Pharmaceutical Business review

Gilead files NDA for fixed-dose combination of edipasvir/Sofosbuvir in Japan

The data submitted in the NDA includes a Japanese Phase III trial, which showed 100% SVR12 rates and patients who achieve SVR12 are cured of HCV infection.

The NDA supports the use of LDV/SOF for 12 weeks in treatment-naïve and treatment-experienced patients with chronic genotype 1 HCV infection, including those with cirrhosis.

If approved, the FDC of LDV/SOF will reduce the need for interferon and ribavirin (RBV) and will simplify HCV treatment for genotype 1 patients in the country to one daily tablet.

Around 341 treatment-naïve and treatment-experienced genotype 1 patients were included in the Phase III trial and adverse events observed with LDV/SOF without RBV were generally mild and included nasopharyngitis, headache and malaise.

Currently, the FDC of LDV/SOF is under regulatory review in the US and European Union.

The NDA is also supported by SVR12 results from three Phase III trials (ION-1, ION-2 and ION-3) evaluating eight, 12 or 24 weeks of LDV/SOF among genotype 1 HCV patients from the US, Europe and Puerto Rico.