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Ledipasvir/Sofosbuvir Fixed-Dose Combination for 12 Weeks in Participants With Chronic Genotype 2 HCV Infection

A Phase 3b, Multicenter, Randomized, Open-Label Study to Investigate the Efficacy and Safety of Ledipasvir/Sofosbuvir Fixed-Dose Combination for 12 Weeks in Subjects With Chronic Genotype 2 HCV Infection

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02738333
Enrollment
239
Registered
2016-04-14
Start date
2016-04-12
Completion date
2017-05-11
Last updated
2018-11-16

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

Conditions

Hepatitis C Virus Infection

Brief summary

The primary objectives of this study are to evaluate the antiviral efficacy of therapy with ledipasvir/sofosbuvir (LDV/SOF) fixed-dose combination (FDC) and to evaluate the safety and tolerability of LDV/SOF FDC and sofosbuvir (SOF) + ribavirin (RBV) in participants with chronic genotype 2 hepatitis C virus (HCV) infection.

Interventions

DRUGLDV/SOF

90/400 mg FDC tablet administered orally once daily

DRUGSOF

400 mg tablet administered orally once daily

DRUGRBV

Capsules administered orally in a divided daily dose according to package insert weight-based dosing recommendations (≤ 60 kg = 600 mg, \> 60 kg to ≤ 80 kg = 800 mg, and \> 80 kg = 1000 mg)

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: * Chronic genotype 2 HCV-infected males and non-pregnant/non-lactating females * Aged 20 years or older * Treatment naive or treatment experienced * At least 20 subjects will have Child-Pugh-A compensated cirrhosis. In Cohort 2, participants must be ineligible or intolerant of RBV. Key

Exclusion criteria

* Previous exposure to an NS5A or NS5B inhibitor * Infection with hepatitis B virus (HBV) or human immunodeficiency virus (HIV) * Pregnant or nursing female or male with pregnant female partner Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)Posttreatment Week 12SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse EventUp to 12 weeks

Secondary

MeasureTime frameDescription
Percentage of Participants With HCV RNA < LLOQ at Week 1Week 1
Percentage of Participants With HCV RNA < LLOQ at Week 2Week 2
Percentage of Participants With HCV RNA < LLOQ at Week 3Week 3
Percentage of Participants With HCV RNA < LLOQ at Week 4Week 4
Percentage of Participants With HCV RNA < LLOQ at Week 5Week 5
Percentage of Participants With HCV RNA < LLOQ at Week 6Week 6
Percentage of Participants With HCV RNA < LLOQ at Week 8Week 8
Percentage of Participants With HCV RNA < LLOQ at Week 10Week 10
Percentage of Participants With HCV RNA < LLOQ at Week 12Week 12
Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)Posttreatment Week 4SVR4 was defined as HCV RNA \< LLOQ at 4 weeks after stopping study treatment.
Change From Baseline in HCV RNA at Week 2Baseline; Week 2
Change From Baseline in HCV RNA at Week 3Baseline; Week 3
Change From Baseline in HCV RNA at Week 4Baseline; Week 4
Change From Baseline in HCV RNA at Week 5Baseline; Week 5
Change From Baseline in HCV RNA at Week 6Baseline; Week 6
Change From Baseline in HCV RNA at Week 8Baseline; Week 8
Change From Baseline in HCV RNA at Week 10Baseline; Week 10
Change From Baseline in HCV RNA at Week 12Baseline; Week 12
Percentage of Participants With Overall Virologic FailureUp to Posttreatment Week 24Virologic failure was defined as: * On-treatment virologic failure: * Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment), or * Rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or * Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment) * Virologic relapse: * Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.
Change From Baseline in HCV RNA at Week 1Baseline; Week 1
Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24)Posttreatment Week 24SVR 24 was defined as HCV RNA \< LLOQ at 24 weeks after stopping study treatment.

Countries

Japan

Participant flow

Recruitment details

Participants were enrolled at study sites in Japan. The first participant was screened on 12 April 2016. The last study visit occurred on 11 May 2017.

Pre-assignment details

266 participants were screened.

Participants by arm

ArmCount
LDV/SOF (Cohort 1)
LDV/SOF (90/400 mg) FDC tablet once daily for 12 weeks
106
SOF+RBV (Cohort 1)
SOF 400 mg tablet once daily + RBV capsules (600, 800, or 1000 mg daily based on weight) for 12 weeks
108
LDV/SOF (Cohort 2)
LDV/SOF (90/400 mg) FDC tablet once daily for 12 weeks in participants who are ineligible for or intolerant to RBV therapy
25
Total239

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath100
Overall StudyLost to Follow-up100

Baseline characteristics

CharacteristicLDV/SOF (Cohort 1)SOF+RBV (Cohort 1)LDV/SOF (Cohort 2)Total
Age, Continuous58 years
STANDARD_DEVIATION 10.5
60 years
STANDARD_DEVIATION 12.3
74 years
STANDARD_DEVIATION 7.1
61 years
STANDARD_DEVIATION 11.9
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
106 Participants108 Participants25 Participants239 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
HCV RNA Category
< 800,000 IU/mL
30 Participants36 Participants10 Participants76 Participants
HCV RNA Category
≥ 800,000 IU/mL
76 Participants72 Participants15 Participants163 Participants
HCV RNA (log10 IU/mL)6.1 log10 IU/mL
STANDARD_DEVIATION 0.79
6.1 log10 IU/mL
STANDARD_DEVIATION 0.79
5.9 log10 IU/mL
STANDARD_DEVIATION 0.72
6.0 log10 IU/mL
STANDARD_DEVIATION 0.78
IL28b Status
CC
88 Participants86 Participants15 Participants189 Participants
IL28b Status
CT
17 Participants19 Participants10 Participants46 Participants
IL28b Status
TT
1 Participants3 Participants0 Participants4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
106 Participants108 Participants25 Participants239 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
54 Participants71 Participants19 Participants144 Participants
Sex: Female, Male
Male
52 Participants37 Participants6 Participants95 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
1 / 1060 / 1080 / 25
other
Total, other adverse events
25 / 10648 / 1087 / 25
serious
Total, serious adverse events
1 / 1061 / 1081 / 25

Outcome results

Primary

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

Time frame: Up to 12 weeks

Population: Safety Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event0.9 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event1.9 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event0 percentage of participants
Primary

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

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

Time frame: Posttreatment Week 12

Population: Full Analysis Set: participants who were randomized and took at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)96.2 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)95.4 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)96.0 percentage of participants
95% CI: [-5.3, 7.1]
Secondary

Change From Baseline in HCV RNA at Week 1

Time frame: Baseline; Week 1

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 1-4.18 log10 IU/mLStandard Deviation 0.54
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 1-4.34 log10 IU/mLStandard Deviation 0.602
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 1-4.24 log10 IU/mLStandard Deviation 0.55
Secondary

Change From Baseline in HCV RNA at Week 10

Time frame: Baseline; Week 10

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 10-4.92 log10 IU/mLStandard Deviation 0.785
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 10-4.93 log10 IU/mLStandard Deviation 0.794
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 10-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 12

Time frame: Baseline; Week 12

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 12-4.92 log10 IU/mLStandard Deviation 0.785
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 12-4.92 log10 IU/mLStandard Deviation 0.794
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 12-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 2

Time frame: Baseline; Week 2

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 2-4.76 log10 IU/mLStandard Deviation 0.759
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 2-4.81 log10 IU/mLStandard Deviation 0.772
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 2-4.64 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 3

Time frame: Baseline; Week 3

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 3-4.87 log10 IU/mLStandard Deviation 0.78
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 3-4.89 log10 IU/mLStandard Deviation 0.79
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 3-4.75 log10 IU/mLStandard Deviation 0.714
Secondary

Change From Baseline in HCV RNA at Week 4

Time frame: Baseline; Week 4

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 4-4.89 log10 IU/mLStandard Deviation 0.782
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 4-4.91 log10 IU/mLStandard Deviation 0.794
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 4-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 5

Time frame: Baseline; Week 5

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 5-4.91 log10 IU/mLStandard Deviation 0.781
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 5-4.92 log10 IU/mLStandard Deviation 0.794
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 5-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 6

Time frame: Baseline; Week 6

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 6-4.91 log10 IU/mLStandard Deviation 0.781
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 6-4.92 log10 IU/mLStandard Deviation 0.793
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 6-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Change From Baseline in HCV RNA at Week 8

Time frame: Baseline; Week 8

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

ArmMeasureValue (MEAN)Dispersion
LDV/SOF (Cohort 1)Change From Baseline in HCV RNA at Week 8-4.92 log10 IU/mLStandard Deviation 0.785
SOF+RBV (Cohort 1)Change From Baseline in HCV RNA at Week 8-4.93 log10 IU/mLStandard Deviation 0.794
LDV/SOF (Cohort 2)Change From Baseline in HCV RNA at Week 8-4.76 log10 IU/mLStandard Deviation 0.719
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 1

Time frame: Week 1

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 124.5 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 131.5 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 132.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 10

Time frame: Week 10

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 10100.0 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 10100.0 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 10100.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 12

Time frame: Week 12

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 12100.0 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 12100.0 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 12100.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 2

Time frame: Week 2

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 273.6 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 276.6 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 276.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 3

Time frame: Week 3

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 390.6 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 390.7 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 396.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 4

Time frame: Week 4

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 498.1 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 496.3 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 4100.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 5

Time frame: Week 5

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 598.1 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 599.1 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 5100.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 6

Time frame: Week 6

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 699.0 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 699.1 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 6100.0 percentage of participants
Secondary

Percentage of Participants With HCV RNA < LLOQ at Week 8

Time frame: Week 8

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

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 8100.0 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With HCV RNA < LLOQ at Week 8100.0 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With HCV RNA < LLOQ at Week 8100.0 percentage of participants
Secondary

Percentage of Participants With Overall Virologic Failure

Virologic failure was defined as: * On-treatment virologic failure: * Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ while on treatment), or * Rebound (confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or * Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment) * Virologic relapse: * Confirmed HCV RNA ≥ LLOQ during the posttreatment period having achieved HCV RNA \< LLOQ at last on-treatment visit.

Time frame: Up to Posttreatment Week 24

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With Overall Virologic Failure2.8 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With Overall Virologic Failure3.7 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With Overall Virologic Failure4.0 percentage of participants
Secondary

Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24)

SVR 24 was defined as HCV RNA \< LLOQ at 24 weeks after stopping study treatment.

Time frame: Posttreatment Week 24

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24)96.2 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24)95.4 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With SVR at 24 Weeks After Discontinuation of Therapy (SVR24)96.0 percentage of participants
Secondary

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

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

Time frame: Posttreatment Week 4

Population: Full Analysis Set

ArmMeasureValue (NUMBER)
LDV/SOF (Cohort 1)Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)97.2 percentage of participants
SOF+RBV (Cohort 1)Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)98.1 percentage of participants
LDV/SOF (Cohort 2)Percentage of Participants With SVR at 4 Weeks After Discontinuation of Therapy (SVR4)96.0 percentage of participants

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