Hepatitis C VirusPhase 2NCT01628692
Study of Daclatasvir (BMS-790052) and Simeprevir (TMC435) in Patients With Genotype 1 Chronic Hepatitis C Virus
A Phase 2 study testing Daclatasvir, Simeprevir and Ribavirin in people with Hepatitis C Virus, run by Bristol-Myers Squibb at 26 sites in 6 countries.
Trial summary
The purpose of this study is to assess the safety and efficacy of daclatasvir and simeprevir with and without ribavirin for genotype 1 chronic hepatitis C virus infection in patients who are treatment-naive or null responders to previous pegylated interferon/ribavirin therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C Virus
- What is being tested?
- Daclatasvir, Simeprevir and Ribavirin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 230 participants
- Where
- 26 sitesin 6 countries
- Study dates
- Jul 2012to Nov 2013
- Phase
- Phase 2
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Hepatitis C virus (HCV) genotype 1a or 1b
- Males and females, ≥18 years of age
- HCV RNA ≥10,000 IU/mL
- Participants with compensated cirrhosis are permitted
- Advanced fibrosis (F3/F4) is capped at approximately 35% of the total treated population with a minimum of 20% F4 patients
- If no cirrhosis, a liver biopsy within 3 years prior to enrollment
- If cirrhosis is present, any prior liver biopsy
Who cannot join
- Liver or any other transplant (other than cornea and hair)
- Evidence of a medical condition contributing to chronic liver disease other than HCV infection
- 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
- Evidence of decompensated liver disease including, but not limited to, radiologic criteria, a history or presence of ascites, bleeding varices, or hepatic encephalopathy
- Patients infected with HIV or hepatitis B virus
- Gastrointestinal disease impacting absorption of study drug
Show all 21Show fewer
- Uncontrolled diabetes or hypertension
- Prior exposure to an HCV direct-acting agent
- Any criteria that would exclude the patient from receiving ribavirin
- Absolute neutrophil count <1.5*1,000,000,000 cells/L (<1.2*1,000,000,000 cells/L for Black/African Americans)
- Platelets <90*1,000,000,000 cells/L
- Hemoglobin <12 g/dL for females, <13 g/dL for males
- Alanine aminotransferase ≥5*upper limit of normal
- In patients without cirrhosis, total bilirubin ≥2 mg/dL unless patient has a documented history of Gilbert's disease
- In patients with cirrhosis, total bilirubin o ≥1.5 mg/dL
- International normalized ratio ≥1.7
- QTcF or QTcB >500 mSec
- Creatinine clearance ≤50 mL/min
- Alpha fetoprotein (AFP) >100 ng/mL OR
- AFP ≥50 ng/mL and ≤100 ng/mL requiring liver ultrasound
- Albumin <3.5 g/dL
Trial locations and contacts
26 sites in 6 countries.
26 sites in 6 countries
United States7 sites
Texas Clinical Research Institute, Llc
Arlington, Texas, 76012
Metropolitan Research
Fairfax, Virginia, 22031
Indiana University
Indianapolis, Indiana, 46202
Johns Hopkins University
Lutherville, Maryland, 21093
Nashville Medical Research Institute
Nashville, Tennessee, 37205
San Francisco General Hospital
San Francisco, California, 94110
Kaiser Permanente Med Ctr
San Francisco, California, 94118
France7 sites
Local Institution
Créteil, 94010
Local Institution
Limoges, 87042
Local Institution
Marseille, 13285
Local Institution
Paris, 75651
Local Institution
Paris, 75679
Local Institution
Pessac, 33600
Local Institution
Vandœuvre-lès-Nancy, 54511
Germany4 sites
Local Institution
Berlin, 10969
Local Institution
Cologne, 50937
Local Institution
Frankfurt, 60590
Local Institution
Hamburg, 20099
Hungary3 sites
Local Institution
Budapest, 1097
Local Institution
Budapest, 1126
Local Institution
Gyula, 5700
Spain3 sites
Local Institution
Barcelona, 08035
Local Institution
Madrid, 28046
Local Institution
Valencia, 46010
Argentina2 sites
Local Institution
Buenos Aires, Buenos Aires, 1119
Local Institution
Buenos Aires, Buenos Aires, C1181ACH
About this study
Official title: A Phase 2, Open-Label Study of Daclatasvir (BMS-790052) and TMC435 in Combination With or Without Ribavirin (RBV) For Treatment-Naive Subjects or Null Responders to Prior Peginterferon Alfa (PegIFN)/RBV Therapy With Genotype 1 Chronic Hepatitis C
The purpose of this study is to assess the safety and efficacy of daclatasvir and simeprevir with and without ribavirin for genotype 1 chronic hepatitis C virus infection in patients who are treatment-naive or null responders to previous pegylated interferon/ribavirin therapy.
- Conditions
- Hepatitis C Virus
- Being tested
- Daclatasvir, Simeprevir, Ribavirin
- 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 mg, once daily
SimeprevirDrug
Also called TMC435
Capsule, oral, 150 mg, once daily
RibavirinDrug
Tablets, oral, 500-600 mg, twice daily
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: (Genotype 1b) Daclatasvir + Simeprevir | Experimental | Participants with hepatitis C virus genotype 1b received daclatasvir, 30 mg, once daily with or without food + simeprevir, 150 mg, once daily with a meal for 12 weeks Receives: Drug: Daclatasvir; Drug: Simeprevir |
| Cohort 2: (Genotype 1b) Daclatasvir + Simeprevir + Ribavirin | Experimental | Participants with hepatitis C virus genotype 1b received daclatasvir, 30 mg, once daily with or without food + simeprivir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day) for 12 weeks. Receives: Drug: Daclatasvir; Drug: Simeprevir |
| Cohort 3: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin | Experimental | Participants with hepatitis C virus genotype 1a received daclatasvir, 30 mg, once daily with or without food + simeprevir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day) for 12 weeks. Receives: Drug: Daclatasvir; Drug: Simeprevir; Drug: Ribavirin |
| Cohort 4: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin | Experimental | Participants with hepatitis C virus genotype 1a received daclatasvir, 30 mg, once daily with or without food + simeprivir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day. Receives: Drug: Daclatasvir; Drug: Simeprevir; Drug: Ribavirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Sustained Virologic Response Rate at Post-treatment Week 12 (SVR12)
SVR12 rate was defined as hepatitis C virus (HCV) RNA levels to be <lower limit of quantitation, target detected or target not detected, at post-treatment Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Measured: Post Treatment Week 12 (Follow-up period)
Secondary outcomes (6)
Percentage of Participants With Rapid Virologic Response (RVR) at Week 4
RVR was defined as hepatitis C virus (HCV) RNA levels to be <lower limit of quantitation, target not detected at Week 4. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Measured: Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
cEVR was defined as hepatitis C virus (HCV) RNA levels to be <lower limit of quantitation, target not detected at Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Measured: Week 12
Percentage of Participants With Extended Rapid Virologic Response (eRVR)
eRVR were defined as hepatitis C virus (HCV) RNA levels to be <lower limit of quantitation, target not detected at both Week 4 and Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Measured: Week 4 and Week 12
Percentage of Participants With End of Treatment Response (EOTR)
EOTR were defined as hepatitis C virus (HCV) RNA levels <lower limit of quantitation, target not detected at end of treatment. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
Measured: End of treatment (Week 24)
Percentage of Participants With Sustained Virologic Response at Week 12 (SVR12) by rs12979860 Single Nucleotide Polymorphisms in the IL-28B Gene Categories
Participants were categorized into 3 genotypes based on single nucleotide polymorphisms in the IL28B gene. SVR12 was defined as hepatitis C virus (HCV) RNA levels below 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.
Measured: Baseline, post-treatment Week 12 (Follow-up period)
Number of Participants With Serious Adverse Events (SAEs) and Discontinuations Due to Adverse Events (AEs) and Who Died
AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting 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-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization. Based on the severity, AEs were categorized as Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death.
Measured: From start of treatment (Day 1) up to 7 days post last dose of study treatment (Week 24)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jun 2012 (estimated)
- Study startJul 2012
- Primary completionAug 2013
- Study completionNov 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hepatitis C VirusStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 230 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Janssen Research & Development, LLC
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01628692
- Sponsor's protocol ID
- AI444-062
- Other IDs
- 2012-000070-28
- Status last verified
- Jan 2017
- First submitted
- 25 Jun 2012
- Last updated
- 23 Feb 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Zeuzem S, Hezode C, Bronowicki JP, Loustaud-Ratti V, Gea F, Buti M, Olveira A, Banyai T, Al-Assi MT, Petersen J, Thabut D, Gadano A, Pruitt R, Makara M, Bourliere M, Pol S, Beumont-Mauviel M, Ouwerkerk-Mahadevan S, Picchio G, Bifano M, McPhee F, Boparai N, Cheung K, Hughes EA, Noviello S; LEAGUE-1 Study Team. Daclatasvir plus simeprevir with or without ribavirin for the treatment of chronic hepatitis C virus genotype 1 infection. J Hepatol. 2016 Feb;64(2):292-300. doi: 10.1016/j.jhep.2015.09.024. Epub 2015 Oct 8.
PubMed 26453968
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Open-Label Study of Daclatasvir (BMS-790052) and TMC435 in Combination With or Without Ribavirin (RBV) For Treatment-Naive Subjects or Null Responders to Prior Peginterferon Alfa (PegIFN)/RBV Therapy With Genotype 1 Chronic Hepatitis C
- ClinicalTrials.gov ID
- NCT01628692
- Acronym / sponsor ID
- AI444-062
- Conditions
- Hepatitis C Virus
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 230 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Collaborators
- Janssen Research & Development, LLC
- Study start
- Jul 2012
- Primary completion
- Aug 2013 (actual)
- Study completion
- Nov 2013 (actual)
- First posted
- 27 Jun 2012 (estimated)
- Results
- Posted 30 Nov 2015
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 assess the safety and efficacy of daclatasvir and simeprevir with and without ribavirin for genotype 1 chronic hepatitis C virus infection in patients who are treatment-naive or null responders to previous pegylated interferon/ribavirin therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: (Genotype 1b) Daclatasvir + Simeprevir | Experimental | Drug: Daclatasvir, Drug: SimeprevirParticipants with hepatitis C virus genotype 1b received daclatasvir, 30 mg, once daily with or without food + simeprevir, 150 mg, once daily with a meal for 12 weeks |
| Cohort 2: (Genotype 1b) Daclatasvir + Simeprevir + Ribavirin | Experimental | Drug: Daclatasvir, Drug: SimeprevirParticipants with hepatitis C virus genotype 1b received daclatasvir, 30 mg, once daily with or without food + simeprivir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day) for 12 weeks. |
| Cohort 3: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin | Experimental | Drug: Daclatasvir, Drug: Simeprevir, Drug: RibavirinParticipants with hepatitis C virus genotype 1a received daclatasvir, 30 mg, once daily with or without food + simeprevir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day) for 12 weeks. |
| Cohort 4: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin | Experimental | Drug: Daclatasvir, Drug: Simeprevir, Drug: RibavirinParticipants with hepatitis C virus genotype 1a received daclatasvir, 30 mg, once daily with or without food + simeprivir, 150 mg, once daily with a meal + ribavirin, twice daily with food (patients weighing <75 kg received a total ribavirin dose of 1000 mg per day; those weighing >=75 kg received 1200 mg per day. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Hepatitis C virus (HCV) genotype 1a or 1b
- Males and females, ≥18 years of age
- HCV RNA ≥10,000 IU/mL
- Participants with compensated cirrhosis are permitted
Key exclusion criteria (21 listed)
- Liver or any other transplant (other than cornea and hair)
- Evidence of a medical condition contributing to chronic liver disease other than HCV infection
- 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
- Evidence of decompensated liver disease including, but not limited to, radiologic criteria, a history or presence of ascites, bleeding varices, or hepatic encephalopathy
- Patients infected with HIV or hepatitis B virus
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 |
|---|---|---|
| DaclatasvirAlso: BMS-790052Tablets, oral, 30 mg, once daily | Drug | Cohort 1: (Genotype 1b) Daclatasvir + Simeprevir, Cohort 2: (Genotype 1b) Daclatasvir + Simeprevir + Ribavirin, Cohort 3: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin, Cohort 4: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin |
| SimeprevirAlso: TMC435Capsule, oral, 150 mg, once daily | Drug | Cohort 1: (Genotype 1b) Daclatasvir + Simeprevir, Cohort 2: (Genotype 1b) Daclatasvir + Simeprevir + Ribavirin, Cohort 3: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin, Cohort 4: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin |
| RibavirinTablets, oral, 500-600 mg, twice daily | Drug | Cohort 3: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin, Cohort 4: (Genotype 1a) Daclatasvir + Simeprevir + Ribavirin |
Primary outcome
Percentage of Participants With Sustained Virologic Response Rate at Post-treatment Week 12 (SVR12)
Time frame: Post Treatment Week 12 (Follow-up period)
SVR12 rate was defined as hepatitis C virus (HCV) RNA levels to be <lower limit of quantitation, target detected or target not detected, at post-treatment Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.
6 secondary outcomes
Percentage of Participants With Rapid Virologic Response (RVR) at Week 4
Time frame: Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
Time frame: Week 12
Percentage of Participants With Extended Rapid Virologic Response (eRVR)
Time frame: Week 4 and Week 12
Percentage of Participants With End of Treatment Response (EOTR)
Time frame: End of treatment (Week 24)
Percentage of Participants With Sustained Virologic Response at Week 12 (SVR12) by rs12979860 Single Nucleotide Polymorphisms in the IL-28B Gene Categories
Time frame: Baseline, post-treatment Week 12 (Follow-up period)
Number of Participants With Serious Adverse Events (SAEs) and Discontinuations Due to Adverse Events (AEs) and Who Died
Time frame: From start of treatment (Day 1) up to 7 days post last dose of study treatment (Week 24)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26453968Zeuzem S, Hezode C, Bronowicki JP, Loustaud-Ratti V, Gea F, Buti M, Olveira A, Banyai T, Al-Assi MT, Petersen J, Thabut D, Gadano A, Pruitt R, Makara M, Bourliere M, Pol S, Beumont-Mauviel M, Ouwerkerk-Mahadevan S, Picchio G, Bifano M, McPhee F, Boparai N, Cheung K, Hughes EA, Noviello S; LEAGUE-1 Study Team. Daclatasvir plus simeprevir with or without ribavirin for the treatment of chronic hepatitis C virus genotype 1 infection. J Hepatol. 2016 Feb;64(2):292-300. doi: 10.1016/j.jhep.2015.09.024. Epub 2015 Oct 8.
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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
26 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Daclatasvir, Simeprevir and Ribavirin in people with Hepatitis C Virus, run by Bristol-Myers Squibb at 26 sites in 6 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 7 inclusion and 21 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 23 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in United States, France, Germany, Hungary, Spain and 1 more country. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 30 Nov 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 Rate at Post-treatment Week 12 (SVR12) (time frame: Post Treatment Week 12 (Follow-up period)). 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 NCT01628692, 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 23 Feb 2017; AzTrials last refreshed its copy on 8 Nov 2026.