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Hepatitis C, Genotype 1Phase 3NCT01471574

Safety and Efficacy Study of Daclatasvir (BMS-790052) Plus Pegylated Interferon-Alfa 2a and Ribavirin in Patients Coinfected With Untreated Hepatitis C Virus and HIV Virus

A Phase 3 study testing Daclatasvir, Ribavirin and PEG-Interferon alfa 2a in people with Hepatitis C, Genotype 1, run by Bristol-Myers Squibb at 86 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this open label study is to evaluate the safety and efficacy of daclatasvir plus pegylated interferon-alfa 2a and ribavirin in untreated hepatitis C virus in patients coinfected with HIV Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C, Genotype 1
What is being tested?
Daclatasvir, Ribavirin and PEG-Interferon alfa 2a
Could I receive a placebo?
No, everyone receives an active treatment
How many people
549 participants
Where
86 sitesin 13 countries
Study dates
Dec 2011to Sep 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females, 18 to 70 years of age
  • Hepatitis C virus (HCV) genotype 1a or 1b
  • HCV-treatment naive
  • HCV RNA >10,000 IU/mL at screening
  • HIV-1 infection (approximately 250 patients receiving highly active antiretroviral therapy [HAART], up to 50 patients not receiving HAART)
  • For patients receiving HAART, HIV RNA must be below <40 copies/mL at screening and must be <400 copies/ml for at least 6 months prior to screening

Who cannot join

  • Patients receiving HAART who first initiated antiretroviral therapy within the last 6 months of Day 1
  • Patients receiving HAART who have changed their antiretroviral regimen due to safety or efficacy associated to HIV treatment within the last 3 months prior to Day 1. However, if changes are required to a patient's HAART regimen to meet the requirements of the protocol, these changes are allowed at the screening visit. The patient should wait a minimum of 1 month prior to Day 1 after a repeat of HIV viral load has been confirmed, <40 copies/ mL
  • Use of prohibited HAART regimens within 1 month of Day 1 and throughout the treatment period of the trial (patients receiving HAART who have changed their antiretroviral regimen to initiate any HCV treatment within 6 weeks prior to Day 1)
  • Laboratory values:
  • Neutrophil count <1500 cells/μL (<1200 cells/ μL for Blacks)
  • Platelet count <90,000 cells/μL
Show all 9Show fewer
  • Hemoglobin ≤12 g/dL for females, hemoglobin ≤13 g/dL for males
  • Total bilirubin ≥34 μmol/L (or ≥2 mg/dL) unless a patient has a documented history of Gilbert's disease or antiretroviral regimen contains atazanavir
  • Alanine aminotransferase ≥5*upper limit of normal

Trial locations and contacts

86 sites in 13 countries.

86 sites in 13 countries

United States23 sites
  • University Of Alabama At Birmingham

    Birmingham, Alabama, 35294

  • University Of North Carolina At Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Morehead Medical Plaza

    Charlotte, North Carolina, 28204

  • Amelia Court Hiv Research Clinic

    Dallas, Texas, 75235

  • Baylor College Of Medicine

    Houston, Texas, 77030

  • Scripps Clinic

    La Jolla, California, 92037

  • Southern California Permanente Medical Group

    Los Angeles, California, 90027

  • Johns Hopkins University

    Lutherville, Maryland, 21093

  • University Of Miami School Of Medicine

    Miami, Florida, 33136

  • Upper Delaware Valley Infectious Diseases, Pc

    Monticello, New York, 12701

  • Icahn School Of Medicine At Mount Sinai

    New York, New York, 10029

  • Weill Cornell Medical College

    New York, New York, 10065

  • Saint Michael'S Medical Center

    Newark, New Jersey, 07102

  • Orlando Immunology Center

    Orlando, Florida, 32803

  • Desert Medical Group Inc.

    Palm Springs, California, 92262

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Texas Liver Institute

    San Antonio, Texas, 78215

  • Ucsd Antiviral Research Center

    San Diego, California, 92103

  • San Francisco Gen Hosp

    San Francisco, California, 94110

  • Kaiser Permanente Medical Center

    San Francisco, California, 94118

  • James J Peters Vamc

    The Bronx, New York, 10468

  • Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

  • Va Connecticut Healthcare System

    West Haven, Connecticut, 06516

Other trials in United States

Canada9 sites
  • Local Institution

    Edmonton, Alberta, T6G 2B7

  • Local Institution

    Montreal, Quebec, H2L 4P9

  • Local Institution

    Montreal, Quebec, H2L 5B1

  • Local Institution

    Montreal, Quebec, H3A 1T1

  • Local Institution

    Ottawa, Ontario, K1H 8L6

  • Local Institution

    Torono, Ontario, M5G 2N2

  • Local Institution

    Vancouver, British Columbia, V6Z 2C7

  • Local Institution

    Vancouver, British Columbia, V6Z 2K5

  • Local Institution

    Victoria, British Columbia, V8V 3P9

Other trials in Canada

Russia9 sites
  • Local Institution

    Kaluga, 248023

  • Local Institution

    Lipetsk, 398043

  • Local Institution

    Moscow, 111123

  • Local Institution

    Nizhny Novgorod, 603005

  • Local Institution

    Saint Petersburg, 190103

  • Local Institution

    Saint Petersburg, 191167

  • Local Institution

    Saint Petersburg, 196645

  • Local Institution

    Saratov, 410009

  • Local Institution

    Volgograd, 400040

Other trials in Russia

France8 sites
  • Local Institution

    Marseille, 13274

  • Local Institution

    Montpellier, 34295

  • Local Institution

    Paris, 75013

  • Local Institution

    Paris, 75014

  • Local Institution

    Paris, 75018

  • Local Institution

    Paris, 75475

  • Local Institution

    Paris, 75571

  • Local Institution

    Pessac, 33604

Other trials in France

Spain8 sites
  • Local Institution

    Badalona, Barcelona, 08916

  • Local Institution

    Barcelona, 08003

  • Local Institution

    Córdoba, 14004

  • Local Institution

    Madrid, 28007

  • Local Institution

    Madrid, 28040

  • Local Institution

    Madrid, 28041

  • Local Institution

    Madrid, 28046

  • Local Institution

    Seville, 41014

Other trials in Spain

Argentina5 sites
  • Local Institution

    Buenos Aires, Buenos Aires, 1181

  • Local Institution

    Buenos Aires, Buenos Aires, C1181

  • Local Institution

    Ciudad de Buenos Aires, Buenos Aires, C1121ABE

  • Local Institution

    Córdoba, Córdoba Province, 5000

  • Local Institution

    Prov de Santa Fe, Santa Fe Province, 2000

Other trials in Argentina

Germany5 sites
  • Local Institution

    Berlin, 13353

  • Local Institution

    Bonn, 53105

  • Local Institution

    Frankfurt, 60590

  • Local Institution

    Frankfurt am Main, 60311

  • Local Institution

    Hamburg, 20146

Other trials in Germany

Italy5 sites
  • Local Institution

    Brescia, 25123

  • Local Institution

    Milan, 20127

  • Local Institution

    Milan, 20162

  • Local Institution

    Modena, 41100

  • Local Institution

    Torino, 10149

Other trials in Italy

Australia4 sites
  • Local Institution

    Clayton, Victoria, 3168

  • Local Institution

    Darlinghurst, New South Wales, 2010

  • Local Institution

    Darlinghurst Nsw, New South Wales, 2010

  • Local Institution

    Parkville, Victoria, 3050

Other trials in Australia

Brazil4 sites
  • Local Institution

    Porto Alegre, Rio Grande do Sul, 90035

  • Local Institution

    Rio de Janeiro, Rio de Janeiro, 20270

  • Local Institution

    Rio de Janeiro, Rio de Janeiro, 21040

  • Local Institution

    São Paulo, São Paulo, 04035

Other trials in Brazil

Belgium3 sites
  • Local Institution

    Antwerp, 2000

  • Local Institution

    Brussels, 1070

  • Local Institution

    Brussels, B-1000

Other trials in Belgium

Puerto Rico2 sites
  • Fundacion De Investigacion De Diego

    San Juan, 00927

  • University Of Puerto Rico School Of Medicine

    San Juan, 00935

Other trials in Puerto Rico

United Kingdom1 site
  • Local Institution

    London, Greater London, SW10 9NH

Other trials in United Kingdom

About this study

Official title: A Phase 3, Open Label Study of Safety and Efficacy With BMS-790052 Plus Peg-Interferon Alfa 2a and Ribavirin in Previously Untreated HCV Patients Coinfected With Human Immunodeficiency Virus (HIV) and Hepatitis C Virus (HCV)

The purpose of this open label study is to evaluate the safety and efficacy of daclatasvir plus pegylated interferon-alfa 2a and ribavirin in untreated hepatitis C virus in patients coinfected with HIV

Being tested
Daclatasvir, Ribavirin, PEG-Interferon alfa 2a
Medical subject headings
Hepatitis C

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DaclatasvirDrug

    Also called BMS-790052

    Tablets; oral; 30, 60, or 90 mg; once daily; up to 24 weeks

  • RibavirinDrug

    Also called Copegus®

    Tablets; oral; for patients weighing <75 kg, the total dose is 1000 mg per day (2 200-mg tablets in the morning and 3 200-mg tablets in the evening); for patients weighing >75 kg, the total dose is 1200 mg per day (3 200-mg tablets in morning and 3 200-mg tablets in evening); twice daily with food; 24 or 48 weeks depending on response

  • PEG-Interferon alfa 2aDrug

    Also called Pegasys®, Pegylated interferon

    Syringe, subcutaneous injection, 180 μg, once weekly, 24 or 48 weeks depending on response

Study groups in NCT01471574
Study groupRoleWhat they receive
Daclatsvir + Ribavirin + PEG-Interferon alfa-2aExperimentalNot described
Receives: Drug: Daclatasvir; Drug: Ribavirin; Drug: PEG-Interferon alfa 2a

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12)

    SVR12 was defined as hepatitis C virus (HCV) values lower than the lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. HAART=highly active antiretroviral therapy. SVR12 was defined as hepatitis C virus (HCV) values lower than the lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. HAART=highly active antiretroviral therapy.

    Measured: Follow-up Week 12

Secondary outcomes (5)
  1. Percentage of Participants Who Achieved Hepatitis C Virus (HCV) RNA Levels Lower Than The Lower Limit of Quantitation (LLOQ), Target Detected (TD) or Target Not Detected (TND)

    Participants who achieved HCV RNA levels lower than the LLOQ i.e., 25 IU/ml, TD or TND. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. HAART=highly active antiretroviral therapy.

    Measured: Week 1, 2, 4, 6, 8, 12 and at both Weeks 4 and 12; end of treatment; and follow-up Weeks 12 and 24

  2. Percentage of Participants Who Achieved Hepatitis C Virus (HCV) RNA Levels Lower Than the Lower Limit of Quantitation (LLOQ), Target Not Detected (TND)

    Participants who achieved HCV RNA levels lower than the LLOQ, TND. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. HAART=highly active antiretroviral therapy.

    Measured: Week 1, 2, 4, 6, 8, and 12 and at both Weeks 4 and 12; end of treatment; and follow-up Weeks 12 and 24

  3. Percentage of Participants Who Received Highly Active Antiretroviral Therapy (HAART), Maintained HIV RNA <40 Copies/mL, and Experienced Confirmed HIV RNA ≥400 Copies/mL

    Participants who received HAART, maintained HIV RNA <40 copies/mL, and experienced confirmed HIV RNA ≥ 400 copies/mL were determined.

    Measured: End of treatment (up to Week 48)

  4. Percentage of Participants With Sustained Virologic Response (SVR12) by rs12979860 Single Nucleotide Polymorphism (SNP) in the IL28B Gene

    Percentages calculated as number of responders/number who received treatment.

    Measured: Follow-up Week 12

  5. Number of Participants Who Died and With Serious Adverse Event (SAEs), Grade 3 to 4 Adverse Events (AEs), and AEs Leading to Discontinuation

    Adverse event 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, or drug dependency/abuse; was life-threating, an important medical event, or a congenital anomaly/birth defect; or required prolonged hospitalization. HAART=highly active antiretroviral therapy.

    Measured: From Day 1 to 7 days post last dose of study treatment (up to Week 48)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2011 (estimated)
  2. Study startDec 2011
  3. Primary completionJun 2014
  4. Study completionSep 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
549 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01471574
Sponsor's protocol ID
AI444-043
Other IDs
2011-003067-30
Status last verified
Dec 2015
First submitted
4 Nov 2011
Last updated
29 Jan 2016
Data monitoring committee
No

Publications

  • Sulkowski MS, Fessel WJ, Lazzarin A, Berenguer J, Zakharova N, Cheinquer H, Cote P, Dieterich D, Gadano A, Matthews G, Molina JM, Moreno C, Pineda JA, Pulido F, Rivero A, Rockstroh J, Hernandez D, McPhee F, Eley T, Liu Z, Mendez P, Hughes E, Noviello S, Ackerman P. Efficacy and safety of daclatasvir plus pegylated-interferon alfa 2a and ribavirin in previously untreated HCV subjects coinfected with HIV and HCV genotype-1: a Phase III, open-label study. Hepatol Int. 2017 Mar;11(2):188-198. doi: 10.1007/s12072-017-9788-z. Epub 2017 Feb 16.

    PubMed 28210927

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Daclatasvir, Ribavirin and PEG-Interferon alfa 2a in people with Hepatitis C, Genotype 1, run by Bristol-Myers Squibb at 86 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 86 sites in United States, Canada, Russia, France, Spain and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Dec 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) (time frame: Follow-up Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01471574, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2016.

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