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CompletedNCT02639247POLARIS-4Updated Mar 5, 2019Results posted

Safety and Efficacy of SOF/VEL/VOX FDC for 12 Weeks and SOF/VEL for 12 Weeks in DAA-Experienced Adults With Chronic HCV Infection Who Have Not Received an NS5A Inhibitor

A Phase 3 interventional study of SOF/VEL/VOX and SOF/VEL in Hepatitis C Virus Infection, sponsored by Gilead Sciences. Completed at 78 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-05.

Sponsored by Gilead Sciences · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
333
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objectives of the study are to evaluate the efficacy, safety, and tolerability of treatment with sofosbuvir/velpatasvir/voxilaprevir (Vosevi®; SOF/VEL/VOX) fixed-dose combination (FDC) for 12 weeks and of sofosbuvir/velpatasvir (Epclusa®; SOF/VEL) FDC for 12 weeks in direct-acting antiviral (DAA)-experienced adults with chronic hepatitis C virus (HCV) infection with or without cirrhosis who have not received prior treatment with a regimen containing an inhibitor of the HCV NS5A protein.

02

Conditions studied

  • Hepatitis C Virus Infection

Keywords

  • Chronic
03

In context

Hepatitis C

2,356 studies on the registry are indexed under Hepatitis C; 101 are open to participants now.

This study's enrollment of 333 is above the median of 79 across 1,660 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

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.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Willing and able to provide written informed consent
  • HCV RNA ≥ 10\^4 IU/mL at screening
  • Chronic HCV infection (≥ 6 months)
  • Treatment experienced with a direct acting antiviral medication not including a NS5A Inhibitor for HCV
  • Use of protocol specified methods of contraception

Key Exclusion Criteria:

  • Current or prior history of clinically significant illness that may interfere with participation in the study
  • Screening ECG with clinically significant abnormalities
  • Laboratory results outside of acceptable ranges at screening
  • Pregnant or nursing female
  • Chronic liver disease not caused by HCV
  • Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
333 participants (actual)

Study arms

  • Experimental
    SOF/VEL/VOX

    SOF/VEL/VOX for 12 weeks

    Drug: SOF/VEL/VOX

  • Experimental
    SOF/VEL

    SOF/VEL for 12 weeks

    Drug: SOF/VEL

Interventions

  • DrugSOF/VEL/VOX

    400/100/100 mg FDC tablet administered orally once daily with food

    Also known as: Vosevi®, GS-7977/GS-5816/GS-9857

  • DrugSOF/VEL

    Drug pages: Sofosbuvir · Velpatasvir

    400/100 mg FDC tablet administered orally once daily without regard to food

    Also known as: Epclusa®, GS-7977/GS-5816

06

What researchers measure

Primary outcomes

  1. 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) at 12 weeks after stopping study treatment.

    Time frame: Posttreatment Week 12

  2. Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event

    Time frame: Up to 12 weeks

Secondary outcomes

  1. 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 after stopping study treatment, respectively.

    Time frame: Posttreatment Weeks 4 and 24

  2. Percentage of Participants With HCV RNA < LLOQ On Treatment

    Time frame: Weeks 1, 2, 4, 8 and 12

  3. Change From Baseline in HCV RNA

    Time frame: Weeks 1, 2, 4, 8, and 12

  4. Percentage of Participants With Virologic Failure

    * On-treatment virologic failure: * 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: * Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.

    Time frame: Up to Posttreatment Week 24

07

Results

Posted Nov 6, 2017

Participant flow

Participants were enrolled across 101 study sites in North America, Europe, and Asia Pacific. The first participant was screened on 23 December 2015. The last study visit occurred on 18 January 2017.

Participant flow — Overall Study
MilestoneSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Started182151
Completed177149
Not completed52
Withdrew: Lost to follow-up21
Withdrew: Death20
Withdrew: Withdrew consent01
Withdrew: Protocol violation10

Outcome measures

PrimaryPercentage 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) at 12 weeks after stopping study treatment.

Time frame:
Posttreatment Week 12
Reported as:
Number · percentage of participants
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
percentage of participantsSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)97.8 (94.5 to 99.4)90.1 (84.1 to 94.3)
PrimaryPercentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event
Time frame:
Up to 12 weeks
Reported as:
Number · percentage of participants
Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event
percentage of participantsSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event00.7
SecondaryPercentage 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 after stopping study treatment, respectively.

Time frame:
Posttreatment Weeks 4 and 24
Reported as:
Number · percentage of participcants
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
percentage of participcantsSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
SVR498.4 (95.3 to 99.7)91.4 (85.7 to 95.3)
SVR2497.8 (94.5 to 99.4)90.1 (84.1 to 94.3)
SecondaryPercentage of Participants With HCV RNA < LLOQ On Treatment
Time frame:
Weeks 1, 2, 4, 8 and 12
Reported as:
Number · percentage of participants
Percentage of Participants With HCV RNA < LLOQ On Treatment
percentage of participantsSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Week 115.9 (10.9 to 22.1)17.2 (11.6 to 24.2)
Week 262.6 (55.2 to 69.7)56.3 (48.0 to 64.3)
Week 488.5 (82.9 to 92.7)90.7 (84.9 to 94.8)
Week 8100.0 (98.0 to 100.0)98.7 (95.3 to 99.8)
Week 1298.9 (96.1 to 99.9)99.3 (96.3 to 100.0)
SecondaryChange From Baseline in HCV RNA
Time frame:
Weeks 1, 2, 4, 8, and 12
Reported as:
Mean · log10 IU/mL
Change From Baseline in HCV RNA
log10 IU/mLSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Change at Week 1-4.29 ± 0.627-4.17 ± 0.651
Change at Week 2-4.93 ± 0.604-4.78 ± 0.677
Change at Week 4-5.13 ± 0.561-5.06 ± 0.660
Change at Week 8-5.17 ± 0.562-5.08 ± 0.759
Change at Week 12-5.17 ± 0.559-5.09 ± 0.727
SecondaryPercentage of Participants With Virologic Failure

* On-treatment virologic failure: * 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: * Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.

Time frame:
Up to Posttreatment Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With Virologic Failure
percentage of participantsSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Percentage of Participants With Virologic Failure0.59.9

Adverse events

Collected over Up to 12 weeks plus 30 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SOF/VEL/VOX 12 Weeks—4/182 (2.2%)111/182 (61%)
SOF/VEL 12 Weeks—4/151 (2.6%)88/151 (58.3%)
Most frequent serious events
Most frequent serious events
EventSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
Angina unstableCardiac disorders0/1821/151
Road traffic accidentInjury, poisoning and procedural complications0/1821/151
Lumbar spinal stenosisMusculoskeletal and connective tissue disorders0/1821/151
Cerebrovascular accidentNervous system disorders0/1821/151
Cardiac failure congestiveCardiac disorders1/1820/151
Abdominal herniaGastrointestinal disorders1/1820/151
Toxicity to various agentsInjury, poisoning and procedural complications1/1820/151
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders1/1820/151
Most frequent other events
Most frequent other events
EventSOF/VEL/VOX 12 WeeksSOF/VEL 12 Weeks
FatigueGeneral disorders43/18243/151
HeadacheNervous system disorders50/18243/151
DiarrhoeaGastrointestinal disorders36/1827/151
NauseaGastrointestinal disorders22/18212/151
Back painMusculoskeletal and connective tissue disorders12/1828/151
InsomniaPsychiatric disorders12/1823/151
Abdominal painGastrointestinal disorders3/1829/151
AstheniaGeneral disorders10/1829/151
IrritabilityPsychiatric disorders4/1828/151

Baseline characteristics

Safety Analysis Set: all randomized or enrolled participants who received at least 1 dose of study drug

Age, Continuous
Age, Continuous(years)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
Mean57 ± 9.057 ± 7.357 ± 8.3
Sex: Female, Male
Sex: Female, Male(Participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
Female393776
Male143114257
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
White160131291
Black or African American161329
Asian246
Other213
American Indian or Alaska Native202
Native Hawaiian or Pacific Islander022
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
Hispanic or Latino19827
Not Hispanic or Latino163143306
Region of Enrollment
Region of Enrollment(participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
United States10187188
Australia131023
Canada182038
France261945
Germany141024
New Zealand123
United Kingdom9312
IL28b Status
IL28b Status(Participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
CC332962
CT10795202
TT422769
HCV RNA
HCV RNA(log10 IU/mL)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
Mean6.3 ± 0.566.3 ± 0.666.3 ± 0.61
HCV RNA Category
HCV RNA Category(Participants)SOF/VEL/VOX 12 WeeksSOF/VEL 12 WeeksTotal
< 800,000 IU/mL463884
≥ 800,000 IU/mL136113249
08

Study locations

78 sites
  • Long Beach, California, United States
  • Los Angeles, California, United States
  • Palo Alto, California, United States
  • Pasadena, California, United States
  • Rialto, California, United States
  • San Diego, California, United States
  • San Francisco, California, United States
  • Aurora, Colorado, United States
  • Englewood, Colorado, United States
  • Washington D.C., District of Columbia, United States
  • Gainesville, Florida, United States
  • Miami, Florida, United States
  • Orlando, Florida, United States
  • Wellington, Florida, United States
  • Atlanta, Georgia, United States
  • Marietta, Georgia, United States
  • Chicago, Illinois, United States
  • Indianapolis, Indiana, United States
  • Bastrop, Louisiana, United States
  • Baltimore, Maryland, United States
  • Catonsville, Maryland, United States
  • Boston, Massachusetts, United States
  • Ann Arbor, Michigan, United States
  • Detroit, Michigan, United States
  • Kansas City, Missouri, United States
  • St Louis, Missouri, United States
  • Hillsborough, New Jersey, United States
  • New York, New York, United States
  • Asheville, North Carolina, United States
  • Fayetteville, North Carolina, United States
  • Philadelphia, Pennsylvania, United States
  • Pittsburgh, Pennsylvania, United States
  • Providence, Rhode Island, United States
  • Germantown, Tennessee, United States
  • Nashville, Tennessee, United States
  • Houston, Texas, United States
  • San Antonio, Texas, United States
  • Murray, Utah, United States
  • Falls Church, Virginia, United States
  • Norfolk, Virginia, United States
  • Richmond, Virginia, United States
  • Seattle, Washington, United States
  • Madison, Wisconsin, United States
  • Camperdown, New South Wales, Australia
  • Darlinghurst, New South Wales, Australia
  • Herston, Queensland, Australia
  • Clayton, Victoria, Australia
  • Melbourne, Victoria, Australia
  • Calgary, Alberta, Canada
  • Edmonton, Alberta, Canada
  • Vancouver, British Columbia, Canada
  • Brampton, Ontario, Canada
  • Ottawa, Ontario, Canada
  • Toronto, Ontario, Canada
  • Clermont-Ferrand, France
  • Clichy, France
  • Grenoble, France
  • Lille, France
  • Limoges, France
  • Lyon, France
  • Marseille, France
  • Montpellier, France
  • Nice, France
  • Paris, France
  • Pessac, France
  • Toulouse, France
  • Vandœuvre-lès-Nancy, France
  • Villejuif, France
  • Berlin, Germany
  • Bonn, Germany
  • Cologne, Germany
  • Frankfurt am Main, Germany
  • Hamburg, Germany
  • Hanover, Germany
  • Grafton, Auckland, New Zealand
  • San Juan, Puerto Rico
  • London, United Kingdom
  • Oxford, United Kingdom
09

References and documents

Publications

  • Bourliere M, Gordon SC, Flamm SL, Cooper CL, Ramji A, Tong M, Ravendhran N, Vierling JM, Tran TT, Pianko S, Bansal MB, de Ledinghen V, Hyland RH, Stamm LM, Dvory-Sobol H, Svarovskaia E, Zhang J, Huang KC, Subramanian GM, Brainard DM, McHutchison JG, Verna EC, Buggisch P, Landis CS, Younes ZH, Curry MP, Strasser SI, Schiff ER, Reddy KR, Manns MP, Kowdley KV, Zeuzem S; POLARIS-1 and POLARIS-4 Investigators. Sofosbuvir, Velpatasvir, and Voxilaprevir for Previously Treated HCV Infection. N Engl J Med. 2017 Jun 1;376(22):2134-2146. doi: 10.1056/NEJMoa1613512. PubMed 28564569 ↗

Individual participant data

Plan to share: Yes — Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gilead.com/about/ethics-and-code-of-conduct/policies.

Supporting information: Study protocol, Statistical analysis plan

Time frame: 18 months after study completion

Access criteria: A secured external environment with username, password, and RSA code.

Data sharing details ↗ · www.gilead.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02639247
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Dec 24, 2015
Start date
Dec 23, 2015
Primary completion
Oct 5, 2016
Completion
Jan 18, 2017
Results posted
Nov 6, 2017
Last update
Mar 5, 2019

Study contacts

Gilead Study Director
study director · Gilead Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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