Study to Determine the Effectiveness of Antiviral Combination Therapy to Treat Hepatitis C Virus (HCV) Infected Patients Who Have Previously Failed Standard of Care
Parallel, Open-Label, Randomized, Multiple-Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of BMS-790052 and BMS-650032 in Combination in Null Responders to Standard of Care Infected With Chronic Hepatitis C Virus Genotype 1
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
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Clichy Cedex, France, 92118
- Local Institution
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Creteil Cedex, France, 94010
- Local Institution
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Marseille Cedex 08, France, 13285
- Local Institution
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Paris Cedex 12, France, 75571
- Local Institution
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Paris Cedex 13, France, 75651
- Local Institution
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Paris Cedex 14, France, 75679
- Local Institution
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Pessac, France, 33604
- Local Institution
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-
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-
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San Juan, Puerto Rico, 00927
- Local Institution
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-
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California
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Anaheim, California, United States, 92801
- Advanced Clinical Research Institute
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Coronado, California, United States, 92118
- Southern California Liver Centers
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San Jose, California, United States, 95128
- San Jose Gastroenterology
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Colorado
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Aurora, Colorado, United States, 80045
- University Of Colorado Denver & Hospital
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Maryland
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Baltimore, Maryland, United States, 21202
- Mercy Medical Center
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Health System
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North Carolina
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Statesville, North Carolina, United States, 28677
- Carolinas Center For Liver Disease
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Texas
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Arlington, Texas, United States, 76012
- Texas Clinical Research Institute, LLC
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San Antonio, Texas, United States, 78215
- Alamo Medical Research
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Virginia
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Fairfax, Virginia, United States, 22031
- Metropolitan Research
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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 Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm 1: Sentinel A
BMS-790052 (60mg) once daily + BMS-650032 (600 mg) twice daily
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
|
|
Experimental: Arm 2: Sentinel B
BMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
Syringe, Subcutaneous Injection, 180 µg, once weekly
Other Names:
Tablets, Oral For subjects weighing < 75 kg: 1000 mg; For subjects weighing ≥ 75 kg: 1200 mg Twice daily (< 75 kg: 400 mg in ante meridian (AM) and 600 mg in post meridian (PM); ≥ 75 kg: 600 mg in AM and PM), 24 weeks
Other Names:
|
|
Experimental: Arm 3: Expansion A1
BMS-790052 (60mg) once daily + BMS-650032 (200mg) twice daily
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
|
|
Experimental: Arm 4: Expansion A2
BMS-790052 (60mg) once daily + BMS-650032 (200mg) once daily
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
|
|
Experimental: Arm 5: Expansion B1
BMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
Syringe, Subcutaneous Injection, 180 µg, once weekly
Other Names:
Tablets, Oral For subjects weighing < 75 kg: 1000 mg; For subjects weighing ≥ 75 kg: 1200 mg Twice daily (< 75 kg: 400 mg in ante meridian (AM) and 600 mg in post meridian (PM); ≥ 75 kg: 600 mg in AM and PM), 24 weeks
Other Names:
|
|
Experimental: Arm 6: Expansion B2
BMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
Syringe, Subcutaneous Injection, 180 µg, once weekly
Other Names:
Tablets, Oral For subjects weighing < 75 kg: 1000 mg; For subjects weighing ≥ 75 kg: 1200 mg Twice daily (< 75 kg: 400 mg in ante meridian (AM) and 600 mg in post meridian (PM); ≥ 75 kg: 600 mg in AM and PM), 24 weeks
Other Names:
|
|
Experimental: Arm 7: Expansion B3
BMS-790052 (60 mg) once daily + BMS-650032 (200 mg) twice daily + Ribavirin
|
Tablets, Oral, 60 mg, once daily, 24 weeks
Tablets, Oral, 600 mg, twice daily, 24 weeks
Tablets, Oral, 200mg, twice daily, 24 weeks
Tablets, Oral, 200 mg, once daily, 24 weeks
Tablets, Oral For subjects weighing < 75 kg: 1000 mg; For subjects weighing ≥ 75 kg: 1200 mg Twice daily (< 75 kg: 400 mg in ante meridian (AM) and 600 mg in post meridian (PM); ≥ 75 kg: 600 mg in AM and PM), 24 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Hepatitis C virus (HCV) ribonucleic acid (RNA) levels in subjects' blood before, during and after treatment
Time Frame: 12 weeks post treatment
|
12 weeks post treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
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 results
Time Frame: 12 weeks post-treatment
|
Serious Adverse Events (SAEs), Adverse Events (AEs), Electrocardiogram (ECG)
|
12 weeks post-treatment
|
|
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.
Time Frame: Day 1 and Day 14
|
Day 1 and Day 14
|
|
|
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.
Time Frame: Days 1, Days 7, Days 14, Weeks 4, Weeks 8, Weeks 12, Weeks 16
|
Days 1, Days 7, Days 14, Weeks 4, Weeks 8, Weeks 12, Weeks 16
|
|
|
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.
Time Frame: Day 1 and Day 14
|
Day 1 and Day 14
|
|
|
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.
Time Frame: Day 1 and Day 14
|
Day 1 and Day 14
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Kao JH, Jensen DM, Manns MP, Jacobson I, Kumada H, Toyota J, Heo J, Yoffe B, Sievert W, Bessone F, Peng CY, Roberts SK, Lee YJ, Bhore R, Mendez P, Hughes E, Noviello S. Daclatasvir plus asunaprevir for HCV genotype 1b infection in patients with or without compensated cirrhosis: a pooled analysis. Liver Int. 2016 Jul;36(7):954-62. doi: 10.1111/liv.13049. Epub 2016 Jan 24.
- McPhee F, Hernandez D, Yu F, Ueland J, Monikowski A, Carifa A, Falk P, Wang C, Fridell R, Eley T, Zhou N, Gardiner D. Resistance analysis of hepatitis C virus genotype 1 prior treatment null responders receiving daclatasvir and asunaprevir. Hepatology. 2013 Sep;58(3):902-11. doi: 10.1002/hep.26388. Epub 2013 Jul 16.
- Lok AS, Gardiner DF, Lawitz E, Martorell C, Everson GT, Ghalib R, Reindollar R, Rustgi V, McPhee F, Wind-Rotolo M, Persson A, Zhu K, Dimitrova DI, Eley T, Guo T, Grasela DM, Pasquinelli C. Preliminary study of two antiviral agents for hepatitis C genotype 1. N Engl J Med. 2012 Jan 19;366(3):216-24. doi: 10.1056/NEJMoa1104430.
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis, Chronic
- Hepatitis C, Chronic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites
- Antineoplastic Agents
- Immunologic Factors
- Protease Inhibitors
- Interferons
- Interferon-alpha
- Ribavirin
- Peginterferon alfa-2a
- Interferon alpha-2
- Asunaprevir
Other Study ID Numbers
Other Study ID Numbers
- AI447-011
- 2010-024637-23 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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