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Chronic Hepatitis C InfectionPhase 3DIMENSIONNCT01866930

Efficacy and Safety Study of Pegylated Interferon Lambda-1a With Ribavirin and Daclatasvir, to Treat naïve Subjects With Chronic HCV Genotypes 1, 2, 3, and 4 Who Are Co-infected With HIV

A Phase 3 study testing Pegylated Interferon Lambda-1a, Daclatasvir (DCV) and Ribasphere (RBV) in people with Chronic Hepatitis C Infection, run by Bristol-Myers Squibb at 63 sites in 12 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

To evaluate Sustained Virologic Response at post treatment Week 12 (SVR12)following treatment with Lambda/RBV/DCV in chronic HCV GT-1, -2, -3 or -4 subjects co-infected with HIV-1 Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Hepatitis C Infection
What is being tested?
Pegylated Interferon Lambda-1a, Daclatasvir (DCV) and Ribasphere (RBV)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
453 participants
Where
63 sitesin 12 countries
Study dates
11 Jul 2013to 27 Aug 2015
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HCV Genotype-1, -2, -3 or -4 treatment naïve;
  • HCV RNA ≥10,000 IU/mL at screening;
  • HIV-1 infection [(approximately 200 subjects receiving HAART, approximately 100 subjects not receiving highly active antiretroviral therapy (HAART)];
  • For subjects receiving HAART, HIV RNA must be below <40 copies/mL at screening and <200 copies/mL for at least 8 weeks prior to screening;
  • CD4 cell count at screening must be ≥100 cells/μL if receiving HAART or ≥350 cells/μL if not receiving HAART)
  • Seronegative for Hepatitis B Surface Antigen (HBsAg)
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  • Body Mass Index (BMI) of 18 to 35 kg/m2, inclusive. BMI=weight (kg)/[height (m)]2 at screening;
  • Subjects with compensated cirrhosis are permitted, but the number of subjects will be capped at approximately 30%. If a subject does not have cirrhosis, a liver biopsy within 3 years prior to enrollment is required to demonstrate the absence of cirrhosis. If cirrhosis is present, any prior liver biopsy is sufficient. Fibroscan® or FibroTest are acceptable if performed within 1 year prior to treatment in countries where liver biopsy is not required prior to treatment and where non-invasive imaging tests are approved for staging of liver disease
  • Subjects with mild to moderate hemophilia as defined as:
  • Mild-factor level activity of 6-4% OR
  • Moderate defined as factor level activity of 1-5%

Who cannot join

  • Any evidence of liver disease other than chronic HCV;
  • Subjects infected with human immunodeficiency virus (HIV-2);
  • Diagnosed or suspected hepatocellular carcinoma;
  • Decompensated liver disease;
  • Presence of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections within 12 weeks prior to study entry (AIDS-defining opportunistic infections as defined by the CDC, (CDC, JAMA 1993 Feb 10;269(6):729-30)
  • Laboratory values: ANC <1.5 x 109 cells/L (<1.2 x 109 cells/L for Blacks), platelet count <90 x 109 cells/L, hemoglobin <11 g/dL for females, hemoglobin <12 g/dL for males;
Show all 10Show fewer
  • Subjects (receiving HAART) who had first initiated anti-retroviral therapy within last 8 weeks prior to Day 1; however, if changes are required to a subject's HAART regimen to meet the requirements of the protocol, these changes are allowed at the screening visit. Subjects should wait a minimum of 1 month prior to Day 1 after a repeat of HIV viral load has been confirmed, <40 copies/mL
  • Subjects on Zidovudine (AZT), Didanosine (ddI), or Stavudine (d4T);
  • Active drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements
  • Subjects with severe hemophilia (defined as <1% factor activity level)

Trial locations and contacts

63 sites in 12 countries.

63 sites in 12 countries

United States13 sites
  • Lehigh Valley Health Network

    Allentown, Pennsylvania, 18102

  • Emory Hospital Midtown Infectious Disease Clinic

    Atlanta, Georgia, 30308

  • Emory University

    Atlanta, Georgia, 30308

  • University Of Colorado Denver & Hospital

    Aurora, Colorado, 80045

  • University Of Colorado Denver

    Aurora, Colorado, 80045

  • Mercy Medical Center

    Baltimore, Maryland, 21202

  • Ut Southwestern Medical Center

    Dallas, Texas, 75235

  • Duke Clinical Research Institute

    Durham, North Carolina, 27710

  • Yale University

    New Haven, Connecticut, 06510

  • Orlando Va Medical Center

    Orlando, Florida, 32803

  • Inland Empire Liver Foundation

    Rialto, California, 92377

  • University Of California San Francisco

    San Francisco, California, 94110

  • Kaiser Permanente Medical Center

    San Francisco, California, 94118

Other trials in United States

Canada7 sites
  • University Of Alberta Hospitals

    Edmonton, Alberta, T6G 2B7

  • Hamilton Health Sciences, Mcmaster Site

    Hamilton, Ontario, L8V 1C3

  • Mcgill University Health Centre (Muhc) Montreal Chest Institute

    Montreal, Quebec, H2X 2P4

  • Ottawa Hospital General Campus

    Ottawa, Ontario, K1H 8L6

  • Ottawa Hospital

    Ottawa, Ontario, K1H 8L6

  • St Pauls Hospital

    Vancouver, British Columbia, V6Z 1Y6

  • Vancouver Id Reserach & Care Centre Society

    Vancouver, British Columbia, V6Z 2C7

Other trials in Canada

Argentina5 sites
  • Local Institution

    Buenos Aires, 1119

  • Local Institution

    Buenos Aires, 1202

  • Local Institution

    Buenos Aires, Bs As, Buenos Aires, 1141

  • Local Institution

    Mar del Plata, Buenos Aires, 7600

  • Local Institution

    Quilmes, Buenos Aires, 1878

Other trials in Argentina

France5 sites
  • Local Institution

    Le Kremlin-Bicêtre, 94275

  • Local Institution

    Lyon, 69317

  • Local Institution

    Paris, 75010

  • Local Institution

    Paris, 75020

  • Local Institution

    Pessac, 33604

Other trials in France

Italy5 sites
  • Local Institution

    Antella (fi), 50011

  • Local Institution

    Brescia, 25123

  • Local Institution

    Milan, 20127

  • Local Institution

    Monza, 20052

  • Local Institution

    Roma, 00149

Other trials in Italy

Russia5 sites
  • Local Institution

    Moscow, 105275

  • Local Institution

    Moscow, 111123

  • Local Institution

    Saint Petersburg, 190103

  • Local Institution

    Saint Petersburg, 196645

  • Local Institution

    Volgograd, 400040

Other trials in Russia

Spain5 sites
  • Local Institution

    Barcelona, 08029

  • Local Institution

    Cartagena (Murcia), 30202

  • Local Institution

    Donosti-San Sebastian, 20014

  • Local Institution

    Madrid, 28034

  • Local Institution

    Madrid, 28041

Other trials in Spain

United Kingdom5 sites
  • Local Institution

    Brighton, BN2 5BE

  • Local Institution

    London, Greater London, SW10 9TH

  • Local Institution

    London, E11BB

  • Local Institution

    London, NW3 2QG

  • Local Institution

    London, W2 1NY

Other trials in United Kingdom

Germany4 sites
  • Local Institution

    Berlin, 13353

  • Local Institution

    Bonn, 53105

  • Local Institution

    Bonn, 53127

  • Local Institution

    Hamburg, 20146

Other trials in Germany

Mexico4 sites
  • Local Institution

    Ciudad Juárez, Chihuahua, 35350

  • Local Institution

    Guadalajara, Jalisco, 44280

  • Local Institution

    León, Guanajuato, 37320

  • Local Institution

    Mexico City, Mexico City, 14080

Other trials in Mexico

Belgium3 sites
  • Local Institution

    Antwerp, 2000

  • Local Institution

    Brussels, 1000

  • Local Institution

    Brussels, 1200

Other trials in Belgium

Poland2 sites
  • Local Institution

    Lodz, 91-347

  • Local Institution

    Wroclaw, 50-220

Other trials in Poland

About this study

Official title: Phase 3 Open Label Study Evaluating the Efficacy and Safety of Pegylated Interferon Lambda-1a, in Combination With Ribavirin and Daclatasvir, for Treatment of Chronic HCV Infection With Treatment naïve Genotypes 1, 2, 3 or 4 in Subjects Co-infected With HIV

To evaluate Sustained Virologic Response at post treatment Week 12 (SVR12)following treatment with Lambda/RBV/DCV in chronic HCV GT-1, -2, -3 or -4 subjects co-infected with HIV-1

Read the detailed description

Study Classification: Safety/Efficacy and Pharmacokinetics/dynamics

GT=genotype

Being tested
Pegylated Interferon Lambda-1a, Daclatasvir (DCV), Ribasphere (RBV)

What participants receive

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

  • Pegylated Interferon Lambda-1aBiological

    Also called BMS-914143

  • Daclatasvir (DCV)Drug

    Also called BMS-790052

  • Ribasphere (RBV)Drug

Study groups in NCT01866930
Study groupRoleWhat they receive
Cohort A: GT-2 or -3 HCV Treatment Naïve SubjectsExperimentalPegylated Interferon Lambda 180 µg solution, injection subcutaneously once weekly for 24 weeks Ribasphere 200 mg tablets (800 mg per day: two 200 mg tablets in the morning and two 200 mg tablets in the evening) by mouth twice daily for 24 weeks Daclatasvir 30 mg, 60 mg, or 90 mg tablets (depending on concomitant HIV regimen) once daily for 12 weeks
Receives: Biological: Pegylated Interferon Lambda-1a; Drug: Daclatasvir (DCV); Drug: Ribasphere (RBV)
Cohort B: GT-1 or -4 HCV Treatment Naïve SubjectsExperimentalPegylated Interferon Lambda 180 µg solution, injection subcutaneously once weekly for 24 or 48 weeks Ribasphere 200 mg tablets, (1000 mg per day: two 200 mg tablets in the morning and three 200 mg tablets in the evening for subjects weighing <75 kg and 1200 mg per day: three 200 mg tablets in morning and three 200 mg tablets in evening for subjects weighing ≥75 kg) by mouth twice daily for 24 or 48 weeks Daclatasvir 30 mg, 60 mg, or 90 mg tablets (depending on concomitant HIV regimen) once daily for 12 weeks
Receives: Biological: Pegylated Interferon Lambda-1a; Drug: Daclatasvir (DCV); Drug: Ribasphere (RBV)

What is being measured

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

  1. Number of Participants With Sustained Virologic Response at Post-treatment Week 12 (SVR12)

    SVR12 was defined as HCV RNA less than lower limit of quantification (< LLOQ) (25 IU/mL; target detected or not detected) at follow-up week 12.

    Measured: Follow-up week 12

Secondary outcomes (12)
  1. Number of Participants With Rapid Virologic Response (RVR) and Extended Rapid Virologic Response (eRVR)

    RVR is defined as HCV RNA < LLOQ target not detected at Week 4 and eRVR defined as HCV RNA < LLOQ target not detected at Weeks 4 and 12

    Measured: Treatment weeks 4 and 12

  2. Number of Subjects With Sustained Virologic Response at Post-treatment Week 24 (SVR24)

    SVR24 was defined as HCV RNA < LLOQ (25 IU/mL; target detected or not detected) at 24 weeks post treatment.

    Measured: Follow-up week 24

  3. Number of Participants With Treatment Emergent Cytopenic Abnormalities

    All treated participants were monitored for treatment emergent cytopenic abnormalities (anemia as defined by hemoglobin (Hb) < 10 g/dL, and/or neutropenia as defined by absolute neutrophil count (ANC) < 750 mm3 and/or thrombocytopenia as defined by platelets < 50,000/mm3) during the treatment period (Weeks 1, 2, 4, 6, 8, 12, 20, and 24, and at Weeks 28, 32, 36, 40, 44, and 48 for subjects requiring those visits).

    Measured: After Day 1 to end of treatment; up to Weeks 24 or 48

  4. Number of Participants With On-treatment IFN-associated Flu-like or Musculoskeletal Symptoms

    All treated participants were monitored for IFN-associated Flu-like and Musculoskeletal symptoms. Flu-like symptoms were defined as pyrexia, chills, or pain. Musculoskeletal symptoms were defined as arthralgia, myalgia, or back pain. Subjects were monitored throughout the treatment period during the treatment period (After day 1 up to week 24, or After day 1 up to week 48 for subjects requiring those visits).

    Measured: After Day 1 to end of treatment; up to Weeks 24 or 48

  5. Number of Participants Who Died or Experienced Severe Adverse Events (SAEs), Dose Reductions of Lambda or Discontinuation Due to Adverse Events (AEs)

    AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that. at any dose, results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug.

    Measured: After Day 1 to end of treatment; up to Weeks 24 or 48

  6. Number of Participants With Treatment-emergent Grade 3/4 Lab Abnormalities

    Grade 3/4 treatment-emergent lab abnormalities that occurred in >=5% of subjects in either cohort are reported. The analysis included all treated subjects up to the end of the treatment period (Day 1 to week 24, or Day 1 to week 48 for subjects requiring those visits). Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4= Potentially Life-threatening or disabling. AST = Aspartate aminotransferase, ALT = Alanine aminotransferase.

    Measured: After Day 1 to end of treatment; up to Weeks 24 or 48

  7. Mean Change in Absolute CD4 T Lymphocyte Count From Baseline to End of Treatment

    All treated participants were monitored for change in Absolute CD4 T Lymphocyte count from Baseline to the end of the treatment period. The mean change in each arm for all evaluable participants is reported in Cells/µL.

    Measured: Day 1 to end of treatment; up to week 24 or week 48

  8. Mean Percent Change in Absolute CD4 T Lymphocyte Count From Baseline to End of Treatment

    All treated participants were monitored for percent change in CD4 T Lymphocyte count from Baseline to the end of the treatment period. The mean percent change in each arm is presented for all evaluable participants.

    Measured: Day 1 to end of treatment; up to week 24 or week 48

  9. Mean Change in Total Lymphocyte Count From Baseline to End of Treatment

    All treated participants were monitored for change in Total Lymphocyte Count from Baseline to the end of the treatment period. The mean change in each arm for all evaluable participants is reported in Cells/µL.

    Measured: Day 1 to end of treatment; up to week 24 or week 48

  10. Mean Percent Change in Total Lymphocyte Count From Baseline to End of Treatment

    All treated participants were monitored for percent change in Total Lymphocyte Count from Baseline to the end of the treatment period. The mean percent change in each arm is presented for all evaluable participants.

    Measured: Day 1 to end of treatment; up to week 24 or week 48

  11. Mean Change in Platelet Count From Baseline to End of Treatment

    All treated participants were monitored for change in Platelet Count from Baseline to the end of the treatment period. The mean change in each arm for all evaluable participants (units of measurement = x10^9 cells/L).

    Measured: Day 1 to end of treatment; up to week 24 or week 48

  12. Mean Percent Change in Platelet Count From Baseline to End of Treatment

    All treated participants were monitored for percent change in Platelet Count from Baseline to the end of the treatment period. The mean percent change in each arm is presented for all evaluable participants.

    Measured: Day 1 to end of treatment; up to week 24 or 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 posted3 Jun 2013 (estimated)
  2. Study start11 Jul 2013
  3. Primary completion27 Aug 2015
  4. Study completion27 Aug 2015

Why it stopped: Sponsor decision not based on any new unexpected safety findings or efficacy observations.

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
453 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01866930
Sponsor's protocol ID
AI452-032
Other IDs
2012-003280-22
Acronym
DIMENSION
Status last verified
Feb 2023
First submitted
29 May 2013
Last updated
13 Jun 2023
Data monitoring committee
No

Publications

  • Nelson M, Rubio R, Lazzarin A, Romanova S, Luetkemeyer A, Conway B, Molina JM, Xu D, Srinivasan S, Portsmouth S. Safety and Efficacy of Pegylated Interferon Lambda, Ribavirin, and Daclatasvir in HCV and HIV-Coinfected Patients. J Interferon Cytokine Res. 2017 Mar;37(3):103-111. doi: 10.1089/jir.2016.0082. Epub 2017 Feb 17.

    PubMed 28282271

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pegylated Interferon Lambda-1a, Daclatasvir (DCV) and Ribasphere (RBV) in people with Chronic Hepatitis C Infection, run by Bristol-Myers Squibb at 63 sites in 12 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 11 inclusion and 10 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: stopped early, as of the sponsor's last update on 13 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Canada, Argentina, France, Italy and 7 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 13 Jun 2023). 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?

Number of Participants With Sustained Virologic Response at Post-treatment 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 NCT01866930, 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 13 Jun 2023.

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