November 4 (Fri.), 14:00–15:04, Room 16 (Kobe International Exhibition Hall No. 2 Building Hall (North) Digital Poster Session)
IP-51_H
Sofosbuvir Population Pharmacokinetics in Japanese Subjects with Chronic Genotype 2 HCV Infection
N. Sakamoto1
Co-authors: K. L. Garrison2, B. Gao2, D. M. Brainard2, S. Knox2, A. Mathias2
1
Dept. of Gastroenterology and Hepatology Hokkaido University
2
Gilead Sciences
【Background】Sofosbuvir (SOF) is an NS5B polymerase inhibitor for use in combination with ribavirin for the treatment of GT 2 HCV patients. In a Phase 3 study pharmacokinetic (PK) data was collected for Population PK analysis of SOF and its predominant circulating nucleoside metabolite, GS-331007. 【Methods】90 treatment-naive and 63 previously-treated subjects in Japan were enrolled and received SOF 400 mg plus ribavirin. A single plasma PK sample was collected from all subjects (n = 153) at each study visit. Plasma concentration data from all PK samples were combined and applied to previously developed Population PK models for SOF and GS-331007 to generate individual AUCtau and Cmax estimates for each subject. The effect of covariates on SOF and GS-331007 exposure was evaluated. 【Results】Population PK analysis estimated the mean (%CV) steady-state AUCtau and Cmax for SOF and GS-331007. SOF exposure in HCV-infected Japanese subjects was comparable to historical studies. Exposure to the renally cleared GS-331007 was modestly increased in the Japanese study population. 【Conclusion】The PK of SOF and GS-331007 in Japanese subjects were similar to those observed in historical studies. These data support the use of SOF for the treatment of GT2 HCV infection in Japanese patients.