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GS-5885

Phase 2

Hepatitis C, Chronic | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Feb 11, 2014

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment825
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01435226GS-5885, GS-9451, Tegobuvir and Ribovirin in Treatment-Experienced Subjects With Chronic Genotype 1a Or 1b Hepatitis C Virus (HCV) InfectionPHASE2 COMPLETED 170Sep 1, 2011Jul 1, 2013Dec 17, 201351 United States, Germany
NCT01356160GS-5885 Alone or in Combination With GS-9451 With Peginterferon Alfa 2a and Ribavirin in Treatment Chronic Genotype 1 Hepatitis C VirusPHASE2 COMPLETED 351Jul 1, 2011Jun 1, 2013Feb 3, 201423 United States, Australia +1
NCT01371578Oral Antivirals (GS-5885, Tegobuvir, and/or GS-9451) With Peginterferon Alfa 2a and Ribavirin in Treatment Experienced Subjects With Chronic Genotype 1 Hepatitis C Virus InfectionPHASE2 COMPLETED 163Jul 1, 2011Mar 1, 2013Feb 11, 201455 United States, Puerto Rico
NCT01353248GS 5885 Administered Concomitantly With GS-9451, Tegobuvir and Ribavirin (RBV) in Chronic Genotype 1 Hepatitis C Virus (HCV) InfectionPHASE2 COMPLETED 141May 1, 2011Mar 1, 2013Dec 20, 201343 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
Safety and Tolerability
24 weeks

To evaluate safety and tolerability of combination therapy with GS-5885, GS-9451, tegobuvir and ribavirin or GS-5885, GS-9451 and tegobuvir or GS-5885, GS-9451 and ribavirin. Safety will be assessed during the study through the reporting of adverse events, clinical laboratory tests, physical examinations, vital signs and 12-lead ECGs at various time points during the study.

Antiviral Activity
24 weeks

To evaluate the antiviral efficacy as measured by sustained virologic response (SVR, defined as HCV RNA \< lower limit of quantitation \[LLoQ\] 24 weeks post-treatment) of combination therapy with GS-5885, GS-9451, tegobuvir and RBV compared with GS-5885, GS-9451 and tegobuvir or GS-5885, GS-9451 and RBV in treatment-experienced subjects with chronic genotype 1a or 1b HCV infection

To evaluate the antiviral efficacy of response guided therapy.
Through 24 weeks post-treatment

To evaluate the antiviral efficacy as measured by sustained virologic response (SVR, defined as plasma HCV RNA \< Lower Limit of Quantification (LLoQ) at 24 weeks post-treatment) of response guided therapy (RGT) with GS-5885 + GS-9451 + PEG/RBV, or GS-5885 + PEG/RBV.

Sustained Virologic Response (SVR)
through 24 weeks of off-treatment follow-up

To evaluate antiviral efficacy as measured by sustained virologic response (SVR, defined as HCV RNA \< Lower Limit of Quantification (LLoQ) 24 weeks post-treatment) of response guided therapy (RGT) with GS-9451 + GS-5885, with peginterferon alfa-2a (PEG) and ribavirin (RBV) in treatment-experienced subjects.

Secondary Endpoints
Viral Dynamics
10 days
Composite (or Profile) of Pharmacokinetics Composite (or Profile) of Pharmacokinetics
predose, 1, 2, 3, 4, 6, 8, 10, 12 and 24 hours post-dose
Antiviral Efficacy
24-48 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1ACTIVE_COMPARATORGS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV BID
Arm 2ACTIVE_COMPARATORGS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir 30 mg BID + RBV placebo BID
Arm 3ACTIVE_COMPARATORGS-5885 90 mg QD + GS-9451 200 mg QD + tegobuvir placebo BID + RBV BID
Interventions
NameTypeDescription
GS-5885DRUGDrug: GS-5885 tablet GS-5885 tablet, 90 mg, QD
GS-9451DRUGDrug: GS-9451 tablet GS-9451 tablet, 200 mg QD
tegobuvirDRUGtegobuvir 30 mg BID
placebo to match tegobuvirDRUGtegobuvir placebo BID
placebo to match RBVDRUGRibovirin placebo BID
RibavirinDRUGRibavirin (Copegus®) BID (1000 mg for subjects weighing \< 75 kg and 1200 mg for subjects weighing ≥ 75 kg) divided BID
peginterferon alfa-2aBIOLOGICAL(solution for injection) 180 µg/week
ribavirin tabletDRUGribavirin tablet (weight based: 1000 mg/day \<75 kg; 1200 mg/day ≥ 75 kg) divided twice daily (BID)
GS-9451 PlaceboDRUGPlacebo to match GS-9451 QD
GS-5885 tabletDRUG30 mg active tablet
GS-9451 tabletDRUGtwo active 100 mg tablets
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: * Age ≥18 years with chronic HCV infection * Liver biopsy results ≤ 3 years prior to screening indicating the absence of cirrhosis. Alternatively, a non-invasive procedure conducted within 6 months of screening is permitted in countries where allowed * Monoinfection with HCV gen...

Countries:United StatesGermanyAustraliaPuerto Rico
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