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NCT02673489

A Study of Daclatasvir and Sofosbuvir With Ribavirin in Subjects With Cirrhosis and Genotype 3 Hepatitis C Infection

Completed Phase 3 Results posted Last updated 8 May 2018
What this trial tests

Phase 3 trial testing DCV in Hepatitis C in 106 participants. Completed in 26 May 2017.

Timeline
15 March 2016
Primary endpoint
2 March 2017
26 May 2017

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment106
Start date15 March 2016
Primary completion2 March 2017
Estimated completion26 May 2017
Sites19 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Hepatitis C. 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 Sustained Virologic Response (SVR12) Primary · Week 12

SVR12 was defined as hepatitis C virus (HCV) RNA less than the lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA measurements are excluded after the start of non-study anti-HCV medication on treatment or during follow-up. Modified (mITT) approach is based on treated subjects. The numerator is based on subjects meeting the response criteria and the Next Value Carried Backwards approach.

GroupValue95% CI
HCV Treatment Naive92.682.1 – 97.9
HCV Treatment Experienced75.053.3 – 90.2
Percentage of Participants Who Achieve SVR12 in the Presence and Absence of Baseline NS5A (Non-structural Protein 5A) Resistance-associated Polymorphisms Secondary · Week 12 (Follow-up period)

SVR12 was defined as hepatitis C virus (HCV) RNA less than the lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA measurements are excluded after the start of non-study anti-HCV medication on treatment or during follow-up. Modified (mITT) approach is based on treated subjects. The numerator is based on subjects meeting the response criteria and the Next Value Carried Backwards approach.

NS5A-Y93 Polymorphism: YES
GroupValue95% CI
HCV Treatment Naive85.742.1 – 99.6
HCV Treatment Experienced0.00.0 – 97.5
NS5A-Y93 Polymorphism: NO
GroupValue95% CI
HCV Treatment Naive93.682.5 – 98.7
HCV Treatment Experienced78.356.3 – 92.5
Percentage of Subjects Who Achieve HCV RNA < LLOQ, TD or TND Through Follow up Week 24 Secondary · At Week 1, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, End of Treatment (24 weeks), Follow Up Week 4 (28 weeks), Follow Up Week 12 (36 weeks), Follow Up Week 24 (48 weeks)

HCV RNA measurements are excluded after the start of non-study anti-HCV medication on treatment or during follow-up. Modified (mITT) approach is based on treated subjects. The numerator is based on subjects meeting the response criteria. SVR12 is based on Next Value Carried Backwards approach.

Week 1
GroupValue95% CI
HCV Treatment Naive14.86.6 – 27.1
HCV Treatment Experienced12.52.7 – 32.4
Week 2
GroupValue95% CI
HCV Treatment Naive50.036.1 – 63.9
HCV Treatment Experienced54.232.8 – 74.4
Week 4
GroupValue95% CI
HCV Treatment Naive92.682.1 – 97.9
HCV Treatment Experienced75.053.3 – 90.2
Week 8
GroupValue95% CI
HCV Treatment Naive98.190.1 – 100.0
HCV Treatment Experienced91.773.0 – 99.0
Week 12
GroupValue95% CI
HCV Treatment Naive92.682.1 – 97.9
HCV Treatment Experienced87.567.6 – 97.3
Week 16
GroupValue95% CI
HCV Treatment Naive90.779.7 – 96.9
HCV Treatment Experienced83.362.6 – 95.3
Week 20
GroupValue95% CI
HCV Treatment Naive94.484.6 – 98.8
HCV Treatment Experienced83.362.6 – 95.3
Week 24
GroupValue95% CI
HCV Treatment Naive88.977.4 – 95.8
HCV Treatment Experienced87.567.6 – 97.3
Percentage of Subjects Who Achieve HCV RNA < LLOQ, TND Through Follow up Week 24 Secondary · At Week 1, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24, End of Treatment, Follow Up Week 4, Follow Up Week 12, Follow Up Week 24

HCV RNA measurements are excluded after the start of non-study anti-HCV medication on treatment or during follow-up. Modified (mITT) approach is based on treated subjects. The numerator is based on subjects meeting the response criteria.

Week 1
GroupValue95% CI
HCV Treatment Naive1.90.0 – 9.9
HCV Treatment Experienced0.00.0 – 14.2
Week 2
GroupValue95% CI
HCV Treatment Naive11.14.2 – 22.6
HCV Treatment Experienced12.52.7 – 32.4
Week 4
GroupValue95% CI
HCV Treatment Naive64.850.6 – 77.3
HCV Treatment Experienced62.540.6 – 81.2
Week 8
GroupValue95% CI
HCV Treatment Naive94.484.6 – 98.8
HCV Treatment Experienced83.362.6 – 95.3
Week 12
GroupValue95% CI
HCV Treatment Naive90.779.7 – 96.9
HCV Treatment Experienced83.362.6 – 95.3
Week 16
GroupValue95% CI
HCV Treatment Naive90.779.7 – 96.9
HCV Treatment Experienced79.257.8 – 92.9
Week 20
GroupValue95% CI
HCV Treatment Naive94.484.6 – 98.8
HCV Treatment Experienced83.362.6 – 95.3
Week 24
GroupValue95% CI
HCV Treatment Naive88.977.4 – 95.8
HCV Treatment Experienced83.362.6 – 95.3

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose until last dose plus 7 days (assessed up to May 2017, approximately 14 months).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Overall: Daclatasvir(DCV) + Sofosbuvir(SOF) + Ribavirin(RBV)
Serious: 8/78 (10%)
Deaths: 0/78
HCV Treatment Naive
Serious: 4/54 (7%)
Deaths: 0/54
HCV Treatment Experienced
Serious: 4/24 (17%)
Deaths: 0/24

Serious adverse events (8 terms)

ReactionSystemOverall: Daclatasvir(DCV) …HCV Treatment NaiveHCV Treatment Experienced
Accidental overdoseInjury, poisoning and procedural complications
AscitesGastrointestinal disorders
Chest discomfortGeneral disorders
CholecystitisHepatobiliary disorders
BronchiolitisInfections and infestations
Streptococcal bacteraemiaInfections and infestations
OverdoseInjury, poisoning and procedural complications
DepressionPsychiatric disorders
Other adverse events (22 terms — click to expand)

ReactionSystemOverall: Daclatasvir(DCV) …HCV Treatment NaiveHCV Treatment Experienced
FatigueGeneral disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
InsomniaPsychiatric disorders
AnaemiaBlood and lymphatic system disorders
IrritabilityPsychiatric disorders
DizzinessNervous system disorders
ToothacheGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
Abdominal painGastrointestinal disorders
DyspepsiaGastrointestinal disorders
VomitingGastrointestinal disorders
NasopharyngitisInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Dyspnoea exertionalRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Gastroesophageal Reflux DiseaseGastrointestinal disorders
Pruritis GeneralisedSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
Oral HerpesInfections and infestations
Upper Respiratory Tract InfectionInfections and infestations

Most-reported serious reactions: Accidental overdose, Ascites, Chest discomfort, Cholecystitis, Bronchiolitis, Streptococcal bacteraemia, Overdose, Depression.

Data from ClinicalTrials.gov NCT02673489 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether 24 weeks of Daclatasvir and Sofosbuvir with Ribavirin is safe and effective in the treatment of genotype 3 hepatitis C infected patients with liver cirrhosis.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Daclatasvir and sofosbuvir with ribavirin for 24 weeks in chronic hepatitis C genotype-3-infected patients with cirrhosis: a Phase III study (ALLY-3C).
    Poordad F, Shiffman ML, Ghesquiere W, Wong A, et al · · 2019 · cited 7× · PMID 30382942 · DOI 10.3851/imp3278

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