Sofosbuvir + Ribavirin for 12 or 16 Weeks in Treatment Experienced Subjects With Chronic Genotype 2 or 3 HCV Infection (FUSION) (FUSION)
A Phase 3, Multicenter, Randomized, Double-Blind, Study to Investigate the Efficacy and Safety of GS-7977 + Ribavirin for 12 or 16 Weeks in Treatment Experienced Subjects With Chronic Genotype 2 or 3 HCV Infection
調査の概要
研究の種類
入学 (実際)
段階
- フェーズ 3
連絡先と場所
研究場所
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California
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Coronado、California、アメリカ、92118
- Scti Research Foundation
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Los Angeles、California、アメリカ、90027
- Kaiser Permanente
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Los Angeles、California、アメリカ、90036
- Peter J. Ruane, MD, Inc.
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Los Angeles、California、アメリカ、90069
- Anthony Mills MD, Inc.
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San Diego、California、アメリカ、92123
- Medical Associates Research Group, Inc.
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San Diego、California、アメリカ、92103
- UCSD Antiviral Research Center
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San Diego、California、アメリカ、92154
- Kaiser Permanente
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San Francisco、California、アメリカ、94115
- Quest Clinical Research
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Colorado
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Aurora、Colorado、アメリカ、80045
- University of Colorado
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Englewood、Colorado、アメリカ、80113
- South Denver Gastroenterology, PC
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District of Columbia
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Washington、District of Columbia、アメリカ、20009
- Whitman Walker Clinic
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Florida
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Gainesville、Florida、アメリカ、32610-0277
- University of Florida
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Jacksonville、Florida、アメリカ、32256
- Borland-Groover Clinic Baptist
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Miami、Florida、アメリカ、33136
- University of Miami
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New Port Richey、Florida、アメリカ、34653
- Advanced Research Institute
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Orlando、Florida、アメリカ、32806
- Internal Medicine Specialists
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Orlando、Florida、アメリカ、32803-1851
- Orlando Immunology Center (ACH)
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Wellington、Florida、アメリカ、33414
- South Florida Center of Gastroenterology, P.A.
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Georgia
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Atlanta、Georgia、アメリカ、30309
- Digestive Healthcare of Georgia
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Marietta、Georgia、アメリカ、30060
- Gastrointestinal Specialists of Georgia, PC
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Indiana
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Indianapolis、Indiana、アメリカ、46237
- Indianapolis Gastroenterology Research Foundation
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Kentucky
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Bowling Green、Kentucky、アメリカ、42101
- Graves-Gilbert Clinic
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Louisiana
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Baton Rouge、Louisiana、アメリカ、70809
- Gastroenterology Associates, LLC
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Maryland
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Lutherville、Maryland、アメリカ、21093
- Johns Hopkins University
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Massachusetts
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Boston、Massachusetts、アメリカ、02114-2696
- Massachusetts General Hospital
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Boston、Massachusetts、アメリカ、02115
- Beth Israel Deaconess Medical Center
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Springfield、Massachusetts、アメリカ、01105
- The Research Institute
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Michigan
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Novi、Michigan、アメリカ、48377
- Henry Ford Health System
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Minnesota
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Minneapolis、Minnesota、アメリカ、55414
- Minnesota Gastroenterology, P.A.
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Missouri
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Kansas City、Missouri、アメリカ、64131
- Kansas City Gastroenterology and Hepatology
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New Jersey
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Berlin、New Jersey、アメリカ、08009
- Comprehensive Clinical Research
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Hillsborough、New Jersey、アメリカ、08844
- ID care
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New Mexico
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Santa Fe、New Mexico、アメリカ、87505
- Southwest C.A.R.E. Center
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New York
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Binghamton、New York、アメリカ、13903
- Binghamton Gastroenterology Associates
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New York、New York、アメリカ、10029
- Mount Sinai School of Medicine
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North Carolina
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Asheville、North Carolina、アメリカ、28801
- Asheville Gastroenterology Associates, P.A.
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Durham、North Carolina、アメリカ、27710
- Duke University Medical Center
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Winston-Salem、North Carolina、アメリカ、27103
- Digestive Health Specialists, PA
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Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19104
- University of Pennsylvania
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Rhode Island
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Providence、Rhode Island、アメリカ、02906
- The Miriam Hospital
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Providence、Rhode Island、アメリカ、02905
- University Gastroenterology
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Tennessee
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Germantown、Tennessee、アメリカ、38138
- Gastro One
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Nashville、Tennessee、アメリカ、37211
- Nashville Gastrointestinal Specialists, Inc
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Texas
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Arlington、Texas、アメリカ、76012
- Texas Clinical Research Institute, LLC
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Dallas、Texas、アメリカ、75219
- Southwest Infectious Disease Clinical Research, Inc.
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San Antonio、Texas、アメリカ、78215
- Alamo Medical Research
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Virginia
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Fairfax、Virginia、アメリカ、22031
- Metropolitan Research
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Falls Church、Virginia、アメリカ、22042
- Inova Fairfax Hospital Center for Liver Diseases
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Norfolk、Virginia、アメリカ、23502
- Digestive and Liver Disease Specialists
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Richmond、Virginia、アメリカ、23226
- Bon Secours St. Mary's Hospital of Richmond, Inc.
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Washington
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Seattle、Washington、アメリカ、98101
- Virginia Mason Medical Center
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Alberta
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Calgary、Alberta、カナダ、T2N 4Z6
- University of Calgary
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Edmonton、Alberta、カナダ、T6G 2X8
- University of Alberta Hospital
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Edmonton、Alberta、カナダ、T6G 2B7
- University of Alberta Hospital
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British Columbia
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Vancouver、British Columbia、カナダ、V5Z 1M9
- Gordon & Leslie Diamond Health Care Centre
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Vancouver、British Columbia、カナダ、V6Z 2C9
- University of British Columbia
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Vancouver、British Columbia、カナダ、V6Z 2K5
- (G.I.R.I.) Gastrointestinal Research Institute
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Manitoba
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Winnipeg、Manitoba、カナダ、R3E 3P4
- University of Manitoba Health Sciences Center
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Ontario
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Ottawa、Ontario、カナダ、K1H 8L6
- The Ottawa Hospital
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Toronto、Ontario、カナダ、M5T 2S8
- Toronto Western Hospital
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Toronto、Ontario、カナダ、M6H 3M1
- Toronto Liver Centre
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Toronto、Ontario、カナダ、M5G 1X5
- Mount Sinai Hospital
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Quebec
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Montreal、Quebec、カナダ、H2X 3J4
- Hopital St. Luc
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Auckland、ニュージーランド、1640
- Auckland Clinical Studies Limited
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Christchurch、ニュージーランド、8011
- Christchurch Hospital
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San Juan、プエルトリコ、00927
- Fundacion De Investigacion de Diego
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San Juan、プエルトリコ、00909-1711
- Clinical Research Puerto Rico Inc
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Infection with HCV genotype 2 or 3
- Had cirrhosis determination
- Prior treatment failure
- Screening laboratory values within defined thresholds
- Subject had not been treated with any investigational drug or device within 30 days of the screening visit
- Use of highly effective contraception methods if female of childbearing potential or sexually active male
Exclusion Criteria:
- Prior exposure to an direct-acting antiviral targeting the HCV nonstructural protein (NS)5B polymerase
- Pregnant or nursing female or male with pregnant female partner
- Current or prior history of clinical hepatic decompensation
- History of clinically significant illness or any other major medical disorder that may have interfered with subject treatment, assessment or compliance with the protocol
- Excessive alcohol ingestion or significant drug abuse
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:SOF+RBV+placebo
Participants were randomized to receive SOF+RBV for 12 weeks followed by placebo to match SOF plus placebo to match RBV for 4 weeks.
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Sofosbuvir (SOF) 400 mg tablet was administered orally once daily.
他の名前:
Ribavirin (RBV) tablets was administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg).
Placebo to match SOF was administered orally once daily.
Placebo to match RBV was administered orally twice daily.
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|
実験的:SOF+RBV
Participants were randomized to receive SOF+RBV for 16 weeks.
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Sofosbuvir (SOF) 400 mg tablet was administered orally once daily.
他の名前:
Ribavirin (RBV) tablets was administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75kg = 1000 mg and ≥ 75 kg = 1200 mg).
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants Achieving SVR12
時間枠:Posttreatment Week 12
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SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ, ie, < 25 IU/mL) 12 weeks after cessation of therapy. For the purposes of this efficacy analysis, the posttreatment period began after the end of active treatment (following Week 12 for the SOF+RBV+placebo arm, and Week 16 for the SOF+RBV arm). |
Posttreatment Week 12
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Adverse Events Leading to Permanent Discontinuation of Study Drug
時間枠:Baseline to Week 16
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Adverse events which led to permanent discontinuation of study drug may or may not have been related to study treatment.
|
Baseline to Week 16
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Percentage of Participants Achieving SVR4
時間枠:Posttreatment Week 4
|
SVR4 was defined as HCV RNA < LLOQ 4 weeks after cessation of therapy. For the purposes of this efficacy analysis, the posttreatment period began after the end of active treatment (following Week 12 for the SOF+RBV+placebo arm, and Week 16 for the SOF+RBV arm). |
Posttreatment Week 4
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Percentage of Participants Achieving SVR24
時間枠:Posttreatment Week 24
|
SVR24 was defined as HCV RNA < LLOQ 24 weeks after cessation of therapy. For the purposes of this efficacy analysis, the posttreatment period began after the end of active treatment (following Week 12 for the SOF+RBV+placebo arm, and Week 16 for the SOF+RBV arm). |
Posttreatment Week 24
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Percentage of Participants With Viral Breakthrough
時間枠:Up to 16 weeks
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Viral breakthrough was defined as HCV RNA ≥ LLOQ after having previously had HCV RNA < LLOQ while receiving treatment, confirmed with 2 consecutive values (second confirmation value could be posttreatment), or last available on-treatment measurement with no subsequent follow-up values. For the purposes of this efficacy analysis, assessments were made during active treatment (up to Week 12 for the SOF+RBV+placebo arm, and Week 16 for the SOF+RBV arm). |
Up to 16 weeks
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|
Percentage of Participants With Viral Relapse
時間枠:End of treatment to posttreatment Week 24
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Viral 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. For the purposes of this efficacy analysis, the posttreatment period began after the end of active treatment (following Week 12 for the SOF+RBV+placebo arm, and Week 16 for the SOF+RBV arm). |
End of treatment to posttreatment Week 24
|
協力者と研究者
スポンサー
出版物と役立つリンク
一般刊行物
- Younossi ZM, Stepanova M, Sulkowski M, Naggie S, Puoti M, Orkin C, Hunt SL. Sofosbuvir and Ribavirin for Treatment of Chronic Hepatitis C in Patients Coinfected With Hepatitis C Virus and HIV: The Impact on Patient-Reported Outcomes. J Infect Dis. 2015 Aug 1;212(3):367-77. doi: 10.1093/infdis/jiv005. Epub 2015 Jan 12.
- Stepanova M, Nader F, Cure S, Bourhis F, Hunt S, Younossi ZM. Patients' preferences and health utility assessment with SF-6D and EQ-5D in patients with chronic hepatitis C treated with sofosbuvir regimens. Aliment Pharmacol Ther. 2014 Sep;40(6):676-85. doi: 10.1111/apt.12880. Epub 2014 Jul 15.
- Jacobson IM, Gordon SC, Kowdley KV, Yoshida EM, Rodriguez-Torres M, Sulkowski MS, Shiffman ML, Lawitz E, Everson G, Bennett M, Schiff E, Al-Assi MT, Subramanian GM, An D, Lin M, McNally J, Brainard D, Symonds WT, McHutchison JG, Patel K, Feld J, Pianko S, Nelson DR; POSITRON Study; FUSION Study. Sofosbuvir for hepatitis C genotype 2 or 3 in patients without treatment options. N Engl J Med. 2013 May 16;368(20):1867-77. doi: 10.1056/NEJMoa1214854. Epub 2013 Apr 23.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- GS-US-334-0108
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。