Methods | Randomised clinical phase I, multicentre trial | |
Participants | 44 participants Sex: 32 men, 9 women Median age: 49 years Country: USA Inclusion criteria: 18‐65 years of age and had chronic HCV 1a or 1b and plasma HCV RNA > 5 log10 IU/mL at screening. Participants were HCV treatment‐naive and had a BMI of 19‐35 kg/m2 inclusive, creatinine clearance > 60 mL/min and a QTcF interval < 450 ms. Exclusion criteria: cirrhosis, hepatic decompensation, excessive ongoing alcohol intake, Gilbert's syndrome, evidence of HCC, co‐infection with HIV or HBV, ALT or AST levels > 5 x ULN, total bilirubin > ULN, haemoglobin < 11 g/dL, or absolute neutrophil count 1000 cells/mm2 (750 cells/mm2). Concomitant prescription during the study unless prior approval was received from the medical monitor. Participants using hormonal contraception were required to employ 2 additional barrier methods of contraception. |
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Interventions | The trial divided into 4 cohorts, and randomised to experimental group or control group Experimental group: oral 60 mg, 200 mg (genotype 1a), 200 mg (genotype 1b), or 400 mg of GS‐9451 once daily for 3 days. Control group: placebo. |
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Outcomes | Antiviral response, sequence analyses, pharmacokinetics, safety assessment. | |
Notes | We emailed Lawitz and colleagues on 26 April 2016 for additional information on allocation, blinding (placebo pill), protocol but reply not received yet. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | It was described that all were blinded, however it was not stated if there were any similarities between the placebo pill and intervention |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | It was described that all were blinded, however it was not stated if there were any similarities between the placebo pill and intervention |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | There were above 5% dropouts. 3 participants were not included in the efficacy analyses. In addition, 3 participants were withdrawn after enrolment and not included in any analysis due to unknown reasons. It was unclear how the trial handled missing data. |
Selective reporting (reporting bias) | Unclear risk | No protocol could be obtained |
Vested‐interest bias | High risk | The trial was funded by Gilead Sciences |
Other bias | Low risk | The trial appeared to be free of other components that could put it at risk of bias |