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SOF

Phase 3

Hepatitis C | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Mar 5, 2019

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-BlindCONTROLLEDDMCBiomarker
Total Trials11
Total Enrollment3,583
FDA Designations
No designations recorded
Clinical Trials (11)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02607800Safety 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 TherapyPHASE3 COMPLETED 943Nov 16, 2015Jan 11, 2017Mar 5, 201993 United States, Australia +6
NCT02607735Safety and Efficacy of Sofosbuvir/Velpatasvir/Voxilaprevir in Adults With Chronic HCV Infection Who Have Previously Received Treatment With Direct-Acting Antiviral TherapyPHASE3 COMPLETED 416Nov 11, 2015Jun 21, 2017Mar 5, 201986 United States, Australia +6
NCT01962441SOF (Sovaldi®) +RBV for 16 or 24 Weeks and SOF+RBV+Peg-IFN for 12 Weeks in Adults With Genotype 2 or 3 Chronic HCV InfectionPHASE3 COMPLETED 601Sep 24, 2013Jul 7, 2016Jun 20, 201778 United States, Australia +3
NCT01896193Safety and Efficacy Study of Sofosbuvir Plus Ribavirin in Treatment-Naive Adults With Genotype 1 and 3 Chronic HCV InfectionPHASE3 COMPLETED 127Jun 1, 2013Jun 1, 2014May 29, 201516 Russia
NCT01682720Sofosbuvir and Ribavirin in Treatment-Naive and Treatment-Experienced Subjects With Chronic Genotype 2 or 3 HCV InfectionPHASE3 COMPLETED 421Sep 1, 2012Jan 1, 2014Oct 9, 201477 Austria, Estonia +8
NCT01667731Efficacy and Safety of Sofosbuvir Plus Ribavirin in Chronic Genotype 1, 2 and 3 Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) Co-infected AdultsPHASE3 COMPLETED 224Jul 1, 2012Feb 1, 2014Nov 21, 201427 United States, Puerto Rico
NCT01909804Safety and Efficacy of Sofosbuvir Plus Velpatasvir With or Without Ribavirin in Treatment-experienced Subjects With Chronic HCV InfectionPHASE2 COMPLETED 323Jun 1, 2013Aug 1, 2014Nov 15, 201849 United States, Australia +2
NCT01858766Safety and Efficacy of Sofosbuvir + Velpatasvir With or Without Ribavirin in Treatment-Naive Adults With Chronic HCV InfectionPHASE2 COMPLETED 379Apr 1, 2013Aug 1, 2014Nov 14, 201851 United States, Puerto Rico
NCT01808248Sofosbuvir (GS-7977) in Combination With PEG and Ribavirin for 12 Weeks in Treatment Experienced Subjects With Chronic HCV Infection Genotype 2 or 3PHASE2 COMPLETED 47Feb 1, 2013Dec 1, 2013Sep 12, 20141 United States
NCT01687257Sofosbuvir and Ribavirin in Patients With Chronic HCV With Cirrhosis and Portal Hypertension With or Without Liver DecompensationPHASE2 COMPLETED 50Jul 1, 2012Oct 1, 2015Sep 16, 20169 United States, Australia +3
NCT01565889Part A: Drug Interaction Study of Sofosbuvir and Antiretroviral Therapy (ART) Combinations in HIV and Hepatitis C Virus (HCV) Co-infected Patients. Part B: Efficacy and Safety of Sofosbuvir for 12 Weeks in HIV/HCV Co-infected Patients.PHASE1 COMPLETED 52Mar 1, 2012Nov 1, 2013Oct 1, 20141 Puerto Rico
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Study Endpoints
Primary Endpoints
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
Posttreatment Week 12

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

Percentage of Participants Who Permanently Discontinue Study Drug Due to an Adverse Event
Up to 12 weeks
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12) (Primary Study)
Posttreatment Week 12

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

Percentage of Participants Who Permanently Discontinued Study Drug Due to an Adverse Event (Primary Study)
Up to 12 weeks
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Up to 24 weeks
Percentage of Participants With Sustained Virologic Response (SVR) at 12 Weeks After Discontinuation of Therapy (SVR12)
Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment.

Incidence of Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
Up to 24 weeks

The percentage of participants permanently discontinuing any study drug due to an adverse event was summarized.

Percentage of Participants With Sustained Virologic Response 12 Weeks After Discontinuation of Therapy (SVR12)
Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ, ie, \< 25 IU/mL) 12 weeks following the last dose of study drug. Data for this outcome measure was not collected for the Placebo 12 Weeks (GT2/3) group.

Adverse Events Leading to Permanent Discontinuation of Study Drug(s)
Up to 24 weeks

The percentage of participants experiencing an adverse event leading to permanent discontinuation of study drug(s) was analyzed.

Part A: Plasma Pharmacokinetics of SOF, EFV, Tenofovir (TFV), and FTC: AUCtau at Day 7
Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

AUCtau: concentration of drug over time (area under the plasma concentration versus time curve over the dosing interval). Data for this outcome measure were collected for participants in Part A only.

Part A: Plasma Pharmacokinetics of SOF, EFV, TFV, and FTC: Cmax at Day 7
Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 hours postdose

Cmax: maximum observed concentration of drug in plasma. Data for this outcome measure were collected for participants in Part A only.

Part B: Percentage of Participants With Sustained Virologic Response (SVR) at 12 Weeks After Discontinuation of Therapy (SVR12)
Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ; ie, 25 IU/mL) at 12 weeks after stopping study treatment. Data for this outcome measure were collected for participants in Part B only.

Secondary Endpoints
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Posttreatment Weeks 4 and 24
Percentage of Participants With HCV RNA < LLOQ On Treatment
Weeks 1, 2, 4, 8, and 12
Change From Baseline in HCV RNA
Baseline; Weeks 1, 2, 4, 8, and 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SOF/VEL/VOXEXPERIMENTALSOF/VEL/VOX tablet for 8 weeks
SOF/VEL 12 weeksACTIVE_COMPARATORSOF/VEL tablet for 12 weeks
SOF/VEL/VOX (Primary Study)EXPERIMENTALSOF/VEL/VOX for 12 weeks
Placebo (Primary Study)EXPERIMENTALPlacebo to match SOF/VEL/VOX for 12 weeks
SOF/VEL/VOX (Deferred Treatment Substudy)EXPERIMENTALSOF/VEL/VOX for 12 weeks for eligible participants initially randomized to receive placebo
SOF+RBV 16 weeksEXPERIMENTALSOF+RBV for 16 weeks
SOF+RBV 24 weeksEXPERIMENTALSOF+RBV for 24 weeks
SOF+RBV+Peg-IFN 12 weeksEXPERIMENTALSOF+RBV+Peg-IFN for 12 weeks
Retreatment SubstudyEXPERIMENTALParticipants from the SOF+RBV arms (16 weeks or 24 weeks) who experienced virologic failure on treatment, or during the posttreatment period at or before Posttreatment Week 24 may be eligible to enroll into the Retreatment Substudy to receive SOF+RBV+Peg-IFN for 12 weeks.
Placebo 12 Weeks (GT2/3)PLACEBO_COMPARATORPlacebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection.
SOF 12 Weeks (GT2/3)EXPERIMENTALPlacebo to match SOF + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 12 weeks in participants with genotype 2 or 3 HCV infection.
SOF 24 Weeks (GT3)EXPERIMENTALSOF 400 mg tablet once daily + weight-based RBV (1000-1200 mg as 200 mg tablets in a divided daily dose) for 24 weeks in participants with genotype 3 HCV infection.
SOF+RBV 12 Weeks (GT 2/3, TN)EXPERIMENTALTreatment-naive (TN) participants coinfected with HIV-1 and genotype (GT) 2 or genotype 3 HCV infection will receive SOF+RBV for 12 weeks.
SOF+RBV 24 Weeks (GT 2/3, TE)EXPERIMENTALTreatment-experienced (TE) participants coinfected with HIV-1 and genotype 2 or genotype 3 HCV infection will receive SOF+RBV for 24 weeks.
SOF+RBV 24 Weeks (GT 1, TN)EXPERIMENTALTreatment-naive (TN) participants coinfected with HIV-1 and genotype 1 HCV infection will receive SOF+RBV for 24 weeks.
SOF+VEL 25 mg (GT3) without cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 25mg+RBV (GT3) without cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks.
SOF+VEL 100 mg (GT3) without cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 100 mg+RBV (GT3) without cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection without cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks.
SOF+VEL 25 mg (GT3) with cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 25 mg+RBV (GT3) with cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 25 mg plus RBV for 12 weeks.
SOF+VEL 100 mg (GT3) with cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 100 mg+RBV (GT3) with cirrhosisEXPERIMENTALParticipants with genotype 3 HCV infection with cirrhosis will receive SOF+VEL 100 mg plus RBV for 12 weeks.
SOF+VEL 25 mg (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 25 mg+RBV (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 12 weeks.
SOF+VEL 100 mg (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 100 mg+RBV (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 12 weeks.
SOF+VEL 25 mg 12 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 100 mg 12 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 25 mg 12 Weeks (GT2/4/5/6)EXPERIMENTALParticipants with genotype 2, 4, 5, or 6 HCV infection will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 100 mg 12 Weeks (GT2/4/5/6)EXPERIMENTALParticipants with genotype 2, 4, 5, or 6 HCV infection will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 25 mg 12 Weeks (GT3)EXPERIMENTALParticipants with genotype 3 HCV infection will receive SOF+VEL 25 mg for 12 weeks.
SOF+VEL 100 mg 12 Weeks (GT3)EXPERIMENTALParticipants with genotype 3 HCV infection will receive SOF+VEL 100 mg for 12 weeks.
SOF+VEL 25 mg 8 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg for 8 weeks.
SOF+VEL 25 mg + RBV 8 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 25 mg plus RBV for 8 weeks.
SOF+VEL 100 mg 8 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg for 8 weeks.
SOF+VEL 100 mg + RBV 8 Weeks (GT1)EXPERIMENTALParticipants with genotype 1 HCV infection will receive SOF+VEL 100 mg plus RBV for 8 weeks.
SOF+VEL 25 mg 8 Weeks (GT2)EXPERIMENTALParticipants with genotype 2 HCV infection will receive SOF+VEL 25 mg for 8 weeks.
SOF+VEL 25 mg + RBV 8 Weeks (GT2)EXPERIMENTALParticipants with genotype 2 HCV infection will receive SOF+VEL 25 mg plus RBV for 8 weeks.
SOF+VEL 100 mg 8 Weeks (GT2)EXPERIMENTALParticipants with genotype 2 HCV infection will receive SOF+VEL 100 mg for 8 weeks.
SOF+VEL 100 mg + RBV 8 Weeks (GT2)EXPERIMENTALParticipants with genotype 2 HCV infection will receive SOF+VEL 100 mg plus RBV for 8 weeks.
SOF+PEG+RBVEXPERIMENTALParticipants will receive SOF+PEG+RBV for 12 weeks.
SOF+RBVEXPERIMENTALParticipants will receive SOF+RBV for 48 weeks.
Observation, then SOF+RBVEXPERIMENTALParticipants will undergo 24 weeks of observation and then receive SOF+RBV for 48 additional weeks.
Part A: SOF+EFV/FTC/TDF (Cohort 1)EXPERIMENTALParticipants with a prestudy regimen of EFV/FTC/TDF will receive SOF+EFV/FTC/TDF FDC for 7 days, followed by EFV/FTC/TDF FDC (or EFV+FTC/TDF) for 7 days, coadministered once daily in the evening under fasting conditions.
Part A: SOF+EFV+ZDV/3TC (Cohort 2)EXPERIMENTALParticipants with a prestudy regimen of EFV+ZDV/3TC will receive SOF+EFV+ZDV/3TC for 7 days followed by EFV+ZDV/3TC for 7 days. Sofosbuvir and EFV will be administered once daily in the evening under fasting conditions; ZDV/3TC will be administered twice daily, in the morning without regard to food and in the evening on an empty stomach.
Part A: SOF+RTV+ATV+FTC/TDF (Cohort 3)EXPERIMENTALParticipants with a prestudy regimen of RTV+ATV+FTC/TDF will receive SOF+RTV+ATV+FTC/TDF for 7 days followed by RTV+ATV+FTC/TDF for 7 days coadministered once daily in the morning with food.
Part A: SOF+RTV+DRV+FTC/TDF (Cohort 4)EXPERIMENTALParticipants with a prestudy regimen of RTV+DRV+FTC/TDF will receive SOF+RTV+DRV+FTC/TDF for 7 days followed by RTV+DRV+FTC/TDF for 7 days coadministered once daily in the morning with food.
Part A: SOF+RAL+FTC/TDF (Cohort 5)EXPERIMENTALParticipants with a prestudy regimen of RAL+FTC/TDF will receive SOF+RAL+FTC/TDF for 7 days followed by RAL+FTC/TDF for 7 days. Sofosbuvir and FTC/TDF will be administered once daily in the morning with food; RAL will be administered twice daily, in the morning with food and in the evening without regard to food.
Part B: SOF+PEG+RBVEXPERIMENTALParticipants will receive SOF+PEG+RBV for 12 weeks.
Interventions
NameTypeDescription
SOF/VEL/VOXDRUG400/100/100 mg tablet administered orally once daily with food
SOF/VELDRUG400/100 mg tablet administered orally once daily with or without food
PlaceboDRUGTablet administered orally once daily with food
SOFDRUG400 mg tablet administered orally once daily
RBVDRUGTablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (\< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)
Peg-IFNDRUG180 µg administered via subcutaneous injection once weekly
Placebo to match SOFDRUGPlacebo to match SOF administered orally once daily
Placebo to match RBVDRUGPlacebo to match RBV administered orally in a divided daily dose
VELDRUGTablet administered orally once daily
PEGDRUGPeginterferon alfa 2a (PEG) 180 μg administered once weekly by subcutaneous injection
EFV/FTC/TDFDRUGEfavirenz (EFV) 600 mg/emtricitabine (FTC) 200 mg/tenofovir disoproxil fumarate (TDF) 300 mg fixed-dose combination (FDC) tablet administered orally once daily
EFVDRUGEfavirenz (EFV) 600 mg tablet administered orally once daily
ZDV/3TCDRUGZidovudine (ZDV) 300 mg/lamivudine (3TC) 150 mg FDC tablet administered orally twice daily
ATVDRUGAtazanavir (ATV) 400 mg tablet administered orally once daily
RitonavirDRUGRitonavir (RTV) 100 mg tablet administered orally once daily
FTC/TDFDRUGFTC/TDF (200/300 mg) FDC tablet administered orally once daily
DRVDRUGDarunavir (DRV) 800 mg (2 × 400 mg tablets) administered orally once daily
RALDRUGRaltegravir (RAL) 400 mg administered administered orally twice daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites93

Key Inclusion Criteria: * Willing and able to provide written informed consent * HCV RNA ≥ 10\^4 IU/mL at screening * Chronic HCV infection (≥ 6 months) * HCV treatment naive or treatment experienced with an interferon (IFN)-based regimen * Use of protocol specified methods of contraception Key Ex...

Countries:United StatesAustraliaCanadaFranceGermanyNew ZealandPuerto RicoUnited KingdomRussiaAustriaEstoniaItalyNetherlandsPolandSpainSweden
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