A Phase 2a Study of BMS-790052 in Combination with Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Treatment Naive Subjects with Chronic Hepatitis C Virus Genotype 1 Infectio
- Conditions
- Chronic Hepatitis C Virus Genotype 1 Infection in Treatment Naïve SubjectsMedDRA version: 9.1Level: LLTClassification code 10008912Term: Chronic hepatitis C
- Registration Number
- EUCTR2009-010149-29-FR
- Lead Sponsor
- Bristol-Myers Squibb International Corporation
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 65
1) Signed Written Informed Consent
2) Target Population
a) Subjects chronically infected with HCV genotype 1;
b) HCV RNA viral load of = 10(5) IU/mL (100,000 IU/mL) at screening;
c) Less than 4 weeks of total therapy with either IFN, pegIFNa, or RBV at any time and with no exposure to IFN, pegIFNa or RBV in the 24 weeks prior to randomization;
d) Results of a biopsy obtained = 24 months prior to randomization;
e) No evidence of cirrhosis based on liver biopsy or clinical criteria;
f) No evidence of HCC documented by ultrasound (U/S), computed tomography (CT) scan, or magnetic resonance imaging (MRI) within 12 months of randomization;
g) Absence of co-infection with hepatitis B virus (HBV), HIV-1 or HIV-2 at screening;
h) Body Mass Index (BMI) of 18 to 35 kg/m2, inclusive. BMI = weight (kg)/ [height (m)]2 at screening.
3) Age and Sex
a) Women who are not of childbearing potential (ie, who are postmenopausal or
surgically sterile) and men, ages 18 to 70;
Women are considered surgically sterile only if they have undergone a hysterectomy, bilateral tubal ligation, or bilateral oophorectomy.
Post menopause is defined as:
• Amenorrhea = 12 consecutive months without another cause or
• For women with irregular menstrual periods and on hormone replacement therapy (HRT), a documented serum follicle stimulating hormone (FSH) level > 35 mIU/mL.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
1) Sex and Reproductive Status
a) Women of Childbearing Potential (WOCBP)
b) Women who are pregnant or breastfeeding;
c) Women with a positive pregnancy test on enrollment or prior to administration of investigational product;
d) Sexually active fertile men not using effective birth control if their partners are WOCBP;
e) Sexually active fertile men whose partners are pregnant at screening are excluded from this study (a contraindication for RBV use).
2) Medical History and Concurrent Diseases
a) Evidence of a medical condition associated with chronic liver disease other than HCV (such as but not limited to: hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures);
b) History of variceal bleeding, hepatic encephalopathy, or ascites requiring management with diuretics or paracentesis;
c) 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;
d) Any gastrointestinal disease or surgical procedure that may impact the absorption of study drug;
e) Any other medical, psychiatric and/or social reason which, in the opinion of the investigator, would make the candidate inappropriate for participation in this study;
f) Inability to tolerate oral medication;
g) Poor venous access.
3) Physical and Laboratory Test Findings at Screening
a) ALT = 5 × ULN;
b) Total bilirubin = 34 µmol/L (or = 2 mg/dL);
c) INR = 1.7;
d) Albumin = 3.5 g/dL (35 g/L);
e) Any ECG finding which in the opinion of the investigator, would make the candidate inappropriate for participation in this study (ie corrected QT value > 450 msec, second/third degree bundle branch block).
4) Medical History or Laboratory Findings that Exclude Subject from pegIFNa or RBV Therapy:
The following exclusion criteria are based on guidelines or recommendations from the pegIFNa22 and RBV23 package inserts.
a) Severe psychiatric disease, especially untreated or unstable depression, that would prohibit use of pegIFNa as judged by investigator;
b) History of hemoglobinopathies (ie, thalassemia major or sickle cell anemia), diagnoses associated with an increased baseline risk for anemia (eg, spherocytosis), hemolytic anemia, or diseases in which anemia would be medically problematic;
c) History of thyroid dysfunction not adequately controlled or screening thyroid function tests that indicate abnormal thyroid function;
d) History of chronic pulmonary disease associated with functional limitation;
e) History of cardiomyopathy, coronary artery disease (including angina), interventive procedure for coronary artery disease (including angioplasty, stent procedure, or cardiac bypass surgery), ventricular arrhythmia, or other clinically significant cardiac disease;
f) Pre-existing ophthalmologic disorders considered clinically significant on eye or retinal exam (all subjects with history of diabetes or hypertension must have a documented eye exam within 12 months prior to randomization);
g) Platelets = 90 × 109 cells/L;
h) ANC = 1.5 × 109 cells/L;
i) Hemoglobin = 12 g/dL (120 g/L) for women and = 13 g/dL (130 g/L) for men;
j) Creatinine clearance (CrCl) as (as estimated by Cockcroft and Gault) = 50 mL/min;
k) Any known contraindication to pegIFNa or RBV, not otherwise specified.
5) Allergies and Adverse Drug Reactions
a) History of hypersensitivity to drugs with a similar biochemical structure to BMS-790052, pegIFNa, or RBV.
6) Prohi
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method