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Completed

NCT Number: NCT01718158

Efficacy and Safety Evaluation of a Regimen Consisting of Peginterferon Lambda-1a + Ribavirin + Daclatasvir (Lambda + RBV + DCV) in HCV Genotype 1b Treatment naïve Patients or Prior Relapsers to Peginterferon Alfa + Ribavirin (Alfa + RBV) Therapy

The purpose of this study is to determine if treatment with Pegylated Interferon Lambda-1a, given in combination with Ribavirin and Daclatasvir for 24 weeks, is as safe and effective as the standard treatment with Pegylated Interferon Alfa-2a + Ribavirin + Telaprevir in subjects who are infected with Chronic Hepatitis C virus genotype 1b and have never received any prior anti-HCV treatment, or who have relapsed after an initial, successful treatment with Pegylated Interferon Alfa + Ribavirin

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Local Institution, Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients chronically infected with HCV Genotype-1b
  • Naïve to prior treatment or documented evidence of relapse after completion of the prescribed duration of treatment (duration may be 24 or 48 weeks, to be determined based upon local guidelines)
  • HCV RNA viral load ≥100,000 IU/mL at screening
  • Patients with compensated cirrhosis are permitted

Exclusion criteria

  • Infection with Hepatitis C virus (HCV) other than Genotype-1b
  • Positive Hepatitis B surface antigen (HBsAg) or Human immunodeficiency virus (HIV)-1/HIV-2 antibody test at screening
  • Evidence of chronic liver disease caused by diseases other than chronic HCV infection
  • Current evidence of or history of variceal bleeding, hepatic encephalopathy, or ascites requiring diuretics or paracentesis or evidence of any of these findings on physical examination performed at screening
  • Current or known history of cancer (except adequately treated in situ carcinoma of the cervix, or basal or squamous cell carcinoma of the skin) within 5 years prior to screening
  • Current evidence or known history of decompensated cirrhosis based on radiologic criteria or biopsy results and clinical criteria
  • Laboratory values:
  • Hemoglobin <12.0 g/dL (males) or <11.0 g/dL (females)
  • Platelets <90,000/mm3
  • Total serum bilirubin ≥2 mg/dL (unless due to Gilbert's disease)

Treatment and study plan

Peginterferon Lambda-1a

Biological

Other names: BMS-914143

peginterferon alfa-2a

Biological

Other names: Pegasys®

Ribavirin

Drug

Other names: Copegus®

Daclatasvir

Drug

Other names: BMS-790052

Telaprevir

Drug

Other names: Incivek®

Primary outcomes

  1. Proportion of subjects with Sustained Virologic Response at post-treatment follow-up Week 12 (SVR12)

    Time frame: Post treatment follow-up Week 12

Secondary outcomes

  1. Proportion of subjects who achieve SVR12 in treatment-naive subjects

    Time frame: Post treatment follow-up Week 12

  2. Proportion of subjects with rash related dermatologic events

    Time frame: Up to 12 weeks of treatment

  3. Proportion of subjects who develop treatment emergent cytopenic abnormalities

    Time frame: Up to 48 Weeks

    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]

  4. Proportion of subjects with on-treatment interferon (IFN) associated flu like/musculoskeletal symptoms

    Time frame: Up to 48 Weeks

  5. Proportion of subjects who achieve SVR24 [Hepatitis C virus (HCV) Ribonucleic acid (RNA) < Lower limit of quantitation (LLOQ)] at post-treatment follow-up Week 24

    Time frame: Post treatment follow-up Week 24

    SVR24 = Sustained virologic response at post treatment follow-up Week 24

  6. Proportion of subjects with adverse events (AEs), Serious adverse events (SAEs), dose reductions, and discontinuations due to AEs through end of follow-up

    Time frame: Maximum of 72 weeks

  7. Proportion of subjects who achieve SVR12 with a 24-week treatment regimen

    Time frame: Post treatment follow-up Week 12

  8. Proportion of subjects who achieve Extended rapid virologic response (eRVR) (HCV RNA < LLOQ target not detected at Weeks 4 and 12 of treatment)

    Time frame: Weeks 4 and 12 of treatment

  9. Patient Health Questionnaire-9 (PHQ-9) score through end of follow-up

    Time frame: Maximum of 72 weeks

  10. Proportion of subjects with treatment emergent laboratory abnormalities by toxicity grade through End of treatment (EOT)

    Time frame: Maximum of 72 weeks

  11. Proportion of subjects with the following on-treatment interferon-associated neuropsychiatric symptoms through EOT

    Time frame: Maximum of 48 weeks

    Psychiatric symptoms (depression, irritability or insomnia)

  12. Association of Single nucleotide polymorphism (SNPs) in Interleukin 28B (IL28B) (including rs12979860) or equilibrative nucleoside transporter 1 (ENT1) with clinical responses

    Time frame: Post-treatment follow-up Week 12

    For each SNP in each candidate gene, allele and genotype frequencies will be summarized by treatment regimen

  13. Resistant variants associated with virologic failure through end of follow-up

    Time frame: Maximum of 72 weeks

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Registry information

Official study title

A Phase 3 Evaluation of Daclatasvir in Combination With Peginterferon Lambda-1a and Ribavirin (RBV) or Telaprevir in Combination With Peginterferon Alfa-2a and RBV in Patients With Chronic Hepatitis C Genotype 1b Who Are Treatment naïve or Prior Relapsers to Alfa/RBV Therapy (the STRUCTURE Study)

Acronym: STRUCTURE

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Oct 31, 2012
Registry last updated
Oct 9, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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