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Study to Determine the Effectiveness of Antiviral Combination Therapy to Treat Hepatitis C Virus (HCV) Infected Patients Who Have Previously Failed Standard of Care

Phase 2
Completed
Conditions
Chronic Hepatitis C
Interventions
Drug: Pegylated-interferon alfa-2a
Registration Number
NCT01012895
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to determine whether BMS-650032 and BMS-790052 in combination alone, together with Ribavirin, or together with Interferon and Ribavirin are effective in the treatment of Hepatitis C in patients who have not responded to prior therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
215
Inclusion Criteria
  • Male and female subjects ages 18 to 70 years
  • HCV-Infected Genotype 1 Null responders to current standard of care
  • Expansion Cohorts A1 and A2 are restricted to patients infected with HCV Genotype 1b only.
Exclusion Criteria
  • Evidence of a medical condition associate with chronic liver disease other than HCV
  • History of variceal bleeding, hepatic encephalopathy, or ascites requiring management with diuretics or paracentesis
  • History of Cancer within 5 years of enrollment
  • History of gastrointestinal disease or surgical procedure (except Cholecystectomy)
  • History of clinically significant cardiac disease
  • History of Glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • Documented cirrhosis within 12 months prior to dosing
  • Positive for Human Immunodeficiency Virus (HIV) or Hepatitis B Virus (HBV)
  • Pregnant

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1: Sentinel ABMS-790052BMS-790052 (60mg) once daily + BMS-650032 (600 mg) twice daily
Arm 1: Sentinel ABMS-650032BMS-790052 (60mg) once daily + BMS-650032 (600 mg) twice daily
Arm 2: Sentinel BBMS-790052BMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 2: Sentinel BBMS-650032BMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 3: Expansion A1BMS-650032BMS-790052 (60mg) once daily + BMS-650032 (200mg) twice daily
Arm 4: Expansion A2BMS-650032BMS-790052 (60mg) once daily + BMS-650032 (200mg) once daily
Arm 5: Expansion B1BMS-790052BMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 2: Sentinel BPegylated-interferon alfa-2aBMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 5: Expansion B1Pegylated-interferon alfa-2aBMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 6: Expansion B2BMS-650032BMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 6: Expansion B2Pegylated-interferon alfa-2aBMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 7: Expansion B3BMS-650032BMS-790052 (60 mg) once daily + BMS-650032 (200 mg) twice daily + Ribavirin
Arm 5: Expansion B1BMS-650032BMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 2: Sentinel BRibavirinBMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 3: Expansion A1BMS-790052BMS-790052 (60mg) once daily + BMS-650032 (200mg) twice daily
Arm 4: Expansion A2BMS-790052BMS-790052 (60mg) once daily + BMS-650032 (200mg) once daily
Arm 5: Expansion B1RibavirinBMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 6: Expansion B2BMS-790052BMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 6: Expansion B2RibavirinBMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 7: Expansion B3BMS-790052BMS-790052 (60 mg) once daily + BMS-650032 (200 mg) twice daily + Ribavirin
Arm 7: Expansion B3RibavirinBMS-790052 (60 mg) once daily + BMS-650032 (200 mg) twice daily + Ribavirin
Primary Outcome Measures
NameTimeMethod
Hepatitis C virus (HCV) ribonucleic acid (RNA) levels in subjects' blood before, during and after treatment12 weeks post treatment
Secondary Outcome Measures
NameTimeMethod
Safety assessments will be based on medical review of the frequency of SAEs and AEs, discontinuations due to AEs, and abnormalities observed from vital sign and ECG measurements, physical examinations and clinical laboratory results12 weeks post-treatment

Serious Adverse Events (SAEs), Adverse Events (AEs), Electrocardiogram (ECG)

Pharmacokinetic parameter trough observed concentration [Cmin] will be derived from plasma concentration versus time. Trough concentration (Ctrough) and sparse Pharmacokinetics (PK) samples will also be collected.Days 1, Days 7, Days 14, Weeks 4, Weeks 8, Weeks 12, Weeks 16
Pharmacokinetic parameter area under the concentration-time curve in one dosing interval [AUC(TAU)] will be derived from plasma concentration versus time. Trough concentration (Ctrough) and sparse Pharmacokinetics (PK) samples will also be collected.Day 1 and Day 14
Pharmacokinetic parameter maximum observed concentration [Cmax] will be derived from plasma concentration versus time. Trough concentration (Ctrough) and sparse Pharmacokinetics (PK) samples will also be collected.Day 1 and Day 14
Pharmacokinetic parameter time of maximum observed concentration [Tmax] will be derived from plasma concentration versus time. Trough concentration (Ctrough) and sparse Pharmacokinetics (PK) samples will also be collected.Day 1 and Day 14

Trial Locations

Locations (11)

Advanced Clinical Research Institute

🇺🇸

Anaheim, California, United States

Mercy Medical Center

🇺🇸

Baltimore, Maryland, United States

Carolinas Center For Liver Disease

🇺🇸

Statesville, North Carolina, United States

Texas Clinical Research Institute, Llc

🇺🇸

Arlington, Texas, United States

University Of Colorado Denver & Hospital

🇺🇸

Aurora, Colorado, United States

Metropolitan Research

🇺🇸

Fairfax, Virginia, United States

Local Institution

🇵🇷

San Juan, Puerto Rico

Southern California Liver Centers

🇺🇸

Coronado, California, United States

San Jose Gastroenterology

🇺🇸

San Jose, California, United States

Alamo Medical Research

🇺🇸

San Antonio, Texas, United States

University Of Michigan Health System

🇺🇸

Ann Arbor, Michigan, United States

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