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Completed

NCT Number: NCT01628692

Study of Daclatasvir (BMS-790052) and Simeprevir (TMC435) in Patients With Genotype 1 Chronic Hepatitis C Virus

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

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.

Key Inclusion Criteria:

  • 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

Key Exclusion Criteria:

  • 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
  • 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

Treatment and study plan

Daclatasvir

Drug

Tablets, oral, 30 mg, once daily

Other names: BMS-790052

Simeprevir

Drug

Capsule, oral, 150 mg, once daily

Other names: TMC435

Ribavirin

Drug

Tablets, oral, 500-600 mg, twice daily

Primary outcomes

  1. 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.

Secondary outcomes

  1. Percentage of Participants With Rapid Virologic Response (RVR) at Week 4

    Time frame: 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.

  2. Percentage of Participants With Complete Early Virologic Response (cEVR)

    Time frame: Week 12

    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.

  3. Percentage of Participants With Extended Rapid Virologic Response (eRVR)

    Time frame: Week 4 and Week 12

    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.

  4. Percentage of Participants With End of Treatment Response (EOTR)

    Time frame: End of treatment (Week 24)

    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.

  5. 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)

    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.

  6. 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)

    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.

Sponsors and collaborators

Lead sponsor

Bristol-Myers Squibb

Industry

Collaborators

  • Janssen Research & Development, LLC

Registry information

Official study 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

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Jun 27, 2012
Registry last updated
Feb 23, 2017

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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