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NCT01598090: PEDESTAL

Phase 3 Efficacy and Safety Study of Peginterferon Lambda-1a and Ribavirin With Telaprevir

Completed Phase 3 Results posted Last updated 31 July 2019
What this trial tests

Phase 3 trial testing Peginterferon Lambda-1a in Hepatitis C Virus in 881 participants. Completed in 15 May 2015.

Timeline
14 June 2012
Primary endpoint
4 February 2015
15 May 2015

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment881
Start date14 June 2012
Primary completion4 February 2015
Estimated completion15 May 2015
Sites104 locations across France, Italy, Russia, Belgium, Austria, United Kingdom, Germany, Israel

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

Eligibility, any sex, with Hepatitis C Virus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Extended Rapid Virologic Response (eRVR) - Part A Primary · Assessed at Week 4 and Week 12, week 12 reported

eRVR was defined as Hepatitis C virus (HCV) RNA level below the lower limit of quantitation, target not detected at Weeks 4 and 12 of treatment. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)51.931.9 – 71.3
Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) - Part B Primary · Follow-up Week 12

SVR12 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation, target detected or not detected at Week 12 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR76.272 – 80.3
Part B: Peginterferon Alfa-2a + RBV + TVR8276.8 – 87.3
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Drug Related AEs, Discontinuation Due to AEs, Dose Reductions and Death - Part A Primary · Day 1 of treatment up to Week 48

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a participant or clinical investigation participant administered an investigational (medicinal product. An SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or caused prolongation of existing hospitalization.

AEs
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)26
SAEs
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)6
Drug related AEs
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)12
Discontinuation due to AEs
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)2
Death
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)0
Dose reductions - Lambda
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)3
Dose reductions - RBV
GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)7
Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) - Part A Secondary · Follow-up Week 12

SVR12 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation (LLOQ), target detected or not detected at Week 12 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (LLOQ =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)48.128.7 – 68.1
Percentage of Subjects With Sustained Virologic Response at Follow-Up Week 24 (SVR24) - Part A Secondary · Follow up week 24

SVR24 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation (LLOQ), target detected or not detected at Week 24 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (LLOQ) =25 IU/mL; limit of detection \~ 10 IU/mL). The analysis was performed using Modified Intent-to-Treat method defined as the proportions of participants meeting the response criteria in numerator and denominator based on all treated participants. The analysis was performed in all treated participants.

GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)40.722.4 – 61.2
Percentage of Treatment-Naïve Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) - Part B Secondary · Follow-up Week 12

SVR12 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation, target detected or not detected at Week 12 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR73.668.7 – 78.5
Part B: Peginterferon Alfa-2a + RBV + TVR81.975.9 – 88
Percentage of Participants With Treatment Emergent Cytopenic Abnormalities - Part B Secondary · After Day 1 of treatment up to Week 48

Cytopenic abnormalities included anemia defined as hemoglobin \<10 grams/decilitre; neutropenia defined as Absolute neutrophil count (ANC) \<750 cubic millimetre (mm\^3); thrombocytopenia defined as platelets \<50,000 mm\^3.

GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR11.78.6 – 14.8
Part B: Peginterferon Alfa-2a + RBV + TVR55.849 – 62.6
Percentage of Participants With Extended Rapid Virologic Response (eRVR) - Part B Secondary · Week 4 and Week 12

eRVR was defined as Hepatitis C virus (HCV) RNA level below the lower limit of quantitation, target not detected at Weeks 4 and 12 of treatment. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR6459.3 – 68.6
Part B: Peginterferon Alfa-2a + RBV + TVR70.964.7 – 77.1
Percentage of Participants With On-Treatment Flu-Like Symptoms And Musculoskeletal Symptoms- Part B Secondary · After Day 1 of treatment up to Week 48

Flu-like symptoms included pyrexia, chills, and pain. Musculoskeletal symptoms included arthralgia, myalgia, and back pain.

Flu-Like Symptoms
GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR14.411 – 17.7
Part B: Peginterferon Alfa-2a + RBV + TVR36.429.8 – 43
Musculoskeletal symptoms
GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR21.417.4 – 25.4
Part B: Peginterferon Alfa-2a + RBV + TVR30.624.3 – 36.9
Percentage of Participants With Sustained Virologic Response at Follow- upWeek 24 (SVR24) - Part B Secondary · Follow-up Week 24

SVR24 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation (LLOQ), target detected or not detected at Week 24 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (LLOQ) =25 IU/mL; limit of detection \~ 10 IU/mL).

GroupValue95% CI
Part B: Peginterferon Lambda-1a + RBV + TVR8378 – 87.9
Part B: Peginterferon Alfa-2a + RBV + TVR8780.7 – 93.4
Percentage of Participants With Rash Secondary · After Day 1 of treatment up to Week 48

All skin reactions involving rash or rash-like events that occurred on treatment were reported.

GroupValue95% CI
Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)63
Part B: Peginterferon Lambda-1a + RBV + TVR36.3
Part B: Peginterferon Alfa-2a + RBV + TVR38.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 of treatment up to Week 48. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: Peginterferon Lambda-1a + RBV + TVR (Open Label)
Serious: 6/27 (22%)
Deaths: 0/27
Part B: Peginterferon Lambda-1a + RBV + TVR
Serious: 43/411 (10%)
Deaths: 1/411
Part B: Peginterferon Alfa-2a + RBV + TVR
Serious: 20/206 (10%)
Deaths: 1/206

Serious adverse events (41 terms)

ReactionSystemPart A: Peginterferon Lamb…Part B: Peginterferon Lamb…Part B: Peginterferon Alfa…
JaundiceHepatobiliary disorders
RashSkin and subcutaneous tissue disorders
Drug-induced liver injuryHepatobiliary disorders
AnaemiaBlood and lymphatic system disorders
Ocular icterusEye disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pancreatitis acuteGastrointestinal disorders
HepatotoxicityHepatobiliary disorders
HypertransaminasaemiaHepatobiliary disorders
Jaundice cholestaticHepatobiliary disorders
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Strangulated herniaGeneral disorders
Substance-induced psychotic disorderPsychiatric disorders
OverdoseInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Electrocardiogram QT prolongedInvestigations
Hepatic enzyme increasedInvestigations
Lipase increasedInvestigations
Pancreatic enzymes increasedInvestigations
Carotid bruitInvestigations
Atrial fibrillationCardiac disorders
Myocardial infarctionCardiac disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Other adverse events (50 terms — click to expand)

ReactionSystemPart A: Peginterferon Lamb…Part B: Peginterferon Lamb…Part B: Peginterferon Alfa…
PruritusSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
RashSkin and subcutaneous tissue disorders
InsomniaPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
Decreased appetiteMetabolism and nutrition disorders
AstheniaGeneral disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Anal pruritusGastrointestinal disorders
PyrexiaGeneral disorders
DizzinessNervous system disorders
Dry skinSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
HyperbilirubinaemiaHepatobiliary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Influenza like illnessGeneral disorders
NeutropeniaBlood and lymphatic system disorders
ChillsGeneral disorders
IrritabilityPsychiatric disorders
LeukopeniaBlood and lymphatic system disorders
HyperuricaemiaMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Anorectal discomfortGastrointestinal disorders
DyspepsiaGastrointestinal disorders
DepressionPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Amylase increasedInvestigations
Blood bilirubin increasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
HaemorrhoidsGastrointestinal disorders
Oedema peripheralGeneral disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
DysgeusiaNervous system disorders

Most-reported serious reactions: Jaundice, Rash, Drug-induced liver injury, Anaemia, Ocular icterus, Dyspnoea, Pancreatitis acute, Hepatotoxicity.

Data from ClinicalTrials.gov NCT01598090 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether Peginterferon Lambda-1a (Lambda) combined with Ribavirin (RBV) and Telaprevir (TVR) is effective in the treatment of chronic Hepatitis C (CHC) compared to Peginterferon Alfa-2a (alfa-2a) combined with RBV and Telaprevir.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting IL-10 Family Cytokines for the Treatment of Human Diseases.
    Wang X, Wong K, Ouyang W, Rutz S. · · 2019 · cited 211× · PMID 29038121 · DOI 10.1101/cshperspect.a028548
  2. Hepatitis C virus protease inhibitor-resistance mutations: our experience and review.
    Wu S, Kanda T, Nakamoto S, Imazeki F, et al · · 2013 · cited 30× · PMID 24379619 · DOI 10.3748/wjg.v19.i47.8940
  3. A Randomized Study of Peginterferon Lambda-1a Compared to Peginterferon Alfa-2a in Combination with Ribavirin and Telaprevir in Patients with Genotype-1 Chronic Hepatitis C.
    Flisiak R, Shiffman M, Arenas J, Cheinquer H, et al · · 2016 · cited 8× · PMID 27749900 · DOI 10.1371/journal.pone.0164563
  4. Interferon Lambda: The Next Frontier in Antiviral Therapy?
    Chronopoulou S, Tsochantaridis I. · · 2025 · cited 4× · PMID 40573183 · DOI 10.3390/ph18060785

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01598090.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing