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Sofosbuvir-Velpatasvir Drug Combination

Phase 4FDA approved 2016

Hepatitis C, Chronic | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Trials Updated: Mar 12, 2026

Sofosbuvir-Velpatasvir Drug Combination development status

FDA approval Jun 28, 2016 as Epclusa
Approval holderGilead Sciences Inc
ApplicationNDA208341
Highest phase Phase 4 (NCT03549312)
Phase scored for GILDPhase 1
Registered trials 4 across 4 sponsors since Jun 2018

Label indication EPCLUSA is indicated for the treatment of adults and pediatric patients 3 years of age and older with chronic hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5, or 6 infection [see Dosage and Administration (2.2 , 2.3 , 2.4) and Clinical Studies (14) ] : without cirrhosis or with compensated cirrhosis with decompensated cirrhosis for use in combination with ribavirin. FDA label

Sofosbuvir-Velpatasvir Drug Combination target and mechanism

ModalitySmall molecule

Also known as Epclusa

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials2
Total Enrollment212

FDA Designations

No designations recorded

Sofosbuvir-Velpatasvir Drug Combination clinical trials

Sofosbuvir-Velpatasvir Drug Combination · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT04075916A Trial of Transplanting Hepatitis C Kidneys Into Hepatitis C-Negative Kidney RecipientsEnd Stage Renal Disease
COMPLETED201 Analytics
PHASE2COMPLETED
A Trial of Transplanting Hepatitis C Kidneys Into Hepatitis C-Negative Kidney Recipients
End Stage Renal DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Post-treatment sustained virologic response (SVR) to direct-acting antiviral (DAA)
Baseline to 24 weeks

The primary analysis will be based on a calculation of SVR rates (number of subjects with SVR-12; negative HCV RNA 12 weeks after completing Epclusa therapy)/(number of subjects treated with Epclusa post-kidney transplantation)

Maximum Concentration of Velpatasvir in Maternal Plasma
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.

Maximum Concentration of Sofosbuvir in Maternal Plasma
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.

Maximum Concentration of GS-331007 in Maternal Plasma
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.

Area Under the Maternal Plasma Concentration Versus Time Curve of Velpatasvir
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.

Area Under the Maternal Plasma Concentration Versus Time Curve of Sofosbuvir
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.

Area Under the Maternal Plasma Concentration Versus Time Curve of GS-331007
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.

Secondary Endpoints

Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 3 Weeks
Approximately 3 weeks from initiation of treatment
Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 6 Weeks
Approximately 6 weeks from initiation of treatment
Intracellular Concentration of GS-461203 From Maternal Peripheral Blood Mononuclear Cells at 9 Weeks
Approximately 9 weeks from initiation of treatment
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Epclusa (sofosbuvir/velpatasvir)EXPERIMENTALEpclusa is taken by mouth for 12 weeks as per the FDA label.
Sofosbuvir-VelpatasvirEXPERIMENTALSofosbuvir-Velpatasvir

Interventions

NameTypeDescription
EpclusaDRUGAll patients will receive 12 weeks of sofosbuvir/velpatasvir as per the FDA label.
Sofosbuvir-Velpatasvir Drug CombinationDRUGOne oral pill containing 400mg sofosbuvir and 100mg velpatasvir taken once daily for 12 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Able to provide informed consent * Active waiting list status for isolated kidney transplant * 18 years of age or older * No living kidney donor * Panel reactive antibody (PRA) ≤97% (most recent cPRA at time of screening). Patients with a PRA of 98-100% at screening can be inc...

Countries:United States
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Frequently asked questions about Sofosbuvir-Velpatasvir Drug Combination

What is the sofosbuvir-velpatasvir drug combination?

The sofosbuvir-velpatasvir drug combination is an investigational small molecule therapy being developed by Gilead Sciences, Inc. (ticker: GILD) for the treatment of chronic hepatitis C. It is a fixed-dose combination of two direct-acting antiviral agents. The combination is in Phase 1 clinical development.

What is the sofosbuvir-velpatasvir drug combination used for?

The sofosbuvir-velpatasvir drug combination is being studied for the treatment of chronic hepatitis C, a viral infection of the liver. The only registered trial of this combination enrolled patients with chronic hepatitis C. It is not yet approved for any indication and remains investigational.

Who is developing the sofosbuvir-velpatasvir drug combination?

Gilead Sciences, Inc. (ticker: GILD) is the developer of the sofosbuvir-velpatasvir drug combination. The company is responsible for the clinical development program, which includes a Phase 1 trial in chronic hepatitis C. No other developers or partners are listed for this asset.

What phase is the sofosbuvir-velpatasvir drug combination in?

The sofosbuvir-velpatasvir drug combination is in Phase 1 clinical development. One Phase 1 trial has been completed, and no active trials are ongoing. The combination is investigational and has not been approved by the FDA for any indication.

What clinical trials is the sofosbuvir-velpatasvir drug combination in?

The sofosbuvir-velpatasvir drug combination has been evaluated in one completed Phase 1 trial, NCT04382404, titled "Treatment of Chronic Hepatitis C During Pregnancy With Sofosbuvir/Velpatasvir." The trial enrolled 11 female participants aged 18 years and older in the United States. It was an uncontrolled study without randomization or blinding.