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CompletedNCT01573351Hallmark QUADUpdated Oct 9, 2015

Phase III Hallmark QUAD: ASV+DCV+Peg+Rib (Nulls/Partials)

A Phase 3 interventional study of Asunaprevir and Daclatasvir in Hepatitis C Virus, sponsored by Bristol-Myers Squibb. Completed at 79 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-10-09.

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

Phase
Phase 3
Study type
Interventional
Enrollment
398
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess efficacy, as determined by the proportion of subjects with Sustained Virologic Response at Post-Treatment Week 12 (SVR12), defined as Hepatitis C virus (HCV) Ribonucleic acid (RNA) \< Limit of quantitation (LOQ) at post-treatment Week 12.

Read the detailed description
  • ASV = Asunaprevir (BMS-650032)
  • DCV = Daclatasvir (BMS-790052)
  • Peg = Peg-interferon Alfa-2a (PegIFN)
  • Rib = Ribavirin (RBV)
02

Conditions studied

  • Hepatitis C Virus

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03

In context

Hepatitis C

2,356 studies on the registry are indexed under Hepatitis C; 101 are open to participants now.

This study's enrollment of 398 is above the median of 79 across 1,660 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,562 studies on the registry; 118 are open to participants now.

Of its 435 completed or terminated interventional studies of FDA-regulated products, 227 (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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males and females, ≥ 18 years of age
  • HCV Genotype 1 or 4 who previously failed treatment with Peginterferon alfa-2a or peginterferon alfa-2b and Ribavirin (P/R), classified as previous null and partial responders based on previous therapy
  • HCV RNA ≥ 10,000 IU/mL
  • Seronegative for Human immunodeficiency virus (HIV) and Hepatitis B surface antigen (HBsAg)
  • Subjects with compensated cirrhosis are permitted (compensated cirrhotics are capped at approximately 25% of treated population)

Exclusion criteria

Exclusion Criteria:

  • Prior treatment of HCV with HCV direct acting antiviral (DAA)
  • Evidence of a medical condition contributing to chronic liver disease other than HCV
  • Evidence of decompensated liver disease including, but not limited to, a history or presence of ascites, bleeding varices, or hepatic encephalopathy
  • Diagnosed or suspected hepatocellular carcinoma or other malignancies
  • Uncontrolled diabetes or hypertension
  • Total bilirubin ≥ 34 μmol/L (or ≥ 2 mg/dL) unless subject has a documented history of Gilbert's disease
  • Alanine aminotransferase (ALT) ≥ 5x Upper limit of normal (ULN)
  • Albumin \< 3.5 g/dL (35 g/L)
  • Alpha Fetoprotein (AFP) > 100 ng/mL (>82.6 IU/mL) or ≥ 50 and ≤ 100 ng/mL requires a liver ultrasound and subjects with findings suspicious of Hepatocellular carcinoma (HCC) are excluded
  • Absolute neutrophil count (ANC) \< 1.5 x 1000,000,000 cells/L (\< 1.2 x 1000,000,000 cells/L for Black/African-Americans)
  • Platelets \< 90 x 1000,000,000 cells/L
  • Hemoglobin \< 12 g/dL for females or \< 13 g/dL for males
  • Any criteria that would exclude the subject from receiving P/R
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
398 participants (actual)

Study arms

  • Experimental
    QUAD: Asunaprevir+Daclatasvir+Peg-interferon Alfa-2a+Ribavirin

    Asunaprevir: Capsule, Oral, 100 mg, Twice daily, 24 weeks Daclatasvir: Tablet, Oral, 60 mg, Once daily, 24 weeks Peg-interferon Alfa-2a: Injection, subcutaneous (SC), 180 mcg/0.5 mL, Once weekly, 24 weeks Ribavirin: Tablet, Oral, 1000 mg/1200 mg (total daily dose), 24 weeks

    Drug: Asunaprevir · Drug: Daclatasvir · Drug: Peg-interferon Alfa-2a · Drug: Ribavirin

Interventions

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What researchers measure

Primary outcomes

  1. Proportion of genotype 1 subjects with SVR12, defined as HCV RNA < LOQ at post-treatment Week 12, for all subjects infected with HCV genotype 1

    Time frame: At 12 weeks post-treatment

Secondary outcomes

  1. On-treatment safety, as measured by frequency of Serious Adverse Events (SAEs) and discontinuations due to Adverse Events (AEs) through the end of treatment

    Time frame: Through the end of treatment (maximum up to 24 weeks) plus 7 days

  2. Proportion of subjects with SVR12 (HCV RNA < LOQ at post-treatment Week 12) by the rs12979860 single nucleotide polymorphisms (SNP) in the IL28 gene

    Time frame: At post-treatment Week 12

  3. Proportion of subjects with HCV RNA undetectable

    Time frame: Weeks 1, 2, 4, 6, 8 and 12; at both Weeks 4 and 12 [Extended rapid virologic response (eRVR)], end of treatment (up to 24 weeks), post-treatment Week 12 or post-treatment Week 24

  4. Proportion of subjects with HCV RNA < LOQ

    Time frame: Weeks 1, 2, 4, 6, 8 and 12; at both Weeks 4 and 12, end of treatment (up to 24 weeks), post-treatment Week 24 (SVR24)

  5. Proportion of patients with SVR12 (HCV RNA < LOQ at post-treatment Week 12) for HCV genotype 4 subjects

    Time frame: Post-treatment Week 12

07

Study locations

79 sites
  • Alabama Liver & Digestive Specialists (Alds)
    Montgomery, Alabama 36116, United States
  • Scripps Clinic
    La Jolla, California 92037, United States
  • Scpmg/ Kaiser Permanente Los Angeles Medical Center
    Los Angeles, California 90027, United States
  • University Of Colorado Denver And Hospital
    Aurora, Colorado 80045, United States
  • South Denver Gastroenterology, Pc
    Englewood, Colorado 80113, United States
  • Mayo Clinic
    Jacksonville, Florida 32224, United States
  • University Of Miami Schiff Center For Liver Diseases
    Miami, Florida 33136, United States
  • University Of Chicago Medical Center
    Chicago, Illinois 60637-1432, United States
  • North Shore University Hospital
    Manhasset, New York 11030, United States
  • University Of North Carolina At Chapel Hill School Of Med
    Chapel Hill, North Carolina 27599-7584, United States
  • University Of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Options Health Research, Llc
    Tulsa, Oklahoma 74104, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • University Of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Gastro One
    Germantown, Tennessee 38138, United States
  • Baylor College Of Medicine
    Houston, Texas 77030, United States
  • Texas Liver Institute
    San Antonio, Texas 78215, United States
  • Mcguire Dvamc
    Richmond, Virginia 23249, United States
  • Dean Clinic
    Madison, Wisconsin 53715, United States
  • Local Institution
    Ciudad de Buenos Aires, Buenos Aires C1121ABE, Argentina
  • Local Institution
    Mar del Plata, Buenos Aires 7600, Argentina
  • Local Institution
    Prov. Buenos Aires, Buenos Aires 1629, Argentina
  • Local Institution
    Edmonton, Alberta T6G 2B7, Canada
  • Local Institution
    Vancouver, British Columbia V6Z 2K5, Canada
  • Local Institution
    Victoria, British Columbia V8V 3P9, Canada
  • Local Institution
    Toronto, Ontario M6H 3M1, Canada
  • Local Institution
    Montreal, Quebec H2L 4P9, Canada
  • Local Institution
    Aalborg, 9100, Denmark
  • Local Institution
    Hvidovre, 2650, Denmark
  • Local Institution
    Odense, 5000, Denmark
  • Local Institution
    Créteil, 94000, France
  • Local Institution
    Montpellier, 34295, France
  • Local Institution
    Nice, 06202, France
  • Local Institution
    Paris, 75571, France
  • Local Institution
    Paris, 75679, France
  • Local Institution
    Pessac, 33604, France
  • Local Institution
    Berlin, 13353, Germany
  • Local Institution
    Düsseldorf, 40237, Germany
  • Local Institution
    Frankfurt, 60590, Germany
  • Local Institution
    Freiburg im Breisgau, 79106, Germany
  • Local Institution
    Hamburg, 20246, Germany
  • Local Institution
    Heidelberg, 69120, Germany
  • Local Institution
    Tübingen, 72076, Germany
  • Local Institution
    Brescia, 25123, Italy
  • Local Institution
    Cisanello (pisa), 56124, Italy
  • Local Institution
    Milan, 20122, Italy
  • Local Institution
    Palermo, 90127, Italy
  • Local Institution
    Mexico City, Mexico City 03720, Mexico
  • Local Institution
    México, State of Mexico 06700, Mexico
  • Local Institution
    Amsterdam, 1105 AZ, Netherlands
  • Local Institution
    Rotterdam, 3015 CE, Netherlands
  • Local Institution
    Moscow, 117593, Russia
  • Local Institution
    Moscow, 127015, Russia
  • Local Institution
    Saint Petersburg, 194044, Russia
  • Local Institution
    Stavropol, 355000, Russia
  • Local Institution
    Tyumen, 625026, Russia
  • Local Institution
    Bucheon-si, 420-767, South Korea
  • Local Institution
    Busan, 602-715, South Korea
  • Local Institution
    Busan, 602-739, South Korea
  • Local Institution
    Busan, 614-735, South Korea
  • Local Institution
    Daegu, 700-721, South Korea
  • Local Institution
    Gyeongsangnam-do, 626-770, South Korea
  • Local Institution
    Incheon, 400-711, South Korea
  • Local Institution
    Incheon, 403-720, South Korea
  • Local Institution
    Seoul, 120-752, South Korea
  • Local Institution
    Seoul, 135-710, South Korea
  • Local Institution
    Alcorcón, 28922, Spain
  • Local Institution
    Barcelona, 08916, Spain
  • Local Institution
    Madrid, 28029, Spain
  • Local Institution
    Seville, 41014, Spain
  • Local Institution
    Gvteborg, SE-41685, Sweden
  • Local Institution
    Stockholm, 141 86, Sweden
  • Local Institution
    Bern, 3010, Switzerland
  • Local Institution
    Lausanne, 1011, Switzerland
  • Local Institution
    Chiayi City, 600, Taiwan
  • Local Institution
    Kaohsiung City, 807, Taiwan
  • Local Institution
    Taichung, 40705, Taiwan
  • Local Institution
    Taipei, 11217, Taiwan
08

References and documents

Publications

  • Jensen D, Sherman KE, Hezode C, Pol S, Zeuzem S, de Ledinghen V, Tran A, Elkhashab M, Younes ZH, Kugelmas M, Mauss S, Everson G, Luketic V, Vierling J, Serfaty L, Brunetto M, Heo J, Bernstein D, McPhee F, Hennicken D, Mendez P, Hughes E, Noviello S; HALLMARK-QUAD Study Team. Daclatasvir and asunaprevir plus peginterferon alfa and ribavirin in HCV genotype 1 or 4 non-responders. J Hepatol. 2015 Jul;63(1):30-7. doi: 10.1016/j.jhep.2015.02.018. Epub 2015 Feb 19. PubMed 25703086 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 9, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01573351
Responsible party
Sponsor
First posted
Apr 9, 2012
Start date
May 2012
Primary completion
Sep 2013
Completion
Dec 2013
Last update
Oct 9, 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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This study is completed, as verified in Sep 2015. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Asunaprevir · Daclatasvir · Peginterferon alfa-2a · Ribavirin

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