. * On-Treatment Virologic Failure was defined as * Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment), or * Rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or * Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment) Virologic relapse was defined as confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.
| percentage of participants | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| On-Treatment Virologic Failure | 0 | 0 | 0 | 0.9 |
| Virologic relapse | 6.5 | 3.6 | 0 | 0 |
Collected over Up to 24 weeks plus 30 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| LDV/SOF 12 Weeks | — | 0/109 (0%) | 73/109 (67%) |
| LDV/SOF+RBV 12 Weeks | — | 0/111 (0%) | 96/111 (86.5%) |
| LDV/SOF 24 Weeks | — | 6/109 (5.5%) | 87/109 (79.8%) |
| LDV/SOF+RBV 24 Weeks | — | 3/111 (2.7%) | 100/111 (90.1%) |
| Event | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| Angina unstableCardiac disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| Non-cardiac chest painGeneral disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| Intervertebral disc protrusionMusculoskeletal and connective tissue disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| SpondylolisthesisMusculoskeletal and connective tissue disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| ConvulsionNervous system disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| Hepatic encephalopathyNervous system disorders | 0/109 | 0/111 | 1/109 | 0/111 |
| Cholecystitis acuteHepatobiliary disorders | 0/109 | 0/111 | 0/109 | 1/111 |
| Wound infectionInfections and infestations | 0/109 | 0/111 | 0/109 | 1/111 |
| Vaginal prolapseReproductive system and breast disorders | 0/109 | 0/111 | 0/109 | 1/111 |
| Event | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks |
|---|---|---|---|---|
| FatigueGeneral disorders | 23/109 | 45/111 | 26/109 | 50/111 |
| HeadacheNervous system disorders | 28/109 | 26/111 | 25/109 | 35/111 |
| NauseaGastrointestinal disorders | 13/109 | 20/111 | 7/109 | 25/111 |
| InsomniaPsychiatric disorders | 10/109 | 18/111 | 4/109 | 19/111 |
| DiarrhoeaGastrointestinal disorders | 7/109 | 5/111 | 9/109 | 17/111 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 7/109 | 13/111 | 7/109 | 17/111 |
| CoughRespiratory, thoracic and mediastinal disorders | 5/109 | 16/111 | 5/109 | 16/111 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/109 | 16/111 | 3/109 | 9/111 |
| RashSkin and subcutaneous tissue disorders | 2/109 | 11/111 | 6/109 | 16/111 |
| IrritabilityGeneral disorders | 2/109 | 13/111 | 4/109 | 12/111 |
Safety Analysis Set: participants were randomized and received at least one dose of study drug. Participants failed a previous HCV treatment regimen consisting of pegylated interferon alfa-2a (Pegasys) or pegylated interferon alfa-2b (Pegintron) plus ribavirin (RBV), with or without a protease inhibitor (PI).
| Age, Continuous(years) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Mean | 56 ± 6.9 | 57 ± 8.0 | 56 ± 8.3 | 55 ± 7.8 | 56 ± 7.8 |
| Sex: Female, Male(Participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Female | 35 | 40 | 35 | 43 | 153 |
| Male | 74 | 71 | 74 | 68 | 287 |
| Race/Ethnicity, Customized(participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Black or African American | 24 | 16 | 17 | 20 | 77 |
| White | 84 | 94 | 91 | 89 | 358 |
| Asian | 1 | 0 | 0 | 0 | 1 |
| Hawaiian or Pacific Islander | 0 | 1 | 0 | 1 | 2 |
| Other | 0 | 0 | 1 | 1 | 2 |
| Race/Ethnicity, Customized(participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Hispanic/Latino | 7 | 12 | 11 | 11 | 41 |
| Not Hispanic or Latino | 100 | 99 | 98 | 99 | 396 |
| Not Disclosed | 2 | 0 | 0 | 1 | 3 |
| HCV RNA(log10 IU/mL) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Mean | 6.5 ± 0.44 | 6.4 ± 0.54 | 6.4 ± 0.57 | 6.5 ± 0.60 | 6.5 ± 0.54 |
| HCV RNA Category(participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| < 800,000 IU/mL | 6 | 13 | 16 | 15 | 50 |
| ≥ 800,000 IU/mL | 103 | 98 | 93 | 96 | 390 |
| HCV Genotype(participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| Genotype 1a | 86 | 88 | 85 | 88 | 347 |
| Genotype 1b | 23 | 23 | 24 | 23 | 93 |
| IL28b Status(participants) | LDV/SOF 12 Weeks | LDV/SOF+RBV 12 Weeks | LDV/SOF 24 Weeks | LDV/SOF+RBV 24 Weeks | Total |
|---|---|---|---|---|---|
| CC | 10 | 11 | 16 | 18 | 55 |
| CT | 70 | 77 | 68 | 68 | 283 |
| TT | 29 | 23 | 25 | 25 | 102 |
1 further baseline measures are reported on the registry.
Plan to share: Yes — Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
Supporting information: Study protocol, Sap
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