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OpenTrials
Completed

NCT Number: NCT02350569

Safety and Efficacy of Ledipasvir/Sofosbuvir Fixed Dose Combination Administered in Patients Infected With Chronic Genotype 1 or 4 HCV for Use in the Peri-Operative Liver Transplantation Setting

The primary objective of this study is to evaluate the antiviral efficacy of treatment with ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) therapy at the time of liver transplantation and through 4 weeks posttransplant in adults with genotype 1 or 4 hepatitis C virus (HCV) infection who are undergoing primary liver transplantation.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

San Francisco, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Willing and able to provide written informed consent or for those individuals where hepatic encephalopathy affects their ability to provide initial or ongoing consent, has an appropriate and legally-authorized representative (LAR) willing and able to provide consent on behalf of the individual.
  • HCV RNA infection with quantifiable virus at screening
  • Must have chronic genotype 1 or 4 HCV infection for ≥ 6 months by medical history or liver biopsy
  • Currently on the liver transplantation wait list
  • Screening electrocardiogram (ECG) without clinically significant abnormalities.
  • A negative serum pregnancy test result is required for females

Key Exclusion Criteria:

  • Any previous solid organ transplant
  • Any serious or active medical or psychiatric illness which, in the opinion of the investigator, would interfere with participant's treatment, assessment, or compliance
  • HIV infection or a positive hepatitis B virus surface antigen result
  • History of malignancy (with exception of hepatocellular carcinoma within Milan criteria, certain resolved skin cancers or other early cancer for which surgical resection is considered to be completely curative)
  • Treatment with any approved or experimental medication with known anti-HCV activity within 1 month prior to screening date
  • Prior exposure to an HCV non-structural protein (NS)5A inhibitor
  • Patients on hemodialysis prior to or at the time of transplantation will be excluded
  • Creatinine clearance (CLcr) < 40 mL/min at screening or < 40 mL/min on day of transplant
  • Participation in a clinical study with an investigational drug or biologic within 28 days prior to screening visit
  • Receipt or planned receipt of an organ from an HCV positive donor

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

LDV/SOF

Drug

90/400 mg FDC tablet administered orally

Other names: Harvoni®, GS-5885/GS-7977

Primary outcomes

  1. Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)

    Time frame: Posttreatment Week 12

    SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.

  2. Percentage of Participants Who Prematurely Discontinued Study Drug Due to an Adverse Event

    Time frame: Up to 4 weeks

Secondary outcomes

  1. Percentage of Participants With SVR 4 Weeks After Discontinuation of Therapy (SVR4)

    Time frame: Posttreatment Week 4

    SVR4 was defined as HCV RNA < LLOQ at 4 weeks after stopping study treatment.

  2. Percentage of Participants With Virologic Failure

    Time frame: Up to Posttreatment Week 12

    Virologic failure was defined as:

    • End of treatment virologic failure:
    • Completed 28 days LDV/SOF treatment and had HCV RNA ≥ LLOQ at last measurement on treatment
    • Virologic relapse:
    • Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA < LLOQ at last on-treatment HCV RNA measurement.
  3. Percentage of Participants With HCV RNA < LLOQ While on Treatment at Days 1, 3, 5, 7, 14, 21, and 28

    Time frame: Days 1, 3, 5, 7, 14, 21, and 28

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

A Phase 2, Multicenter, Open-Label Study to Investigate the Safety and Efficacy of Ledipasvir/Sofosbuvir Fixed Dose Combination Administered in Patients Infected With Chronic HCV for Use in the Peri-Operative Liver Transplantation Setting

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Jan 29, 2015
Registry last updated
Nov 19, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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