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Sofosbuvir

Phase 3

Hepatitis C | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Oct 3, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment257

FDA Designations

No designations recorded

Clinical trial landscape

Sofosbuvir · 1 trial · 1 indication

Phase 3 1
NCT02358044Efficacy and Safety of Combination Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Sofosbuvir + Pegylated Interferon + Ribavirin in Hepatitis C Virus Genotype 1, 4 or 6 Infection (MK-5172-077)Hepatitis C
COMPLETED257 Analytics
PHASE3COMPLETED
Efficacy and Safety of Combination Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Sofosbuvir + Pegylated Interferon + Ribavirin in Hepatitis C Virus Genotype 1, 4 or 6 Infection (MK-5172-077)
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Study Endpoints

Primary Endpoints

Primary: Percentage of Participants Achieving Sustained Virologic Response at 12 Weeks After the End of All Treatment (SVR12)
12 weeks after end of all therapy (Study Week 24)

Hepatitis C Virus ribonucleic acid (HCV-RNA) levels in plasma were measured using the Roche COBAS®AmpliPrep/COBAS® TaqMan® HCV Test, v2.0 on blood samples drawn from each participant. SVR12 was defined as HCV RNA below the lower limit of quantification (\<LLOQ) at 12 weeks after the end of all study therapy. The primary efficacy hypothesis for this study was that the percentage of participants achieving SVR12 in the grazoprevir plus elbasvir arm was non-inferior to the percentage in the SOF plus PR arm. A secondary statistical analysis was performed to determine whether the percentage of participants achieving SVR12 in the grazoprevir plus elbasvir arm was superior to the percentage in the SOF plus PR arm.

Percentage of Participants Experiencing at Least One Adverse Event (AE) During the Treatment Period Plus First 14 Follow-up Days
Treatment + First 14 days of follow-up (Up to Week 14)

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The percentage of participants who experienced at least one AE was reported for each treatment arm.

Percentage of Participants Discontinuing Study Treatment Due to an AE
Up to Week 12

An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of the Sponsor's product, was also an AE. The percentage of participants who discontinued study treatment due to an AE was reported for each treatment arm. Participants that discontinued study drug treatment due to an AE may have still continued on trial.

Secondary Endpoints

Percentage of Participants Experiencing at Least One Tier 1 Safety Event (Key Safety Parameter) During the Treatment Period and First 14 Follow-up Days
Treatment + First 14 days of follow-up (Up to Week 14)
Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Ending Study Treatment (SVR24)
24 weeks after end of all therapy (Study Week 36)
Percentage of Participants Achieving Sustained Virologic Response 4 Weeks After Ending Study Treatment (SVR4)
4 weeks after end of all therapy (Study Week 16)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Grazoprevir + ElbasvirEXPERIMENTALParticipants receive a fixed-dose combination (FDC) tablet of 100 mg grazoprevir and 50 mg elbasvir for 12 weeks, followed by 24 weeks of follow-up.
SOF + PRACTIVE_COMPARATORParticipants receive SOF (400 mg) combined with PegIntron (1.5 mcg/kg) plus RBV (1000-1200 mg weight-based dose) for 12 weeks, followed by 24 weeks of follow-up.

Interventions

NameTypeDescription
SofosbuvirDRUG400 mg tablets, taken orally (PO) every day (QD) for 12 weeks.
PegIntronBIOLOGICALPegIntron administered subcutaneously every week (QW) at 1.5 mcg/kg for 12 weeks.
RibavirinDRUGCapsule and/or tablet administered PO twice daily (BID) based on weight (1000 - 1200 mg) for 12 weeks.
Grazoprevir/Elbasvir (100 mg/50 mg) FDCDRUGGrazoprevir/Elbasvir (100 mg/50 mg) FDC, taken PO QD for 12 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Weigh ≥40 kg and ≤125 kg * documented chronic HCV GT1, GT4, or GT6 infection * cirrhosis/absence of cirrhosis defined by liver biopsy, Fibroscan, or FibroSure® * either treatment naïve or PR Null Responder, PR Partial Responder, or PR Prior Relapser * participant and partner b...

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Competitive Landscape -Hepatitis C 11 trials

Frequently asked questions about Sofosbuvir

What is Sofosbuvir used for?

Sofosbuvir is an investigational small molecule being studied for the treatment of Hepatitis C. It is currently in Phase 3 clinical development. Sofosbuvir is being evaluated in combination with other antiviral agents for Hepatitis C virus infection.

Who makes Sofosbuvir?

Sofosbuvir is being developed by Merck & Company, Inc., which is publicly traded under the ticker symbol MRK. The company is conducting clinical trials to evaluate the safety and efficacy of Sofosbuvir in patients with Hepatitis C.

What phase is Sofosbuvir in?

Sofosbuvir is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 3 trial for Sofosbuvir has been completed, with results expected to inform further development.

What clinical trials is Sofosbuvir in?

Sofosbuvir has been studied in one completed Phase 3 clinical trial with the identifier NCT02358044. This trial evaluated the efficacy and safety of a combination of grazoprevir and elbasvir compared to sofosbuvir plus pegylated interferon and ribavirin in patients with Hepatitis C virus genotype 1, 4, or 6 infection.

Is Sofosbuvir the same as Sovaldi?

Sofosbuvir is the generic name for the drug also known as Sovaldi. In the clinical trial data, Sofosbuvir is used as a comparator in a study evaluating the combination of grazoprevir and elbasvir for Hepatitis C treatment.