A Phase 2B, Randomized Study to Evaluate the Safety and Efficacy of Pegylated Interferon Lambda (BMS-914143) Administered With Ribavirin Plus a Single Direct Antiviral Agent (BMS-790052 or BMS-650032) Versus Pegasys Administered With Ribavirin (Part A) and of Pegylated Interferon Lambda (BMS-914143) Administered With or Without Ribavirin Plus 2 Direct Antiviral Agents (BMS-790052 and BMS-650032) (Part B) in Chronic Hepatitis C Genotype-1 Treatment naïve Subjects
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 165
- 试验地点
- 15
- 主要终点
- Antiviral activity as determined by the proportion of Hepatitis C virus (HCV) genotype 1 subjects with 24-week sustained virologic response (SVR24)
研究概览
简要总结
The purpose of this study is to determine if combination therapy with Pegylated Interferon Lambda (BMS-914143) plus Ribavirin (RBV) with a single direct antiviral agent (BMS-790052 or BMS-650032) for 24 weeks is effective and safe for treatment of Chronic Hepatitis C (CHC) compared to current standard therapy with Pegylated Interferon Alpha-2a plus RBV for 48 weeks.
详细描述
Study Classification: Pharmacokinetics/ Pharmacodynamics
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chronic Hepatitis C, Genotype 1
- •HCV RNA >100,000 IU/mL at screening;
- •Seronegative for Human immunodeficiency virus (HIV) and Hepatitis B surface antigen (HBsAg);
- •Liver biopsy within prior 2 years; subjects with compensated cirrhosis can enroll and will be capped at approximately 10%
排除标准
- •Any evidence of liver disease other than HCV;
- •Co-infection with HIV;
- •Diagnosed or suspected hepatocellular carcinoma;
- •Medical history or laboratory value abnormalities that would prohibit the use of Pegylated Interferon Alpha-2a or Ribavirin
研究组 & 干预措施
A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBV
Part A
干预措施: Placebo (PBO) for BMS-650032 (Placebo for NS3 Protease Inhibitor) (Drug)
A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+Ribavirin
Part A
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+Ribavirin
Part A
干预措施: BMS-790052 (NS5A Inhibitor) (Drug)
A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+Ribavirin
Part A
干预措施: Ribavirin (RBV) (Drug)
A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+Ribavirin
Part A
干预措施: Placebo (PBO) for BMS-650032 (Placebo for NS3 Protease Inhibitor) (Drug)
A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+Ribavirin
Part A
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+Ribavirin
Part A
干预措施: Ribavirin (RBV) (Drug)
A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+Ribavirin
Part A
干预措施: BMS-650032 (NS3 Protease Inhibitor) (Drug)
A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+Ribavirin
Part A
干预措施: Placebo (PBO) for BMS-790052 (Placebo for NS5A Inhibitor) (Drug)
A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBV
Part A
干预措施: Ribavirin (RBV) (Drug)
A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBV
Part A
干预措施: Pegylated Interferon Alfa-2a (pegIFNα-2a) (Biological)
A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBV
Part A
干预措施: Placebo (PBO) for BMS-790052 (Placebo for NS5A Inhibitor) (Drug)
A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)
Part B
干预措施: BMS-790052 (NS5A Inhibitor) (Drug)
A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)
Part B
干预措施: BMS-650032 (NS3 Protease Inhibitor) (Drug)
A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)
Part B
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)
Part B
干预措施: Ribavirin (RBV) (Drug)
A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)
Part B
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)
Part B
干预措施: Ribavirin (RBV) (Drug)
A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)
Part B
干预措施: BMS-790052 (NS5A Inhibitor) (Drug)
A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)
Part B
干预措施: BMS-650032 (NS3 Protease Inhibitor) (Drug)
A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)
Part B
干预措施: BMS-790052 (NS5A Inhibitor) (Drug)
A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)
Part B
干预措施: BMS-650032 (NS3 Protease Inhibitor) (Drug)
A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)
Part B
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)
Part B
干预措施: Placebo for Ribavirin (RBV) (Drug)
A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)
Part B
干预措施: Pegylated Interferon Lambda (pegIFNλ) (Biological)
A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)
Part B
干预措施: BMS-790052 (NS5A Inhibitor) (Drug)
A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)
Part B
干预措施: BMS-650032 (NS3 Protease Inhibitor) (Drug)
A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)
Part B
干预措施: Placebo for Ribavirin (RBV) (Drug)
结局指标
主要结局
Antiviral activity as determined by the proportion of Hepatitis C virus (HCV) genotype 1 subjects with 24-week sustained virologic response (SVR24)
时间窗: Post-treatment Week 24
Safety and tolerability (as measured by the frequency of serious adverse events (SAEs), dose reductions and discontinuations due to adverse events (AEs)
时间窗: Up to end of treatment ( maximum of 48 weeks) plus 30 days
次要结局
- Serum HCV Ribonucleic acid (RNA) levels over time(Days 1, 3, Weeks 1, 2, 4, 6, 8, 12, 16, 20, and end of treatment (Week 16, 24 or 48 depending on treatment assignment))
- Proportion of subjects with either a 2-log or greater decrease in Hepatitis C virus (HCV) Ribonucleic acid (RNA) levels from baseline or undetectable levels of HCV RNA(Weeks 2, Weeks 4 and Weeks 12)
- Proportion of subjects with undetectable HCV RNA at the end of treatment that develop detectable levels of HCV RNA in the post-treatment follow-up period(Post-treatment Week 48)
- Time to viral clearance, defined as an absence of detectable HCV RNA(Day 1, 3, Week 1, 2, 4, 6, 8, 12, 24, 36, end of treatment (Week 48), Post-Treatment at Week 4, 12, 24, 36, 48, and 56)
- Serum levels of pegIFNλ and pegIFNα-2a and plasma levels of BMS-790052 and BMS-650032: In PK sub-study group Maximum observed serum/plasma concentration (Cmax)(Cmax will be determined at Dose 5 (Study Visit Week 4: 0 - 12 h for BMS-650032, 0 - 24 h for BMS-790052, and 0 - 168 h for pegIFNλ and pegIFNα-2a))
- Serum levels of pegIFNλ and pegIFNα-2a and plasma levels of BMS-790052 and BMS-650032: In PK sub-study group Time to maximum concentration (Tmax)(Tmax will be determined at Dose 5 (Study Visit Week 4: 0 - 12 h for BMS-650032, 0 - 24 h for BMS-790052, and 0 - 168 h for pegIFNλ and pegIFNα-2a))
- Serum levels of pegIFNλ and pegIFNα-2a and plasma levels of BMS-790052 and BMS-650032: In PK sub-study group Minimal observed serum/plasma concentration (Cmin)(Cmin will be determined at Dose 5 (Study Visit Week 4: 0 - 12 h for BMS-650032, 0 - 24 h for BMS-790052, and 0 - 168 h for pegIFNλ and pegIFNα-2a))
- Serum levels of pegIFNλ and pegIFNα-2a and plasma levels of BMS-790052 and BMS-650032: In PK sub-study group Area under the serum/plasma concentration-time curve during one dose interval AUC(TAU)(AUC(TAU) will be determined at Dose 5 (Study Visit Week 4: 0 - 12 h for BMS-650032, 0 - 24 h for BMS-790052, and 0 - 168 h for pegIFNλ and pegIFNα-2a))
- Serum levels of pegIFNλ and pegIFNα-2a and plasma levels of BMS-790052 and BMS-650032: In all subjects, trough concentrations will be assessed (Ctrough)(Troughs at baseline (week 0), weeks 2, 4, 8, 12, 16, and 24)
- Proportion of subjects with 12-week sustained virologic response (SVR12), defined as undetectable HCV RNA(At end of treatment (maximum of 48 weeks) and follow-up Week 12)
- Proportion of subjects with 4-week sustained virologic response (SVR4), defined as undetectable HCV RNA(At end of treatment (maximum of 48 weeks) and follow-up Week 4)
- Proportion of HCV genotype 1 subjects with Protocol definition of virologic response (PDR) for Part A and Part B(Weeks 4, Weeks 12 and post-treatment Weeks 24)
- Proportion of subjects with viral breakthrough, defined as confirmed > 1 log10 increase in HCV RNA over nadir or confirmed HCV RNA ≥ Lower limit of quantitation (LLOQ) after confirmed undetectable HCV RNA while on treatment(Post-treatment Week 48)
- Proportion of subjects with undetectable HCV RNA over time(Days 1, 3, Weeks 1, 2, 4, 6, 8, 12, 16, 20, and end of treatment (Week 16, 24 or 48 depending on treatment assignment))
