Hepatitis C VirusPhase 3MAGNITUDENCT01741545
Safety and Efficacy Study in Subjects With Chronic HCV and Underlying Hemophilia
A Phase 3 study testing Pegylated-Interferon-lambda, Ribavirin and Daclatasvir in people with Hepatitis C Virus, run by Bristol-Myers Squibb at 32 sites in 8 countries.
Trial summary
The primary objective for this study is to evaluate the proportion of subjects who achieve SVR12 (HCV RNA < LLOQ (target not detected) at post-treatment follow-up Week 12 in subjects with Genotype(GT)-1b, -4 and GT-2, -3 Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Hepatitis C Virus
- What is being tested?
- Pegylated-Interferon-lambda, Ribavirin and Daclatasvir
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 71 participants
- Where
- 32 sitesin 8 countries
- Study dates
- 31 Mar 2013to 31 Jan 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Severe hemophilia (defined as < 1% factor activity level)
- Infection with the hepatitis C virus (HCV) with underlying hemophilia
- Males 18 years of age and above
- Have not been previously treated with an interferon
Who cannot join
- Not infected with the hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
- Chronic liver disease caused by any disease other than chronic HCV infection
- Presence of Bethesda inhibitor
- Current evidence of or history of portal hypertension
Trial locations and contacts
32 sites in 8 countries.
32 sites in 8 countries
France6 sites
Local Institution
Grenoble, 38043
Local Institution
Lyon, 69317
Local Institution
Montpellier, 34295
Local Institution
Paris, 75651
Local Institution
Paris, 75679
Local Institution
Vandœuvre-lès-Nancy, 54511
Australia5 sites
Local Institution
Adelaide, South Australia, 5000
Local Institution
Camperdown, New South Wales, 2050
Local Institution
Herston, Queensland, 4029
Local Institution
Herston, 4029
Local Institution
Melbourne, Victoria, 3004
United States4 sites
Rush University Medical Center
Chicago, Illinois, 60612
Clinical Research Centers Of America
Murray, Utah, 84123
Stanford Boswell Clinic
Palo Alto, California, 94304
Hospital Of The University Of Pennsylvania
Philadelphia, Pennsylvania, 19104
Italy4 sites
Local Institution
Florence, 50134
Local Institution
Milan, 20122
Local Institution
Roma, 00185
Local Institution
Torino, 10126
Netherlands4 sites
Local Institution
Amsterdam, 1105 AZ
Local Institution
Nijmegen, 6525 GA
Local Institution
Rotterdam, 3015 CE
Local Institution
Utrecht, 3508 GA
Romania4 sites
Local Institution
Bucharest, 50524
Local Institution
Constanța, 900635
Local Institution
Iași, 700116
Local Institution
Iași, 700506
Spain3 sites
Local Institution
Barcelona, 08035
Local Institution
Madrid, 28046
Local Institution
Seville, 41013
Russia2 sites
Local Institution
Moscow, 107996
Local Institution
Saint Petersburg, 191186
About this study
Official title: A Phase 3 Study Evaluating the Safety and Efficacy of Lambda/Ribavirin/Daclatasvir in Subjects With Chronic HCV Infection and Underlying Hemophilia Who Are Treatment Naïve or Are Prior Relapsers to Peginterferon Alfa-2a/Ribavirin
The primary objective for this study is to evaluate the proportion of subjects who achieve SVR12 (HCV RNA < LLOQ (target not detected) at post-treatment follow-up Week 12 in subjects with Genotype(GT)-1b, -4 and GT-2, -3
- Conditions
- Hepatitis C Virus
- Being tested
- Pegylated-Interferon-lambda, Ribavirin, Daclatasvir
- Medical subject headings
- Hepatitis C
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pegylated-Interferon-lambdaBiological
Also called pegIFNλ, BMS-914143
RibavirinDrug
DaclatasvirDrug
Also called BMS-790052
| Study group | Role | What they receive |
|---|---|---|
| Cohort A: Genotype-2,-3 (Lambda/RBV/DCV) | Experimental | Lambda 180 μg solution for subcutaneous (SC) injection, once weekly for 12 weeks
Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 12 weeks
Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks Receives: Biological: Pegylated-Interferon-lambda; Drug: Ribavirin; Drug: Daclatasvir |
| Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV) | Experimental | Lambda 180 μg solution for subcutaneous (SC) injection, once weekly for 24 weeks
Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 24 weeks
Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks Receives: Biological: Pegylated-Interferon-lambda; Drug: Ribavirin; Drug: Daclatasvir |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Achieved Sustained Virologic Response (SVR12) at Follow-Up Week 12
SVR12 was defined as HCV ribonucleic acid (RNA) less than the lower limit of quantitation, target detected or target not detected at follow-up Week 12.
Measured: Follow-up Week 12
Secondary outcomes (8)
Percentage of Participants With Rapid Virologic Response (RVR)
RVR was defined as HCV RNA less than the lower limit of quantitation, target not detected at Week 4.
Measured: Treatment Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
cEVR was defined as HCV RNA less than the lower limit of quantitation, target not detected at Week 12.
Measured: Treatment Week 12
Percentage of Participants With End of the Treatment Response (EOTR)
EOTR was defined as HCV RNA less than the lower limit of quantitation, target not detected at end of treatment.
Measured: End of the treatment (Week 12 for Cohort A, Week 24 for Cohort B)
Percentage of Participants With Sustained Virologic Response at Follow-Up Week 24 (SVR24)
SVR24 was defined as HCV RNA less than the lower limit of quantitation, target detected or target not detected at follow-up week 24.
Measured: Follow-up Week 24
Percentage of Participants With Treatment-Emergent Cytopenic Abnormalities On-Treatment
Cytopenic abnormalities were defined as anemia: Hemoglobin (Hb) <10 g/dL, and/or neutropenia: absolute neutrophils and bands (ANC) <750 mm^3, and/or thrombocytopenia: platelets <50,000 mm^3.
Measured: After day 1 to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Percentage of Participants With Flu-Like Symptoms and Musculoskeletal Symptoms On-Treatment
Flu-like symptoms were defined as pyrexia or chills or pain. Musculoskeletal symptoms were defined as arthralgia or myalgia or back pain.
Measured: After day 1 to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), AEs Leading to Discontinuation, Dose Reductions, And Death
AE=any new untoward medical event or worsening of a preexisting medical condition that does not necessarily have a causal relationship with this treatment. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Treatment-related SAE=possibly, probably, or certainly related to study drug.
Measured: From Day 1 to end of follow-up (maximum of 60 weeks for Cohort A and 72 weeks for Cohort B)
Number of Participants With Treatment Emergent Grade 3 to 4 Laboratory Abnormalities
Laboratory abnormalities were determined and graded using the Division of acquired immunodeficiency syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, version 1.0. International Normalized Ratio (INR): >2.0*Upper limit of normal (ULN); Alanine aminotransferase (ALT) : >5*ULN; Aspartate aminotransferase (AST): >5*ULN; Prothrombin Time (PT): >1.50*ULN; Bilirubin (Total): >2.5*ULN; Triglycerides (fasting): >750 mg/dL.
Measured: After day 1 to to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2012 (estimated)
- Study start31 Mar 2013
- Primary completion31 Jan 2015
- Study completion31 Jan 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Hepatitis C VirusStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 71 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01741545
- Sponsor's protocol ID
- AI452-030
- Other IDs
- 2012-003463-22
- Acronym
- MAGNITUDE
- Status last verified
- Aug 2020
- First submitted
- 3 Dec 2012
- Last updated
- 11 Aug 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Aug 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study Evaluating the Safety and Efficacy of Lambda/Ribavirin/Daclatasvir in Subjects With Chronic HCV Infection and Underlying Hemophilia Who Are Treatment Naïve or Are Prior Relapsers to Peginterferon Alfa-2a/Ribavirin
- ClinicalTrials.gov ID
- NCT01741545
- Acronym / sponsor ID
- MAGNITUDE / AI452-030
- Conditions
- Hepatitis C Virus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 71 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2013 (actual)
- Primary completion
- 31 Jan 2015 (actual)
- Study completion
- 31 Jan 2015 (actual)
- First posted
- 5 Dec 2012 (estimated)
- Results
- Posted 24 Jun 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective for this study is to evaluate the proportion of subjects who achieve SVR12 (HCV RNA < LLOQ (target not detected) at post-treatment follow-up Week 12 in subjects with Genotype(GT)-1b, -4 and GT-2, -3
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort A: Genotype-2,-3 (Lambda/RBV/DCV) | Experimental | Biological: Pegylated-Interferon-lambda, Drug: Ribavirin, Drug: DaclatasvirLambda 180 μg solution for subcutaneous (SC) injection, once weekly for 12 weeks Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 12 weeks Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks |
| Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV) | Experimental | Biological: Pegylated-Interferon-lambda, Drug: Ribavirin, Drug: DaclatasvirLambda 180 μg solution for subcutaneous (SC) injection, once weekly for 24 weeks Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 24 weeks Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Severe hemophilia (defined as < 1% factor activity level)
- Infection with the hepatitis C virus (HCV) with underlying hemophilia
- Males 18 years of age and above
- Have not been previously treated with an interferon
Key exclusion criteria (4 listed)
- Not infected with the hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
- Chronic liver disease caused by any disease other than chronic HCV infection
- Presence of Bethesda inhibitor
- Current evidence of or history of portal hypertension
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pegylated-Interferon-lambdaAlso: pegIFNλ, BMS-914143 | Biological | Cohort A: Genotype-2,-3 (Lambda/RBV/DCV), Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV) |
| Ribavirin | Drug | Cohort A: Genotype-2,-3 (Lambda/RBV/DCV), Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV) |
| DaclatasvirAlso: BMS-790052 | Drug | Cohort A: Genotype-2,-3 (Lambda/RBV/DCV), Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV) |
Primary outcome
Percentage of Participants Who Achieved Sustained Virologic Response (SVR12) at Follow-Up Week 12
Time frame: Follow-up Week 12
SVR12 was defined as HCV ribonucleic acid (RNA) less than the lower limit of quantitation, target detected or target not detected at follow-up Week 12.
8 secondary outcomes
Percentage of Participants With Rapid Virologic Response (RVR)
Time frame: Treatment Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
Time frame: Treatment Week 12
Percentage of Participants With End of the Treatment Response (EOTR)
Time frame: End of the treatment (Week 12 for Cohort A, Week 24 for Cohort B)
Percentage of Participants With Sustained Virologic Response at Follow-Up Week 24 (SVR24)
Time frame: Follow-up Week 24
Percentage of Participants With Treatment-Emergent Cytopenic Abnormalities On-Treatment
Time frame: After day 1 to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Percentage of Participants With Flu-Like Symptoms and Musculoskeletal Symptoms On-Treatment
Time frame: After day 1 to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Percentage of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), AEs Leading to Discontinuation, Dose Reductions, And Death
Time frame: From Day 1 to end of follow-up (maximum of 60 weeks for Cohort A and 72 weeks for Cohort B)
Number of Participants With Treatment Emergent Grade 3 to 4 Laboratory Abnormalities
Time frame: After day 1 to to end of treatment (Up to 85 Days for Cohort A, Up to 168 Days for Cohort B)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Aug 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
32 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pegylated-Interferon-lambda, Ribavirin and Daclatasvir in people with Hepatitis C Virus, run by Bristol-Myers Squibb at 32 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 32 sites in France, Australia, United States, Italy, Netherlands and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Achieved Sustained Virologic Response (SVR12) at Follow-Up Week 12 (time frame: Follow-up Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2020.