SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment.
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 95.2 | 93.0 – 96.9 |
| SOF/VEL 12 Weeks | 98.2 | 96.4 – 99.2 |
Last reviewed · How we verify
Safety and Efficacy of Sofosbuvir/Velpatasvir/Voxilaprevir and Sofosbuvir/Velpatasvir in Adults With Chronic HCV Infection Who Have Not Previously Received Treatment With Direct-Acting Antiviral Therapy
Phase 3 trial testing SOF/VEL/VOX in Hepatitis C in 943 participants. Completed in 11 January 2017.
| Lead sponsor | Gilead Sciences |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 943 |
| Start date | 16 November 2015 |
| Primary completion | 10 October 2016 |
| Estimated completion | 11 January 2017 |
| Sites | 93 locations across France, New Zealand, United Kingdom, Germany, Canada, Puerto Rico, Australia, United States |
Gilead Sciences — full company profile →
18 and older, any sex, with Hepatitis C. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment.
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 95.2 | 93.0 – 96.9 |
| SOF/VEL 12 Weeks | 98.2 | 96.4 – 99.2 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 0 | |
| SOF/VEL 12 Weeks | 0.5 |
SVR4 and SVR 24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 96.4 | 94.4 – 97.9 |
| SOF/VEL 12 Weeks | 98.9 | 97.4 – 99.6 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 95.0 | 92.7 – 96.7 |
| SOF/VEL 12 Weeks | 98.0 | 96.2 – 99.1 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 24.8 | 21.0 – 28.8 |
| SOF/VEL 12 Weeks | 22.7 | 18.9 – 26.9 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 65.9 | 61.5 – 70.0 |
| SOF/VEL 12 Weeks | 61.3 | 56.5 – 65.9 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 92.4 | 89.7 – 94.6 |
| SOF/VEL 12 Weeks | 92.0 | 89.1 – 94.4 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 99.2 | 98.0 – 99.8 |
| SOF/VEL 12 Weeks | 99.8 | 98.7 – 100.0 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL 12 Weeks | 99.8 | 98.7 – 100.0 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | -4.23 | ± 0.689 |
| SOF/VEL 12 Weeks | -4.24 | ± 0.679 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | -4.75 | ± 0.747 |
| SOF/VEL 12 Weeks | -4.77 | ± 0.646 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | -4.95 | ± 0.750 |
| SOF/VEL 12 Weeks | -4.99 | ± 0.656 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | -4.99 | ± 0.754 |
| SOF/VEL 12 Weeks | -5.03 | ± 0.655 |
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL 12 Weeks | -5.03 | ± 0.656 |
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
| Group | Value | 95% CI |
|---|---|---|
| SOF/VEL/VOX 8 Weeks | 4.2 | |
| SOF/VEL 12 Weeks | 0.7 |
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.
| Reaction | System | SOF/VEL/VOX 8 Weeks | SOF/VEL 12 Weeks |
|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | — | — |
| Angina pectoris | Cardiac disorders | — | — |
| Atrial fibrillation | Cardiac disorders | — | — |
| Small intestinal obstruction | Gastrointestinal disorders | — | — |
| Chest pain | General disorders | — | — |
| Biliary colic | Hepatobiliary disorders | — | — |
| Cholelithiasis | Hepatobiliary disorders | — | — |
| Clostridium difficile colitis | Infections and infestations | — | — |
| Perineal abscess | Infections and infestations | — | — |
| Pneumonia | Infections and infestations | — | — |
| Pyelonephritis | Infections and infestations | — | — |
| Multiple fractures | Injury, poisoning and procedural complications | — | — |
| Road traffic accident | Injury, poisoning and procedural complications | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — |
| Flank pain | Musculoskeletal and connective tissue disorders | — | — |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | — | — |
| Myositis | Musculoskeletal and connective tissue disorders | — | — |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Lung adenocarcinoma metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | — | — |
| Cerebral haemorrhage | Nervous system disorders | — | — |
| Alcohol withdrawal syndrome | Psychiatric disorders | — | — |
| Depression | Psychiatric disorders | — | — |
| Suicide attempt | Psychiatric disorders | — | — |
| Asthma | Respiratory, thoracic and mediastinal disorders | — | — |
| Peripheral artery occlusion | Vascular disorders | — | — |
| Reaction | System | SOF/VEL/VOX 8 Weeks | SOF/VEL 12 Weeks |
|---|---|---|---|
| Headache | Nervous system disorders | — | — |
| Fatigue | General disorders | — | — |
| Diarrhoea | Gastrointestinal disorders | — | — |
| Nausea | Gastrointestinal disorders | — | — |
| Asthenia | General disorders | — | — |
| Insomnia | Psychiatric disorders | — | — |
| Arthralgia | Musculoskeletal and connective tissue disorders | — | — |
Most-reported serious reactions: Acute myocardial infarction, Angina pectoris, Atrial fibrillation, Small intestinal obstruction, Chest pain, Biliary colic, Cholelithiasis, Clostridium difficile colitis.
Data from ClinicalTrials.gov NCT02607800 adverse events section.
The primary objectives of this study are to compare the efficacy, safety, and tolerability of treatment with sofosbuvir/velpatasvir/voxilaprevir (SOF/VEL/VOX) fixed dose combination (FDC) for 8 weeks with that of SOF/VEL FDC for 12 weeks in direct-acting antiviral-naive participants with chronic hepatitis C virus (HCV) infection.
5 peer-reviewed publications reference this trial (live from Europe PMC):
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