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| [November 27, 2012] |
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Gilead Announces Sustained Virologic Response Rate of 78% From Phase 3 Study of Sofosbuvir for Genotype 2/3 Hepatitis C Infected Patients
FOSTER CITY, Calif. --(Business Wire)--
Gilead Sciences (Nasdaq:GILD) today announced topline results from the
Phase 3 POSITRON study examining a 12-week course of once-daily
sofosbuvir plus ribavirin (RBV) in patients with genotype 2 or 3 chronic
hepatitis C virus (HCV) infection who are not candidates to take
interferon (IFN). The study found that 78 percent of patients
(n=161/207) remained HCV RNA undetectable 12 weeks after completing
therapy (SVR12). The safety profile of sofosbuvir was similar to that
observed in previous studies, and there were few treatment
discontinuations due to adverse events.
POSITRON is the first of three Phase 3 studies to be completed that are
evaluating sofosbuvir therapy in HCV genotype 2 or 3 infected patient
populations.
"Achieving a sustained virologic response in three quarters of patients
is an impressive result for a sofosbuvir-based, all-oral treatment in a
group of individuals for which no suitable alternative therapy exists.
These patients by definition had previously declined interferon-based
therapy, were ineligible to receive interferon, or were interferon
intolerant," said Norbert Bischofberger, PhD, Executive Vice President
of Research and Development and Chief Scientific Officer, Gilead
Sciences. "We look forward to sharing data from additional Phase 3
studies in early 2013, and expect to submit our first regulatory filings
for sofosbuvir by mid-2013."
In POSITRON, HCV genotype 2 or 3 patients who were interferon
intolerant, interferon ineligible or unwilling to take interferon were
randomized (3:1) to receive 12 weeks of either sofosbuvir 400 mg once
daily plus weight-based RBV twice daily (n=207) or matching placebo
(n=71). Of the 207 patients randomized to the sofosbuvir/RBV arm, 15
percent had compensated cirrhosis (more advanced liver disease) and 53
percent were infected with genotype 2. SVR12 rates were 93 percent in
genotype 2 and 61 percent in genotype 3. In the small percentage of
patients with cirrhosis at baseline who received sofosbuvir/RBV, 61
percent achieved SVR12. All patients receiving sofosbuvir/RBV became HCV
RNA negative on treatment and relapse accounted for all virologic
failures. No patient in the placebo group achieved an SVR12. The most
common adverse events reported in greater than 10 percent of patients in
the study were fatigue, nausea, headache, insomnia, pruritis and anemia.
Full data from the study will be submitted for presentation at a future
scientific conference.
The Phase 3 clinical trial program for sofosbuvir includes two
additional studies evaluating 12 and 16 weeks of therapy with sofosbuvir
plus RBV in HCV genotype 2 and 3 infected patients. A fourth Phase 3
clinical trial is evaluating sofosbuvir combined with RBV and peg-IFN
among patients with HCV genotypes 1, 4, 5 and 6. Pending the results,
these studies will support initial regulatory filings in mid-2013 for an
all-oral therapy with sofosbuvir plus RBV among genotype 2/3
treatment-naïve, treatment-experienced and interferon-intolerant
patients, and for sofosbuvir in combination with RBV and peg-IFN among
treatment-naïve patients with HCV genotypes 1, 4, 5 and 6.
About Sofosbuvir
Sofosbuvir (formerly referred to as GS-7977) is a once-daily nucleotide
analog polymerase inhibitor for the treatment of HCV infection.
Sofosbuvir is being evaluated as part of multiple therapeutic regimens,
including the programs outlined above in combination with RBV and
peg-IFN. Additionally, sofosbuvir is being studied as a once-daily
fixed-dose combination containing sofosbuvir and the NS5A inhibitor
GS-5885, with the added goal of creating a potent, tolerable and
convenient all-oral treatment for genotype 1 infected HCV patients that
may eliminate the need for interferon and/or RBV.
Sofosbuvir and GS-5885 are investigational products and their safety and
efficacy have not yet been established.
About Gilead Sciences
Gilead Sciences is a biopharmaceutical company that discovers, develops
and commercializes innovative therapeutics in areas of unmet medical
need. The company's mission is to advance the care of patients suffering
from life-threatening diseases worldwide. Headquartered in Foster City,
California, Gilead has operations in North America, Europe and Asia
Pacific.
Forward-Looking Statement
This press release includes forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995 that are
subject to risks, uncertainties and other factors, including the
possibility that the proportion of patients who maintain a sustained
virologic response with longer follow up will not be as favorable as the
sustained virologic response rates reported in this press release and
the possibility of unfavorable results from additional clinical trials
involving sofosbuvir and the fixed-dose combination of sofosbuvir and
GS-5885. As a result, sofosbuvir and GS-5885 as single agents or as a
fixed-dose combination may never be successfully commercialized.
Further, Gilead may make a strategic decision to discontinue development
of the compounds or the fixed-dose combination regimen if, for example,
Gilead believes commercialization will be difficult relative to other
opportunities in its pipeline. These risks, uncertainties and other
factors could cause actual results to differ materially from those
referred to in the forward-looking statements. The reader is cautioned
not to rely on these forward-looking statements. These and other risks
are described in detail in Gilead's Quarterly Report on Form 10-Q for
the quarter ended September 30, 2012, as filed with the U.S. Securities
and Exchange Commission. All forward-looking statements are based on
information currently available to Gilead, and Gilead assumes no
obligation to update any such forward-looking statements.
For more information on Gilead Sciences, please visit the company's
website at www.gilead.com,
follow Gilead on Twitter (News - Alert) (@GileadSciences)
or call Gilead Public Affairs at 1-800-GILEAD-5 or 1-650-574-3000.

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