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NCT02487030

Safety and Efficacy of Ledipasvir/Sofosbuvir Fixed Dose Combination, With or Without Ribavirin, in Egyptian Adults With Chronic Genotype 4 HCV Infection

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

Phase 3 trial testing LDV/SOF in Hepatitis C Virus Infection in 255 participants. Completed in 4 February 2017.

Timeline
7 September 2015
Primary endpoint
11 November 2016
4 February 2017

Quick facts

Lead sponsorGilead Sciences
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment255
Start date7 September 2015
Primary completion11 November 2016
Estimated completion4 February 2017
Sites4 locations across Egypt

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
LDV/SOF 8 wk TN (Cohort 1, Group 1)95.384.2 – 99.4
LDV/SOF + RBV 8 wk TN (Cohort 1, Group 2)90.577.4 – 97.3
LDV/SOF 12 wk TN (Cohort 1, Group 3)97.787.7 – 99.9
LDV/SOF + RBV 12 wk TN (Cohort 1, Group 4)97.687.4 – 99.9
LDV/SOF 12 wk TE (Cohort 3, Group 1)94.481.3 – 99.3
LDV/SOF + RBV 12 wk TE (Cohort 3, Group 2)100.090.7 – 100.0
LDV/SOF + RBV 12 wk SOF or LDV/SOF Experienced (Cohort 2)100.071.5 – 100.0
Percentage of Participants Who Discontinued LDV/SOF Drug Due to an Adverse Event (AE) Primary · 12 weeks
GroupValue95% CI
LDV/SOF 8 Weeks0
LDV/SOF + RBV 8 Weeks0
LDV/SOF 12 Weeks0
LDV/SOF + RBV 12 Weeks1.1
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 4 and 24 weeks after the last dose of study drug, respectively.

SVR4
GroupValue95% CI
LDV/SOF 8 wk TN (Cohort 1, Group 1)95.384.2 – 99.4
LDV/SOF + RBV 8 wk TN (Cohort 1, Group 2)95.283.8 – 99.4
LDV/SOF 12 wk TN (Cohort 1, Group 3)97.787.7 – 99.9
LDV/SOF + RBV 12 wk TN (Cohort 1, Group 4)97.687.4 – 99.9
LDV/SOF 12 wk TE (Cohort 3, Group 1)100.090.3 – 100.0
LDV/SOF + RBV 12 wk TE (Cohort 3, Group 2)100.090.7 – 100.0
LDV/SOF + RBV 12 wk SOF or LDV/SOF Experienced (Cohort 2)100.071.5 – 100.0
SVR24
GroupValue95% CI
LDV/SOF 8 wk TN (Cohort 1, Group 1)95.384.2 – 99.4
LDV/SOF + RBV 8 wk TN (Cohort 1, Group 2)90.577.4 – 97.3
LDV/SOF 12 wk TN (Cohort 1, Group 3)97.787.7 – 99.9
LDV/SOF + RBV 12 wk TN (Cohort 1, Group 4)97.687.4 – 99.9
LDV/SOF 12 wk TE (Cohort 3, Group 1)94.481.3 – 99.3
LDV/SOF + RBV 12 wk TE (Cohort 3, Group 2)100.090.7 – 100.0
LDV/SOF + RBV 12 wk SOF or LDV/SOF Experienced (Cohort 2)100.071.5 – 100.0
Percentage of Participants With Overall Virologic Failure Secondary · Up to Posttreatment Week 24

Virologic failure was defined as * On-treatment virologic failure * confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA \< LLOQ, while on treatment (ie, breakthrough), * confirmed \> 1 log10 IU/mL increase in HCV RNA from nadir while on treatment (ie, rebound), * 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

GroupValue95% CI
LDV/SOF 8 wk TN (Cohort 1, Group 1)4.7
LDV/SOF + RBV 8 wk TN (Cohort 1, Group 2)9.5
LDV/SOF 12 wk TN (Cohort 1, Group 3)2.3
LDV/SOF + RBV 12 wk TN (Cohort 1, Group 4)0.0
LDV/SOF 12 wk TE (Cohort 3, Group 1)2.8
LDV/SOF + RBV 12 wk TE (Cohort 3, Group 2)0.0
LDV/SOF + RBV 12 wk SOF or LDV/SOF Experienced (Cohort 2)0.0

Adverse events — posted to ClinicalTrials.gov

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

LDV/SOF 8 Weeks
Serious: 0/43 (0%)
Deaths:
LDV/SOF + RBV 8 Weeks
Serious: 0/42 (0%)
Deaths:
LDV/SOF 12 Weeks
Serious: 0/79 (0%)
Deaths:
LDV/SOF + RBV 12 Weeks
Serious: 3/91 (3%)
Deaths:

Serious adverse events (3 terms)

ReactionSystemLDV/SOF 8 WeeksLDV/SOF + RBV 8 WeeksLDV/SOF 12 WeeksLDV/SOF + RBV 12 Weeks
Road traffic accidentInjury, poisoning and procedural complications
Chest PainGeneral disorders
Peripheral vascular disorderVascular disorders
Other adverse events (8 terms — click to expand)

ReactionSystemLDV/SOF 8 WeeksLDV/SOF + RBV 8 WeeksLDV/SOF 12 WeeksLDV/SOF + RBV 12 Weeks
HeadacheNervous system disorders
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
PyrexiaGeneral disorders
ConstipationGastrointestinal disorders
BronchitisInfections and infestations

Most-reported serious reactions: Road traffic accident, Chest Pain, Peripheral vascular disorder.

Data from ClinicalTrials.gov NCT02487030 adverse events section.

Sponsor's own description

The primary objective of this study was to evaluate the efficacy, safety, and tolerability of ledipasvir/sofosbuvir (LDV/SOF) fixed dose combination (FDC) with or without ribavirin (RBV) in Egyptian adults with chronic genotype 4 hepatitis C virus (HCV) infection.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Ledipasvir/sofosbuvir with or without ribavirin for 8 or 12 weeks for the treatment of HCV genotype 4 infection: results from a randomised phase III study in Egypt.
    Shiha G, Esmat G, Hassany M, Soliman R, et al · · 2019 · cited 28× · PMID 29666174 · DOI 10.1136/gutjnl-2017-315906

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Other trials of LDV/SOF

Trials testing the same drug.

Other recruiting trials for Hepatitis C Virus Infection

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Other Gilead Sciences trials

Trials by the same sponsor.

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