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Ledipasvir/Sofosbuvir Fixed-Dose Combination for 12 or 24 Weeks in Genotype 1 or 4 HCV Infected Adults With Sickle Cell Disease

An Open-Label Study of Ledipasvir/Sofosbuvir Fixed-Dose Combination for 12 or 24 Weeks in Genotype 1 or 4 HCV Infected Subjects With Sickle Cell Disease

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02301936
Enrollment
10
Registered
2014-11-26
Start date
2015-03-02
Completion date
2016-04-18
Last updated
2018-11-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C Virus Infection

Keywords

Sickle Cell Disease, Gilead, Hepatitis C

Brief summary

The primary objectives of this study are to evaluate the antiviral efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) administered for 12 or 24 weeks in adults with genotype 1 or 4 hepatitis C virus (HCV) infection with sickle cell disease (SCD).

Interventions

DRUGLDV/SOF

90/400 mg fixed dose combination (FDC) tablet administered orally once daily

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Chronic genotype 1 or 4 infected patients with sickle cell disease * HCV RNA ≥ 1,000 IU/mL at screening * Cirrhosis determination by transient elastography * Screening laboratory values within defined thresholds * Use of two effective contraception methods if female of childbearing potential or sexually active male Key

Exclusion criteria

* Pregnant or nursing female * Co-infection with HIV or hepatitis B virus (HBV) * Current or prior history of clinical hepatic decompensation * Hepatocellular carcinoma (HCC) or other malignancy (with exception of certain resolved skin cancers) * History of clinically significant illness or any other medical disorder that may interfere with treatment, assessment or compliance with the protocol Note: Other protocol defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)Posttreatment Week 12SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) 12 weeks following the last dose of study drug.
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse EventUp to 24 weeks

Secondary

MeasureTime frameDescription
HCV RNA Change From BaselineUp to 24 weeks
Percentage of Participants With Virologic FailureUp to Posttreatment Week 12Virologic failure was defined as * On-treatment virologic failure * HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ, while on treatment, * \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, HCV RNA persistently ≥ LLOQ through 8 weeks of treatment (ie nonresponse) * Relapse * 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
Percentage of Participants With Sustained Virologic Response 4 Weeks After Discontinuation of Therapy (SVR4)Posttreatment Week 4SVR4 was defined as HCV RNA \< the LLOQ 4 weeks following the last dose of study drug.
Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeeks 4,12, 24, Posttreatment Weeks 4 and 12The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The last 5 concepts constitute the mental component summary. The total score is an average of the individual question scores, which are scaled 0-100 with lower score representing more disability and higher scores representing less disability.
Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Weeks 4,12, 24, Posttreatment Weeks 4 and 12The FACIT-Fatigue score was measured using a 40-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. Participants scored each item on a 5-point scale from 0 (Not at all) to 4 (Very much). The FACIT-F total score was calculated by taking the sum of all 40 individual scores and ranged from 0-160, with higher scores indicating better quality of life.
Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeeks 4,12, 24, Posttreatment Weeks 4 and 12The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The first 6 concepts constitute the physical component summary. The total score is an average of the individual question scores, which are scaled 0-100 with lower scores representing more disability and higher scores representing less disability.
Percentage of Participants With HCV RNA < LLOQ on TreatmentWeeks 1, 2, 4, 8,12, 16, 20, and 24

Countries

United States

Participant flow

Recruitment details

Participants were enrolled at 1 study site in the United States. The first participant was screened on 02 March 2015. The last study visit occurred on 18 April 2016.

Participants by arm

ArmCount
LDV/SOF 12 Weeks
Treatment-naive or treatment-experienced participants without cirrhosis received LDV/SOF 90/400 mg FDC tablet once daily for 12 weeks
9
LDV/SOF 24 Weeks
Treatment-experienced participants with cirrhosis received LDV/SOF 90/400 mg FDC tablet once daily for 24 weeks
1
Total10

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10

Baseline characteristics

CharacteristicLDV/SOF 12 WeeksTotalLDV/SOF 24 Weeks
Age, Continuous43 Years
STANDARD_DEVIATION 14.9
43 Years
STANDARD_DEVIATION 14.1
44 Years
Cirrhosis status
Absence
9 Participants9 Participants0 Participants
Cirrhosis status
Presence
0 Participants1 Participants1 Participants
HCV genotype
Genotype 1a
5 Participants6 Participants1 Participants
HCV genotype
Genotype 1b
1 Participants1 Participants0 Participants
HCV genotype
Genotype 4a/4c/4d
1 Participants1 Participants0 Participants
HCV genotype
Genotype 4f
1 Participants1 Participants0 Participants
HCV genotype
Genotype 4h
1 Participants1 Participants0 Participants
HCV RNA5.8 log10 IU/mL
STANDARD_DEVIATION 0.74
5.8 log10 IU/mL
STANDARD_DEVIATION 0.71
6.2 log10 IU/mL
HCV RNA Category
< 800,000 IU/mL
6 Participants6 Participants0 Participants
HCV RNA Category
≥ 800,000 IU/mL
3 Participants4 Participants1 Participants
IL28b Status
CC
1 Participants1 Participants0 Participants
IL28b Status
CT
2 Participants3 Participants1 Participants
IL28b Status
TT
6 Participants6 Participants0 Participants
Prior HCV Treatment Experience With Cirrhosis
Treatment-Experienced (Cirrhosis)
0 Participants1 Participants1 Participants
Prior HCV Treatment Experience With Cirrhosis
Treatment-Experienced (Non-cirrhosis)
2 Participants2 Participants0 Participants
Prior HCV Treatment Experience With Cirrhosis
Treatment-Naive (Non-cirrhosis)
7 Participants7 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
9 Participants10 Participants1 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
9 Participants10 Participants1 Participants
Sex: Female, Male
Female
3 Participants4 Participants1 Participants
Sex: Female, Male
Male
6 Participants6 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 90 / 1
other
Total, other adverse events
6 / 91 / 1
serious
Total, serious adverse events
1 / 90 / 1

Outcome results

Primary

Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event

Time frame: Up to 24 weeks

Population: Safety Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF 12 WeeksPercentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event0 percentage of participants
Primary

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

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) 12 weeks following the last dose of study drug.

Time frame: Posttreatment Week 12

Population: Full Analysis Set: participants who took at least 1 dose of study drug

ArmMeasureValue (NUMBER)
LDV/SOF 12 WeeksPercentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)88.9 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)100.0 percentage of participants
Secondary

Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)

The FACIT-Fatigue score was measured using a 40-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function. Participants scored each item on a 5-point scale from 0 (Not at all) to 4 (Very much). The FACIT-F total score was calculated by taking the sum of all 40 individual scores and ranged from 0-160, with higher scores indicating better quality of life.

Time frame: Weeks 4,12, 24, Posttreatment Weeks 4 and 12

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Posttreatment Week 413.0 units on a scaleStandard Deviation 17.2
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Week 129.8 units on a scaleStandard Deviation 17.15
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Posttreatment Week 248.5 units on a scaleStandard Deviation 6.32
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Week 44.6 units on a scaleStandard Deviation 13.86
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Posttreatment Week 413.2 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Posttreatment Week 245.0 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Week 4-0.2 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Week 1214.5 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)Week 2411.7 units on a scale
Secondary

Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component Score

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The last 5 concepts constitute the mental component summary. The total score is an average of the individual question scores, which are scaled 0-100 with lower score representing more disability and higher scores representing less disability.

Time frame: Weeks 4,12, 24, Posttreatment Weeks 4 and 12

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeek 123.2 units on a scaleStandard Deviation 8.14
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScorePosttreatment Week 42.2 units on a scaleStandard Deviation 9.69
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeek 42.2 units on a scaleStandard Deviation 8.88
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScorePosttreatment Week 122.4 units on a scaleStandard Deviation 6.53
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScorePosttreatment Week 4-4.6 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScorePosttreatment Week 12-5.0 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeek 4-4.7 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeek 12-3.3 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Mental Component ScoreWeek 24-3.9 units on a scale
Secondary

Change From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component Score

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The first 6 concepts constitute the physical component summary. The total score is an average of the individual question scores, which are scaled 0-100 with lower scores representing more disability and higher scores representing less disability.

Time frame: Weeks 4,12, 24, Posttreatment Weeks 4 and 12

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeek 122.7 units on a scaleStandard Deviation 7.2
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScorePosttreatment Week 43.5 units on a scaleStandard Deviation 8.26
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScorePosttreatment Week 120.7 units on a scaleStandard Deviation 12.46
LDV/SOF 12 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeek 41.2 units on a scaleStandard Deviation 6.66
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScorePosttreatment Week 40.1 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScorePosttreatment Week 125.5 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeek 48.5 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeek 125.8 units on a scale
LDV/SOF 24 WeeksChange From Pretreatment Assessment in Health-related Quality of Life as Evaluated by Short Form (SF-36) Health Survey Scale- Physical Component ScoreWeek 242.3 units on a scale
Secondary

HCV RNA Change From Baseline

Time frame: Up to 24 weeks

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
LDV/SOF 12 WeeksHCV RNA Change From BaselineChange at Week 2-3.86 log10 IU/mLStandard Deviation 1.644
LDV/SOF 12 WeeksHCV RNA Change From BaselineChange at Week 1-4.20 log10 IU/mLStandard Deviation 0.543
LDV/SOF 12 WeeksHCV RNA Change From BaselineChange at Week 4-3.98 log10 IU/mLStandard Deviation 1.694
LDV/SOF 12 WeeksHCV RNA Change From BaselineChange at Week 8-4.47 log10 IU/mLStandard Deviation 0.662
LDV/SOF 12 WeeksHCV RNA Change From BaselineChange at Week 12-4.61 log10 IU/mLStandard Deviation 0.737
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 4-5.05 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 20-5.05 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 8-5.05 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 24-5.05 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 12-5.05 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 1-3.86 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 2-4.63 log10 IU/mL
LDV/SOF 24 WeeksHCV RNA Change From BaselineChange at Week 16-5.05 log10 IU/mL
Secondary

Percentage of Participants With HCV RNA < LLOQ on Treatment

Time frame: Weeks 1, 2, 4, 8,12, 16, 20, and 24

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
LDV/SOF 12 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 12100.0 percentage of participants
LDV/SOF 12 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 133.3 percentage of participants
LDV/SOF 12 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 266.7 percentage of participants
LDV/SOF 12 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 488.9 percentage of participants
LDV/SOF 12 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 888.9 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 20 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 20100.0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 4100.0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 24100.0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 12100.0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 8100.0 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 10 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With HCV RNA < LLOQ on TreatmentWeek 16100.0 percentage of participants
Secondary

Percentage of Participants With Sustained Virologic Response 4 Weeks After Discontinuation of Therapy (SVR4)

SVR4 was defined as HCV RNA \< the LLOQ 4 weeks following the last dose of study drug.

Time frame: Posttreatment Week 4

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF 12 WeeksPercentage of Participants With Sustained Virologic Response 4 Weeks After Discontinuation of Therapy (SVR4)88.9 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With Sustained Virologic Response 4 Weeks After Discontinuation of Therapy (SVR4)100.0 percentage of participants
Secondary

Percentage of Participants With Virologic Failure

Virologic failure was defined as * On-treatment virologic failure * HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ, while on treatment, * \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment, HCV RNA persistently ≥ LLOQ through 8 weeks of treatment (ie nonresponse) * Relapse * 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

Time frame: Up to Posttreatment Week 12

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF 12 WeeksPercentage of Participants With Virologic Failure11.1 percentage of participants
LDV/SOF 24 WeeksPercentage of Participants With Virologic Failure0 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026