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Clinical Trials List

Protocol NumberGS-US-337-1655
NCT Number(ClinicalTrials.gov Identfier)NCT02613871

2015-11-01 - 2018-03-31

Phase III

Terminated14

ICD-10B18.2

Chronic viral hepatitis C

ICD-10B18

Chronic viral hepatitis

A Phase 3b Open-Label Study of Ledipasvir/Sofosbuvir Fixed-Dose Combination for 12 weeks in Subjects with Chronic Genotype 1 or 2 Hepatitis C Virus (HCV) and Hepatitis B Virus (HBV) Coinfection

  • Trial Applicant

    GILEAD SCIENCES HONG KONG LIMITED

  • Sponsor

    Gilead Sciences

  • Trial scale

    Taiwan Multiple Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Cheng-Yuan Peng

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 曾國枝

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳啟益

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳志州

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chi-Jen Chu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

6 Terminated

Audit

None

Principal Investigator 徐友春

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Ting-Tsung Chang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Audit

None

Principal Investigator 羅錦河

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 王鴻源

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator I-Shyan Sheen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Rong-Nan Chien

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Cheng-Yuan Peng 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Chun-Jen Liu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Audit

None

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Antiviral efficacy of chronic infection with hepatitis C virus (HCV) of genotype 1 or 2

Objectives

The primary objectives of this study are: To determine the antiviral efficacy of combination treatment with ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) on chronic genotype 1 or 2 hepatitis C virus (HCV) infection as measured by the proportion of subjects with sustained viral response 12 weeks after discontinuation of therapy (SVR12) in subjects who are co-infected with hepatitis B virus To evaluate the safety and tolerability of the treatment regimen as assessed by review of the accumulated safety data The secondary objectives of this study are: To determine the proportion of subjects who attain HCV SVR at 4 weeks after discontinuation of therapy (SVR4) To evaluate the kinetics of circulating HCV RNA and hepatitis B virus (HBV) DNA during treatment and after treatment discontinuation To evaluate the emergence of HCV resistance to SOF and LDV during treatment and after treatment discontinuation To evaluate HBV disease progression To evaluate liver disease progression The exploratory objective of this study is: To assess the effect of treatment with LDV/SOF FDC on Health-Related Quality of Life (HRQOL)

Test Drug

Harvoni®

Active Ingredient

Ledipasvir
Sofosbuvir

Dosage Form

Tablets

Dosage

90
400

Endpoints

Safety: AES, safety laboratory tests, and HBV monitoring will be collected throughout the study
Efficacy: Efficacy will be evaluated using scheduled assessments of HCV RNA performed using COBAS TaqMan HCV Test, v2.0 for use with the Ampliprep.
Pharmacokinetics: A single PK blood sample will be collected at each on-treatment visit and ET visit (as applicable) for all subjects, except for Day 1. The PK of SOF (and its metabolites GS-566500 and GS-331007) and LDV may be assessed.

Inclution Criteria

Inclusion Criteria
Subjects must meet all of the following inclusion criteria to be eligible for participation in this
study.
1) Willing and able to provide written informed consent.
2) Male or female, age  20 years.
3) Weight ≥ 40 kg.
4) HCV genotype 1 or 2 at Screening as determined by the central laboratory.
5) Chronic HCV infection (≥ 6 months prior to Day 1) documented by prior medical history or liver biopsy.
6) Chronic HBV infection defined as one of the following:
a) HBsAg or HBV DNA positivity for at least 6 months prior to Day 1 visit, or
b) Medical records indicating a chronic HBV infection
7) HCV treatment status defined as one of the following:
a) HCV treatment-naïve: Subject has had no prior exposure to any approved or experimental
IFN or HCV-specific direct-acting antiviral agents (DAAs).
b) HCV treatment-intolerant: Subjects that discontinued HCV treatment due to development
or significant worsening of a treatment related adverse event.
c) HCV treatment-experienced: Prior virologic failure after treatment with
Pegylated-Interferon plus ribavirin (PEG/RBV) regimen, including those who have failed
treatment with an NS3/4A protease inhibitor plus PEG/RBV. Subjects must not have
discontinued prior therapy due to non-compliance.
8) Subject must not be taking or require treatment with HBV antiviral therapy during Screening.
However, subjects must be able to take and have access to HBV standard of care therapy if
required during the study.
9) Cirrhosis Determination at Screening
i) Presence of cirrhosis is defined as transient elastography (FibroScan®) with a result of >12.5 kPa
ii) Absence of cirrhosis is defined as transient elastography (FibroScan® ) with a result of ≤ 12.5 kPa
10) Liver imaging by ultrasound is required to exclude hepatocellular carcinoma (HCC) at Screening
11) Screening ECG without clinically significant abnormalities.
12) Subject has not been treated with any investigational drug or device within 28 days of the Screening visit.
13) Subjects must have the following laboratory parameters at Screening:
a) ALT ≤ 10 x the upper limit of normal (ULN)
b) AST ≤ 10 x ULN
c) Direct bilirubin ≤ 2 x ULN
d) HbA1c ≤ 8.5%
e) Platelets ≥ 50,000/L
f) Creatinine clearance (CLcr) ≥ 50 mL/min, as calculated by the Cockcroft-Gault equation
{2202}
g) Hemoglobin ≥ 10 g/dL
h) Albumin ≥ 3g/dL
i) INR ≤ 1.5 x ULN; INR criteria does not pertain to subjects with known hemophilia or is
stable on an anticoagulant regimen affecting INR.
14) Females of childbearing potential (as defined in Appendix 4) must have a negative serum
pregnancy test at Screening and a negative urine pregnancy test on Day 1 prior to enrollment.
15) Male subjects and female subjects of childbearing potential who engage in heterosexual
intercourse must agree to use protocol specified method(s) of contraception as described in
Appendix 4.
16) Lactating females must agree to discontinue nursing before the study drug is administered.
17) Subject must be of generally good health, with the exception of chronic HCV/HBV infection,
as determined by the Investigator
18) Subject must be able to comply with the dosing instructions for study drug administration
and able to complete the study schedule of assessments

Exclusion Criteria

Exclusion Criteria
Subjects who meet any of the following exclusion criteria are not to be enrolled in this study.
1) Current or prior history of any of the following:
a) Clinically-significant illness (other than HCV or HBV) or any other major medical
disorder that may interfere with subject treatment, assessment or compliance with the
protocol; subjects currently under evaluation for a potentially clinically-significant illness
are also excluded.
b) Gastrointestinal disorder or post-operative condition that could interfere with the
absorption of the study drug.
c) Difficulty with blood collection and/or poor venous access for the purposes of
phlebotomy.
d) Clinical hepatic decompensation (e.g., ascites, encephalopathy or variceal hemorrhage).
e) Solid organ transplantation
f) Psychiatric hospitalization, suicide attempt, and/or a period of disability as a result of
their psychiatric illness within the last 2 years.
g) Malignancy within 5 years prior to screening, with the exception of specific cancers that
are entirely cured by surgical resection (basal cell skin cancer, etc.). Subjects under
evaluation for possible malignancy are not eligible.
h) Significant drug sensitivity or drug allergy (such as anaphylaxis or hepatotoxicity).
2) Pregnant or nursing female
3) Chronic liver disease of a non-HCV/HBV etiology (e.g., hemochromatosis, Wilson’s disease,
alpha-1 antitrypsin deficiency, cholangitis).
4) Infection with human immunodeficiency virus (HIV) or Hepatitis Delta virus (HDV).
5) Clinically-relevant drug or alcohol abuse within 12 months of screening. A positive drug
screen will exclude subjects unless it can be explained by a prescribed medication; the
diagnosis and prescription must be approved by the investigator.
6) Use of any prohibited concomitant medications as described in Section 5.4.
7) Known hypersensitivity to LDV, SOF, metabolites or formulation excipients.

The Estimated Number of Participants

  • Taiwan

    100 participants

  • Global

    100 participants