This is a Phase 2b, randomized, double-blind, parallel-group, placebo-controlled, multicenter study investigating the safety, tolerability and efficacy of two oral doses of GS-9450 in adults with chronic Hepatitis C Virus (HCV). Approximately 240 subjects 18-65 years of age who meet study entry criteria will be randomized (in other words, selected at random, like flipping a coin) to one of three treatment groups (80 subjects per treatment group) as follows:GS-9450 10 mg once daily,GS-9450 40 mg once daily, or matching placebo once daily. Following randomization, subjects will return within seven business days for a Baseline (Day 1) visit, at which time study medication will be dispensed and subjects will enter a 26 week treatment phase. During the treatment phase, subjects will receive study drug once daily for 24 weeks and then taper off of study drug over the following 2 weeks by receiving study drug once every other day for one week and then every 3 days for one week. Following completion of the treatment phase, subjects will enter a 4-week off-treatment follow-up phase.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
307
Taken as one capsule by mouth once daily
Taken as one placebo capsule (matching in appearance to GS-9450 capsules) by mouth once daily
Unnamed facility
Phoenix, Arizona, United States
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Tucson, Arizona, United States
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Anaheim, California, United States
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Beverly Hills, California, United States
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Cypress, California, United States
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Histologic response, defined as a >= 2-point decrease in Knodell necroinflammatory score with no concurrent worsening in the Knodell fibrosis score, at Week 24 .
Time frame: Week 24 on-treatment
Change (absolute, percent) from baseline in the Knodell necroinflammatory score
Time frame: Baseline to Week 24
Change (absolute, percent) from pretreatment in alanine aminotransferase (ALT) levels
Time frame: Baseline to Week 24
Percentage of Participants Who Experienced Adverse Events (AEs) and Graded Laboratory Abnormalities
Time frame: Up to 24 weeks plus 30 days following the last dose of study drug
Change (absolute, percent) from baseline in cytokeratin-18 caspase cleavage fragment levels
Time frame: Baseline to Week 24
Change from baseline in hepatic collagen staining area as measured by morphometry of liver biopsy specimens
Time frame: Baseline to Week 24
Change from baseline in the percent of apoptotic cells
Change from baseline in the percent of apoptotic cells (transferase deoxyuridine triphosphate \[dUTP\] nick end labeling \[TUNEL\] positive) as measured by TUNEL staining of liver biopsy specimens
Time frame: Baseline to Week 24
Change from baseline in percent of anti-M30 monoclonal antibody-positive hepatocytes
Change from baseline in percent of anti-M30 monoclonal antibody-positive hepatocytes (for cytokeratin-18 neoantigen expression) as measured by immunohistochemical staining of liver biopsy specimens
Time frame: Baseline to Week 24
Change From Baseline in HCV RNA
Time frame: Baseline to to Week 24
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La Jolla, California, United States
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Mission Hills, California, United States
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Palm Springs, California, United States
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Pasadena, California, United States
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San Clemente, California, United States
...and 63 more locations