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

A Phase 3 Evaluation of BMS-790052 in Combination With Peg-Interferon Alfa-2a and Ribavirin in Treatment Naive Subjects With Chronic Hepatitis C Genotype 4

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01448044
Enrollment
152
Registered
2011-10-07
Start date
2011-12-31
Completion date
2014-01-31
Last updated
2015-10-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C

Keywords

hepatitis C virus

Brief 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).

Interventions

DRUGBMS-790052 (NS5A Replication Complex Inhibitor)
DRUGPlacebo matching BMS-790052
DRUGPegylated-interferon alfa 2a
DRUGRibavirin

Sponsors

Bristol-Myers Squibb
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
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

* 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

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With 12 Week Sustained Virologic Response (SVR12)Week 12 (Follow-up period)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.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Treatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12; End of treatment (EOT); Post treatment Week 24; Post treatment Week 48Participants 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 With Undetectable Hepatitis C Virus (HCV) RNA LevelsTreatment Weeks 1, 2, 4, 6, 8 and 12; Weeks 4 and 12, End of treatment (EOT), Post treatment Week 24, Post treatment Week 48Participants 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 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 GenePost Treatment Weeks 12, 24Participants 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.
Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedFrom Day 1 (start of study treatment) up to Follow-up Week 4AE 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.

Countries

France, Greece, Italy, Puerto Rico, Spain, United Kingdom, United States

Participant flow

Pre-assignment details

A total of 152 participants were enrolled in the study, of which 125 were randomized and 27 participants were not randomized due to 23 no longer met criteria, 1 withdrew consent, 1 due to administrative reason, and 2 other reasons. Of 125 randomized, 124 were treated and 1 was not treated due to withdrawal of consent.

Participants by arm

ArmCount
Daclatasvir + PegIFNα2a + Ribavirin
Daclatasvir 60 mg tablets were administered orally once daily for 24 weeks, Peginterferon alfa-2a (PegIFNα2a) 180 µg was administered subcutaneously once in a week for 24 or 48 weeks depending on response and ribavirin 400 mg (2 tablets for participants \<75 kg) or 600 mg (3 tablets for participants \>=75 kg) was administered orally in the morning and 600 mg (3 tablets) in the evening for 24 or 48 weeks depending on response.
82
Placebo + PegIFNα2a + Ribavirin
Placebo matching daclatasvir tablets was administered orally once daily for 48 weeks. Peginterferon alfa-2a (PegIFNα2a) 180 µg was administered subcutaneously once in a week for 48 weeks and ribavirin 400 mg (2 tablets for participants \<75 kg) or 600 mg (3 tablets for participants \>=75 kg) was administered orally in the morning and 600 mg (3 tablets) in the evening for 48 weeks.
42
Total124

Withdrawals & dropouts

PeriodReasonFG000FG001
Follow Up PeriodLost to Follow-up62
Follow Up PeriodOther511
Follow Up PeriodWithdrawal by Subject11
Treatment PeriodAdverse Event43
Treatment PeriodCompleted 24 weeks treatment period only80
Treatment PeriodLack of Efficacy512
Treatment PeriodLost to Follow-up21
Treatment PeriodOther reason20
Treatment PeriodParticipant does not meet study criteria10
Treatment PeriodSubject requested discontinue study drug10

Baseline characteristics

CharacteristicDaclatasvir + PegIFNα2a + RibavirinPlacebo + PegIFNα2a + RibavirinTotal
Age, Continuous47.7 years
STANDARD_DEVIATION 10.23
48.4 years
STANDARD_DEVIATION 8.09
48.0 years
STANDARD_DEVIATION 9.53
Age, Customized
21 to < 65 years
78 participants42 participants120 participants
Age, Customized
< 21 years
1 participants0 participants1 participants
Age, Customized
>= 65 years
3 participants0 participants3 participants
Sex: Female, Male
Female
21 Participants13 Participants34 Participants
Sex: Female, Male
Male
61 Participants29 Participants90 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
80 / 8239 / 42
serious
Total, serious adverse events
8 / 822 / 42

Outcome results

Primary

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)

Population: The analysis was performed in modified Intent to treat population (ITT), defined as the proportions of participants meeting the response criteria in numerator and denominator based on all treated participants. Missing values were imputed using backward imputation technique.

ArmMeasureValue (NUMBER)
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With 12 Week Sustained Virologic Response (SVR12)81.7 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With 12 Week Sustained Virologic Response (SVR12)42.9 Percentage of participants
p-value: <0.000195% CI: [21.703, 55.997]Cochran-Mantel-Haenszel
Secondary

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

Population: Analysis was performed on all treated participants.

ArmMeasureGroupValue (NUMBER)
Daclatasvir + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedAEs leading to discontinuation of study drug4 participants
Daclatasvir + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedSAEs8 participants
Daclatasvir + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedDeath0 participants
Placebo + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedAEs leading to discontinuation of study drug3 participants
Placebo + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedSAEs2 participants
Placebo + PegIFNα2a + RibavirinNumber of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who DiedDeath0 participants
Secondary

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

Population: The analysis was performed in modified ITT population.

ArmMeasureGroupValue (NUMBER)
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 153.7 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 289.0 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 491.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 684.1 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 887.8 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 1285.4 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Weeks 4 and 1284.1 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)End of Treatment92.7 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Post treatment Week 2480.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Post treatment Week 4883.6 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)End of Treatment64.3 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 14.8 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 1259.5 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 211.9 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Post treatment Week 48NA Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 419.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Weeks 4 and 1219.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 640.5 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Post treatment Week 2440.5 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants Who Achieve HCV Ribonucleic Acid (RNA) < Limit of Quantification (LLOQ)Week 847.6 Percentage of participants
Secondary

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

Population: For SVR12; analysis was performed by backward imputation method, For SVR24: analysis was performed in Modified ITT population.

ArmMeasureGroupValue (NUMBER)
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CC (SVR12) (n=22, 9)95.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype TT (SVR12) (n=20, 6)80.0 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CT (SVR12) (n=40, 27)75.0 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CC (SVR24) (n=22, 9)95.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CT (SVR24) (n=40, 27)72.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype TT (SVR24) (n=20, 6)80.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CT (SVR24) (n=40, 27)33.3 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CC (SVR12) (n=22, 9)100.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CC (SVR24) (n=22, 9)88.9 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype TT (SVR24) (n=20, 6)0.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype CT (SVR12) (n=40, 27)33.3 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage 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 GeneIL28B Genotype TT (SVR12) (n=20, 6)0.0 Percentage of participants
Secondary

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

Population: The analysis was performed in modified ITT population.

ArmMeasureGroupValue (NUMBER)
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 114.6 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 1284.1 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 680.5 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeeks 4 and 12 (VR 4 & 12)79.3 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsEOT90.2 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 245.1 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsPost treatment Week 2478.0 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 887.8 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsPost treatment Week 4881.8 Percentage of participants
Daclatasvir + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 485.4 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsPost treatment Week 48NA Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 411.9 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeeks 4 and 12 (VR 4 & 12)11.9 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 10.0 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 29.5 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 616.7 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 838.1 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsWeek 1247.6 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsEOT64.3 Percentage of participants
Placebo + PegIFNα2a + RibavirinPercentage of Participants With Undetectable Hepatitis C Virus (HCV) RNA LevelsPost treatment Week 2440.5 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026