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
研究概览
研究类型
注册 (实际的)
阶段
- 第三阶段
联系人和位置
学习地点
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Alberta
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Calgary、Alberta、加拿大、T2N 4Z6
- University Of Calgary
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Edmonton、Alberta、加拿大、T6G 2X8
- University of Alberta Hospital
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Edmonton、Alberta、加拿大、T6G 2B7
- University of Alberta Hospital
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British Columbia
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Vancouver、British Columbia、加拿大、V5Z 1M9
- Gordon & Leslie Diamond Health Care Centre
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Vancouver、British Columbia、加拿大、V6Z 2C9
- University of British Columbia
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Vancouver、British Columbia、加拿大、V6Z 2K5
- (G.I.R.I.) Gastrointestinal Research Institute
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Manitoba
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Winnipeg、Manitoba、加拿大、R3E 3P4
- University of Manitoba Health Sciences Center
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Ontario
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Ottawa、Ontario、加拿大、K1H 8L6
- The Ottawa Hospital
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Toronto、Ontario、加拿大、M5T 2S8
- Toronto Western Hospital
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Toronto、Ontario、加拿大、M6H 3M1
- Toronto Liver Centre
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Toronto、Ontario、加拿大、M5G 1X5
- Mount Sinai Hospital
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Quebec
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Montreal、Quebec、加拿大、H2X 3J4
- Hopital St. Luc
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Auckland、新西兰、1640
- Auckland Clinical Studies Limited
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Christchurch、新西兰、8011
- Christchurch Hospital
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San Juan、波多黎各、00927
- Fundacion De Investigacion de Diego
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San Juan、波多黎各、00909-1711
- Clinical Research Puerto Rico Inc
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California
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Coronado、California、美国、92118
- Scti Research Foundation
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Los Angeles、California、美国、90027
- Kaiser Permanente
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Los Angeles、California、美国、90036
- Peter J. Ruane, MD, Inc.
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Los Angeles、California、美国、90069
- Anthony Mills MD, Inc.
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San Diego、California、美国、92123
- Medical Associates Research Group, Inc.
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San Diego、California、美国、92103
- UCSD Antiviral Research Center
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San Diego、California、美国、92154
- Kaiser Permanente
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San Francisco、California、美国、94115
- Quest Clinical Research
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Colorado
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Aurora、Colorado、美国、80045
- University of Colorado
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Englewood、Colorado、美国、80113
- South Denver Gastroenterology, PC
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District of Columbia
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Washington、District of Columbia、美国、20009
- Whitman Walker Clinic
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Florida
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Gainesville、Florida、美国、32610-0277
- University of Florida
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Jacksonville、Florida、美国、32256
- Borland-Groover Clinic Baptist
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Miami、Florida、美国、33136
- University of Miami
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New Port Richey、Florida、美国、34653
- Advanced Research Institute
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Orlando、Florida、美国、32806
- Internal Medicine Specialists
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Orlando、Florida、美国、32803-1851
- Orlando Immunology Center (ACH)
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Wellington、Florida、美国、33414
- South Florida Center of Gastroenterology, P.A.
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Georgia
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Atlanta、Georgia、美国、30309
- Digestive Healthcare of Georgia
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Marietta、Georgia、美国、30060
- Gastrointestinal Specialists of Georgia, PC
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Indiana
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Indianapolis、Indiana、美国、46237
- Indianapolis Gastroenterology Research Foundation
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Kentucky
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Bowling Green、Kentucky、美国、42101
- Graves-Gilbert Clinic
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Louisiana
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Baton Rouge、Louisiana、美国、70809
- Gastroenterology Associates, LLC
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Maryland
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Lutherville、Maryland、美国、21093
- Johns Hopkins University
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Massachusetts
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Boston、Massachusetts、美国、02114-2696
- Massachusetts General Hospital
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Boston、Massachusetts、美国、02115
- Beth Israel Deaconess Medical Center
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Springfield、Massachusetts、美国、01105
- The Research Institute
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Michigan
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Novi、Michigan、美国、48377
- Henry Ford Health System
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Minnesota
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Minneapolis、Minnesota、美国、55414
- Minnesota Gastroenterology, P.A.
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Missouri
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Kansas City、Missouri、美国、64131
- Kansas City Gastroenterology and Hepatology
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New Jersey
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Berlin、New Jersey、美国、08009
- Comprehensive Clinical Research
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Hillsborough、New Jersey、美国、08844
- ID care
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New Mexico
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Santa Fe、New Mexico、美国、87505
- Southwest C.A.R.E. Center
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New York
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Binghamton、New York、美国、13903
- Binghamton Gastroenterology Associates
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New York、New York、美国、10029
- Mount Sinai School of Medicine
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North Carolina
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Asheville、North Carolina、美国、28801
- Asheville Gastroenterology Associates, P.A.
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Durham、North Carolina、美国、27710
- Duke University Medical Center
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Winston-Salem、North Carolina、美国、27103
- Digestive Health Specialists, PA
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Pennsylvania
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Philadelphia、Pennsylvania、美国、19104
- University of Pennsylvania
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Rhode Island
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Providence、Rhode Island、美国、02906
- The Miriam Hospital
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Providence、Rhode Island、美国、02905
- University Gastroenterology
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Tennessee
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Germantown、Tennessee、美国、38138
- Gastro One
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Nashville、Tennessee、美国、37211
- Nashville Gastrointestinal Specialists, Inc
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Texas
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Arlington、Texas、美国、76012
- Texas Clinical Research Institute, LLC
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Dallas、Texas、美国、75219
- Southwest Infectious Disease Clinical Research, Inc.
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San Antonio、Texas、美国、78215
- Alamo Medical Research
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Virginia
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Fairfax、Virginia、美国、22031
- Metropolitan Research
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Falls Church、Virginia、美国、22042
- Inova Fairfax Hospital Center for Liver Diseases
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Norfolk、Virginia、美国、23502
- Digestive and Liver Disease Specialists
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Richmond、Virginia、美国、23226
- Bon Secours St. Mary's Hospital of Richmond, Inc.
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Washington
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Seattle、Washington、美国、98101
- Virginia Mason Medical Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的: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.
其他名称:
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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实验性的: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.
其他名称:
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).
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Percentage of Participants Achieving SVR12
大体时间: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
大体时间: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.
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Baseline to Week 16
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Percentage of Participants Achieving SVR4
大体时间:Posttreatment Week 4
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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
大体时间:Posttreatment Week 24
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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
大体时间: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
大体时间: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
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合作者和调查者
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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