Sofosbuvir/Velpatasvir in Adults With Chronic Hepatitis C Virus Infection Who Are on Dialysis for End Stage Renal Disease (SOF/VEL ESRD)
A Phase 2, Multicenter, Open-Label Study to Evaluate the Efficacy and Safety of Sofosbuvir/Velpatasvir for 12 Weeks in Subjects With Chronic HCV Infection Who Are on Dialysis for End Stage Renal Disease
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital
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Alberta
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Edmonton, Alberta, Canada
- Kaye Edmonton Clinic
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British Columbia
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Vancouver, British Columbia, Canada, BC V5Z 1M9
- Gordon and Leslie Diamond Health Care Center, Vancouver General Hospital, UBC Division of Gastroenterology
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Ontario
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Brampton, Ontario, Canada
- William Osler Health System- Brampton Civic Hospital
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Hamilton, Ontario, Canada, ON L8V
- Hamilton Health Sciences - McMaster University Medical Centre Site
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Ottawa, Ontario, Canada, K1H 8L6
- Ottawa Hospital Research Institute
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Quebec
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Montréal, Quebec, Canada, H2X 3J4
- Centre de recherche du centre hospitalier de l'Université de Montréal (CRCHUM)
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Jerusalem, Israel, 9103102
- Shaare Zedek Medical Center
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Ramat Gan, Israel, 52173
- The Chaim Sheba Medical Centre
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Tel Aviv, Israel, 64239
- Tel Aviv Sourasky Medical Center
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Auckland
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Grafton, Auckland, New Zealand, 1010
- Auckland City Hospital
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Barcelona, Spania, 08035
- Hospital Universitari Vall d'Hebron
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Majadahonda, Spania, 28222
- Hospital Universitario Puerta de Hierro - Majadahonda
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Sevilla, Spania, 41013
- Hospital Universitario Virgen del Rocío
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Madrid
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Alcorcón, Madrid, Spania, 28922
- Hospital Universitario Fundacion Alcorcon
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Glasgow, Storbritannia, G12 0YN
- Gartnavel General Hospital
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London, Storbritannia, SE5 9RS
- King's College Hospital
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London, Storbritannia, SW10 9NH
- Chelsea and Westminster Hospital
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London, Storbritannia, E1 1BB
- Barts Health NHS Trust
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London, Storbritannia, W2 1NY
- Imperial College Healthcare NHS Trust
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Nottingham, Storbritannia, NG5 1PB
- Nottingham University Hospitals NHS Trust
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Plymouth, Storbritannia, PL6 8DH
- Derriford Hospital
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Key Inclusion Criteria:
- Chronic HCV infected, male and non-pregnant/non-lactating females aged 18 years or older who are on dialysis for ESRD, including adults with HIV co-infection if they are suppressed on a stable, protocol-approved antiretroviral (ARV) regimen for ≥8 weeks prior to screening.
NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Eksperimentell: SOF/VEL
SOF/VEL i 12 uker
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400/100 mg fixed-dose combination (FDC) tablet(s) administered orally once daily
Andre navn:
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
Tidsramme: Posttreatment Week 12
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SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) 12 weeks after stopping the study treatment.
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Posttreatment Week 12
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Percentage of Participants Who Permanently Discontinued the Study Drug Due to an Adverse Event
Tidsramme: First dose date up to Week 12
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First dose date up to Week 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Prosentandel av deltakere med vedvarende virologisk respons 4 uker etter seponering av terapi (SVR4)
Tidsramme: Etterbehandling uke 4
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SVR4 ble definert som HCV RNA < LLOQ 4 uker etter avsluttet studiebehandling.
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Etterbehandling uke 4
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Percentage of Participants With Sustained Virologic Response 24 Weeks After Discontinuation of Therapy (SVR24)
Tidsramme: Posttreatment Week 24
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SVR24 was defined as HCV RNA < LLOQ 24 weeks after stopping study treatment.
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Posttreatment Week 24
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Change From Baseline in HCV RNA
Tidsramme: Baseline; Weeks 2, 4, 6, 8, and 12
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Baseline; Weeks 2, 4, 6, 8, and 12
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Percentage of Participants With HCV RNA < LLOQ on Treatment
Tidsramme: Weeks 2, 4, 6, 8, and 12
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Weeks 2, 4, 6, 8, and 12
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|
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Prosentandel av deltakere med virologisk svikt
Tidsramme: Baseline til etterbehandling uke 24
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Virologisk svikt ble definert som:
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Baseline til etterbehandling uke 24
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Number of Participants Who Develop Viral Resistance (as Assessed by Presence of HCV NS5A and NS5B Genes) to SOF and VEL During Treatment and After Discontinuation of Treatment
Tidsramme: First dose date up to Posttreatment Week 24
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Baseline deep sequencing of the HCV NS5A and NS5B genes was performed for all participants.
For all participants with virologic failure, deep sequencing was performed at the first time point after virologic failure if the plasma or serum sample was available and HCV RNA was > 1000 IU/mL.
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First dose date up to Posttreatment Week 24
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Pharmacokinetic (PK) Parameter: AUCtau of SOF
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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AUCtau is defined as the population PK derived area under the concentration versus time curve of the drug over the dosing interval.
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Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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PK Parameter: AUCtau of GS-331007 (Metabolite of SOF)
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
AUCtau is defined as the population PK derived area under the concentration versus time curve of the drug over the dosing interval.
|
Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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PK Parameter: AUCtau of VEL
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
AUCtau is defined as the population PK derived area under the concentration verses time curve of the drug over the dosing interval.
|
Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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PK Parameter: Cmax of SOF
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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Cmax is defined as the population PK derived maximum concentration of the drug.
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Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
|
PK Parameter: Cmax of GS-331007 (Metabolite of SOF)
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
Cmax is defined as the population PK derived maximum concentration of the drug.
|
Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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PK Parameter: Cmax of VEL
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
Cmax is defined as the population PK derived maximum concentration of the drug.
|
Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
|
|
PK Parameter: Ctau of VEL
Tidsramme: Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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Ctau is defined as the population PK derived concentration of the drug at the end of a 24 hour dosing interval.
The 24 hour Ctau is estimated based on the combination of sparse PK samples collected at random times across the dosing interval as well as intensive PK samples collected for up to 12 hours post-dose.
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Sparse PK samples at Weeks 6, 8, and 12 (all participants). Intensive PK samples at predose, 0.25, 0.5, 1, 2, 4, 6, 8, 10, and 12 hours postdose once at Week 6, 8, or 12 (participants who enrolled in the optional PK substudy (N=1))
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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Borgia SM, Dearden J, Lurie Y, Shafran SD, Brown A, Hyland RH, et al. Sofosbuvir/Velpatasvir for 12 Weeks Is Safe and Effective in Patients Undergoing Dialysis. American Association for the Study of Liver Diseases (AASLD); 2018 09-13 November; San Francisco, CA.
- Borgia SM, Dearden J, Yoshida EM, Shafran SD, Brown A, Ben-Ari Z, Cramp ME, Cooper C, Foxton M, Rodriguez CF, Esteban R, Hyland R, Lu S, Kirby BJ, Meng A, Markova S, Dvory-Sobol H, Osinusi AO, Bruck R, Ampuero J, Ryder SD, Agarwal K, Fox R, Shaw D, Haider S, Willems B, Lurie Y, Calleja JL, Gane EJ. Sofosbuvir/velpatasvir for 12 weeks in hepatitis C virus-infected patients with end-stage renal disease undergoing dialysis. J Hepatol. 2019 Oct;71(4):660-665. doi: 10.1016/j.jhep.2019.05.028. Epub 2019 Jun 11.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Sykdommer i fordøyelsessystemet
- RNA-virusinfeksjoner
- Virussykdommer
- Infeksjoner
- Blodbårne infeksjoner
- Smittsomme sykdommer
- Nyresykdommer
- Urologiske sykdommer
- Leversykdommer
- Nyreinsuffisiens
- Flaviviridae-infeksjoner
- Hepatitt, viral, menneskelig
- Enterovirusinfeksjoner
- Picornaviridae-infeksjoner
- Nyresvikt, kronisk
- Hepatitt
- Hepatitt A-virus
- Hepatitt C
- Hepatitt, kronisk
- Nyresvikt, kronisk
- Hepatitt C, kronisk
- Anti-infeksjonsmidler
- Antivirale midler
- Sofosbuvir
- Sofosbuvir-velpatasvir medikamentkombinasjon
- Velpatasvir
Andre studie-ID-numre
Andre studie-ID-numre
- GS-US-342-4062
- 2016-003625-42 (EudraCT-nummer)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- Studieprotokoll
- Statistisk analyseplan (SAP)
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
produkt produsert i og eksportert fra USA
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