Eligibility Criteria:
* INCLUSION CRITERIA:
Phase I Treatment
* Male or female \>= 18 years of age
* Either treatment naive or experienced defined as failure of a prior course of interferon-based and ribavirin, DAA plus interferon and DAA only
* Confirmation of chronic HCV infection documented by:
* A positive HCV RNA or positive HCV genotyping test at least 6-months prior to the Baseline/Day 1 visit
* A liver biopsy performed prior to screening visit showing evidence of chronic hepatitis.
* Subjects must have the following laboratory parameters at screening:
* ALT \<= 10 x the upper limit of normal (ULN)
* AST \<= 10 x ULN
* Total bilirubin \<2.5 mg/dL, Direct bilirubin \<= 1.5 ULN
* Platelets \>= 50,000 K/mm\^3
* HbA1c \<= 8.5%
* Hemoglobin \>= 10g/dL
* Albumin \>= 3g/dL
* INR \<= 1.5 unless subject has known hemophilia or is stable on an anticoagulant regimen affecting INR.
* HCV RNA positive at screening.
* Subjects must be of generally good health, with the exception of chronic HCV infection, as determined by the Investigator.
Phase II Follow-up
* Male or female \>= 18 years of age.
* SVR24 following therapy with a direct acting antiviral agent regimen and available liver biopsy performed prior to treatment.
* Subject must be of generally good health as determined by the Investigator.
EXCLUSION CRITERIA:
An individual who meets any of the following criteria will be excluded from participation in this study:
Phase I Treatment
* Pregnancy or lactation
* Inability to practice one form of adequate contraction for females of childbearing potential
* Prior treatment with a NS5a agent
* Current or prior history of any of the following:
* Clinically significant illness (other than HCV) or any other major medical disorder that may interfere with subject treatment, assessment, or compliance with the protocol; subjects currently under evaluation for a potentially clinically significant illness (other than HCV) are also excluded
* Gastrointestinal disorder or post-operative condition that could interfere with the absorption of the study drug
* Decompensated liver disease as defined by serum bilirubin \>= 2.5 mg/dL (with direct bilirubin \>= 1.5 mg/dL), INR \>1.5 a serum albumin of less than 3 g/dL, or a history of ascites, hepatorenal syndrome, variceal bleeding, or hepatic encephalopathy
* Solid organ transplantation
* Significant pulmonary disease, significant cardiac disease
* History of malignancy or treatment for a malignancy within the past 3 years that is associated with a life expectancy \<5 years (except adequately treated carcinoma in situ or basal cell carcinoma of the skin).
* Chronic liver disease of a non-HCV etiology with the exception of steatosis (e.g., chronic hepatitis B, hemochromatosis, Wilson s disease, alfa-1 antitrypsin deficiency, cholangitis).
* Evidence of harmful or hazardous drinking as defined as a score \>= 8 on the AUDIT questionnaire.
* Co-infection with HIV defined as the presence of anti-HIV in serum.
* Clinically relevant drug abuse based on patient history within 12 months of screening.
* Use of medications contraindicated with use of sofosbuvir/velpatasvir within 21 days of the Baseline/Day 1 visit; this washout period does not apply to proton pump inhibitors, which can be taken up to 7 days before baseline Day 1 for the following:
* Acid reducing Agents
* Antiarrhythmics
* Anticancer
* Antimycobacterial
* HIV antivirals
* Herbal supplements
* HMG-CoA Reductase Inhibitors
* Use of antiviral medications within the last 30 days.
* Chronic use of systemically administered immunosuppressive agents (e.g., prednisone equivalent \>= 10 mg/day).
* Known hypersensitivity to sofosbuvir and velpatasvir, or formulation excipients.
* Hepatocellular carcinoma, or the presence of a mass on imaging studies of the liver that is suggestive of hepatocellular carcinoma, or an alpha-fetoprotein level of greater than 500 mg/mL
* Active psychiatric problems such as major depression, schizophrenia, bipolar illness, obsessive-compulsive disorder, severe anxiety, or personality disorder that, in the investigator s opinion, might interfere with participation in the study.
* Presence of conditions that, in the opinion of the investigators, would not allow the subject to n the current study for at least 1 year.
Phase II Follow-up
* Pregnancy
* Current or prior history of any of the following:
* Clinically significant illness (other than resolved HCV) or any other major medical disorder that may interfere with subject treatment, assessment, or compliance with the protocol; subjects currently under evaluation for a potentially clinically significant illness
(other than HCV) are also excluded
--Decompensated liver disease as defined by serum bilirubin \>= 2.5 mg/dL (with direct
bilirubin \>= 1.5 mg/dL), INR \>1.5 a serum albumin of less than 3 g/dL, or a history of ascites, hepatorenal syndrome, variceal bleeding, or hepatic encephalopathy.
* Solid organ transplantation
* Significant pulmonary disease, significant cardiac disease
* History of malignancy or treatment for a malignancy within the past 3 years that is associated with a life expectancy \<5 years (except adequately treated carcinoma in situ or basal cell carcinoma of the skin)
* Chronic liver disease with the exception of steatosis (e.g., chronic hepatitis B, hemochromatosis, Wilson s disease, alfa-1 antitrypsin deficiency, cholangitis)
* Evidence of harmful or hazardous drinking as defined as a score \>= 8 on the AUDIT questionnaire
* Co-infection with HIV defined as the presence of anti-HIV in serum
* Clinically relevant drug abuse based on patient history within 12 months of screening
* Chronic use of systemically administered immunosuppressive agents (e.g., prednisone equivalent \>= 10 mg/day)
* Hepatocellular carcinoma, or the presence of a mass on imaging studies of the liver that is suggestive of hepatocellular carcinoma, or an alpha-fetoprotein level of greater than 500 mg/mL
* Active psychiatric problems such as major depression, schizophrenia, bipolar illness, obsessive-compulsive disorder, severe anxiety, or personality disorder that, in the investigator s opinion, might interfere with participation in the study
* Presence of conditions that, in the opinion of the investigators, would not allow the patient to be followed in the current study for at least 1 year.