CClinicalTrials.gg
CompletedNCT01448044Updated Oct 12, 2015Results posted

Phase III BMS-790052 Add-On to Peg-Interferon Alfa-2a and Ribavirin in Naive Hepatitis C

A Phase 3 interventional study of BMS-790052 (NS5A Replication Complex Inhibitor) and Placebo matching BMS-790052 in Hepatitis C, sponsored by Bristol-Myers Squibb. Completed at 26 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-10-12.

Sponsored by Bristol-Myers Squibb · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
152
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the sustained virologic response at post treatment Week 12 for each cohort (BMS-790052/Pegylated-interferon alfa 2a (pegIFNα-2a)/Ribavirin (RBV) versus placebo/PegIFNα-2a/RBV).

02

Conditions studied

  • Hepatitis C

Keywords

  • hepatitis C virus
03

In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 152 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants chronically infected with HCV Genotype 4
  • HCV RNA viral load of ≥ 10,000 IU/mL
  • No previous exposure to an interferon formulation, RBV or HCV direct antiviral agent
  • Results of a liver biopsy obtained within three years prior to enrollment to demonstrate the absence of cirrhosis. Participants with compensated cirrhosis are permitted, however, and any prior biopsy is permitted

Exclusion criteria

Exclusion Criteria:

  • Evidence of decompensated liver disease
  • Documented or suspected Hepatocellular carcinoma (HCC)
  • Positive for Hepatitis B surface antigen (HBsAg) or Human immunodeficiency virus-1 (HIV-1)/HIV-2 antibody at screening
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
152 participants (actual)

Study arms

  • Experimental
    BMS-790052 + PegIFNα-2a + Ribavirin

    * BMS-790052 60 mg Tablets, Oral, once daily for 24 weeks * PegIFNα-2a 180 μg Subcutaneous Injection, once weekly for 24 or 48 weeks depending on response * Ribavirin 400 mg (2 tablets for participants \< 75 kg) or 600 mg (3 tablets for participants ≥ 75 kg) in the morning and 600 mg (3 tablets) in the evening, Oral for 24 or 48 weeks depending on response

    Drug: BMS-790052 (NS5A Replication Complex Inhibitor) · Drug: Pegylated-interferon alfa 2a · Drug: Ribavirin

  • Placebo comparator
    Placebo matching BMS-790052 + PegIFNα-2a + Ribavirin

    * Placebo matching BMS-790052 0 mg Tablets, Oral, once daily for 48 weeks * PegIFNα-2a 180 μg Subcutaneous Injection, once weekly for 48 weeks * Ribavirin 400 mg (2 tablets for participants \< 75 kg) or 600 mg (3 tablets for participants ≥ 75 kg) in the morning and 600 mg (3 tablets) in the evening, Oral for 48 weeks

    Drug: Placebo matching BMS-790052 · Drug: Pegylated-interferon alfa 2a · Drug: Ribavirin

Interventions

  • DrugBMS-790052 (NS5A Replication Complex Inhibitor)
  • DrugPlacebo matching BMS-790052
  • DrugPegylated-interferon alfa 2a

    Also known as: Pegasys

  • DrugRibavirin

    Also known as: Copegus

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With 12 Week Sustained Virologic Response (SVR12)

    Participants were assessed for sustained virologic response 12 weeks post treatment (SVR12) defined as hepatitis C virus (HCV) RNA levels \< lower limit of quantitation (LLOQ was 25 IU/mL), target detected (TD) or target not detected (TND) at post-treatment Week 12.

    Time frame: Week 12 (Follow-up period)

Secondary outcomes

  1. Percentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)

    Participants who achieved HCV RNA levels below LLOQ ie, 25 international unit per milliliter (IU/mL). Participants in the placebo arm did not have visits beyond post treatment Week 24.

    Time frame: Treatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12; End of treatment (EOT); Post treatment Week 24; Post treatment Week 48

  2. Percentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA Levels

    Participants who achieved HCV RNA undetectable ie, 10 international units per milliliter (IU/mL). Participants in the placebo arm did not have visits beyond post treatment Week 24.

    Time frame: Treatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12, End of treatment (EOT), Post treatment Week 24, Post treatment Week 48

  3. Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) or Sustained Virologic Response at Follow-up Week 24 (SVR24) by rs12979860 Single Nucleotide Polymorphism (SNP) in the IL28B Gene

    Participants categorized into three genotypes based on SNPs in the IL28B gene were assessed for SVR12 and SVR24, defined as response in which hepatitis C virus RNA levels below lower limit of quantitation or below target detected or target not detected at follow-up Week 12 and Week 24 respectively.

    Time frame: Post Treatment Weeks 12, 24

  4. Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who Died

    AE was defined as any new unfavorable symptom, sign, or disease or worsening of a pre-existing condition that does not necessarily have a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalisation.

    Time frame: From Day 1 (start of study treatment) up to Follow-up Week 4

07

Results

Posted Sep 7, 2015

Participant flow

Treatment Period
Participant flow — Treatment Period
MilestoneDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
Started8242
Completed5926
Not completed2316
Withdrew: Adverse event43
Withdrew: Lack of efficacy512
Withdrew: Subject requested discontinue study drug10
Withdrew: Completed 24 weeks treatment period only80
Withdrew: Participant does not meet study criteria10
Withdrew: Lost to follow-up21
Withdrew: Other reason20
Follow Up Period
Participant flow — Follow Up Period
MilestoneDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
Started7740
Completed6526
Not completed1214
Withdrew: Withdrawal by subject11
Withdrew: Lost to follow-up62
Withdrew: Other511

Outcome measures

PrimaryPercentage of Participants With 12 Week Sustained Virologic Response (SVR12)

Participants were assessed for sustained virologic response 12 weeks post treatment (SVR12) defined as hepatitis C virus (HCV) RNA levels \< lower limit of quantitation (LLOQ was 25 IU/mL), target detected (TD) or target not detected (TND) at post-treatment Week 12.

Time frame:
Week 12 (Follow-up period)
Reported as:
Number · Percentage of participants
Percentage of Participants With 12 Week Sustained Virologic Response (SVR12)
Percentage of participantsDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
Percentage of Participants With 12 Week Sustained Virologic Response (SVR12)81.7 (73.3 to 90.1)42.9 (27.9 to 57.8)
Statistical analysis
  • Daclatasvir + PegIFNα2a + Ribavirin vs Placebo + PegIFNα2a + Ribavirin · Cochran-Mantel-Haenszel · p = <0.0001 (The pvalue was based on the CochranMantelHaenszel (CMH) test, stratified by IL28B host genotype, geography, and baseline cirrhosis status.) · Difference in percentages: 38.850 · 95% CI 21.703 to 55.997
SecondaryPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)

Participants who achieved HCV RNA levels below LLOQ ie, 25 international unit per milliliter (IU/mL). Participants in the placebo arm did not have visits beyond post treatment Week 24.

Time frame:
Treatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12; End of treatment (EOT); Post treatment Week 24; Post treatment Week 48
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)
Percentage of participantsDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
Week 153.7 (42.9 to 64.5)4.8 (0.0 to 11.2)
Week 289.0 (82.3 to 95.8)11.9 (2.1 to 21.7)
Week 491.5 (85.4 to 97.5)19.0 (7.2 to 30.9)
Week 684.1 (76.2 to 92.1)40.5 (25.6 to 55.3)
Week 887.8 (80.7 to 94.9)47.6 (32.5 to 62.7)
Week 1285.4 (77.7 to 93.0)59.5 (44.7 to 74.4)
Weeks 4 and 1284.1 (76.2 to 92.1)19.0 (7.2 to 30.9)
End of Treatment92.7 (87.0 to 98.3)64.3 (49.8 to 78.8)
Post treatment Week 2480.5 (71.9 to 89.1)40.5 (25.6 to 55.3)
Post treatment Week 4883.6 (73.9 to 93.4)NA (NA to NA)
SecondaryPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA Levels

Participants who achieved HCV RNA undetectable ie, 10 international units per milliliter (IU/mL). Participants in the placebo arm did not have visits beyond post treatment Week 24.

Time frame:
Treatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12, End of treatment (EOT), Post treatment Week 24, Post treatment Week 48
Reported as:
Number · Percentage of participants
Percentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA Levels
Percentage of participantsDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
Week 114.6 (7.0 to 22.3)0.0 (0.0 to 0.0)
Week 245.1 (34.4 to 55.9)9.5 (0.6 to 18.4)
Week 485.4 (77.7 to 93.0)11.9 (2.1 to 21.7)
Week 680.5 (71.9 to 89.1)16.7 (5.4 to 27.9)
Week 887.8 (80.7 to 94.9)38.1 (23.4 to 52.8)
Week 1284.1 (76.2 to 92.1)47.6 (32.5 to 62.7)
Weeks 4 and 12 (VR 4 & 12)79.3 (70.5 to 88.0)11.9 (2.1 to 21.7)
EOT90.2 (83.8 to 96.7)64.3 (49.8 to 78.8)
Post treatment Week 2478.0 (69.1 to 87.0)40.5 (25.6 to 55.3)
Post treatment Week 4881.8 (71.6 to 92.0)NA (NA to NA)
SecondaryPercentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) or Sustained Virologic Response at Follow-up Week 24 (SVR24) by rs12979860 Single Nucleotide Polymorphism (SNP) in the IL28B Gene

Participants categorized into three genotypes based on SNPs in the IL28B gene were assessed for SVR12 and SVR24, defined as response in which hepatitis C virus RNA levels below lower limit of quantitation or below target detected or target not detected at follow-up Week 12 and Week 24 respectively.

Time frame:
Post Treatment Weeks 12, 24
Reported as:
Number · Percentage of participants
Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) or Sustained Virologic Response at Follow-up Week 24 (SVR24) by rs12979860 Single Nucleotide Polymorphism (SNP) in the IL28B Gene
Percentage of participantsDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
IL28B Genotype CC (SVR12) (n=22, 9)95.5100.0
IL28B Genotype CT (SVR12) (n=40, 27)75.033.3
IL28B Genotype TT (SVR12) (n=20, 6)80.00.0
IL28B Genotype CC (SVR24) (n=22, 9)95.588.9
IL28B Genotype CT (SVR24) (n=40, 27)72.533.3
IL28B Genotype TT (SVR24) (n=20, 6)80.00.0
SecondaryNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who Died

AE was defined as any new unfavorable symptom, sign, or disease or worsening of a pre-existing condition that does not necessarily have a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalisation.

Time frame:
From Day 1 (start of study treatment) up to Follow-up Week 4
Reported as:
Number · participants
Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who Died
participantsDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
AEs leading to discontinuation of study drug43
SAEs82
Death00

Adverse events

Collected over From first dose to last dose plus 7 days (baseline up to 49 weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Daclatasvir + PegIFNα2a + Ribavirin—8/82 (9.8%)80/82 (97.6%)
Placebo + PegIFNα2a + Ribavirin—2/42 (4.8%)39/42 (92.9%)
Most frequent serious events
Most frequent serious events
EventDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
AnaemiaBlood and lymphatic system disorders2/820/42
Basedow's diseaseEndocrine disorders0/821/42
Bile duct stoneHepatobiliary disorders0/821/42
Cerebrovascular accidentNervous system disorders1/820/42
GastritisGastrointestinal disorders1/820/42
Iron deficiency anaemiaBlood and lymphatic system disorders1/820/42
Diabetes mellitusMetabolism and nutrition disorders1/820/42
Erythema multiformeSkin and subcutaneous tissue disorders1/820/42
Thyroid cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/820/42
Cluster headacheNervous system disorders1/820/42
Most frequent other events
Showing 10 of 31
Most frequent other events
EventDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + Ribavirin
AstheniaGeneral disorders47/8225/42
HeadacheNervous system disorders28/8211/42
Influenza like illnessGeneral disorders23/8213/42
PruritusSkin and subcutaneous tissue disorders25/8213/42
AnaemiaBlood and lymphatic system disorders20/8212/42
MyalgiaMusculoskeletal and connective tissue disorders15/8211/42
NeutropeniaBlood and lymphatic system disorders12/8211/42
Decreased appetiteMetabolism and nutrition disorders20/825/42
InsomniaPsychiatric disorders18/826/42
IrritabilityGeneral disorders11/829/42

Baseline characteristics

Age, Continuous
Age, Continuous(years)Daclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + RibavirinTotal
Mean47.7 ± 10.2348.4 ± 8.0948.0 ± 9.53
Age, Customized
Age, Customized(participants)Daclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + RibavirinTotal
< 21 years101
21 to < 65 years7842120
>= 65 years303
Sex: Female, Male
Sex: Female, Male(Participants)Daclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + RibavirinTotal
Female211334
Male612990
08

Study locations

26 sites
  • Scti Research Foundation
    San Clemente, California 92673, United States
  • Umass Memorial Medical Center
    Worcester, Massachusetts 01655, United States
  • University Gastroenterology
    Providence, Rhode Island 02905, United States
  • Metropolitan Research
    Annandale, Virginia 22003, United States
  • Local Institution
    Bondy Cedex, 93143, France
  • Local Institution
    Creteil, 94000, France
  • Local Institution
    La Roche-Sur-Yon Cedex 9, 85925, France
  • Local Institution
    Marseille Cedex 08, 13285, France
  • Local Institution
    Nice Cedex 03, 06202, France
  • Local Institution
    Orleans Cedex 2, 45067, France
  • Local Institution
    Paris, 75013, France
  • Local Institution
    Paris, 75475, France
  • Local Institution
    Strasbourg Cedex, 67091, France
  • Local Institution
    Toulouse Cedex 09, 31059, France
  • Local Institution
    Villejuif, 94804, France
  • Local Institution
    Thesaloniki, 54639, Greece
  • Local Institution
    Roma, 00149, Italy
  • Local Institution
    Torino, 10126, Italy
  • Local Institution
    San Juan, 00927, Puerto Rico
  • Local Institution
    A Coruna, 15706, Spain
  • Local Institution
    Barcelona, 08003, Spain
  • Local Institution
    Barcelona, 08035, Spain
  • Local Institution
    Madrid, 28046, Spain
  • Local Institution
    London, Greater London SE5 9RS, United Kingdom
  • Local Institution
    London, Greater London SW17 0QT, United Kingdom
  • Local Institution
    London, Greater London W2 1NY, United Kingdom
09

References and documents

Publications

  • Hezode C, Alric L, Brown A, Hassanein T, Rizzetto M, Buti M, Bourliere M, Thabut D, Molina E, Rustgi V, Samuel D, McPhee F, Liu Z, Yin PD, Hughes E, Treitel M; COMMAND-4 study team. Randomized controlled trial of the NS5A inhibitor daclatasvir plus pegylated interferon and ribavirin for HCV genotype-4 (COMMAND-4). Antivir Ther. 2015 Aug 27;21(3):195-205. doi: 10.3851/IMP2985. Online ahead of print. PubMed 26313445 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 12, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01448044
Lead sponsor
Bristol-Myers Squibb
Responsible party
Sponsor
First posted
Oct 7, 2011
Start date
Dec 2011
Primary completion
Oct 2013
Completion
Jan 2014
Results posted
Sep 7, 2015
Last update
Oct 12, 2015

Study contacts

Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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