TRILOGY-3

TRILOGY-3 Study: SOF/VEL/VOX ± RBV in DAA-experienced patients - Phase II

Lawitz E. Hepatology 2017; 65:1803-9

Anti-HCV
Voxilaprevir (GS-9857)
Velpatasvir (GS-5816)
Sofosbuvir
Ribavirin
Genotype
1
Treatment history
NS5A experienced
Cirrhosis
Yes
No

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Design


* Randomisation was stratified by cirrhosis (yes or no) and NS5A inhibitor experience (yes or no)

  • SOF/VEL/VOX: 400/100/100 mg FDC qd
  • BV : 1000 or 1200 mg/day, according to body weight

Objective

  • SVR12 (HCV RNA < 15 IU/ml), by ITT, with 95% CI

Baseline characteristics and outcome

Adverse events and laboratory abnormalities %

Summary

  • SOF/VEL /VOX once daily ± RBV for 12 weeks achieved high SVR12 rate in HCV genotype 1-infected patients with prior DAA experience
    • Addition of RBV did not enhance SVR
    • Baseline RASs did not reduce SVR
      • SVR12 = 13/13 (100%) if no baseline RASs vs 34/35 (97%) if baseline RASs
  • The combination was generally well tolerated
    • Adverse event profile was less good with RBV