Comparison of Sofosbuvir/Velpatasvir Fixed Dose Combination for 12 Weeks With Sofosbuvir and Ribavirin for 24 Weeks in Adults With Chronic Genotype 3 HCV Infection (ASTRAL-3)
A Phase 3, Multicenter, Randomized, Open-Label Study to Compare the Efficacy and Safety of Sofosbuvir/GS-5816 Fixed Dose Combination for 12 Weeks With Sofosbuvir and Ribavirin for 24 Weeks in Subjects With Chronic Genotype 3 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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Camperdown, Australia
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New South Wales
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Darlinghurst, New South Wales, Australia, 2010
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Queensland
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Brisbane, Queensland, Australia, 4064
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Victoria
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Clayton, Victoria, Australia, 3168
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Fitzroy, Melbourne, Victoria, Australia, 3065
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Melbourne, Victoria, Australia, 3004
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Western Australia
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Fremantle, Western Australia, Australia, 6010
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Perth, Western Australia, Australia, 6000
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Toronto, Canada, M5T 2S8
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Alberta
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Calgary, Alberta, Canada, T2N 4Z6
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Edmonton, Alberta, Canada, T6G 2B7
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
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Vancouver, British Columbia, Canada, V6Z 2C7
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
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Quebec
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Montreal, Quebec, Canada, H2X 0A9
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Clermont-Ferrand, France, 63000
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Clichy, France, 92110
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Creteil, France, 94000
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Lille, France, 59037
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Limoges, France, 87042
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Lyon, France, 69004
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Marseille, France, 13008
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Paris, France, 75014
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Pessac, France
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Toulouse, France, 31059
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Villejuif, France, 94804
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Berlin, Germany, 12157
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Berlin, Germany, D-10969
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Hamburg, Germany
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Hannover, Germany, 30625
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München, Germany, 81377
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Hessin
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Frankfurt am Main, Hessin, Germany, 60590
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NRW
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Hufelandstr, NRW, Germany, 45122
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Koln, NRW, Germany, 50932
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North Rhine-Westphalia
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Duesseldorf, North Rhine-Westphalia, Germany, 40237
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Firenze, Italy, 50012
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Foggia
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San Giovanni Rotondo, Foggia, Italy, 71013
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Auckland, New Zealand
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Christchurch, New Zealand, 8011
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San Juan, Puerto Rico
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Glasgow, United Kingdom, G12 0YN
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London, United Kingdom, SE5 9RS
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London, United Kingdom, W2 1NY
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London, United Kingdom, NW3 2PF
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London, United Kingdom, E1 4AT
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London, United Kingdom, SW170QT
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Manchester, United Kingdom, M8 5RB
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Nottingham, United Kingdom, NG7 2UH
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Oxford, United Kingdom, OX3 9DU
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Devon
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Plymouth, Devon, United Kingdom, PL6 8DH
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Hampshire
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Portsmouth, Hampshire, United Kingdom, PO6 3LY
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California
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Los Angeles, California, United States, 90027
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Los Angeles, California, United States, 90048
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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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Florida
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Gainesville, Florida, United States
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Jacksonville, Florida, United States
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Miami, Florida, United States
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Orlando, Florida, United States
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Wellington, Florida, United States
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Georgia
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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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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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New York
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Bronx, New York, United States
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New York, New York, United States
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North Carolina
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Durham, North Carolina, United States
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Pennsylvania
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Philadelphia, Pennsylvania, United States
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Pittsburgh, Pennsylvania, United States
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Tennessee
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Germantown, Tennessee, United States
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Texas
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San Antonio, Texas, United States
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Virginia
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Norfolk, Virginia, United States
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Richmond, Virginia, 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:
- Willing and able to provide written informed consent
- HCV RNA ≥ 10^4 IU/mL
- HCV genotype 3
- Chronic HCV infection (≥ 6 months)
- Females of childbearing potential must have a negative serum pregnancy test
- Males and females of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
Exclusion Criteria:
- Current or prior history of clinically-significant illness (other than HCV) that may interfere with subject treatment, assessment or compliance with the protocol
- Screening ECG with clinically significant abnormalities
- Laboratory results outside of acceptable ranges at Screening
- Pregnant or nursing female or male with pregnant female partner
- Chronic liver disease of a non-HCV etiology (e.g., hemochromatosis, Wilson's disease, alfa-1 antitrypsin deficiency, cholangitis)
- Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
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: SOF+RBV 24 Weeks
SOF+RBV for 24 weeks
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400 mg tablet administered orally once daily
Other Names:
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)
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Experimental: SOF/VEL 12 Weeks
SOF/VEL FDC for 12 weeks
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400/100 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 Therapy (SVR12)
Time Frame: Posttreatment Week 12
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SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
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Posttreatment Week 12
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Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Time Frame: Up to 24 weeks
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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 Virologic Failure
Time Frame: Up to Posttreatment Week 24
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Virologic failure was defined as:
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Up to Posttreatment Week 24
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Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
Time Frame: Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
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Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
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Change From Baseline in HCV RNA at Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
Time Frame: Baseline; Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
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Baseline; Weeks 1, 2, 4, 6, 8, 10, 12, 16, 20, and 24
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Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Time Frame: Posttreatment Weeks 4 and 24
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SVR4 and SVR24 are defined as HCV RNA < LLOQ at 4 and 24 weeks following the last dose of study drug.
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Posttreatment Weeks 4 and 24
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: John McNally, PhD, Gilead Sciences
Publications and helpful links
General Publications
- Foster GR, Afdhal N, Roberts SK, Brau N, Gane EJ, Pianko S, Lawitz E, Thompson A, Shiffman ML, Cooper C, Towner WJ, Conway B, Ruane P, Bourliere M, Asselah T, Berg T, Zeuzem S, Rosenberg W, Agarwal K, Stedman CA, Mo H, Dvory-Sobol H, Han L, Wang J, McNally J, Osinusi A, Brainard DM, McHutchison JG, Mazzotta F, Tran TT, Gordon SC, Patel K, Reau N, Mangia A, Sulkowski M; ASTRAL-2 Investigators; ASTRAL-3 Investigators. Sofosbuvir and Velpatasvir for HCV Genotype 2 and 3 Infection. N Engl J Med. 2015 Dec 31;373(27):2608-17. doi: 10.1056/NEJMoa1512612. Epub 2015 Nov 17.
- Asselah T, Charlton M, Feld J, Foster GR, Mcnally J, Brainard DM, et al. The ASTRAL Studies: Evaluation of SOF/GS-5816 Single Tablet Regimen for the Treatment of Genotype 1-6 HCV Infection [Poster P1332]. J Hepatol 2015;62:S855-S6.
- Younossi ZM, Stepanova M, Feld J, Zeuzem S, Sulkowski M, Foster GR, Mangia A, Charlton M, O'Leary JG, Curry MP, Nader F, Henry L, Hunt S. Sofosbuvir and Velpatasvir Combination Improves Patient-reported Outcomes for Patients With HCV Infection, Without or With Compensated or Decompensated Cirrhosis. Clin Gastroenterol Hepatol. 2017 Mar;15(3):421-430.e6. doi: 10.1016/j.cgh.2016.10.037. Epub 2016 Nov 12.
- Mangia, A., Roberts, SK., Pianko, S., Thompson, A at al. Sofosbuvir/GS-5816 Fixed Dose Combination for 12 Weeks Compared to Sofosbuvir with Ribavirin for 24 Weeks in Genotype 3 HCV Infected Patients: The Randomized Controlled Phase 3 ASTRAL-3 Study. Hepatology 2015; 62: 1 (SUPPL) 338A.
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GS-US-342-1140
- 2014-001682-27 (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
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