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This is a Phase 2 Randomized, Double-Blind, Placebo-Controlled Study of GS-5885, GS-9451, Tegobuvir and Ribavirin (RBV) Compared with GS-5885, GS-9451 with Tegobuvir or RBV in Treatment-Experienced Subjects with Chronic Genotype 1a or 1b Hepatitis C Virus (HCV) Infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Active Comparator | GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV BID |
|
| Arm 2 | Active Comparator | GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV placebo BID |
|
| Arm 3 | Active Comparator | GS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir placebo BID + RBV BID |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GS-5885 | Drug | Drug: GS-5885 tablet GS-5885 tablet, 90 mg, QD |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | To evaluate safety and tolerability of combination therapy with GS-5885, GS-9451, tegobuvir and ribavirin or GS-5885, GS-9451 and tegobuvir or GS-5885, GS-9451 and ribavirin. Safety will be assessed during the study through the reporting of adverse events, clinical laboratory tests, physical examinations, vital signs and 12-lead ECGs at various time points during the study. | 24 weeks |
| Antiviral Activity | To evaluate the antiviral efficacy as measured by sustained virologic response (SVR, defined as HCV RNA < lower limit of quantitation [LLoQ] 24 weeks post-treatment) of combination therapy with GS-5885, GS-9451, tegobuvir and RBV compared with GS-5885, GS-9451 and tegobuvir or GS-5885, GS-9451 and RBV in treatment-experienced subjects with chronic genotype 1a or 1b HCV infection | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Viral Dynamics | To characterize the viral dynamics of GS-5885, GS-9451 and tegobuvir. The median change from baseline in HCV RNA and time-weighted average change from baseline through Day 10 will be assessed based on plasma HCV RNA sampling times to characterize the viral dynamics of GS-5885, GS-9451 and tegobuvir. | 10 days |
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Inclusion Criteria:
Age ≥18 years with chronic HCV infection
Liver biopsy results ≤ 3 years prior to screening indicating the absence of cirrhosis. Alternatively, a non-invasive procedure conducted within 6 months of screening is permitted in countries where allowed
Monoinfection with HCV genotype (GT) 1a or 1b
HCV RNA ≥ 104 IU/mL at screening
Prior treatment and adherence with one course of pegylated interferon alfa 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 null, partial, breakthrough or relapse.
Body mass index (BMI) 18-40 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.
Agree to use two forms of highly effective contraception for the duration of the study and for 7 months after the last dose of study medication. Females of childbearing potential must have a negative pregnancy test at screening and baseline.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John McNally, PhD | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arizona | Tucson | Arizona | 85724 | United States | ||
| Advanced Clinical Research Institute, LLC |
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| GS-9451 | Drug | Drug: GS-9451 tablet GS-9451 tablet, 200 mg QD |
|
| tegobuvir | Drug | tegobuvir 30 mg BID |
|
| placebo to match tegobuvir | Drug | tegobuvir placebo BID |
|
| placebo to match RBV | Drug | Ribovirin placebo BID |
|
| Ribavirin | Drug | Ribavirin (Copegus®) BID (1000 mg for subjects weighing < 75 kg and 1200 mg for subjects weighing ≥ 75 kg) divided BID |
|
| Composite (or Profile) of Pharmacokinetics Composite (or Profile) of Pharmacokinetics |
To characterize the steady state pharmacokinetics of GS-5885, GS-9451, tegobuvir and ribavirin (if appropriate). Cmax, Tmax, Clast, Tlast, Ctau, λz, AUCtau and T ½ |
| predose, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose |
| Antiviral Efficacy | To evaluate the antiviral efficacy (as defined by SVR) of adding pegylated interferon alfa-2a (PEG) and RBV (Arm 2 only) for 24-48 weeks to the original treatment regimen in subjects who experience viral breakthrough or relapse and enter the Rescue Therapy Substudy | 24-48 weeks |
| Anaheim |
| California |
| 92801 |
| United States |
| California Liver Institute | Beverly Hills | California | 90211 | United States |
| SCTI Research Foundation Liver Center | Coronado | California | 92118 | United States |
| University of California, San Diego | La Jolla | California | 92161 | United States |
| Lightsource Medical | Los Angeles | California | 90036 | United States |
| Medical Associates Research Group, Inc. | San Diego | California | 92123 | United States |
| Kaiser Permanente | San Diego | California | 92154 | United States |
| California Pacific Medical Center | San Francisco | California | 94115 | United States |
| San Jose Gastroenterology | San Jose | California | 95128 | United States |
| Whitman Walker Clinic | Washington D.C. | District of Columbia | 20037 | United States |
| Avail Clinical Research, LLC | DeLand | Florida | 32720 | United States |
| University of Miami, Center for Liver Diseases | Miami | Florida | 33136 | United States |
| Infectious Disease Specialists of Atlanta | Decatur | Georgia | 30033 | United States |
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
| Mercy Medical Center | Baltimore | Maryland | 21202 | United States |
| Johns Hopkins University | Lutherville | Maryland | 21093 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| Henry Ford Health System | Novi | Michigan | 48377 | United States |
| Weill Medical College of Cornell Univeristy | New York | New York | 10021 | United States |
| Mount Sinai School of Medicine | New York | New York | 10029 | United States |
| Montefiore Medical Center | The Bronx | New York | 10467 | United States |
| University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27599 | United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| University Gastroenterology | Providence | Rhode Island | 02905 | United States |
| Gastro One | Germantown | Tennessee | 38138 | United States |
| Southwest Infectious Disease Clinical Research, Inc | Dallas | Texas | 75204 | United States |
| University of Texas Medical Branch | Galveston | Texas | 77555 | United States |
| Therapeutic Concepts, PA | Houston | Texas | 77004 | United States |
| The University of Texas Health Sciences Center at Houston | Houston | Texas | 77030 | United States |
| Alamo Medical Research, Ltd. | San Antonio | Texas | 78215 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Bon Secours St. Mary's Hospital of Richmond, Inc. | Newport News | Virginia | 23602 | United States |
| Digestive and Liver Disease Specialists | Norfolk | Virginia | 23502 | United States |
| Virginia Mason Medical Center | Seattle | Washington | 98101 | United States |
| University of Wisconsin Hospital and Clinics | Madison | Wisconsin | 53792 | United States |
| Leber- and Studienzentrum am Checkpoint | Berlin | 10969 | Germany |
| Charite - Universitatsmedizin Berlin Campus Virchow-Klinikum | Berlin | 13353 | Germany |
| Universitätsklinikum Bonn | Bonn | 53105 | Germany |
| Center for HIV and Hepatogastroenterology | Düsseldorf | 40237 | Germany |
| Klinikum der Johann Wolfgang Goethe Universitaet | Frankfurt | 60590 | Germany |
| Medizinische Universitatsklinik | Freiburg im Breisgau | 79106 | Germany |
| Universitatsklinikum Hamburg-Eppendorf | Hamburg | 22589 | Germany |
| Medizinische Hochschule Hannover | Hanover | 30625 | Germany |
| Klinikum der Universität Heidelberg | Heidelberg | 69120 | Germany |
| Gastroenterologisch-Hepatologisches Zentrum Kiel | Kiel | 24146 | Germany |
| Universitätsklinikum Leipzig | Leipzig | 04103 | Germany |
| Johannes Gutenberg University Hospital | Mainz | 55131 | Germany |
| Klinikum Innenstadt der LMU Munchen | München | 81377 | Germany |
| Universitätsklinikum Würzburg - Med Klinik und Poliklinik | Würzburg | 97080 | Germany |
| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| D006526 | Hepatitis C |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C586541 | ledipasvir |
| C573362 | GS-9451 |
| C571890 | tegobuvir |
| D012254 | Ribavirin |
| ID | Term |
|---|---|
| D012263 | Ribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
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