The purpose of this study is to determine whether treatment with Daclatasvir/Asunaprevir/BMS-791325, with or without ribavirin, for 8, 6, or 4 weeks is feasible for the treatment of genotype 1a chronic hepatitis C in patients without cirrhosis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg and BMS-791325 75 mg) orally twice a day
Fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg and BMS-791325 75 mg) tablet orally twice a day plus weight based ribavirin orally twice a day
VA Long Beach Healthcare System
Long Beach, California, United States
Sustained Virologic Response
Proportion of treated subjects in each enrolled arm with sustained virologic response (SVR)12. SVR12 is defined as HCV RNA \< lower limit of quantification (LLOQ) target detected or target not detected (TD/TND) at post treatment Week 12
Time frame: Post treatment week 12
Safety
On treatment safety, as measured by frequency of serious adverse events (SAEs) and adverse events (AEs), discontinuations due to AEs, and rates and grades of select laboratory abnormalities including liver function tests and hematology laboratory abnormalities in each arm
Time frame: Up to end of treatment (+7 days)
Sustained virologic response
Proportion of treated subjects in each arm with SVR2, SVR4 and SVR 24, defined as HCV RNA \< lower limit of quantification (LLOQ) target detected or target not detected (TD/TND) at post treatment Weeks, 2, 4, and 24 respectively
Time frame: 2, 4 and 24 weeks post-treatment
Post treatment virologic response
To assess the proportion of subjects who achieve sustained virologic response (SVR) 2, SVR4 and SVR24.
Time frame: post treatment Weeks 2 (SVR2), 4 (SVR4), and 24 (SVR24)
On treatment virologic response
To assess antiviral activity, as measured by the proportion of subjects who achieve HCV RNA \<lower limit of detection (LLOD) and/or \< lower limit of quantification (LLOQ) at each on treatment visit.
Time frame: On-treatment Day 2 and Weeks 1, 2, 4, 6, 8 and 12
Virologic failure
To assess the proportion of subjects with virologic failure (including on treatment virologic breakthrough and relapse) and evaluate the emergence of viral resistant mutations.
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Time frame: On-treatment Day 2 and Weeks 1, 2, 4, 6, 8 and 12 and Post Treatment Weeks 2, 4, 12 and 24
Day 2 positive predictive value
To assess the predictive value of Day 2 virologic response on sustained virologic response (SVR) 12
Time frame: Post treatment Week 12
Interferon lambda genotype and virologic response
To compare the virologic response of subjects by genotype for interferon (IFN) lambda variants \[' IL28B' and IFNL4-ΔG\]
Time frame: On-treatment Day 2 and Weeks 1, 2, 4, 6, 8 and 12 and Post Treatment Weeks 2, 4, 12 and 24