Study in Genotype 2 or 3 Patients With Chronic Hepatitis Virus Infection
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
| ClinicalTrials.gov Identifier: NCT01257204 |
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Recruitment Status :
Completed
First Posted : December 9, 2010
Results First Posted : December 14, 2015
Last Update Posted : December 14, 2015
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| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Hepatitis C Virus | Drug: Placebo Drug: Daclatasvir Drug: Pegylated interferon alfa-2a Drug: Ribavirin | Phase 2 |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 196 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Triple (Participant, Care Provider, Investigator) |
| Primary Purpose: | Treatment |
| Official Title: | A Phase 2B Pilot Study of Short-Term Treatment of BMS-790052 in Combination With Peg-Interferon Alfa-2a and Ribavirin in Treatment Naive Subjects With Chronic Hepatitis C Genotype 2 or 3 Infection |
| Study Start Date : | December 2010 |
| Actual Primary Completion Date : | May 2012 |
| Actual Study Completion Date : | September 2012 |
| Arm | Intervention/treatment |
|---|---|
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Active Comparator: Control
Placebo + Pegylated interferon alfa-2a + Ribavirin
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Drug: Placebo
Tablets, oral, 0 mg, once daily, for 24 weeks Drug: Pegylated interferon alfa-2a Solution for injection, subcutaneous injection, 180 µg/0.5 mL, once weekly, for 12, 16, or 24 weeks
Other Name: Pegasys® Drug: Ribavirin Tablets, oral, 800 mg, twice daily, for 12, 16, or 24 weeks
Other Name: Copegus® |
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Experimental: 12 Week Cohort
Daclatasvir + Pegylated interferon alfa-2a + Ribavirin
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Drug: Daclatasvir
Tablets, oral, 60 mg, once daily, for 12, 16, or 24 weeks
Other Name: BMS-790052 Drug: Pegylated interferon alfa-2a Solution for injection, subcutaneous injection, 180 µg/0.5 mL, once weekly, for 12, 16, or 24 weeks
Other Name: Pegasys® Drug: Ribavirin Tablets, oral, 800 mg, twice daily, for 12, 16, or 24 weeks
Other Name: Copegus® |
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Experimental: 16 Week Cohort
Daclatasvir + Pegylated interferon alfa-2a + Ribavirin
|
Drug: Daclatasvir
Tablets, oral, 60 mg, once daily, for 12, 16, or 24 weeks
Other Name: BMS-790052 Drug: Pegylated interferon alfa-2a Solution for injection, subcutaneous injection, 180 µg/0.5 mL, once weekly, for 12, 16, or 24 weeks
Other Name: Pegasys® Drug: Ribavirin Tablets, oral, 800 mg, twice daily, for 12, 16, or 24 weeks
Other Name: Copegus® |
- Percentage of Participants Achieving Sustained Virologic Response at Follow-up Week 24 (SVR24) for Hepatitis C Virus (HCV) Genotype 2 [ Time Frame: Follow-up Week 24 ]SVR24 was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at follow-up Week 24. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Sustained Virologic Response at Follow-up Week 24 (SVR24) for Hepatitis C Virus (HCV) Genotype 3 [ Time Frame: Follow-up Week 24 ]SVR24 was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at follow-up Week 24. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Rapid Virologic Response (RVR) at Week 4 for Hepatitis C Virus (HCV) Genotype 2 [ Time Frame: Week 4 ]RVR was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at Week 4. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Rapid Virologic Response (RVR) at Week 4 for Hepatitis C Virus (HCV) Genotype 3 [ Time Frame: Week 4 ]RVR was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at Week 4. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Complete Early Virologic Response (cEVR) at Week 12 for Hepatitis C Virus (HCV) Genotype 2 [ Time Frame: Week 12 ]cEVR was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at Week 12. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Complete Early Virologic Response (cEVR) at Week 12 for Hepatitis C Virus (HCV) Genotype 3 [ Time Frame: Week 12 ]cEVR was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at Week 12. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Sustained Virologic Response at Follow-up Week 12 (SVR12) for Hepatitis C Virus (HCV) Genotype 2 [ Time Frame: Follow-up Week 12 ]SVR12 was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at follow-up Week 12. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Percentage of Participants Achieving Sustained Virologic Response at Follow-up Week 12 (SVR12) for Hepatitis C Virus (HCV) Genotype 3 [ Time Frame: Follow-up Week 12 ]SVR12 was defined as undetectable HCV RNA (HCV RNA <lower limit of quantitation [LLOQ], target not detected [TND]) at follow-up Week 12. The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Number of Participants With Virologic Failure for Hepatitis C Virus (HCV) Genotype 2 [ Time Frame: Baseline up to Week 48 ]
Virologic failure was defined as:
- Virologic breakthrough: confirmed >1 log10 increase in HCV RNA over nadir or confirmed RNA ≥lower limit of quantitation (LLOQ) after confirmed HCV RNA <LLOQ, target not detected (TND) while on treatment
- <1 log10 decrease in HCV RNA from baseline at Week 4 of treatment
- Failure to achieve early virologic response: <2 log10 decrease in HCV RNA from baseline and HCV RNA ≥LLOQ at Week 12 of treatment
- HCV RNA ≥LLOQ or <LLOQ, target detected (TD) at the end of treatment (EOT) (including early discontinuation)
- Relapse, defined as HCV RNA ≥LLOQ or <LLOQ, TD during follow-up, after HCV RNA <LLOQ, TND at EOT.
The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Number of Participants With Virologic Failure for Hepatitis C Virus (HCV) Genotype 3 [ Time Frame: Baseline up to Week 48 ]
Virologic failure was defined as:
- Virologic breakthrough: confirmed >1 log10 increase in HCV RNA over nadir or confirmed RNA ≥lower limit of quantitation (LLOQ) after confirmed HCV RNA <LLOQ, target not detected (TND) while on treatment
- <1 log10 decrease in HCV RNA from baseline at Week 4 of treatment
- Failure to achieve early virologic response: <2 log10 decrease in HCV RNA from baseline and HCV RNA ≥LLOQ at Week 12 of treatment
- HCV RNA ≥LLOQ or <LLOQ, target detected (TD) at the end of treatment (EOT) (including early discontinuation)
- Relapse, defined as HCV RNA ≥LLOQ or <LLOQ, TD during follow-up, after HCV RNA <LLOQ, TND at EOT.
The LLOQ was 25 IU/mL, and <LLOQ, TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuations Due to AEs, and Treatment-related AEs and Who Died During Treatment Period [ Time Frame: Baseline (Day 1) up to 24 weeks (treatment period) ]AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not has a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, or drug dependency/abuse; was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization. Treatment-related AE was defined as an AE that had certain, probable, possible, or unknown relationship to study drug. Mild (Grade 1): awareness of event but easily tolerated; Moderate (Grade 2): discomfort enough to cause some interference with usual activity; Severe (Grade 3): inability to carry out usual activity; Very severe (Grade 4): debilitating, significantly incapacitates participant despite symptomatic therapy. Only Grade 2-4 treatment-related AEs were reported.
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Who Died During Follow-up Period [ Time Frame: From end of treatment period up to Week 48 (follow-up period) ]AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not has a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, or drug dependency/abuse; was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
| Ages Eligible for Study: | 18 Years to 70 Years (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Participants chronically infected with hepatitis C virus (HCV) genotype 2 or 3
- No previous exposure to an interferon formulation (ie, interferon alfa, pegylated interferon alfa-2a ) or ribavirin
- Body mass index (BMI) of 18 to 35 kg/m^2, inclusive. BMI=weight (kg)/height (m)^2
- Males and females, 18 - 70 years of age
Key Exclusion Criteria:
- Liver transplant recipients
- Documented or suspected hepatocellular carcinoma
- Evidence of decompensated cirrhosis
- History of chronic hepatitis B virus (HBV). Patients with resolved HBV infection may participate
- Current or known history of cancer
- Any gastrointestinal disease or surgical procedure that may impact the absorption of study drug
- Inability to tolerate oral medication
- Poor venous access
- Severe psychiatric disease
- History of chronic pulmonary disease
- History of cardiomyopathy, coronary artery disease (including angina), interventive procedure for coronary artery disease (including angioplasty, stent procedure, or cardiac bypass surgery), ventricular arrhythmia,, or other clinically significant cardiac disease
- History of or current electrocardiogram findings indicative of cardiovascular instability
- Preexisting ophthalmologic disorders considered clinically significant on eye
- History of uncontrolled diabetes mellitus
- Any known contraindication to pegylated interferon alfa-2a or ribavirin not otherwise specified.
- Positive hepatitis B virus surface antigen, HIV-1 or HIV-2 Ab
- Prior exposure to any HCV direct antiviral agent (eg, HCV protease, polymerase, previous nonstructural protein 5A inhibitors)
- Exposure to any investigational drug or placebo
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01257204
| United States, California | |
| California Liver Institute | |
| Los Angeles, California, United States, 90048 | |
| United States, Maryland | |
| Digestive Disease Associates, P.A. | |
| Baltimore, Maryland, United States, 21229 | |
| United States, Oklahoma | |
| Options Health Research, Llc | |
| Tulsa, Oklahoma, United States, 74104 | |
| United States, Texas | |
| Alamo Medical Research | |
| San Antonio, Texas, United States, 78215 | |
| Australia, New South Wales | |
| Local Institution | |
| Darlinghurst, New South Wales, Australia, 2010 | |
| Local Institution | |
| Westmead Nsw, New South Wales, Australia, 2145 | |
| Australia, South Australia | |
| Local Institution | |
| Adelaide, South Australia, Australia, 5000 | |
| Australia, Victoria | |
| Local Institution | |
| Clayton Vic, Victoria, Australia, 3168 | |
| Australia, Western Australia | |
| Local Institution | |
| Fremantle, Western Australia, Australia, 6160 | |
| Australia | |
| Local Institution | |
| Camperdown, Australia, NSW 2050 | |
| Canada, Alberta | |
| Local Institution | |
| Calgary, Alberta, Canada, T2N 4Z6 | |
| Local Institution | |
| Edmonton, Alberta, Canada, T6G 2B7 | |
| Canada, British Columbia | |
| Local Institution | |
| Vancouver, British Columbia, Canada, V6Z 2K5 | |
| Local Institution | |
| Victoria, British Columbia, Canada, V8V 3P9 | |
| Canada, Manitoba | |
| Local Institution | |
| Winnipeg, Manitoba, Canada, R3E 3P4 | |
| Canada, Ontario | |
| Local Institution | |
| Toronto, Ontario, Canada, M5G 2N2 | |
| Denmark | |
| Local Institution | |
| Hvidovre, Denmark, 2650 | |
| France | |
| Local Institution | |
| Creteil, France, 94000 | |
| Local Institution | |
| Lille Cedex, France, 59037 | |
| Local Institution | |
| Montpellier Cedex 5, France, 34295 | |
| Local Institution | |
| Nice Cedex 03, France, 06202 | |
| Local Institution | |
| Paris Cedex 14, France, 75679 | |
| Local Institution | |
| Pessac, France, 33604 | |
| Italy | |
| Local Institution | |
| Brescia, Italy, 25123 | |
| Local Institution | |
| Cisanello (pisa), Italy, 56124 | |
| Local Institution | |
| Viale Del Policlinico, 155, Italy, 00161 | |
| Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Bristol-Myers Squibb |
| ClinicalTrials.gov Identifier: | NCT01257204 |
| Other Study ID Numbers: |
AI444-031 2010-022408-28 ( EudraCT Number ) |
| First Posted: | December 9, 2010 Key Record Dates |
| Results First Posted: | December 14, 2015 |
| Last Update Posted: | December 14, 2015 |
| Last Verified: | November 2015 |
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Hepatitis A Hepatitis C Hepatitis Infections Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Blood-Borne Infections Communicable Diseases |
Flaviviridae Infections Interferons Ribavirin Interferon-alpha Interferon alpha-2 Peginterferon alfa-2a Antineoplastic Agents Antiviral Agents Anti-Infective Agents Antimetabolites Molecular Mechanisms of Pharmacological Action Immunologic Factors Physiological Effects of Drugs |

