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
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.
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 →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.
Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
SOF/VEL/VOX for 12 weeks
Drug: SOF/VEL/VOX
SOF/VEL for 12 weeks
Drug: SOF/VEL
400/100/100 mg FDC tablet administered orally once daily with food
Also known as: Vosevi®, GS-7977/GS-5816/GS-9857
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
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
Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event
Time frame: Up to 12 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 after stopping study treatment, respectively.
Time frame: Posttreatment Weeks 4 and 24
Percentage of Participants With HCV RNA < LLOQ On Treatment
Time frame: Weeks 1, 2, 4, 8 and 12
Change From Baseline in HCV RNA
Time frame: Weeks 1, 2, 4, 8, and 12
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
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.
| Milestone | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| Started | 182 | 151 |
| Completed | 177 | 149 |
| Not completed | 5 | 2 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Death | 2 | 0 |
| Withdrew: Withdrew consent | 0 | 1 |
| Withdrew: Protocol violation | 1 | 0 |
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment.
| percentage of participants | SOF/VEL/VOX 12 Weeks | SOF/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) |
| percentage of participants | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event | 0 | 0.7 |
SVR4 and SVR24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
| percentage of participcants | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| SVR4 | 98.4 (95.3 to 99.7) | 91.4 (85.7 to 95.3) |
| SVR24 | 97.8 (94.5 to 99.4) | 90.1 (84.1 to 94.3) |
| percentage of participants | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| Week 1 | 15.9 (10.9 to 22.1) | 17.2 (11.6 to 24.2) |
| Week 2 | 62.6 (55.2 to 69.7) | 56.3 (48.0 to 64.3) |
| Week 4 | 88.5 (82.9 to 92.7) | 90.7 (84.9 to 94.8) |
| Week 8 | 100.0 (98.0 to 100.0) | 98.7 (95.3 to 99.8) |
| Week 12 | 98.9 (96.1 to 99.9) | 99.3 (96.3 to 100.0) |
| log10 IU/mL | SOF/VEL/VOX 12 Weeks | SOF/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 |
* 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.
| percentage of participants | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| Percentage of Participants With Virologic Failure | 0.5 | 9.9 |
Collected over Up to 12 weeks plus 30 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| SOF/VEL/VOX 12 Weeks | — | 4/182 (2.2%) | 111/182 (61%) |
| SOF/VEL 12 Weeks | — | 4/151 (2.6%) | 88/151 (58.3%) |
| Event | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| Angina unstableCardiac disorders | 0/182 | 1/151 |
| Road traffic accidentInjury, poisoning and procedural complications | 0/182 | 1/151 |
| Lumbar spinal stenosisMusculoskeletal and connective tissue disorders | 0/182 | 1/151 |
| Cerebrovascular accidentNervous system disorders | 0/182 | 1/151 |
| Cardiac failure congestiveCardiac disorders | 1/182 | 0/151 |
| Abdominal herniaGastrointestinal disorders | 1/182 | 0/151 |
| Toxicity to various agentsInjury, poisoning and procedural complications | 1/182 | 0/151 |
| Intervertebral disc protrusionMusculoskeletal and connective tissue disorders | 1/182 | 0/151 |
| Event | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks |
|---|---|---|
| FatigueGeneral disorders | 43/182 | 43/151 |
| HeadacheNervous system disorders | 50/182 | 43/151 |
| DiarrhoeaGastrointestinal disorders | 36/182 | 7/151 |
| NauseaGastrointestinal disorders | 22/182 | 12/151 |
| Back painMusculoskeletal and connective tissue disorders | 12/182 | 8/151 |
| InsomniaPsychiatric disorders | 12/182 | 3/151 |
| Abdominal painGastrointestinal disorders | 3/182 | 9/151 |
| AstheniaGeneral disorders | 10/182 | 9/151 |
| IrritabilityPsychiatric disorders | 4/182 | 8/151 |
Safety Analysis Set: all randomized or enrolled participants who received at least 1 dose of study drug
| Age, Continuous(years) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| Mean | 57 ± 9.0 | 57 ± 7.3 | 57 ± 8.3 |
| Sex: Female, Male(Participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| Female | 39 | 37 | 76 |
| Male | 143 | 114 | 257 |
| Race/Ethnicity, Customized(Participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| White | 160 | 131 | 291 |
| Black or African American | 16 | 13 | 29 |
| Asian | 2 | 4 | 6 |
| Other | 2 | 1 | 3 |
| American Indian or Alaska Native | 2 | 0 | 2 |
| Native Hawaiian or Pacific Islander | 0 | 2 | 2 |
| Race/Ethnicity, Customized(Participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| Hispanic or Latino | 19 | 8 | 27 |
| Not Hispanic or Latino | 163 | 143 | 306 |
| Region of Enrollment(participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| United States | 101 | 87 | 188 |
| Australia | 13 | 10 | 23 |
| Canada | 18 | 20 | 38 |
| France | 26 | 19 | 45 |
| Germany | 14 | 10 | 24 |
| New Zealand | 1 | 2 | 3 |
| United Kingdom | 9 | 3 | 12 |
| IL28b Status(Participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| CC | 33 | 29 | 62 |
| CT | 107 | 95 | 202 |
| TT | 42 | 27 | 69 |
| HCV RNA(log10 IU/mL) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| Mean | 6.3 ± 0.56 | 6.3 ± 0.66 | 6.3 ± 0.61 |
| HCV RNA Category(Participants) | SOF/VEL/VOX 12 Weeks | SOF/VEL 12 Weeks | Total |
|---|---|---|---|
| < 800,000 IU/mL | 46 | 38 | 84 |
| ≥ 800,000 IU/mL | 136 | 113 | 249 |
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
This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.
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Studies of the drugs tested here: Sofosbuvir · Velpatasvir