- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01604850
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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 3
Kontakter och platser
Studieorter
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California
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Coronado, California, Förenta staterna, 92118
- Scti Research Foundation
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Los Angeles, California, Förenta staterna, 90027
- Kaiser Permanente
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Los Angeles, California, Förenta staterna, 90036
- Peter J. Ruane, MD, Inc.
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Los Angeles, California, Förenta staterna, 90069
- Anthony Mills MD, Inc.
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San Diego, California, Förenta staterna, 92123
- Medical Associates Research Group, Inc.
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San Diego, California, Förenta staterna, 92103
- UCSD Antiviral Research Center
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San Diego, California, Förenta staterna, 92154
- Kaiser Permanente
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San Francisco, California, Förenta staterna, 94115
- Quest Clinical Research
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Colorado
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Aurora, Colorado, Förenta staterna, 80045
- University of Colorado
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Englewood, Colorado, Förenta staterna, 80113
- South Denver Gastroenterology, PC
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District of Columbia
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Washington, District of Columbia, Förenta staterna, 20009
- Whitman Walker Clinic
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Florida
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Gainesville, Florida, Förenta staterna, 32610-0277
- University of Florida
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Jacksonville, Florida, Förenta staterna, 32256
- Borland-Groover Clinic Baptist
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Miami, Florida, Förenta staterna, 33136
- University of Miami
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New Port Richey, Florida, Förenta staterna, 34653
- Advanced Research Institute
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Orlando, Florida, Förenta staterna, 32806
- Internal Medicine Specialists
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Orlando, Florida, Förenta staterna, 32803-1851
- Orlando Immunology Center (ACH)
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Wellington, Florida, Förenta staterna, 33414
- South Florida Center of Gastroenterology, P.A.
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Georgia
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Atlanta, Georgia, Förenta staterna, 30309
- Digestive Healthcare of Georgia
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Marietta, Georgia, Förenta staterna, 30060
- Gastrointestinal Specialists of Georgia, PC
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Indiana
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Indianapolis, Indiana, Förenta staterna, 46237
- Indianapolis Gastroenterology Research Foundation
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Kentucky
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Bowling Green, Kentucky, Förenta staterna, 42101
- Graves-Gilbert Clinic
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Louisiana
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Baton Rouge, Louisiana, Förenta staterna, 70809
- Gastroenterology Associates, LLC
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Maryland
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Lutherville, Maryland, Förenta staterna, 21093
- Johns Hopkins University
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Massachusetts
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Boston, Massachusetts, Förenta staterna, 02114-2696
- Massachusetts General Hospital
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Boston, Massachusetts, Förenta staterna, 02115
- Beth Israel Deaconess Medical Center
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Springfield, Massachusetts, Förenta staterna, 01105
- The Research Institute
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Michigan
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Novi, Michigan, Förenta staterna, 48377
- Henry Ford Health System
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Minnesota
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Minneapolis, Minnesota, Förenta staterna, 55414
- Minnesota Gastroenterology, P.A.
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Missouri
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Kansas City, Missouri, Förenta staterna, 64131
- Kansas City Gastroenterology and Hepatology
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New Jersey
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Berlin, New Jersey, Förenta staterna, 08009
- Comprehensive Clinical Research
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Hillsborough, New Jersey, Förenta staterna, 08844
- ID Care
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New Mexico
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Santa Fe, New Mexico, Förenta staterna, 87505
- Southwest C.A.R.E. Center
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New York
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Binghamton, New York, Förenta staterna, 13903
- Binghamton Gastroenterology Associates
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New York, New York, Förenta staterna, 10029
- Mount Sinai School of Medicine
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North Carolina
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Asheville, North Carolina, Förenta staterna, 28801
- Asheville Gastroenterology Associates, P.A.
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Durham, North Carolina, Förenta staterna, 27710
- Duke University Medical Center
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Winston-Salem, North Carolina, Förenta staterna, 27103
- Digestive Health Specialists, PA
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Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19104
- University of Pennsylvania
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Rhode Island
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Providence, Rhode Island, Förenta staterna, 02906
- The Miriam Hospital
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Providence, Rhode Island, Förenta staterna, 02905
- University Gastroenterology
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Tennessee
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Germantown, Tennessee, Förenta staterna, 38138
- Gastro One
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Nashville, Tennessee, Förenta staterna, 37211
- Nashville Gastrointestinal Specialists, Inc
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Texas
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Arlington, Texas, Förenta staterna, 76012
- Texas Clinical Research Institute, LLC
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Dallas, Texas, Förenta staterna, 75219
- Southwest Infectious Disease Clinical Research, Inc.
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San Antonio, Texas, Förenta staterna, 78215
- Alamo Medical Research
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Virginia
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Fairfax, Virginia, Förenta staterna, 22031
- Metropolitan Research
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Falls Church, Virginia, Förenta staterna, 22042
- Inova Fairfax Hospital Center for Liver Diseases
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Norfolk, Virginia, Förenta staterna, 23502
- Digestive and Liver Disease Specialists
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Richmond, Virginia, Förenta staterna, 23226
- Bon Secours St. Mary's Hospital of Richmond, Inc.
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Washington
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Seattle, Washington, Förenta staterna, 98101
- Virginia Mason Medical Center
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Alberta
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Calgary, Alberta, Kanada, T2N 4Z6
- University Of Calgary
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Edmonton, Alberta, Kanada, T6G 2X8
- University of Alberta Hospital
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Edmonton, Alberta, Kanada, T6G 2B7
- University of Alberta Hospital
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British Columbia
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Vancouver, British Columbia, Kanada, V5Z 1M9
- Gordon & Leslie Diamond Health Care Centre
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Vancouver, British Columbia, Kanada, V6Z 2C9
- University of British Columbia
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Vancouver, British Columbia, Kanada, V6Z 2K5
- (G.I.R.I.) Gastrointestinal Research Institute
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Manitoba
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Winnipeg, Manitoba, Kanada, R3E 3P4
- University of Manitoba Health Sciences Center
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Ontario
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Ottawa, Ontario, Kanada, K1H 8L6
- The Ottawa Hospital
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Toronto, Ontario, Kanada, M5T 2S8
- Toronto Western Hospital
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Toronto, Ontario, Kanada, M6H 3M1
- Toronto Liver Centre
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Toronto, Ontario, Kanada, M5G 1X5
- Mount Sinai Hospital
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Quebec
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Montreal, Quebec, Kanada, H2X 3J4
- Hopital St. Luc
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Auckland, Nya Zeeland, 1640
- Auckland Clinical Studies Limited
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Christchurch, Nya Zeeland, 8011
- Christchurch Hospital
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San Juan, Puerto Rico, 00927
- Fundacion de Investigacion de Diego
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San Juan, Puerto Rico, 00909-1711
- Clinical Research Puerto Rico Inc
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Fyrdubbla
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: 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.
|
Sofosbuvir (SOF) 400 mg tablet was administered orally once daily.
Andra namn:
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.
|
Experimentell: SOF+RBV
Participants were randomized to receive SOF+RBV for 16 weeks.
|
Sofosbuvir (SOF) 400 mg tablet was administered orally once daily.
Andra namn:
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).
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Percentage of Participants Achieving SVR12
Tidsram: Posttreatment Week 12
|
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
|
Adverse Events Leading to Permanent Discontinuation of Study Drug
Tidsram: Baseline to Week 16
|
Adverse events which led to permanent discontinuation of study drug may or may not have been related to study treatment.
|
Baseline to Week 16
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Percentage of Participants Achieving SVR4
Tidsram: 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
|
Percentage of Participants Achieving SVR24
Tidsram: 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
|
Percentage of Participants With Viral Breakthrough
Tidsram: Up to 16 weeks
|
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
|
Percentage of Participants With Viral Relapse
Tidsram: End of treatment to posttreatment Week 24
|
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
|
Samarbetspartners och utredare
Sponsor
Publikationer och användbara länkar
Allmänna publikationer
- 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.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- GS-US-334-0108
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