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NCT04382404

Treatment of Chronic Hepatitis C During Pregnancy With Sofosbuvir/Velpatasvir

Completed Phase 1 Results posted Last updated 1 January 2025
What this trial tests

Phase 1 trial testing Sofosbuvir-Velpatasvir Drug Combination in Hepatitis C, Chronic in 11 participants. Completed in 16 October 2023.

Timeline
22 October 2020
Primary endpoint
16 October 2023
16 October 2023

Quick facts

Lead sponsorCatherine Anne Chappell
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment11
Start date22 October 2020
Primary completion16 October 2023
Estimated completion16 October 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Catherine Anne Chappell — full company profile →

Who can join

Adults 18 to 39, female only, with Hepatitis C, Chronic. 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.

Maximum Concentration of Velpatasvir in Maternal Plasma Primary · Up to 9 weeks from initiation of treatment

Maximum concentration of Velpatasvir measured in maternal plasma samples. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation. At the 6-week visit, a single convenience blood sample was collected.

GroupValue95% CI
Sofosbuvir-Velpatasvir381.93± 38.35
Maximum Concentration of Sofosbuvir in Maternal Plasma Primary · Up to 9-weeks from initiation of treatment

Maximum concentration of Sofosbuvir measured in maternal plasma samples. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation. At the 6-week visit, a single convenience blood sample was collected.

GroupValue95% CI
Sofosbuvir-Velpatasvir1455.09± 43.92
Maximum Concentration of GS-331007 in Maternal Plasma Primary · Up to 9 weeks from initiation of treatment

Maximum concentration of GS-331007, an inactive metabolite of Sofosbuvir, measured in maternal plasma samples. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation. At the 6-week visit, a single convenience blood sample was collected.

GroupValue95% CI
Sofosbuvir-Velpatasvir752.66± 21.85
Area Under the Maternal Plasma Concentration Versus Time Curve of Velpatasvir Primary · Up to 9 weeks from initiation of treatment

Area under the maternal plasma concentration of Velpatasvir versus time curve tau of the dosing interval. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation.

GroupValue95% CI
Sofosbuvir-Velpatasvir3244.45± 39.89
Area Under the Maternal Plasma Concentration Versus Time Curve of Sofosbuvir Primary · Up to 9 weeks from initiation of treatment

Area under the maternal plasma concentration of Sofosbuvir versus time curve tau of the dosing interval. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation.

GroupValue95% CI
Sofosbuvir-Velpatasvir2039.62± 29.75
Area Under the Maternal Plasma Concentration Versus Time Curve of GS-331007 Primary · Up to 9 weeks from initiation of treatment

Area under the maternal plasma concentration of GS-331007 versus time curve tau of the dosing interval; GS-331007 is an inactive metabolite of Sofosbuvir. Plasma samples were obtained pre-dose and at 0.5-, 1-, 2-, 3-, 4-, 5-, 8-, and 12- and 24 hours post-dose at the 3- and 9-week visits after treatment initiation.

GroupValue95% CI
Sofosbuvir-Velpatasvir9558.94± 18.75
Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 3 Weeks Secondary · Approximately 3 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from maternal peripheral blood mononuclear cells measured 3 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir21111096 – 4066
Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 6 Weeks Secondary · Approximately 6 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from maternal peripheral blood mononuclear cells measured 6 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir28081559 – 5058
Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 9 Weeks Secondary · Approximately 9 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from maternal peripheral blood mononuclear cells measured 9 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir22121267 – 3864
Intracellular Concentration of GS-461203 From Dried Maternal Blood Spots at 3 Weeks Secondary · Approximately 3 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from dried maternal blood spots measured 3 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir340287 – 403
Intracellular Concentration of GS-461203 From Dried Maternal Blood Spots at 6 Weeks Secondary · Approximately 6 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from dried maternal blood spots measured 6 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir340278 – 418
Intracellular Concentration of GS-461203 From Dried Maternal Blood Spots at 9 Weeks Secondary · Approximately 9 weeks from initiation of treatment

Intracellular concentration of GS-461203, the active form of Sofosbuvir, from dried maternal blood spots measured 9 weeks after initiation of treatment

GroupValue95% CI
Sofosbuvir-Velpatasvir356275 – 461

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months from initiation of treatment for maternal participants or 1 year from delivery for infants. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sofosbuvir-Velpatasvir - Maternal Participants
Serious: 3/11 (27%)
Deaths: 0/11
Sofosbuvir-Velpatasvir - Infant Participants
Serious: 5/11 (45%)
Deaths: 0/11

Serious adverse events (9 terms)

ReactionSystemSofosbuvir-Velpatasvir - M…Sofosbuvir-Velpatasvir - I…
CholelithiasisGastrointestinal disorders
Acute PyelonephritisInfections and infestations
Renal calculiRenal and urinary disorders
ClubfootCongenital, familial and genetic disorders
CryptorchidismReproductive system and breast disorders
HyperbilirubinemiaHepatobiliary disorders
Respiratory distressRespiratory, thoracic and mediastinal disorders
Transient tachypneaRespiratory, thoracic and mediastinal disorders
Positive toxicology screenInjury, poisoning and procedural complications
Other adverse events (65 terms — click to expand)

ReactionSystemSofosbuvir-Velpatasvir - M…Sofosbuvir-Velpatasvir - I…
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
AnemiaBlood and lymphatic system disorders
COVID-19Respiratory, thoracic and mediastinal disorders
Hemorrhage, postpartumPregnancy, puerperium and perinatal conditions
VomitingGastrointestinal disorders
Otitis mediaEar and labyrinth disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
SciaticaMusculoskeletal and connective tissue disorders
Atopic dermatitisSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
HyperbilirubinemiaHepatobiliary disorders
JaundiceBlood and lymphatic system disorders
SinusitisRespiratory, thoracic and mediastinal disorders
CholelithiasisGastrointestinal disorders
Dental abscessInfections and infestations
DepressionPsychiatric disorders
Dermatitis, contactSkin and subcutaneous tissue disorders
DizzinessGeneral disorders
Dry mouthGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Fetal growth restrictionPregnancy, puerperium and perinatal conditions
Fluid overload, postpartumPregnancy, puerperium and perinatal conditions
GastroenteritisGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Hypertension, gestationalPregnancy, puerperium and perinatal conditions
Group B StreptococcusInfections and infestations
HeartburnGastrointestinal disorders
HypotensionCardiac disorders
Opioid withdrawalGeneral disorders
PreeclampsiaPregnancy, puerperium and perinatal conditions
PyelonephritisInfections and infestations
Rectal bleedingGastrointestinal disorders
ThrombophlebitisVascular disorders
Urinary Tract InfectionInfections and infestations
Vaginal bleedingReproductive system and breast disorders
Weight gainMetabolism and nutrition disorders
Weight lossMetabolism and nutrition disorders

Most-reported serious reactions: Cholelithiasis, Acute Pyelonephritis, Renal calculi, Clubfoot, Cryptorchidism, Hyperbilirubinemia, Respiratory distress, Transient tachypnea.

Data from ClinicalTrials.gov NCT04382404 adverse events section.

Sponsor's own description

A single-arm, single-center, open label Phase 1 study of a 12-week course of Sofosbuvir (SOF)/Velpatasvir (VEL) in 10 HCV-infected pregnant women 1 that will evaluate the plasma pharmacokinetic parameters of SOF/VEL administered during pregnancy and compare them to those of a historical cohort of nonpregnant women.

Publications & conference data

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

  1. Progress, evolving therapeutic/diagnostic approaches, and challenges in the management of hepatitis C virus infections.
    Meshram RJ, Kathwate GH, Gacche RN. · · 2022 · cited 9× · PMID 35089390 · DOI 10.1007/s00705-022-05375-0
  2. Evidence for Implementation: HIV/HCV Coinfection and Pregnancy.
    Curtis MR, Chappell C. · · 2023 · cited 7× · PMID 36652107 · DOI 10.1007/s11904-022-00643-9
  3. Sofosbuvir/Velpatasvir Pharmacokinetics, Safety, and Efficacy in Pregnant People With Hepatitis C Virus.
    Chappell CA, Kiser JJ, Brooks KM, Randolph R, et al · · 2025 · cited 6× · PMID 39688397 · DOI 10.1093/cid/ciae595
  4. Direct antiviral agents (DAAs) and their use in pregnant women with hepatitis C (HCV).
    Abdul Massih S, Eke AC. · · 2022 · cited 6× · PMID 36111676 · DOI 10.1080/14787210.2022.2125868
  5. Defer no more: advances in the treatment and prevention of chronic hepatitis C virus infection in children.
    Honegger JR, Gowda C. · · 2022 · cited 5× · PMID 35852787 · DOI 10.1097/qco.0000000000000856
  6. Adolescent Hepatitis C: Prevalence, Impact, and Management Challenges.
    Mari PC, Gulati R, Fragassi P. · · 2021 · cited 3× · PMID 33994820 · DOI 10.2147/ahmt.s263864
  7. Direct-Acting Antiviral Agents in Prevention of Maternal-Fetal Transmission of Hepatitis C Virus in Pregnancy.
    Hartley C, Van T, Karnsakul W. · · 2024 · cited 2× · PMID 38921805 · DOI 10.3390/pathogens13060508
  8. Hepatitis C Virus Infection in Pregnancy and Children: Its Implications and Treatment Considerations with Directly Acting Antivirals: A Review.
    Rana R, Dangal R, Singh Y, Gurung RB, et al · · 2021 · cited 2× · PMID 35199739 · DOI 10.31729/jnma.5501

Verify or expand the search:

Other recruiting trials for Hepatitis C, Chronic

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04382404.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing