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NCT02480712: ASTRAL-5

Efficacy and Safety of Sofosbuvir/Velpatasvir Fixed Dose Combination for 12 Weeks in Adults With Chronic Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV)-1 Coinfection

Completed Phase 3 Results posted Last updated 16 November 2018
What this trial tests

Phase 3 trial testing SOF/VEL in Hepatitis C Virus Infection in 107 participants. Completed in 22 June 2016.

Timeline
1 July 2015
Primary endpoint
29 April 2016
22 June 2016

Quick facts

Lead sponsorGilead Sciences
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment107
Start date1 July 2015
Primary completion29 April 2016
Estimated completion22 June 2016
Sites15 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with Hepatitis C Virus Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12) Primary · Posttreatment Week 12

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

GroupValue95% CI
SOF/VEL 12 Weeks95.389.3 – 98.5
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event Primary · Up to 12 weeks
GroupValue95% CI
SOF/VEL 12 Weeks1.9
Percentage of Participants With Sustained Virologic Response 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24) Secondary · Posttreatment Weeks 4 and 24

SVR4 and SVR24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks following the last dose of study drug, respectively.

SVR4
GroupValue95% CI
SOF/VEL 12 Weeks95.389.3 – 98.5
SVR24
GroupValue95% CI
SOF/VEL 12 Weeks95.389.3 – 98.5
Percentage of Participants With HCV RNA < LLOQ on Treatment Secondary · Up to 12 Weeks
Week 1
GroupValue95% CI
SOF/VEL 12 Weeks25.717.7 – 35.2
Week 2
GroupValue95% CI
SOF/VEL 12 Weeks68.058.0 – 76.8
Week 4
GroupValue95% CI
SOF/VEL 12 Weeks92.285.3 – 96.6
Week 6
GroupValue95% CI
SOF/VEL 12 Weeks99.094.7 – 100.0
Week 8
GroupValue95% CI
SOF/VEL 12 Weeks100.096.4 – 100.0
Week 10
GroupValue95% CI
SOF/VEL 12 Weeks100.096.4 – 100.0
Week 12
GroupValue95% CI
SOF/VEL 12 Weeks100.096.4 – 100.0
HCV RNA Change From Baseline/Day 1 Secondary · Baseline to Week 12
Change at Week 1
GroupValue95% CI
SOF/VEL 12 Weeks-4.47± 0.606
Change at Week 2
GroupValue95% CI
SOF/VEL 12 Weeks-4.97± 0.577
Change at Week 4
GroupValue95% CI
SOF/VEL 12 Weeks-5.15± 0.560
Change at Week 6
GroupValue95% CI
SOF/VEL 12 Weeks-5.18± 0.572
Change at Week 8
GroupValue95% CI
SOF/VEL 12 Weeks-5.17± 0.575
Change at Week 10
GroupValue95% CI
SOF/VEL 12 Weeks-5.17± 0.575
Change at Week 12
GroupValue95% CI
SOF/VEL 12 Weeks-5.17± 0.575
Percentage of Participants With Virologic Failure Secondary · Up to Posttreatment Week 24

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

GroupValue95% CI
SOF/VEL 12 Weeks1.9
Percentage of Participants That Maintained HIV-1 RNA < 50 Copies/mL While On HCV Treatment Secondary · Up to 12 Weeks
Week 4
GroupValue95% CI
SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)94.4
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)97.1
SOF/VEL 12 Weeks (Non TDF Containing Regimens)100
Week 8
GroupValue95% CI
SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)96.3
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)97.1
SOF/VEL 12 Weeks (Non TDF Containing Regimens)100
Week 12
GroupValue95% CI
SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)96.2
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)100
SOF/VEL 12 Weeks (Non TDF Containing Regimens)92.9
Serum Creatinine Change From Baseline At the End of Treatment and At Posttreatment Week 12 Secondary · Week 12; Posttreatment Week 12
Change at Week 12
GroupValue95% CI
SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)0.09± 0.196
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)0.04± 0.107
SOF/VEL 12 Weeks (Non TDF Containing Regimens)0.00± 0.083
Change at Posttreatment Week 12
GroupValue95% CI
SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)0.04± 0.153
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)0.02± 0.142
SOF/VEL 12 Weeks (Non TDF Containing Regimens)-0.06± 0.204

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 12 Weeks Plus 30 Days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SOF/VEL 12 Weeks (Boosted TDF Containing Regimens)
Serious: 2/56 (4%)
Deaths:
SOF/VEL 12 Weeks (Non-Boosted TDF Containing Regimens)
Serious: 0/35 (0%)
Deaths:
SOF/VEL 12 Weeks (Non TDF Containing Regimens)
Serious: 0/15 (0%)
Deaths:

Serious adverse events (4 terms)

ReactionSystemSOF/VEL 12 Weeks (Boosted …SOF/VEL 12 Weeks (Non-Boos…SOF/VEL 12 Weeks (Non TDF …
Localised infectionInfections and infestations
SepsisInfections and infestations
Urinary tract infection bacterialInfections and infestations
Radial nerve palsyNervous system disorders
Other adverse events (29 terms — click to expand)

ReactionSystemSOF/VEL 12 Weeks (Boosted …SOF/VEL 12 Weeks (Non-Boos…SOF/VEL 12 Weeks (Non TDF …
FatigueGeneral disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
DiarrhoeaGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
InsomniaPsychiatric disorders
Abdominal distensionGastrointestinal disorders
BronchitisInfections and infestations
NasopharyngitisInfections and infestations
Abnormal dreamsPsychiatric disorders
DepressionPsychiatric disorders
ConstipationGastrointestinal disorders
Seasonal allergyImmune system disorders
Urinary tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Sinus congestionRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
Fungal infectionInfections and infestations
Flank painMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
NervousnessPsychiatric disorders
RashSkin and subcutaneous tissue disorders

Most-reported serious reactions: Localised infection, Sepsis, Urinary tract infection bacterial, Radial nerve palsy.

Data from ClinicalTrials.gov NCT02480712 adverse events section.

Sponsor's own description

The primary objectives of this study are to evaluate the efficacy, safety and tolerability of treatment with sofosbuvir/velpatasvir (SOF/VEL) for 12 weeks in participants with chronic HCV infection who were coinfected with HIV-1.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Sofosbuvir and Velpatasvir for the Treatment of Hepatitis C Virus in Patients Coinfected With Human Immunodeficiency Virus Type 1: An Open-Label, Phase 3 Study.
    Wyles D, Bräu N, Kottilil S, Daar ES, et al · · 2017 · cited 109× · PMID 28369210 · DOI 10.1093/cid/cix260
  2. Pharmacologic Considerations in the Treatment of Hepatitis C Virus in Persons With HIV.
    MacBrayne CE, Kiser JJ. · · 2016 · cited 14× · PMID 27363437 · DOI 10.1093/cid/ciw220
  3. Profile of Sofosbuvir and Velpatasvir Combination in the Treatment of Chronic Hepatitis C in Children and Adolescents: Current Evidence.
    Brigham D, Narkewicz MR. · · 2024 · cited 5× · PMID 38230373 · DOI 10.2147/tcrm.s326099

Verify or expand the search:

Other trials of SOF/VEL

Trials testing the same drug.

Other recruiting trials for Hepatitis C Virus Infection

Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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