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
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).
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 →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.
Exclusion Criteria:
* 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 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
Also known as: Pegasys
Also known as: Copegus
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)
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
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
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
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
| Milestone | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| Started | 82 | 42 |
| Completed | 59 | 26 |
| Not completed | 23 | 16 |
| Withdrew: Adverse event | 4 | 3 |
| Withdrew: Lack of efficacy | 5 | 12 |
| Withdrew: Subject requested discontinue study drug | 1 | 0 |
| Withdrew: Completed 24 weeks treatment period only | 8 | 0 |
| Withdrew: Participant does not meet study criteria | 1 | 0 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Other reason | 2 | 0 |
| Milestone | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| Started | 77 | 40 |
| Completed | 65 | 26 |
| Not completed | 12 | 14 |
| Withdrew: Withdrawal by subject | 1 | 1 |
| Withdrew: Lost to follow-up | 6 | 2 |
| Withdrew: Other | 5 | 11 |
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.
| Percentage of participants | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + 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) |
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.
| Percentage of participants | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| Week 1 | 53.7 (42.9 to 64.5) | 4.8 (0.0 to 11.2) |
| Week 2 | 89.0 (82.3 to 95.8) | 11.9 (2.1 to 21.7) |
| Week 4 | 91.5 (85.4 to 97.5) | 19.0 (7.2 to 30.9) |
| Week 6 | 84.1 (76.2 to 92.1) | 40.5 (25.6 to 55.3) |
| Week 8 | 87.8 (80.7 to 94.9) | 47.6 (32.5 to 62.7) |
| Week 12 | 85.4 (77.7 to 93.0) | 59.5 (44.7 to 74.4) |
| Weeks 4 and 12 | 84.1 (76.2 to 92.1) | 19.0 (7.2 to 30.9) |
| End of Treatment | 92.7 (87.0 to 98.3) | 64.3 (49.8 to 78.8) |
| Post treatment Week 24 | 80.5 (71.9 to 89.1) | 40.5 (25.6 to 55.3) |
| Post treatment Week 48 | 83.6 (73.9 to 93.4) | NA (NA to NA) |
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.
| Percentage of participants | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| Week 1 | 14.6 (7.0 to 22.3) | 0.0 (0.0 to 0.0) |
| Week 2 | 45.1 (34.4 to 55.9) | 9.5 (0.6 to 18.4) |
| Week 4 | 85.4 (77.7 to 93.0) | 11.9 (2.1 to 21.7) |
| Week 6 | 80.5 (71.9 to 89.1) | 16.7 (5.4 to 27.9) |
| Week 8 | 87.8 (80.7 to 94.9) | 38.1 (23.4 to 52.8) |
| Week 12 | 84.1 (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) |
| EOT | 90.2 (83.8 to 96.7) | 64.3 (49.8 to 78.8) |
| Post treatment Week 24 | 78.0 (69.1 to 87.0) | 40.5 (25.6 to 55.3) |
| Post treatment Week 48 | 81.8 (71.6 to 92.0) | NA (NA to NA) |
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.
| Percentage of participants | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| IL28B Genotype CC (SVR12) (n=22, 9) | 95.5 | 100.0 |
| IL28B Genotype CT (SVR12) (n=40, 27) | 75.0 | 33.3 |
| IL28B Genotype TT (SVR12) (n=20, 6) | 80.0 | 0.0 |
| IL28B Genotype CC (SVR24) (n=22, 9) | 95.5 | 88.9 |
| IL28B Genotype CT (SVR24) (n=40, 27) | 72.5 | 33.3 |
| IL28B Genotype TT (SVR24) (n=20, 6) | 80.0 | 0.0 |
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.
| participants | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| AEs leading to discontinuation of study drug | 4 | 3 |
| SAEs | 8 | 2 |
| Death | 0 | 0 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Daclatasvir + PegIFNα2a + Ribavirin | — | 8/82 (9.8%) | 80/82 (97.6%) |
| Placebo + PegIFNα2a + Ribavirin | — | 2/42 (4.8%) | 39/42 (92.9%) |
| Event | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 2/82 | 0/42 |
| Basedow's diseaseEndocrine disorders | 0/82 | 1/42 |
| Bile duct stoneHepatobiliary disorders | 0/82 | 1/42 |
| Cerebrovascular accidentNervous system disorders | 1/82 | 0/42 |
| GastritisGastrointestinal disorders | 1/82 | 0/42 |
| Iron deficiency anaemiaBlood and lymphatic system disorders | 1/82 | 0/42 |
| Diabetes mellitusMetabolism and nutrition disorders | 1/82 | 0/42 |
| Erythema multiformeSkin and subcutaneous tissue disorders | 1/82 | 0/42 |
| Thyroid cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/82 | 0/42 |
| Cluster headacheNervous system disorders | 1/82 | 0/42 |
| Event | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin |
|---|---|---|
| AstheniaGeneral disorders | 47/82 | 25/42 |
| HeadacheNervous system disorders | 28/82 | 11/42 |
| Influenza like illnessGeneral disorders | 23/82 | 13/42 |
| PruritusSkin and subcutaneous tissue disorders | 25/82 | 13/42 |
| AnaemiaBlood and lymphatic system disorders | 20/82 | 12/42 |
| MyalgiaMusculoskeletal and connective tissue disorders | 15/82 | 11/42 |
| NeutropeniaBlood and lymphatic system disorders | 12/82 | 11/42 |
| Decreased appetiteMetabolism and nutrition disorders | 20/82 | 5/42 |
| InsomniaPsychiatric disorders | 18/82 | 6/42 |
| IrritabilityGeneral disorders | 11/82 | 9/42 |
| Age, Continuous(years) | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin | Total |
|---|---|---|---|
| Mean | 47.7 ± 10.23 | 48.4 ± 8.09 | 48.0 ± 9.53 |
| Age, Customized(participants) | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin | Total |
|---|---|---|---|
| < 21 years | 1 | 0 | 1 |
| 21 to < 65 years | 78 | 42 | 120 |
| >= 65 years | 3 | 0 | 3 |
| Sex: Female, Male(Participants) | Daclatasvir + PegIFNα2a + Ribavirin | Placebo + PegIFNα2a + Ribavirin | Total |
|---|---|---|---|
| Female | 21 | 13 | 34 |
| Male | 61 | 29 | 90 |
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