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Velpatasvir

Phase 1

Chronic Hepatitis C Virus | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Dec 16, 2020

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-BlindCONTROLLED
Total Trials1
Total Enrollment103
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01740791Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Velpatasvir in Participants With Chronic HCV InfectionPHASE1 COMPLETED 103Nov 6, 2012Jan 24, 2014Dec 16, 202010 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing Treatment Emergent Adverse Events
First dose date up to Day 17 + 2 (Day 19 if Day 17 visit missing)

Treatment-emergent adverse events were defined as any new or worsening adverse event that began on or after the date of the first dose of study drug until the Day 17 study visit date + 2 (Day 19 if Day 17 visit missing).

Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
First dose date up to Day 17 + 2 (Day 19 if Day 17 visit missing)

A treatment-emergent laboratory abnormality was defined as an increase of at least 1 abnormality grade from baseline at any postbaseline visit up to the Day 17 visit date + 2 days (or Day 19 if Day 17 visit was missing). The criteria used to grade laboratory results were as follows: Grade 1 (mild), Grade 2 (moderate), or Grade 3 (severe). Graded laboratory abnormalities were defined using the grading scheme defined in protocol (Gilead Sciences, Inc. Grading Scale for Severity of Adverse Events and Laboratory Abnormalities) for analysis purpose.

Antiviral Activity of Velpatasvir as Measured by Change in Plasma HCV RNA From Baseline
Baseline; Days 4, 5, 6, 7, 8, 10, and 17

Participants who were genotyped incorrectly but received appropriate treatment for that genotype were included in that treatment group for the efficacy analysis. Data were summarized by treatment and placebo.

Secondary Endpoints
Absolute HCV RNA Level
Baseline; Days 4, 5, 6, 7, 8, 10, and 17
Number of Participants Achieving Reductions From Baseline in HCV RNA
Baseline; Days 4, 5, 6, 7, 8, 10, and 17
Number of Participants Who Have HCV RNA < Lower Limit of Quantitation (LLOQ) Detected
Days 4, 5, 6, 7, and 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Velpatasvir 5 mg (GT 1a)EXPERIMENTALParticipants with genotype (GT) 1a HCV infection will receive velpatasvir 5 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 25 mg (GT 1a)EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 25 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 50 mg (GT 1a)EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 50 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 100 mg (GT 1a)EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 100 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 1a)EXPERIMENTALParticipants with GT 1a HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 1b)EXPERIMENTALParticipants with GT 1b HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 2)EXPERIMENTALParticipants with GT 2 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 25 mg (GT 3)EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 25 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 50 mg (GT 3)EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 50 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 3)EXPERIMENTALParticipants with GT 3 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir 150 mg (GT 4)EXPERIMENTALParticipants with GT 4 HCV infection will receive velpatasvir 150 mg or placebo once daily for 3 days under fasted conditions.
Velpatasvir up to 400 mg (GT 2)EXPERIMENTALParticipants with GT 2 HCV infection will receive velpatasvir up to 400 mg or placebo once daily for 3 days under fasted conditions.
Interventions
NameTypeDescription
VelpatasvirDRUGTablets administered orally
PlaceboDRUGTablets administered orally
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites10

Key Inclusion Criteria: * HCV treatment-naive adult participants (18-65 years of age) with chronic HCV infection and plasma HCV RNA ≥ 5 log10 IU/mL at screening * Agree to use protocol defined precautions against pregnancy Key Exclusion Criteria: * Chronic liver disease of a non-HCV etiology (e.g...

Countries:United StatesPuerto Rico
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