Study to Determine the Effectiveness and Safety of a Three Drug Antiviral Combination Therapy to Treat Hepatitis C Virus (HCV) Infected Patients Not Previously Treated With Currently Available Medications

NCT ID: NCT01455090

Last Updated: 2017-04-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2015-07-31

Brief Summary

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The purpose of this study is to estimate the rate of sustained virologic response (SVR) SVR12, where SVR12 is defined as HCV RNA \< LOQ (detectable or undetectable) 12 weeks post-treatment in Genotype 1 \& Genotype 4 treatment naive patients, and Genotype (GT1) infected patients who are prior null responders to pegIFN/ribavirin

Detailed Description

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IND numbers: 79,599; 101,943

Conditions

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Chronic Hepatitis C

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1:BMS-650032(200 mg)+BMS-790052(60 mg)+BMS-791325(75mg)

BMS-650032 200 mg tablet by mouth twice daily for 24 Weeks

BMS-790052 60 mg tablet by mouth once daily for 24 Weeks

BMS 791325 75 mg table by mouth twice daily for 24 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 2:BMS-650032(200 mg)+BMS-790052(60 mg)+BMS-791325(75mg)

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 60 mg tablet by mouth once daily for 12 Weeks

BMS 791325 75 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 3:BMS-650032(200 mg)+BMS-790052(60 mg)+BMS-791325(150mg)

\* Contingent upon review of safety data from all available treated subjects from Groups 1 and 2

BMS-650032 200 mg tablet by mouth twice daily for 24 Weeks

BMS-790052 60 mg tablet by mouth once daily for 24 Weeks

BMS 791325 150 mg table by mouth twice daily for 24 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 4:BMS-650032(200 mg)+BMS-790052(60 mg)+BMS-791325(150mg)

\* Contingent upon review of safety data from all available treated subjects from Groups 1 and 2

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 60 mg tablet by mouth once daily for 12 Weeks

BMS 791325 150 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 5:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(75mg)

\* Genotype 1 treatment-naive subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 75 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 6:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(150mg)

\* Genotype 1 treatment-naive subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 150 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 7:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(75mg)

\* Genotype 4 treatment-naive subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 75 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 8:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(150mg)

\* Genotype 4 treatment-naive subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 150 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group 9:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(75mg)

\* Genotype 1 treatment-null/non-responder subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 75 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group10:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(150mg)

\* Genotype 1 treatment-null/non-responder subjects

BMS-650032 200 mg tablet by mouth twice daily for 12 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 12 Weeks

BMS 791325 150 mg table by mouth twice daily for 12 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group11:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(75mg)

\* Genotype 1 treatment-null/non-responder subjects

BMS-650032 200 mg tablet by mouth twice daily for 24 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 24 Weeks

BMS 791325 75 mg table by mouth twice daily for 24 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Group12:BMS-650032(200 mg)+BMS-790052(30 mg)+BMS-791325(150mg)

\* Genotype 1 treatment-null/non-responder subjects

BMS-650032 200 mg tablet by mouth twice daily for 24 Weeks

BMS-790052 30 mg tablet by mouth twice daily for 24 Weeks

BMS 791325 150 mg table by mouth twice daily for 24 Weeks

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Grp13:BMS-650032(200mg)+BMS-790052(30mg)+BMS-791325(75mg)+RBV

\* Genotype 1 treatment-naive subjects

BMS-650032 200 mg tablets orally twice daily 12 weeks

BMS-790052 30 mg tablets orally twice daily 12 weeks

BMS-791325 75 mg tablets orally twice daily 12 weeks

Ribavirin (RBV) tablets orally weight based dosing daily 12 weeks \[if subject is \< 75 kg: 1000 mg per day orally (2 x 200 mg tablets in AM and 3 x 200 mg tablets in PM), or if ≥ 75 kg: 1200 mg per day orally (3 x 200 mg tablets in AM and 3 x 200 mg tablets in PM\]

Group Type EXPERIMENTAL

BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Ribavirin

Intervention Type DRUG

Interventions

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BMS-650032

Intervention Type DRUG

BMS-790052

Intervention Type DRUG

BMS-791325

Intervention Type DRUG

Ribavirin

Intervention Type DRUG

Other Intervention Names

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Asunaprevir (ASV) Daclatasvir (DCV) Copegus®

Eligibility Criteria

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Inclusion Criteria

* Men and women, ages ≥18 years of age
* Subjects who are naive to HCV treatment, defined as no previous exposure to an Interferon (IFN), Ribavirin (RBV); or any HCV-specific direct acting antiviral or experimental therapy or subjects who are null responders to previous pegylated Interferon alfa (pegIFNα) plus Ribavirin (RBV) treatment
* Subjects should have chronic hepatitis C (CHC) as documented by:

1. Positive for anti-HCV antibody, HCV RNA, or a positive HCV genotype test at least 6 months prior to screening, and positive for HCV RNA and Anti-HCV antibody at the time of screening, or
2. Positive for anti-HCV antibody and HCV RNA at the time of screening with a liver biopsy consistent with chronic HCV infection (or a liver biopsy performed prior to enrollment with evidence of CHC disease, such as the presence of fibrosis)
* HCV genotype 1a, 1b or 4 only
* HCV RNA viral load of ≥10,000 IU/mL at screening
* Have one of the following:

1. Documented Fibrotest score of ≤0.72 and aspartate transferase (transminase) to platelet ratio index (APRI) ≤2; OR
2. Documented liver biopsy within 36 months preceding Day 1 showing absence of cirrhosis OR
3. Documented Fibroscan® ultrasound (where approved) within 12 months of screening showing absence of cirrhosis
* Body mass index (BMI) of 18.0 to 35.0 kg/m2, inclusive
* Subjects with compensated Child-Pugh A cirrhosis as documented by history of cirrhosis with any prior liver biopsy or Fibroscan® ultrasound (where approved) within 12 months prior to screening

Exclusion Criteria

* Evidence of a medical condition associated with chronic liver disease other than HCV (such as but not limited to: hemochromatosis, autoimmune hepatitis,metabolic liver disease, alcoholic liver disease, toxin exposures)
* History of variceal bleeding, hepatic encephalopathy, or ascites requiring management with diuretics or paracentesis
* Current or known history of cancer (except in situ carcinoma of the cervix or adequately treated basal or squamous cell carcinoma of the skin) within 5 years prior to enrollment
* Documented or suspected hepatocellular carcinoma (HCC)
* Positive for hepatitis B surface antigen (HBsAg)
* Positive for Human Immunodeficiency Virus-1 (HIV-1) and/or Human Immunodeficiency Virus-2 (HIV-2) antibodies
* Alanine transferase (transminase) (ALT) \>5x upper limit of normal (ULN)
* Total Bilirubin ≥2 mg/dL
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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The Kirklin Clinic

Birmingham, Alabama, United States

Site Status

Southern California Research Center

Coronado, California, United States

Site Status

Peter J Ruane Md Inc

Los Angeles, California, United States

Site Status

Va Greater Los Angeles Healthcare System

Los Angeles, California, United States

Site Status

Research And Education, Inc.

San Diego, California, United States

Site Status

Precision Research Institute, Llc

San Diego, California, United States

Site Status

Medical Associates Research Group

San Diego, California, United States

Site Status

University Of Colorado Denver And Hospital

Aurora, Colorado, United States

Site Status

Medstar Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Miami Research Associates

South Miami, Florida, United States

Site Status

Atlanta Gastroenterology Associates, Llc

Atlanta, Georgia, United States

Site Status

Mercy Medical Center, Inc.

Baltimore, Maryland, United States

Site Status

Johns Hopkins University

Lutherville, Maryland, United States

Site Status

Id Care

Hillsborough, New Jersey, United States

Site Status

Southwest Care Center

Santa Fe, New Mexico, United States

Site Status

James J Peters Vamc

The Bronx, New York, United States

Site Status

Options Health Research, Llc

Tulsa, Oklahoma, United States

Site Status

Healthcare Research Consultants

Tulsa, Oklahoma, United States

Site Status

Texas Clinical Research Institute

Arlington, Texas, United States

Site Status

Research Specialists Of Texas

Houston, Texas, United States

Site Status

Alamo Medical Research

San Antonio, Texas, United States

Site Status

Lifetree Clinical Research

Salt Lake City, Utah, United States

Site Status

Metropolitan Research

Fairfax, Virginia, United States

Site Status

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

Dean Clinic

Madison, Wisconsin, United States

Site Status

Local Institution

Clichy, , France

Site Status

Local Institution

Créteil, , France

Site Status

Local Institution

Limoges, , France

Site Status

Local Institution

Marseille, , France

Site Status

Local Institution

Paris, , France

Site Status

Fundacion De Investigacion De Diego

San Juan, , Puerto Rico

Site Status

Countries

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United States France Puerto Rico

References

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Everson GT, Sims KD, Thuluvath PJ, Lawitz E, Hassanein T, Rodriguez-Torres M, Desta T, Hawkins T, Levin JM, Hinestrosa F, Rustgi V, Schwartz H, Younossi Z, Webster L, Gitlin N, Eley T, Huang SP, McPhee F, Grasela DM, Gardiner DF. Daclatasvir + asunaprevir + beclabuvir +/- ribavirin for chronic HCV genotype 1-infected treatment-naive patients. Liver Int. 2016 Feb;36(2):189-97. doi: 10.1111/liv.12964. Epub 2015 Dec 6.

Reference Type DERIVED
PMID: 26473667 (View on PubMed)

Everson GT, Sims KD, Rodriguez-Torres M, Hezode C, Lawitz E, Bourliere M, Loustaud-Ratti V, Rustgi V, Schwartz H, Tatum H, Marcellin P, Pol S, Thuluvath PJ, Eley T, Wang X, Huang SP, McPhee F, Wind-Rotolo M, Chung E, Pasquinelli C, Grasela DM, Gardiner DF. Efficacy of an interferon- and ribavirin-free regimen of daclatasvir, asunaprevir, and BMS-791325 in treatment-naive patients with HCV genotype 1 infection. Gastroenterology. 2014 Feb;146(2):420-9. doi: 10.1053/j.gastro.2013.10.057. Epub 2013 Oct 30.

Reference Type DERIVED
PMID: 24184132 (View on PubMed)

Related Links

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Other Identifiers

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2011-002788-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AI443-014

Identifier Type: -

Identifier Source: org_study_id

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