Oral Antivirals (GS-5885, Tegobuvir, and/or GS-9451) With Peginterferon Alfa 2a and Ribavirin in Treatment Experienced Subjects With Chronic Genotype 1 Hepatitis C Virus Infection

Completed · Phase 2

Conditions studied: Hepatitis C, Chronic

In brief

This is a Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Response Guided Therapy using Combinations of Oral Antivirals (GS-5885, tegobuvir, and/or GS-9451) with Peginterferon Alfa 2a and Ribavirin in Treatment Experienced Subjects with Chronic Genotype 1 Hepatitis C Virus (HCV) Infection.

Key facts

Study ID

NCT01371578

Run by

Gilead Sciences

People needed

163

Starts

2011-07-01

Expected to finish

2013-03-01

Last updated by the study team

2014-02-11

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female, aged from 18 to 70 years old, inclusive
• Chronic HCV infection for at least 6 months prior to Baseline
• Subjects must have liver biopsy results (≤ 3 years prior to screening) indicating the absence of cirrhosis.
• Monoinfection with HCV genotype 1
• HCV RNA > 10\^4 IU/mL at Screening
• Prior treatment and adherence (as defined by receiving at least 80% of the prescribed treatment) with one course of a pegylated interferon-alfa (Pegasys or Peg-Intron) and RBV
• The subject's medical records must include sufficient detail of prior treatment with pegylated interferon-alfa and RBV (start/stop dates and viral response) to allow for categorization of prior response as either
• Non-Responder: Subject did not achieve undetectable HCV RNA levels during or at the end of a treatment period of at least 12 weeks duration. Within Nonresponders, subjects will be further defined as Null or Partial Responders if they had < 2 log10 or ≥ 2 log10 reduction, respectively, in HCV RNA during the first 12 weeks of treatment
• Responder: Subject achieved undetectable HCV RNA during treatment. Within Responders, subjects will be further defined as Relapsers if they had undetectable HCV RNA at the end of at least 42 weeks of treatment but detectable HCV RNA levels observed within 1 year of the end of treatment and Breakthrough subjects if they achieved undetectable HCV RNA levels during the treatment period but detectable HCV RNA at the end of treatment.
• No prior treatment with an oral HCV antiviral (exclusive of RBV).
• Body mass index (BMI) 18-36 kg/m2, inclusive.
• Screening ECG without clinically significant abnormalities and with QTcF interval (QT corrected using Fridericia's formula) ≤ 450 msec for males and ≤ 470 msec for females
• Creatinine clearance ≥ 50 mL/min.
• Agree to use two forms of highly effective contraception for the duration of the study and for 6 months after the last dose of study medication. Females of childbearing potential must have a negative pregnancy test at Screening and Baseline

You may not qualify if…

• Discontinued prior treatment with pegylated interferon-alfa and RBV due to an adverse event, toxicity reasons or were lost to follow-up.
• Exceed defined thresholds for leukopenia, neutropenia, anemia, thrombocytopenia, thyroid stimulating hormone (TSH)
• Diagnosis of autoimmune disease, decompensated liver disease, poorly controlled diabetes mellitus, significant psychiatric illness, severe chronic obstructive pulmonary disease (COPD), HIV, hepatitis B virus (HBV), or another HCV genotype, hepatocellular carcinoma or other malignancy (with exception of certain skin cancers), hemoglobinopathy, retinal disease, or are immunosuppressed.
• Current use of amphetamines, cocaine, opiates (e.g., morphine, heroin), or ongoing alcohol abuse are excluded. Subjects on stable methadone are excluded, however stable buprenorphine maintenance treatment for at least 6 months is not exclusionary
• Receiving any of the prohibited concomitant medications.

Where it is running

• Alabama Liver and Digestive Specialists — Montgomery, Alabama, United States
• California Liver Institute — Beverly Hills, California, United States
• Scripps Clinic — La Jolla, California, United States
• University of California Davis Medical Center — Sacramento, California, United States
• RESEARCH and EDUCATION, INC — San Diego, California, United States
• Medical Associates Research Group — San Diego, California, United States
• Kaiser Permanente — San Diego, California, United States
• University of Colorado Denver — Aurora, Colorado, United States
• South Denver Gastroenterology — Englewood, Colorado, United States
• Bach and Godofsky Infectious Diseases — Bradenton, Florida, United States
• University of Florida — Gainesville, Florida, United States
• University of Miami — Miami, Florida, United States
• Orlando Immunology Center — Orlando, Florida, United States
• South Florida Center of Gastroenterology, LLC — Wellington, Florida, United States
• Emory University, Infectious Disease Clinic — Atlanta, Georgia, United States
• Digestive Healthcare of Georgia — Atlanta, Georgia, United States
• Dekalb Gastroenterology — Decatur, Georgia, United States
• Gastrointestinal Specialists of Georgia PC — Marietta, Georgia, United States
• Indiana University — Indianapolis, Indiana, United States
• Indianapolis Gastroenterology Research Foundation — Indianapolis, Indiana, United States
• Graves Gilbert Clinic — Bowling Green, Kentucky, United States
• Gastroenterology Associates, LLC — Baton Rouge, Louisiana, United States
• Digestive Disease Associates, PA — Baltimore, Maryland, United States
• Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States
• Digestive Health Specialists of the Southeast — Dothan, Alabama, United States

Full record on ClinicalTrials.gov

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