- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01309932
Safety Study of Pegylated Interferon Lambda Plus Single or 2 Direct Antiviral Agents With Ribavirin (D-LITE)
September 23, 2015 updated by: Bristol-Myers Squibb
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
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.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
- Biological: Pegylated Interferon Lambda (pegIFNλ)
- Drug: BMS-790052 (NS5A Inhibitor)
- Drug: Ribavirin (RBV)
- Biological: Pegylated Interferon Lambda (pegIFNλ)
- Drug: Ribavirin (RBV)
- Biological: Pegylated Interferon Lambda (pegIFNλ)
- Drug: Ribavirin (RBV)
- Drug: BMS-790052 (NS5A Inhibitor)
- Drug: Placebo (PBO) for BMS-650032 (Placebo for NS3 Protease Inhibitor)
- Drug: BMS-650032 (NS3 Protease Inhibitor)
- Drug: BMS-650032 (NS3 Protease Inhibitor)
- Drug: Placebo (PBO) for BMS-790052 (Placebo for NS5A Inhibitor)
- Biological: Pegylated Interferon Alfa-2a (pegIFNα-2a)
- Drug: Placebo for Ribavirin (RBV)
- Drug: Placebo for Ribavirin (RBV)
Detailed Description
Study Classification: Pharmacokinetics/ Pharmacodynamics
Study Type
Interventional
Enrollment (Actual)
165
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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South Australia
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Adelaide, South Australia, Australia, 5000
- Local Institution
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Victoria
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Clayton Vic, Victoria, Australia, 3168
- Local Institution
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Heidelberg, Victoria, Australia, 3084
- Local Institution
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Western Australia
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Perth, Western Australia, Australia, 6001
- Local Institution
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Clichy Cedex, France, 92118
- Local Institution
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Creteil, France, 94000
- Local Institution
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Montpellier Cedex 5, France, 34295
- Local Institution
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Nice Cedex 03, France, 06202
- Local Institution
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Paris Cedex 12, France, 75571
- Local Institution
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Paris Cedex 14, France, 75679
- Local Institution
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Essen, Germany, 45122
- Local Institution
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Frankfurt, Germany, 60590
- Local Institution
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Hamburg, Germany, 20246
- Local Institution
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Pisa, Italy, 56124
- Local Institution
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Roma, Italy, 00161
- Local Institution
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Hiroshima
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Hiroshima-shi, Hiroshima, Japan, 7348511
- Local Institution
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Hokkaido
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Sapporo-shi, Hokkaido, Japan, 060-0033
- Local Institution
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Kanagawa
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Kawasaki-shi, Kanagawa, Japan, 2138587
- Local Institution
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Osaka
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Osaka-shi, Osaka, Japan, 5458586
- Local Institution
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Saitama
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Iruma-gun, Saitama, Japan, 3500495
- Local Institution
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Tokyo
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Minato-ku, Tokyo, Japan, 105-0001
- Local Institution
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Musashino-shi, Tokyo, Japan, 180-0023
- Local Institution
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Christchurch, New Zealand, 8011
- Local Institution
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Auckland
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Grafton, Auckland, New Zealand, 1010
- Local Institution
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San Juan, Puerto Rico, 00927
- Fundacion de Investigacion de Diego
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Barcelona, Spain, 08003
- Local Institution
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Valencia, Spain, 46010
- Local Institution
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Arizona
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Phoenix, Arizona, United States, 85054
- Mayo Clinic Hospital
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California
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Palm Springs, California, United States, 92262
- Desert Medical Group Inc.
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Denver and Hospital
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Connecticut
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New Haven, Connecticut, United States, 06510
- Yale University School of Medicine
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Maryland
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Lutherville, Maryland, United States, 21093
- Johns Hopkins University
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health System
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New York
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Manhasset, New York, United States, 11030
- Bristol-Myers Squibb/David E. Bernstein, Md
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North Carolina
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Charlotte, North Carolina, United States, 28203
- Carolinas Medical Center
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Statesville, North Carolina, United States, 28677
- Carolinas Center For Liver Disease
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Texas
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Houston, Texas, United States, 77030
- St. Luke'S Episcopal Hospital - Baylor College Of Medicine
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San Antonio, Texas, United States, 78215
- Texas Liver Institute
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Virginia
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Fairfax, Virginia, United States, 22031
- Metropolitan Research
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Washington
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Seattle, Washington, United States, 98101
- Virginia Mason Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.
Inclusion Criteria:
- 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%
Exclusion Criteria:
- 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
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+Ribavirin
Part A
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Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 60 mg, Once daily, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 60 mg, Once daily, 16 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 24 weeks
Other Names:
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EXPERIMENTAL: A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+Ribavirin
Part A
|
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 0 mg, Once daily, 24 weeks
Other Names:
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ACTIVE_COMPARATOR: A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBV
Part A
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Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 0 mg, Once daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 48 weeks
Other Names:
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EXPERIMENTAL: A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)
Part B
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Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 60 mg, Once daily, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 60 mg, Once daily, 16 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 16 weeks
Other Names:
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EXPERIMENTAL: A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)
Part B
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Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 60 mg, Once daily, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 60 mg, Once daily, 16 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 16 weeks
Other Names:
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EXPERIMENTAL: A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)
Part B
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Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 60 mg, Once daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 60 mg, Once daily, 16 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 16 weeks
Other Names:
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EXPERIMENTAL: A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)
Part B
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Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 or 48 weeks depending on response
Other Names:
Tablets, Oral, 60 mg, Once daily, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 24 weeks
Other Names:
Solution, Subcutaneous, 180 μg/mL, Once weekly, 16 weeks
Other Names:
Tablets, Oral, 60 mg, Once daily, 16 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 200 mg, Twice daily, 16 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 24 weeks
Other Names:
Tablets, Oral, 0 mg, Twice daily, 16 weeks
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Safety and tolerability (as measured by the frequency of serious adverse events (SAEs), dose reductions and discontinuations due to adverse events (AEs)
Time Frame: Up to end of treatment ( maximum of 48 weeks) plus 30 days
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Up to end of treatment ( maximum of 48 weeks) plus 30 days
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Antiviral activity as determined by the proportion of Hepatitis C virus (HCV) genotype 1 subjects with 24-week sustained virologic response (SVR24)
Time Frame: At end of treatment (maximum of 48 weeks)
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At end of treatment (maximum of 48 weeks)
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Antiviral activity as determined by the proportion of Hepatitis C virus (HCV) genotype 1 subjects with 24-week sustained virologic response (SVR24)
Time Frame: Post-treatment Week 24
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Post-treatment Week 24
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of HCV genotype 1 subjects with Protocol definition of virologic response (PDR) for Part A and Part B
Time Frame: Weeks 4, Weeks 12 and post-treatment Weeks 24
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Weeks 4, Weeks 12 and post-treatment Weeks 24
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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
Time Frame: Weeks 2, Weeks 4 and Weeks 12
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Weeks 2, Weeks 4 and Weeks 12
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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
Time Frame: Post-treatment Week 48
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Post-treatment Week 48
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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
Time Frame: Post-treatment Week 48
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Post-treatment Week 48
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Serum HCV Ribonucleic acid (RNA) levels over time
Time Frame: 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)
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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)
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Proportion of subjects with undetectable HCV RNA over time
Time Frame: 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)
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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)
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Time to viral clearance, defined as an absence of detectable HCV RNA
Time Frame: 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
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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
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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)
Time Frame: 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)
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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)
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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)
Time Frame: 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)
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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)
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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)
Time Frame: 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)
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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)
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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)
Time Frame: 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)
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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)
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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)
Time Frame: Troughs at baseline (week 0), weeks 2, 4, 8, 12, 16, and 24
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Troughs at baseline (week 0), weeks 2, 4, 8, 12, 16, and 24
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Proportion of subjects with 12-week sustained virologic response (SVR12), defined as undetectable HCV RNA
Time Frame: At end of treatment (maximum of 48 weeks) and follow-up Week 12
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At end of treatment (maximum of 48 weeks) and follow-up Week 12
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Proportion of subjects with 4-week sustained virologic response (SVR4), defined as undetectable HCV RNA
Time Frame: At end of treatment (maximum of 48 weeks) and follow-up Week 4
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At end of treatment (maximum of 48 weeks) and follow-up Week 4
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2011
Primary Completion (ACTUAL)
July 1, 2014
Study Completion (ACTUAL)
September 1, 2014
Study Registration Dates
First Submitted
March 4, 2011
First Submitted That Met QC Criteria
March 4, 2011
First Posted (ESTIMATE)
March 7, 2011
Study Record Updates
Last Update Posted (ESTIMATE)
October 9, 2015
Last Update Submitted That Met QC Criteria
September 23, 2015
Last Verified
September 1, 2015
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
- Hepatitis
- Hepatitis C
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Antimetabolites
- Antineoplastic Agents
- Immunologic Factors
- Viral Protease Inhibitors
- Interferons
- Interferon-alpha
- Ribavirin
- Peginterferon alfa-2a
- Interferon alpha-2
- Protease Inhibitors
- Asunaprevir
- HIV Protease Inhibitors
Other Study ID Numbers
- AI452-008
- 2010-022568-11 (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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