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
Overview
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Bristol-Myers Squibb
- Enrollment
- 880
- Locations
- 19
- Primary Endpoint
- Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12)
Overview
Brief 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 Interferon Alfa-2a plus Ribavirin
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Chronic hepatitis C, Genotype 2 or 3
- •Naïve to prior anti-HCV therapy
Exclusion Criteria
- •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
Arms & Interventions
Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir
Intervention: Pegylated interferon lambda (pegIFNλ) (Biological)
Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir
Intervention: Ribavirin (Drug)
Arm 1: pegIFNλ + Ribavirin + Placebo matching Daclatasvir
Intervention: Placebo matching Daclatasvir (Drug)
Arm 2: pegIFNλ + Ribavirin + Daclatasvir
Intervention: Pegylated interferon lambda (pegIFNλ) (Biological)
Arm 2: pegIFNλ + Ribavirin + Daclatasvir
Intervention: Ribavirin (Drug)
Arm 2: pegIFNλ + Ribavirin + Daclatasvir
Intervention: Daclatasvir (Drug)
Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir
Intervention: Pegylated interferon alfa-2a (pegIFNα-2a) (Biological)
Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir
Intervention: Ribavirin (Drug)
Arm 3: pegIFNα-2a + Ribavirin + Placebo matching Daclatasvir
Intervention: Placebo matching Daclatasvir (Drug)
Outcomes
Primary Outcomes
Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12)
Time Frame: Post-treatment follow-up week 12
Secondary Outcomes
- 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)(Up to week 12 or week 24)
- Proportion of subjects with SVR12 in subjects with genotype-3 (GT-3) chronic HCV infection(Post-treatment follow-up week 12)
- Proportion of subjects with on-treatment musculoskeletal symptoms (as defined by arthralgia or myalgia or back pain)(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(Post-treatment week 24)
- Proportion of subjects with Rapid virologic response (RVR) [undetectable Hepatitis C virus (HCV) Ribonucleic acid (RNA)](On-treatment Week 4)
- Proportion of subjects with on-treatment Serious adverse events (SAEs)(Up to week 12 or week 24)
- Proportion of subjects with on-treatment constitutional symptoms (fatigue or asthenia)(Up to week 12 or week 24)
- Proportion of subjects who discontinue due to Adverse events (AEs)(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)(Up to week 12 or week 24)
- Proportion of subjects with dose reductions(Up to week 12 or week 24)