Clinical Trial Results:
A Phase 1 Relative Bioavailability and Food Effect Study of a Pediatric Oral Granule Formulation of SOF/VEL in Healthy Adult Subjects
Summary
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EudraCT number |
2017-004044-37 |
Trial protocol |
Outside EU/EEA |
Global end of trial date |
23 Oct 2017
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Results information
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Results version number |
v1(current) |
This version publication date |
03 Nov 2018
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First version publication date |
03 Nov 2018
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
GS-US-342-1142
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Gilead Sciences
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Sponsor organisation address |
333 Lakeside Drive, Foster City, CA, United States, 94404
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Public contact |
Gilead Clinical Study Information Center, Gilead Sciences
, GileadClinicalTrials@gilead.com
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Scientific contact |
Gilead Clinical Study Information Center, Gilead Sciences
, GileadClinicalTrials@gilead.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
Yes
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EMA paediatric investigation plan number(s) |
EMEA-001646-PIP01-14 | ||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
23 Oct 2017
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
16 Oct 2017
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Global end of trial reached? |
Yes
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Global end of trial date |
23 Oct 2017
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objectives of this study were to evaluate the relative bioavailability of a pediatric oral granule formulation of sofosbuvir/velpatasvir (SOF/VEL) fixed-dose combination (FDC) relative to tablet formulation and to evaluate the effect of concomitant food intake on the pharmacokinetics of a pediatric granule formulation of SOF/VEL.
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Protection of trial subjects |
The protocol and consent/assent forms were submitted by each investigator to a duly constituted Independent Ethics Committee (IEC) or Institutional Review Board (IRB) for review and approval before study initiation. All revisions to the consent/assent forms (if applicable) after initial IEC/IRB approval were submitted by the investigator to the IEC/IRB for review and approval before implementation in accordance with regulatory requirements.
This study was conducted in accordance with recognized international scientific and ethical standards, including but not limited to the International Conference on Harmonization guideline for Good Clinical Practice (ICH GCP) and the original principles embodied in the Declaration of Helsinki.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
27 Mar 2017
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
United States: 112
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Worldwide total number of subjects |
112
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EEA total number of subjects |
0
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
112
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Participants were enrolled at 1 study site in the United States. The first participant was screened on 27 March 2017. The last study visit occurred on 23 October 2017. | |||||||||||||||
Pre-assignment
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Screening details |
187 participants were screened. | |||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Treatment AB | |||||||||||||||
Arm description |
Treatment A, 8-day washout, and then Treatment B. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Sofosbuvir/velpatasvir
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Investigational medicinal product code |
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Other name |
Epclusa®, SOF/VEL, GS-7977/GS-5816
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Pharmaceutical forms |
Granules, Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Treatment A: Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions; Treatment B: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC1 - 20% taste-mask coating) under fasted conditions
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Arm title
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Treatment BA | |||||||||||||||
Arm description |
Treatment B, 8-day washout, and then Treatment A. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Sofosbuvir/velpatasvir
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Investigational medicinal product code |
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Other name |
Epclusa®, SOF/VEL, GS-7977/GS-5816
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Pharmaceutical forms |
Granules, Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Treatment B: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC1 - 20% taste-mask coating) under fasted conditions; Treatment A: Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions
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Arm title
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Treatment ACG | |||||||||||||||
Arm description |
Treatment A, 8-day washout, Treatment C, 8-day washout, and then Treatment G. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Sofosbuvir/velpatasvir
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Investigational medicinal product code |
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Other name |
Epclusa®, SOF/VEL, GS-7977/GS-5816
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Pharmaceutical forms |
Granules, Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Treatment A: Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions; Treatment C: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fasted conditions; Treatment G: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fed conditions
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Arm title
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Treatment CAG | |||||||||||||||
Arm description |
Treatment C, 8-day washout, Treatment A, 8-day washout, and then Treatment G. | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
Sofosbuvir/velpatasvir
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Investigational medicinal product code |
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Other name |
Epclusa®, SOF/VEL, GS-7977/GS-5816
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Pharmaceutical forms |
Granules, Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
Treatment C: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fasted conditions; Treatment A: Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions; Treatment G: Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fed conditions
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Baseline characteristics reporting groups
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Reporting group title |
Treatment AB
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Reporting group description |
Treatment A, 8-day washout, and then Treatment B. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Treatment BA
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Reporting group description |
Treatment B, 8-day washout, and then Treatment A. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Treatment ACG
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Reporting group description |
Treatment A, 8-day washout, Treatment C, 8-day washout, and then Treatment G. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Treatment CAG
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Reporting group description |
Treatment C, 8-day washout, Treatment A, 8-day washout, and then Treatment G. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Treatment AB
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Reporting group description |
Treatment A, 8-day washout, and then Treatment B. | ||
Reporting group title |
Treatment BA
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Reporting group description |
Treatment B, 8-day washout, and then Treatment A. | ||
Reporting group title |
Treatment ACG
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Reporting group description |
Treatment A, 8-day washout, Treatment C, 8-day washout, and then Treatment G. | ||
Reporting group title |
Treatment CAG
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Reporting group description |
Treatment C, 8-day washout, Treatment A, 8-day washout, and then Treatment G. | ||
Subject analysis set title |
Cohort 1, Treatment A
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions
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Subject analysis set title |
Cohort 1, Treatment B
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC1 - 20% taste-mask coating) under fasted conditions
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Subject analysis set title |
Cohort 2, Treatment A
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions
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Subject analysis set title |
Cohort 2, Treatment C
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fasted conditions
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Subject analysis set title |
Cohort 2, Treatment G
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fed conditions
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Subject analysis set title |
Cohorts 1 and 2, Treatment A
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions
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End point title |
Pharmacokinetic (PK) Parameter: AUCinf of VEL, GS-331007, SOF, and GS-566500 [1] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
AUCinf is defined as the concentration of drug extrapolated to infinite time. Participants in the PK Analysis Set (all randomized participants who took at least 1 dose of study drug and had at least 1 nonmissing postdose concentration value reported for the corresponding analyte) with available data were analyzed.
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End point type |
Primary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The statistical analysis of this primary endpoint is provided in the attachment. |
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Attachments |
Statistical Comparisons |
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Notes [2] - For SOF, only 54 participants were included. |
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No statistical analyses for this end point |
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End point title |
PK Parameter: AUClast of VEL, GS-331007, SOF, and GS-566500 [3] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
AUClast is defined as the concentration of drug from time zero to the last observable concentration. Participants in the PK Analysis Set were analyzed.
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End point type |
Primary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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Notes [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The statistical analysis of this primary endpoint is provided in the attachment. |
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Attachments |
Statistical Comparisons |
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No statistical analyses for this end point |
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End point title |
PK Parameter: Cmax of VEL, GS-331007, SOF, and GS-566500 [4] | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Cmax is defined as the maximum concentration of drug. Participants in the PK Analysis Set were analyzed.
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End point type |
Primary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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Notes [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: The statistical analysis of this primary endpoint is provided in the attachment. |
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Attachments |
Statistical Comparisons |
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No statistical analyses for this end point |
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End point title |
Percentage of Participants Experiencing Any Treatment-Emergent Adverse Event | ||||||||||||||||||||
End point description |
Safety Analysis Set included all participants who took at least 1 dose of study drug. Participants were grouped according to the treatment they received.
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End point type |
Secondary
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End point timeframe |
Up to Day 19 plus 30 days
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No statistical analyses for this end point |
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End point title |
Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities | ||||||||||||||||||||||||||||||
End point description |
Participants in the Safety Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Up to Day 19 plus 30 days
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No statistical analyses for this end point |
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End point title |
Palatability of SOF/VEL | ||||||||||||||||||||
End point description |
The percentage of participants who rated the taste of each treatment as palatable are presented. Participants in the Safety Analysis Set with available data were analyzed.
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End point type |
Secondary
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End point timeframe |
Up to Day 19
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Notes [5] - Note: Data was missing for 14 participants in this group. |
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No statistical analyses for this end point |
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End point title |
PK Parameter: Tmax of VEL, GS-331007, SOF, and GS-566500 | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Tmax is defined as the time (observed time point) of Cmax. Participants in the PK Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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No statistical analyses for this end point |
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End point title |
PK Parameter: Clast of VEL, GS-331007, SOF, and GS-566500 | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Clast is defined as the last observable concentration of drug. Participants in the PK Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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No statistical analyses for this end point |
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End point title |
PK Parameter: Tlast of VEL, GS-331007, SOF, and GS-566500 | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Tlast is defined as the time (observed time point) of Clast. Participants in the PK Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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No statistical analyses for this end point |
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End point title |
PK Parameter: t1/2 of VEL, GS-331007, SOF, and GS-566500 | ||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
t1/2 is defined as the estimate of the terminal elimination half-life of the drug. Participants in the PK Analysis Set were analyzed.
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End point type |
Secondary
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End point timeframe |
Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 120 hours postdose on Days 1 and 10 (all cohorts) and Day 19 (Cohorts 2)
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No statistical analyses for this end point |
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Adverse events information [1]
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Timeframe for reporting adverse events |
Up to Day 19 plus 30 days
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Adverse event reporting additional description |
Safety Analysis Set included all participants who took at least 1 dose of study drug. Participants were grouped according to the treatment they received.
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Assessment type |
Systematic | |||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||
Dictionary version |
20.1
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Reporting groups
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Reporting group title |
Cohorts 1 and 2, Treatment A
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Reporting group description |
Single dose of SOF/VEL (400/100 mg tablet) under fasted conditions | |||||||||||||||||||||||||
Reporting group title |
Cohort 1, Treatment B
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Reporting group description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC1 - 20% taste-mask coating) under fasted conditions | |||||||||||||||||||||||||
Reporting group title |
Cohort 2, Treatment C
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Reporting group description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fasted conditions | |||||||||||||||||||||||||
Reporting group title |
Cohort 2, Treatment G
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Reporting group description |
Single dose of SOF/VEL (8 x 50/12.5 mg oral granules; FDC2 - 5% taste-mask coating) under fed conditions | |||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||
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Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: None of the treatment-emergent nonserious AEs occurred in at least 5% of participants of any of the treatment arms. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |