Safety and Efficacy of Ledipasvir/Sofosbuvir Fixed-Dose Combination (FDC) With and Without Ribavirin for the Treatment of HCV
A Phase 3, Multicenter, Randomized, Open-Label Study to Investigate the Efficacy and Safety of Sofosbuvir/GS-5885 Fixed-Dose Combination (FDC) +/- Ribavirin for 12 and 24 Weeks in Treatment-Naive Subjects With Chronic Genotype 1 HCV Infection.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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CHRU Lille, France
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Clichy, France
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Creteil, France
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La Tronche, France
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Lyon, France
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Marseille, France
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Nice, France
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Paris, France
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Berlin, Germany
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Dusseldorf, Germany
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Essen, Germany
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Frankfurt, Germany
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Freiburg, Germany
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Hamburg, Germany
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Hannover, Germany
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Koln, Germany
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Mainz, Germany
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Bologna, Italy
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Brescia, Italy
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Milan, Italy
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Padova, Italy
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Palermo, Italy
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Roma, Italy
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San Giovanni Rotondo, Italy
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Torino, Italy
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San Juan, Puerto Rico
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Barcelona, Spain
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Madrid, Spain
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Malaga, Spain
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Santander, Spain
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Sevilla, Spain
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London, United Kingdom
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Manchester, United Kingdom
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Plymouth, United Kingdom
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Wstmid
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Birmingham, Wstmid, United Kingdom
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Alabama
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Birmingham, Alabama, United States
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California
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La Jolla, California, United States
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Long Beach, California, United States
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Los Angeles, California, United States
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Palo Alto, California, United States
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Sacramento, California, United States
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San Diego, California, United States
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Colorado
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Aurora, Colorado, United States
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Englewood, Colorado, United States
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District of Columbia
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Washington, District of Columbia, United States
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Florida
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Gainesville, Florida, United States
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Miami, Florida, United States
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Orlando, Florida, United States
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Tampa, Florida, United States
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Wellington, Florida, United States
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Georgia
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Atlanta, Georgia, United States
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Decatur, Georgia, United States
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Marietta, Georgia, United States
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Illinois
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Chicago, Illinois, United States
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Indiana
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Indianapolis, Indiana, United States
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Maryland
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Baltimore, Maryland, United States
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Lutherville, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Michigan
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Detroit, Michigan, United States
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Minnesota
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Rochester, Minnesota, United States
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Saint Paul, Minnesota, United States
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Missouri
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Kansas City, Missouri, United States
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Saint Louis, Missouri, United States
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New Jersey
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Hillsborough, New Jersey, United States
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New Mexico
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Albuquerque, New Mexico, United States
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Santa Fe, New Mexico, United States
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New York
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Bronx, New York, United States
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Manhasset, New York, United States
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New York, New York, United States
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North Carolina
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Asheville, North Carolina, United States
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Chapel Hill, North Carolina, United States
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Durham, North Carolina, United States
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Fayetteville, North Carolina, United States
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Statesville, North Carolina, United States
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Winston-Salem, North Carolina, United States
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Ohio
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Cincinnati, Ohio, United States
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Pennsylvania
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Philadelphia, Pennsylvania, United States
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Tennessee
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Germantown, Tennessee, United States
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Nashville, Tennessee, United States
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Texas
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Arlington, Texas, United States
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Dallas, Texas, United States
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Houston, Texas, United States
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San Antonio, Texas, United States
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Virginia
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Fairfax, Virginia, United States
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Falls Church, Virginia, United States
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Norfolk, Virginia, United States
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Richmond, Virginia, United States
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Washington
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Seattle, Washington, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18, with chronic genotype 1 HCV infection
- HCV treatment-naive
- HCV RNA > 10,000 IU/mL at screening
- Cirrhosis determination; a liver biopsy may be required
- Screening laboratory values within defined thresholds
- Use of two effective contraception methods if female of childbearing potential or sexually active male
Exclusion Criteria:
- Pregnant or nursing female or male with pregnant female partner
- Co-infection with HIV or hepatitis B virus (HBV)
- Current or prior history of clinical hepatic decompensation
- Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers)
- Chronic use of systemic immunosuppressive agents
- History of clinically significant illness or any other medical disorder that may interfere with subject treatment, assessment or compliance with the protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: LDV/SOF 12 weeks
LDV/SOF administered for 12 weeks
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LDV/SOF 90/400 mg FDC tablet administered orally once daily
Other Names:
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Experimental: LDV/SOF+RBV 12 weeks
LDV/SOF+RBV administered for 12 weeks.
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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)
LDV/SOF 90/400 mg FDC tablet administered orally once daily
Other Names:
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Experimental: LDV/SOF 24 weeks
LDV/SOF administered for 24 weeks
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LDV/SOF 90/400 mg FDC tablet administered orally once daily
Other Names:
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Experimental: LDV/SOF+RBV 24 weeks
LDV/SOF+RBV administered for 24 weeks.
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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)
LDV/SOF 90/400 mg FDC tablet administered orally once daily
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Study Drug (SVR12)
Time Frame: Posttreatment Week 12
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SVR12 was defined as HCV RNA level < the lower limit of quantification (LLOQ, ie, < 25 copies/mL) 12 weeks after last dose of study drug.
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Posttreatment Week 12
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Incidence of Adverse Events Leading to Permanent Discontinuation From Any Study Drug
Time Frame: Up to 24 weeks
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The percentage of participants who experienced an adverse event leading to permanent discontinuation from any study drug was summarized.
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Up to 24 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With HCV RNA < LLOQ at Week 2
Time Frame: Week 2
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Week 2
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Percentage of Participants With HCV RNA < LLOQ at Week 4
Time Frame: Week 4
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Week 4
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Percentage of Participants With HCV RNA < LLOQ at Week 8
Time Frame: Week 8
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Week 8
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Change From Baseline in HCV RNA at Week 2
Time Frame: Baseline; Week 2
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Baseline; Week 2
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Change From Baseline in HCV RNA at Week 4
Time Frame: Baseline; Week 4
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Baseline; Week 4
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Change From Baseline in HCV RNA at Week 8
Time Frame: Baseline; Week 8
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Baseline; Week 8
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Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Study Drug
Time Frame: Posttreatment Weeks 4 and 24
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SVR4 and SVR24 were defined as HCV RNA level < LLOQ at 4 and 24 weeks after discontinuation of study drug, respectively.
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Posttreatment Weeks 4 and 24
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Percentage of Participants With Virologic Failure
Time Frame: Baseline to posttreatment Week 24
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On-treatment virologic failure was defined as:
Virologic relapse was defined as HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA < LLOQ at end of treatment, confirmed with 2 consecutive values or last available posttreatment measurement |
Baseline to posttreatment Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Jenny Yang, Pharm D, Gilead Sciences
Publications and helpful links
General Publications
- Grebely J, Mauss S, Brown A, Bronowicki JP, Puoti M, Wyles D, Natha M, Zhu Y, Yang J, Kreter B, Brainard DM, Yun C, Carr V, Dore GJ. Efficacy and Safety of Ledipasvir/Sofosbuvir With and Without Ribavirin in Patients With Chronic HCV Genotype 1 Infection Receiving Opioid Substitution Therapy: Analysis of Phase 3 ION Trials. Clin Infect Dis. 2016 Dec 1;63(11):1405-1411. doi: 10.1093/cid/ciw580. Epub 2016 Aug 23.
- Younossi ZM, Elsheikh E, Stepanova M, Gerber L, Nader F, Stamm LM, Brainard DM, McHutchinson JG. Ledipasvir/sofosbuvir treatment of hepatitis C virus is associated with reduction in serum apolipoprotein levels. J Viral Hepat. 2015 Dec;22(12):977-82. doi: 10.1111/jvh.12448. Epub 2015 Aug 17.
- Afdhal N, Zeuzem S, Kwo P, Chojkier M, Gitlin N, Puoti M, Romero-Gomez M, Zarski JP, Agarwal K, Buggisch P, Foster GR, Brau N, Buti M, Jacobson IM, Subramanian GM, Ding X, Mo H, Yang JC, Pang PS, Symonds WT, McHutchison JG, Muir AJ, Mangia A, Marcellin P; ION-1 Investigators. Ledipasvir and sofosbuvir for untreated HCV genotype 1 infection. N Engl J Med. 2014 May 15;370(20):1889-98. doi: 10.1056/NEJMoa1402454. Epub 2014 Apr 11.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Additional relevant MeSH terms:
- Anti-Infective Agents
- HCV
- Digestive System Diseases
- Antiviral Agents
- Sustained Virologic Response
- Virus Diseases
- Hepatitis C
- Hepatitis
- Liver Diseases
- Combination Therapy
- Sofosbuvir
- Ribavirin
- Hepatitis C, Chronic
- Pharmacologic Actions
- Therapeutic Uses
- Antimetabolites
- Flaviviridae Infections
- RNA Virus Infections
- Open Label
- Molecular Mechanisms of Pharmacological Action
- HCV genotype 1 (GT-1)
- Direct Acting Antiviral
- GS-7977
- GS-5885
- Hepatitis, Chronic
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Hepatitis, Chronic
- Hepatitis
- Hepatitis C
- Hepatitis C, Chronic
- Anti-Infective Agents
- Antiviral Agents
- Sofosbuvir
- Ledipasvir, sofosbuvir drug combination
- Ledipasvir
Other Study ID Numbers
Other Study ID Numbers
- GS-US-337-0102
- 2012-003387-43 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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