Hepatitis C Virus (HCV)Phase 3PRINCIPALNCT01616524
Safety and Efficacy Study of Pegylated Interferon Lambda With and Without Daclatasvir, Compared to Pegylated Interferon Alfa, Plus Ribavirin in Subjects With Hepatitis C Genotype 2 and 3
A Phase 3 study testing Pegylated interferon lambda (pegIFNλ), Pegylated interferon alfa-2a (pegIFNα-2a) and Ribavirin in people with Hepatitis C Virus (HCV), run by Bristol-Myers Squibb at 124 sites in 19 countries.
Trial summary
The purpose of this study is to determine if 24 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and 12 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and Daclatasvir will be safe and effective for treatment of hepatitis C compared to 24 weeks of treatment with Pegylated… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C Virus (HCV)
- What is being tested?
- Pegylated interferon lambda (pegIFNλ), Pegylated interferon alfa-2a (pegIFNα-2a) and Ribavirin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 880 participants
- Where
- 124 sitesin 19 countries
- Study dates
- Jul 2012to Sep 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic hepatitis C, Genotype 2 or 3
- Naïve to prior anti-HCV therapy
Who cannot join
- Infected with HCV other than Genotype 2 or 3
- Positive Hepatitis B surface antigen (HBsAg), or Human immunodeficiency virus-1 (HIV-1)/HIV-2 antibody at screening
- Evidence of liver disease other than HCV
- Active substance abuse
- Evidence of decompensated cirrhosis
Trial locations and contacts
124 sites in 19 countries.
124 sites in 19 countries
Japan19 sites
Local Institution
Bunkyo-ku, Tokyo, 1138655
Local Institution
Fukuoka, Fukuoka, 8108563
Local Institution
Fukuoka, Fukuoka, 8158555
Local Institution
Hiroshima, Hiroshima, 7348551
Local Institution
Iruma-gun, Saitama, 3500495
Local Institution
Kagoshima, Kagoshima-ken, 8908520
Local Institution
Kawasaki-shi, Kanagawa, 2138587
Local Institution
Kitakyushu, Fukuoka, 8030816
Local Institution
Kobe, Hyōgo, 6500047
Local Institution
Minato-ku, Tokyo, 1058470
Local Institution
Miyazaki, Miyazaki, 8800003
Local Institution
Musashino-shi, Tokyo, 1808610
Local Institution
Okayama, Okayama-ken, 7008558
Local Institution
Saga, Saga-ken, 8408571
Local Institution
Saitama, Saitama, 3380001
Local Institution
Sapporo, Hokkaido, 0600033
Local Institution
Takamatsu, Kagawa-ken, 7608557
Local Institution
Tsuchiura-shi, Ibaraki, 300-0053
Local Institution
Wakayama, Wakayama, 6408158
United States18 sites
Texas Clinical Research Institute, Llc
Arlington, Texas, 76012
Carolinas Medical Center
Charlotte, North Carolina, 28204
Consultants For Clinical Research
Cincinnati, Ohio, 45249
Henry Ford Hospital
Detroit, Michigan, 48202
The Queen'S Liver Center
Honolulu, Hawaii, 96813
St. Luke'S Episcopal Hospital - Baylor College Of Medicine
Houston, Texas, 77030
Gastrointestinal Specialists Of Georgia
Marietta, Georgia, 30060
Clinical Research Centers Of America
Murray, Utah, 84123
Yale University School Of Medicine
New Haven, Connecticut, 06510
Orlando Immunology Center
Orlando, Florida, 32803
Orlando Infectious Disease Center
Orlando, Florida, 32806
Mayo Clinic Arizona
Phoenix, Arizona, 85054
University Of Pittsburgh Medical Center, Ctr For Liver Diseases
Pittsburgh, Pennsylvania, 15213
Precision Research Institute, Llc
San Diego, California, 92114
Medical Associates Research Group
San Diego, California, 92123
University Of California, San Francisco/Sf General Hospital
San Francisco, California, 94110
Kaiser Permanente Medical Center
San Francisco, California, 94118
Healthcare Research Consultants
Tulsa, Oklahoma, 74135
Australia14 sites
Local Institution
Adelaide, South Australia, 5000
Local Institution
Brisbane, Queensland, 4102
Local Institution
Camperdown, New South Wales, 2050
Local Institution
Clayton Vic, Victoria, 3168
Local Institution
Concord, New South Wales, 2139
Local Institution
Darlinghurst, New South Wales, 2010
Local Institution
Fitzroy, Victoria, 3065 VIC
Local Institution
Fremantle, Western Australia, 6160
Local Institution
Greenslopes, Queensland, 4120
Local Institution
Herston, Queensland, 4029
Local Institution
Melbourne, Victoria, 3004
Local Institution
Parville, Victoria, 3050
Local Institution
Randwick, New South Wales, 2031
Local Institution
Westmead Nsw, New South Wales, 2145
Russia12 sites
Local Institution
Chelyabinsk, 454052
Local Institution
Irkutsk, 664003
Local Institution
Krasnoyarsk, 660049
Local Institution
Moscow, 107996
Local Institution
Moscow, 117593
Local Institution
Moscow, 119992
Local Institution
Moscow, 121170
Local Institution
Saint Petersburg, 190103
Local Institution
Saint Petersburg, 194044
Local Institution
Saint Petersburg, 197376
Local Institution
Samara, 443063
Local Institution
Smolensk, 214018
South Korea12 sites
Local Institution
Busan, 602-739
Local Institution
Busan, 614-735
Local Institution
Daegu, 700-721
Local Institution
Daegu, 705-703
Local Institution
Gyeonggi-do, 425-707
Local Institution
Gyeonggi-do, 443-380
Local Institution
Gyeongsangnam-do, 626-770
Local Institution
Incheon, 400-711
Local Institution
Incheon, 403-720
Local Institution
Seoul, 120-752
Local Institution
Seoul, 135-710
Local Institution
Seoul, 138-736
Argentina8 sites
Local Institution
Autonoma, Buenos Aires, C1119ACN
Local Institution
Buenos Aires, Buenos Aires, C1280AEB
Local Institution
Ciudad de Buenos Aires, Buenos Aires, C1121ABE
Local Institution
Ciudad de Buenos Aires, Buenos Aires, C1181ACH
Local Institution
Córdoba, Córdoba Province, 5000
Local Institution
Mar del Plata, Buenos Aires, 7600
Local Institution
Prov de Santa Fe, Santa Fe Province, 2000
Local Institution
Quilmes, Buenos Aires, B1878DVB
Mexico8 sites
Local Institution
Distrito Federal, Mexico City, 03720
Local Institution
Guadalajara, Jalisco, 44500
Local Institution
Guadalajara, Jalisco, 44650
Local Institution
Guadalajara
Local Institution
Mexico City, Mexico City, 06726
Local Institution
Mexico City, Mexico City, 07760
Local Institution
Mexico City, 06700
Local Institution
Tlalpan, Mexico City, 14000
Italy5 sites
Local Institution
Florence, 50134
Local Institution
Milan, 20122
Local Institution
Milan, 20142
Local Institution
Naples, 80131
Local Institution
Novara, 28100
Taiwan5 sites
Local Institution
Kaohsiung City, 80756
Local Institution
Kaohsiung City, 833
Local Institution
Taichung, 402
Local Institution
Tainan, 704
Local Institution
Yunlin, 64041
France4 sites
Local Institution
Clichy, 92118
Local Institution
Créteil, 94010
Local Institution
Montpellier, 34295
Local Institution
Nice, 06202
United Kingdom4 sites
Local Institution
Birmingham, West Midlands, B15 2TH
Local Institution
Hull, Humberside, HU3 2JZ
Local Institution
London, E1 1BB
Local Institution
Nottingham, Nottinghamshire, NG7 2UH
Belgium3 sites
Local Institution
Brussels, 1070
Local Institution
Leuven, 3000
Local Institution
Liège, 4000
Singapore3 sites
Local Institution
Singapore, 119228
Local Institution
Singapore, 169608
Local Institution
Singapore, 529889
Greece2 sites
Local Institution
Athens, 115 23
Local Institution
Thessaloniki, 54006
Netherlands2 sites
Local Institution
Amsterdam, 1105 AZ
Local Institution
Leiden, 2333 ZA
About this study
Official title: A Phase 3, Randomized, Double-Blind, Controlled Study Evaluating the Efficacy and Safety of Peginterferon Lambda-1a, With and Without Daclatasvir, Compared to Peginterferon Alfa-2a, Each in Combination With Ribavirin, in the Treatment of Naïve Genotype 2 and 3 Chronic Hepatitis C Subjects
The purpose of this study is to determine if 24 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and 12 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and Daclatasvir will be safe and effective for treatment of hepatitis C compared to 24 weeks of treatment with Pegylated Interferon Alfa-2a plus Ribavirin
- Conditions
- Hepatitis C Virus (HCV)
- Being tested
- Pegylated interferon lambda (pegIFNλ), Pegylated interferon alfa-2a (pegIFNα-2a), Ribavirin, Daclatasvir, Placebo matching Daclatasvir
- Medical subject headings
- Hepatitis C
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pegylated interferon lambda (pegIFNλ)Biological
Also called BMS-914143
Syringe, Subcutaneous, 180 μg, Once weekly, 24 weeks
Pegylated interferon lambda (pegIFNλ)Biological
Also called BMS-914143
Syringe, Subcutaneous, 180 μg, Once weekly, 12 weeks
Pegylated interferon alfa-2a (pegIFNα-2a)Biological
Also called Pegasys
Syringe, Subcutaneous, 180 μg, Once weekly, 24 weeks
RibavirinDrug
Also called Ribasphere
Tablets, Oral, 400 mg, Twice daily, 24 weeks
RibavirinDrug
Also called Ribasphere
Tablets, Oral, 400 mg, Twice daily, 12 weeks
DaclatasvirDrug
Also called BMS-790052
Tablets, Oral, 60 mg, Once daily, 12 weeks
Placebo matching DaclatasvirDrug
Tablets, Oral, 0 mg, Once daily, 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir | Experimental | Not described Receives: Biological: Pegylated interferon lambda (pegIFNλ); Drug: Ribavirin; Drug: Placebo matching Daclatasvir |
| Arm 2: pegIFNλ + Ribavirin + Daclatasvir | Experimental | Not described Receives: Biological: Pegylated interferon lambda (pegIFNλ); Drug: Ribavirin; Drug: Daclatasvir |
| Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir | Experimental | Not described Receives: Biological: Pegylated interferon alfa-2a (pegIFNα-2a); Drug: Ribavirin; Drug: Placebo matching Daclatasvir |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12)
Measured: Post-treatment follow-up week 12
Secondary outcomes (10)
Proportion of subjects with Rapid virologic response (RVR) [undetectable Hepatitis C virus (HCV) Ribonucleic acid (RNA)]
Measured: On-treatment Week 4
Proportion of subjects with treatment emergent cytopenic abnormalities (anemia as defined by Hb < 10 g/dL, neutropenia as defined by ANC < 750 mm3 or thrombocytopenia as defined by platelets < 50,000 mm3)
Hb = Hemoglobin ANC = Absolute neutrophil count
Measured: Up to week 12 or week 24
Proportion of subjects with on-treatment interferon-associated flu-like symptoms (as defined by pyrexia or chills or pain)
Measured: Up to week 12 or week 24
Proportion of subjects with on-treatment musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain)
Measured: Up to week 12 or week 24
Proportion of subjects with Sustained Virologic Response at post-treatment follow-up week 24 (SVR24) by treatment group
Measured: Post-treatment week 24
Proportion of subjects with on-treatment Serious adverse events (SAEs)
Measured: Up to week 12 or week 24
Proportion of subjects with dose reductions
Measured: Up to week 12 or week 24
Proportion of subjects who discontinue due to Adverse events (AEs)
Measured: Up to week 12 or week 24
Proportion of subjects with SVR12 in subjects with genotype-3 (GT-3) chronic HCV infection
Measured: Post-treatment follow-up week 12
Proportion of subjects with on-treatment constitutional symptoms (fatigue or asthenia)
Measured: Up to week 12 or week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2012 (estimated)
- Study startJul 2012
- Primary completionJun 2014
- Study completionSep 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatitis C Virus (HCV)Studies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 880 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01616524
- Sponsor's protocol ID
- AI452-017
- Other IDs
- 2011-004885-14
- Acronym
- PRINCIPAL
- Status last verified
- Sep 2015
- First submitted
- 7 Jun 2012
- Last updated
- 9 Oct 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Controlled Study Evaluating the Efficacy and Safety of Peginterferon Lambda-1a, With and Without Daclatasvir, Compared to Peginterferon Alfa-2a, Each in Combination With Ribavirin, in the Treatment of Naïve Genotype 2 and 3 Chronic Hepatitis C Subjects
- ClinicalTrials.gov ID
- NCT01616524
- Acronym / sponsor ID
- PRINCIPAL / AI452-017
- Conditions
- Hepatitis C Virus (HCV)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 880 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Jul 2012
- Primary completion
- Jun 2014 (actual)
- Study completion
- Sep 2014 (actual)
- First posted
- 11 Jun 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if 24 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and 12 weeks of treatment with Pegylated Interferon Lambda plus Ribavirin and Daclatasvir will be safe and effective for treatment of hepatitis C compared to 24 weeks of treatment with Pegylated Interferon Alfa-2a plus Ribavirin
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir | Experimental | Biological: Pegylated interferon lambda (pegIFNλ), Drug: Ribavirin, Drug: Placebo matching Daclatasvir |
| Arm 2: pegIFNλ + Ribavirin + Daclatasvir | Experimental | Biological: Pegylated interferon lambda (pegIFNλ), Drug: Ribavirin, Drug: Daclatasvir |
| Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir | Experimental | Biological: Pegylated interferon alfa-2a (pegIFNα-2a), Drug: Ribavirin, Drug: Placebo matching Daclatasvir |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Chronic hepatitis C, Genotype 2 or 3
- Naïve to prior anti-HCV therapy
Key exclusion criteria (5 listed)
- Infected with HCV other than Genotype 2 or 3
- Positive Hepatitis B surface antigen (HBsAg), or Human immunodeficiency virus-1 (HIV-1)/HIV-2 antibody at screening
- Evidence of liver disease other than HCV
- Active substance abuse
- Evidence of decompensated cirrhosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pegylated interferon lambda (pegIFNλ)Also: BMS-914143Syringe, Subcutaneous, 180 μg, Once weekly, 24 weeks | Biological | Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir |
| Pegylated interferon lambda (pegIFNλ)Also: BMS-914143Syringe, Subcutaneous, 180 μg, Once weekly, 12 weeks | Biological | Arm 2: pegIFNλ + Ribavirin + Daclatasvir |
| Pegylated interferon alfa-2a (pegIFNα-2a)Also: PegasysSyringe, Subcutaneous, 180 μg, Once weekly, 24 weeks | Biological | Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir |
| RibavirinAlso: RibasphereTablets, Oral, 400 mg, Twice daily, 24 weeks | Drug | Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir, Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir |
| RibavirinAlso: RibasphereTablets, Oral, 400 mg, Twice daily, 12 weeks | Drug | Arm 2: pegIFNλ + Ribavirin + Daclatasvir |
| DaclatasvirAlso: BMS-790052Tablets, Oral, 60 mg, Once daily, 12 weeks | Drug | Arm 2: pegIFNλ + Ribavirin + Daclatasvir |
| Placebo matching DaclatasvirTablets, Oral, 0 mg, Once daily, 12 weeks | Drug | Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir, Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir |
Primary outcome
Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12)
Time frame: Post-treatment follow-up week 12
10 secondary outcomes
Proportion of subjects with Rapid virologic response (RVR) [undetectable Hepatitis C virus (HCV) Ribonucleic acid (RNA)]
Time frame: On-treatment Week 4
Proportion of subjects with treatment emergent cytopenic abnormalities (anemia as defined by Hb < 10 g/dL, neutropenia as defined by ANC < 750 mm3 or thrombocytopenia as defined by platelets < 50,000 mm3)
Time frame: Up to week 12 or week 24
Proportion of subjects with on-treatment interferon-associated flu-like symptoms (as defined by pyrexia or chills or pain)
Time frame: Up to week 12 or week 24
Proportion of subjects with on-treatment musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain)
Time frame: Up to week 12 or week 24
Proportion of subjects with Sustained Virologic Response at post-treatment follow-up week 24 (SVR24) by treatment group
Time frame: Post-treatment week 24
Proportion of subjects with on-treatment Serious adverse events (SAEs)
Time frame: Up to week 12 or week 24
Proportion of subjects with dose reductions
Time frame: Up to week 12 or week 24
Proportion of subjects who discontinue due to Adverse events (AEs)
Time frame: Up to week 12 or week 24
Proportion of subjects with SVR12 in subjects with genotype-3 (GT-3) chronic HCV infection
Time frame: Post-treatment follow-up week 12
Proportion of subjects with on-treatment constitutional symptoms (fatigue or asthenia)
Time frame: Up to week 12 or week 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Oct 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
124 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pegylated interferon lambda (pegIFNλ), Pegylated interferon alfa-2a (pegIFNα-2a) and Ribavirin in people with Hepatitis C Virus (HCV), run by Bristol-Myers Squibb at 124 sites in 19 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 2 inclusion and 5 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 9 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 124 sites in Japan, United States, Australia, Russia, South Korea and 14 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12) (time frame: Post-treatment follow-up week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 9 Oct 2015.