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NCT02607800: POLARIS-2

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

Completed Phase 3 Results posted Last updated 5 March 2019
What this trial tests

Phase 3 trial testing SOF/VEL/VOX in Hepatitis C in 943 participants. Completed in 11 January 2017.

Timeline
16 November 2015
Primary endpoint
10 October 2016
11 January 2017

Quick facts

Lead sponsorGilead Sciences
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment943
Start date16 November 2015
Primary completion10 October 2016
Estimated completion11 January 2017
Sites93 locations across France, New Zealand, United Kingdom, Germany, Canada, Puerto Rico, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with Hepatitis C. 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 (SVR) 12 Weeks After Discontinuation of Therapy (SVR12) Primary · Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment.

GroupValue95% CI
SOF/VEL/VOX 8 Weeks95.293.0 – 96.9
SOF/VEL 12 Weeks98.296.4 – 99.2
Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event Primary · Up to 12 weeks
GroupValue95% CI
SOF/VEL/VOX 8 Weeks0
SOF/VEL 12 Weeks0.5
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24) Secondary · Posttreatment Weeks 4 and 24

SVR4 and SVR 24 were defined as HCV RNA \< LLOQ at 4 and 24 weeks after stopping study treatment, respectively.

SVR4
GroupValue95% CI
SOF/VEL/VOX 8 Weeks96.494.4 – 97.9
SOF/VEL 12 Weeks98.997.4 – 99.6
SVR 24
GroupValue95% CI
SOF/VEL/VOX 8 Weeks95.092.7 – 96.7
SOF/VEL 12 Weeks98.096.2 – 99.1
Percentage of Participants With HCV RNA < LLOQ On Treatment Secondary · Weeks 1, 2, 4, 8, and 12
Week 1
GroupValue95% CI
SOF/VEL/VOX 8 Weeks24.821.0 – 28.8
SOF/VEL 12 Weeks22.718.9 – 26.9
Week 2
GroupValue95% CI
SOF/VEL/VOX 8 Weeks65.961.5 – 70.0
SOF/VEL 12 Weeks61.356.5 – 65.9
Week 4
GroupValue95% CI
SOF/VEL/VOX 8 Weeks92.489.7 – 94.6
SOF/VEL 12 Weeks92.089.1 – 94.4
Week 8
GroupValue95% CI
SOF/VEL/VOX 8 Weeks99.298.0 – 99.8
SOF/VEL 12 Weeks99.898.7 – 100.0
Week 12
GroupValue95% CI
SOF/VEL 12 Weeks99.898.7 – 100.0
Change From Baseline in HCV RNA Secondary · Baseline; Weeks 1, 2, 4, 8, and 12
Week 1
GroupValue95% CI
SOF/VEL/VOX 8 Weeks-4.23± 0.689
SOF/VEL 12 Weeks-4.24± 0.679
Week 2
GroupValue95% CI
SOF/VEL/VOX 8 Weeks-4.75± 0.747
SOF/VEL 12 Weeks-4.77± 0.646
Week 4
GroupValue95% CI
SOF/VEL/VOX 8 Weeks-4.95± 0.750
SOF/VEL 12 Weeks-4.99± 0.656
Week 8
GroupValue95% CI
SOF/VEL/VOX 8 Weeks-4.99± 0.754
SOF/VEL 12 Weeks-5.03± 0.655
Week 12
GroupValue95% CI
SOF/VEL 12 Weeks-5.03± 0.656
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/VOX 8 Weeks4.2
SOF/VEL 12 Weeks0.7

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/VOX 8 Weeks
Serious: 15/501 (3%)
Deaths: 0/501
SOF/VEL 12 Weeks
Serious: 7/440 (2%)
Deaths: 0/440

Serious adverse events (25 terms)

ReactionSystemSOF/VEL/VOX 8 WeeksSOF/VEL 12 Weeks
Acute myocardial infarctionCardiac disorders
Angina pectorisCardiac disorders
Atrial fibrillationCardiac disorders
Small intestinal obstructionGastrointestinal disorders
Chest painGeneral disorders
Biliary colicHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Clostridium difficile colitisInfections and infestations
Perineal abscessInfections and infestations
PneumoniaInfections and infestations
PyelonephritisInfections and infestations
Multiple fracturesInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
Flank painMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
MyositisMusculoskeletal and connective tissue disorders
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral haemorrhageNervous system disorders
Alcohol withdrawal syndromePsychiatric disorders
DepressionPsychiatric disorders
Suicide attemptPsychiatric disorders
AsthmaRespiratory, thoracic and mediastinal disorders
Peripheral artery occlusionVascular disorders
Other adverse events (7 terms — click to expand)

ReactionSystemSOF/VEL/VOX 8 WeeksSOF/VEL 12 Weeks
HeadacheNervous system disorders
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
InsomniaPsychiatric disorders
ArthralgiaMusculoskeletal 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.

Sponsor's own description

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.

Publications & conference data

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

  1. Efficacy of 8 Weeks of Sofosbuvir, Velpatasvir, and Voxilaprevir in Patients With Chronic HCV Infection: 2 Phase 3 Randomized Trials.
    Jacobson IM, Lawitz E, Gane EJ, Willems BE, et al · · 2017 · cited 163× · PMID 28390869 · DOI 10.1053/j.gastro.2017.03.047
  2. Sofosbuvir-Based Direct-Acting Antiviral Therapies for HCV in People Receiving Opioid Substitution Therapy: An Analysis of Phase 3 Studies.
    Grebely J, Feld JJ, Wyles D, Sulkowski M, et al · · 2018 · cited 32× · PMID 29450210 · DOI 10.1093/ofid/ofy001
  3. Hepatitis C Care in the Department of Veterans Affairs: Building a Foundation for Success.
    Belperio PS, Chartier M, Gonzalez RI, Park AM, et al · · 2018 · cited 24× · PMID 29778256 · DOI 10.1016/j.idc.2018.02.011
  4. Sofosbuvir/Velpatasvir for the treatment of Hepatitis C Virus infection.
    Zignego AL, Monti M, Gragnani L. · · 2018 · cited 10× · PMID 30333452 · DOI 10.23750/abm.v89i3.7718
  5. Efficacy and safety of direct-acting antiviral regimen for patients with hepatitis C virus genotype 2: a systematic review and meta-analysis.
    Lei PK, Liu Z, Ung COL, Hu H. · · 2024 · PMID 39350091 · DOI 10.1186/s12876-024-03414-5

Verify or expand the search:

Other trials of SOF/VEL/VOX

Trials testing the same drug.

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Other Gilead Sciences trials

Trials by the same sponsor.

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