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BMS-790052

Phase 3

Hepatitis C | Small molecule | Infectious Disease |Bristol-Myers Squibb Company|Last Updated: Oct 16, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment376

FDA Designations

No designations recorded

Clinical trial landscape

BMS-790052 · 8 trials · 5 indications

Phase 3 2Phase 2 4Phase 1 2
NCT01497834A Phase 3 Study in Combination With BMS-790052 and BMS-650032 in Japanese Hepatitis C Virus (HCV) PatientsHepatitis C
COMPLETED224 Analytics
NCT01448044Phase III BMS-790052 Add-On to Peg-Interferon Alfa-2a and Ribavirin in Naive Hepatitis CHepatitis C
COMPLETED152 Analytics
PHASE3COMPLETED
A Phase 3 Study in Combination With BMS-790052 and BMS-650032 in Japanese Hepatitis C Virus (HCV) Patients
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
Phase III BMS-790052 Add-On to Peg-Interferon Alfa-2a and Ribavirin in Naive Hepatitis C
Hepatitis CUnlock trial analytics

Study Endpoints

Primary Endpoints

Antiviral activity, as determined by the proportion of subjects with SVR24
After 24 weeks of the last dose

SVR24 - sustained virologic response at follow-up Week 24 (after end of treatment)

Percentage of Participants With 12 Week Sustained Virologic Response (SVR12)
Week 12 (Follow-up period)

Participants were assessed for sustained virologic response 12 weeks post treatment (SVR12) defined as hepatitis C virus (HCV) RNA levels \< lower limit of quantitation (LLOQ was 25 IU/mL), target detected (TD) or target not detected (TND) at post-treatment Week 12.

Percentage of Participants With Extended Rapid Virologic Response (eRVR)
Week 4, Week 12

eRVR was defined as undetectable Hepatitis C virus RNA at both Weeks 4 and 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.

Percentage of Participants With 24-week Sustained Virologic Response (SVR24)
Follow-up Week 24

SVR24 was defined as undetectable RNA (Hepatitis C Virus \[HCV\] RNA \<lower limit of quantitation \[LLOQ\], target not detected \[TND\]) at follow-up Week 24. TND was 10 IU/mL. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.

Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs) and Who Died On-treatment
From first dose to last dose plus 7 days, up to 49 weeks

AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity; or was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization.

Number of Participants With Serious Adverse Events (SAEs) and Who Died During Follow-up Period
From day 8 post last dose of treatment up-to Week 72

AE was defined as any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that does not necessarily have a causal relationship. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, or; was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization.

Part 1: To assess safety and tolerability based on 4 weeks safety data, as measured by related serious adverse events (SAEs) and discontinuations due to related AEs
Week 4
Part 2: To determine the proportion of subjects who achieve SVR12 (i.e., HCV RNA < 15 IU/mL at follow-up Week 12)
Post-treatment Week 12
Hepatitis C virus (HCV) ribonucleic acid (RNA) levels in subjects' blood before, during and after treatment
12 weeks post treatment
Maximum Observed Plasma Concentration (Cmax) of Ethinyl Estradiol
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Days 49 and 77

Ethinyl Estradiol is an analyte of Ortho Tri-Cyclen. Ethinyl Estradiol was measured in plasma, using liquid chromatography-tandem mass spectrometry (LC-MS/MS) by a validated analytical method during the period of known analyte stability. Cmax was measured in picograms per milliliter (pg/mL) and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Area Under the Concentration-Time Curve (AUC) in 1 Dosing Interval of Ethinyl Estradiol
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 h post-dose on Days 49 and 77

Ethinyl Estradiol was measured in plasma, using liquid chromatography-tandem mass spectrometry by a validated analytical method during the period of known analyte stability. AUC(TAU) was measured in picograms multiplied by hours (h) per milliliter (pg\*h/mL) and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Time of Maximum Observed Plasma Concentration of Ethinyl Estradiol
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 h post-dose on Days 49 and 77

Ethinyl Estradiol was measured in plasma, using liquid chromatography-tandem mass spectrometry by a validated analytical method during the period of known analyte stability. Tmax was measured in hours (h), and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Maximum Observed Plasma Concentration of Norelgestromin
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 h post-dose on Days 49 and 77

Norelgestromin is a major active metabolite of norgestimate (NGM) which is found in Ortho Tri-Cyclen. Norelgestromin was measured in plasma, using liquid chromatography-tandem mass spectrometry by a validated analytical method during the period of known analyte stability. Cmax was measured in nanograms per milliliter (ng/mL) and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Area Under the Concentration-Time Curve in 1 Dosing Interval of Norelgestromin
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 h post-dose on Days 49 and 77

Norelgestromin was measured in plasma, using liquid chromatography-tandem mass spectrometry by a validated analytical method during the period of known analyte stability. AUC(TAU) was measured in nanograms multiplied by hours (h) per milliliter (ng\*h/mL) and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Time of Maximum Observed Plasma Concentration of Norelgestromin
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 h post-dose on Days 49 and 77

Norelgestromin was measured in plasma, using liquid chromatography-tandem mass spectrometry by a validated analytical method during the period of known analyte stability. Tmax was measured in hours (h), and derived from 24 hour plasma concentration versus time data using non-compartmental methods. Pre-dose concentrations and concentrations prior to the first quantifiable concentration that were below the lower limit of quantitation were treated as missing.

Maximum Observed Plasma Concentration (Cmax) of BMS-790052
Pre-dose (0), 0.5,1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Maximum observed plasma concentration following drug administration from the raw plasma concentration-time data. The plasma samples were analysed for BMS-790052 by using a validated liquid chromatography tandem mass spectrometric (LC-MS/MS) assay.

Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Last Measurable Concentration [AUC(0-T)] of BMS-790052
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

AUC(0-T) was calculated by the sum of linear trapezoids using non-compartmental analysis.

Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of BMS-790052
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of BMS-790052
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Tmax was defined as the time required to reach maximum observed plasma concentration. Tmax was directly determined from the raw plasma concentration-time data.

Terminal Half-life (T-HALF) of BMS-790052
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Terminal half-life was the time required for one half of the total amount of administered drug eliminated from the body.

Apparent Total Body Clearance (CLT/F) of BMS-790052
Pre-dose (0), 0.5,1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Apparent total body clearance was calculated as dose/AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Apparent Clearance of Free BMS-790052 (CLu/F)
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

CLu/F was calculated by dividing the apparent total body clearance (CLT/F) by mean fraction of unbound drug (fu) for both (1 hour and 4 hour post dose) time points combined. Apparent total body clearance was calculated as dose/AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/ λz, where λz was the terminal elimination rate constant and Ct was the last observable concentration.

The Apparent Volume of Distribution at Steady State (Vss/F)
Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Apparent volume of distribution was calculated by dividing the product of the dose and mean residence time (MRT) by AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Secondary Endpoints

Antiviral activity, as determined by the proportion of subjects who achieve Hepatitis C virus (HCV) ribonucleic acid (RNA) below lower limit of quantitation (LLOQ) target detected or not detected
Weeks 1, 2, 4, 6, 8, 10 and 12; Weeks 4 and 12; End of treatment (EOT), or post treatment Week 12
Antiviral activity, as determined by the proportion of subjects who achieve HCV RNA below LLOQ, target not detected
Weeks 1, 2, 4, 6, 8, 10 and 12; Weeks 4 and 12; EOT, or post treatment Week 12, post treatment Week 24
Safety, as measured by the frequency of serious adverse events (SAEs), discontinuations due to adverse events (AEs), AEs by intensity and laboratory abnormalities by toxicity grade
End of treatment plus 7 days
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Daclatasvir + AsunaprevirEXPERIMENTAL -
BMS-790052 + PegIFNα-2a + RibavirinEXPERIMENTAL* BMS-790052 60 mg Tablets, Oral, once daily for 24 weeks * PegIFNα-2a 180 μg Subcutaneous Injection, once weekly for 24 or 48 weeks depending on response * Ribavirin 400 mg (2 tablets for participants \< 75 kg) or 600 mg (3 tablets for participants ≥ 75 kg) in the morning and 600 mg (3 tablets) in the evening, Oral for 24 or 48 weeks depending on response
Placebo matching BMS-790052 + PegIFNα-2a + RibavirinPLACEBO_COMPARATOR* Placebo matching BMS-790052 0 mg Tablets, Oral, once daily for 48 weeks * PegIFNα-2a 180 μg Subcutaneous Injection, once weekly for 48 weeks * Ribavirin 400 mg (2 tablets for participants \< 75 kg) or 600 mg (3 tablets for participants ≥ 75 kg) in the morning and 600 mg (3 tablets) in the evening, Oral for 48 weeks
Arm 1: BMS-790052 plus peginterferon alfa-2a and ribavirinEXPERIMENTAL(prior null responders)
Arm 2: BMS-790052 plus peginterferon alfa-2a and ribavirinEXPERIMENTAL(prior null responders)
Arm 3: BMS-790052 plus peginterferon alfa-2a and ribavirinEXPERIMENTAL(prior partial responders)
Arm 4: BMS-790052 plus peginterferon alfa-2a and ribavirinEXPERIMENTAL(prior partial responders)
Arm 5: Placebo plus peginterferon alfa-2a and ribavirinEXPERIMENTAL(prior partial responders only)
BMS-790052 + BMS-650032EXPERIMENTAL -
Arm 1: Sentinel AEXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (600 mg) twice daily
Arm 2: Sentinel BEXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (600mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 3: Expansion A1EXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (200mg) twice daily
Arm 4: Expansion A2EXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (200mg) once daily
Arm 5: Expansion B1EXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (200 mg) twice daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 6: Expansion B2EXPERIMENTALBMS-790052 (60mg) once daily + BMS-650032 (200 mg) once daily + Pegylated-interferon alfa-2a + Ribavirin
Arm 7: Expansion B3EXPERIMENTALBMS-790052 (60 mg) once daily + BMS-650032 (200 mg) twice daily + Ribavirin
Arm A (BMS-790052, plus Peginterferon alfa-2b, Ribavirin)EXPERIMENTALTreatment Naive
Arm B (BMS-790052, plus Peginterferon alfa-2b, Ribavirin)EXPERIMENTALTreatment Naive
Arm C (Placebo, plus Peginterferon alfa-2b, Ribavirin)PLACEBO_COMPARATORTreatment Naive
Arm D (BMS-790052, plus peginterferon alfa-2b, Ribavirin)EXPERIMENTALNon-Responder
Arm E (BMS-790052, plus Peginterferon alfa-2b, Ribavirin)EXPERIMENTALNon-Responder
BMS-790052 plus Ortho Tri-Cyclen®EXPERIMENTAL -
BMS-790052 in Child-Pugh AACTIVE_COMPARATOR -
BMS-790052 in Child-Pugh BACTIVE_COMPARATOR -
BMS-790052 in Child-Pugh CACTIVE_COMPARATOR -
BMS-790052 in Healthy SubjectsACTIVE_COMPARATOR -

Interventions

NameTypeDescription
BMS-790052 (Daclatasvir)DRUGTablets, Oral, 60mg, Once daily, 24 weeks
BMS-650032 (Asunaprevir)DRUGCapsules, Oral, 100mg, Twice daily, 24 weeks
BMS-790052 (NS5A Replication Complex Inhibitor)DRUG -
Placebo matching BMS-790052DRUG -
Pegylated-interferon alfa 2aDRUG -
RibavirinDRUG -
BMS-790052DRUGFilm coated tablet, Oral, 20 mg, once daily, 24 weeks
PlaceboDRUGFilm coated tablet, Oral, 0mg, Once daily, 24 weeks
peginterferon alfa-2aDRUGSolution for injection, Subcutaneous injection, 180 µg, weekly, 24 or 48 weeks
BMS-650032DRUGTablets, Oral, 1200 mg, daily, 24 weeks
Pegylated-interferon alfa-2aDRUGSyringe, Subcutaneous Injection, 180 µg, once weekly
Peginterferon alfa-2bDRUGSyringe, Subcutaneous, 180µg, weekly, 24-48 weeks
Ortho Tri-Cyclen®DRUGTablets, Oral, once daily, 78 days
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Eligibility Criteria

Age Range20 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: * Chronic HCV-1b infected patient * HCV RNA viral load of ≥ 100,000 IU/mL at screening * Ages 20 to 75 years * Non-responder to Interferon plus Ribavirin therapy * Patient who has been excluded from interferon/ribavirin therapy or intolerant for Interferon/Ribavirin therapy Exc...

Countries:JapanUnited StatesFranceGreeceItalyPuerto RicoSpainUnited KingdomArgentinaAustraliaCanadaDenmarkGermanyMexicoSweden
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Competitive Landscape -Hepatitis C 11 trials

Frequently asked questions about BMS-790052

What is BMS-790052 used for?

BMS-790052 is an investigational small molecule being developed by Bristol-Myers Squibb for the treatment of chronic Hepatitis C virus infection. It has been studied in patients with Hepatitis C, including those who failed prior treatment, and in combination with other antiviral agents.

Who makes BMS-790052?

BMS-790052 is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY. The company has conducted clinical trials of this investigational drug in patients with Hepatitis C virus infection.

What phase is BMS-790052 in?

BMS-790052 has completed Phase 2 and Phase 3 clinical trials for Hepatitis C. The drug is investigational and has not been reported as approved by regulatory authorities. Its development status is based on completed trials registered in clinical trial databases.

What clinical trials has BMS-790052 been in?

BMS-790052 has been studied in several completed trials, including NCT00859053, a Phase 1 pharmacokinetic study in hepatic impairment; NCT01170962, a Phase 2 study in patients who failed prior Hepatitis C treatment; and NCT01448044 and NCT01497834, Phase 3 studies in Hepatitis C patients.

Is BMS-790052 the same as daclatasvir?

BMS-790052 is an alternative name for daclatasvir, a direct-acting antiviral agent. The drug has been studied under the BMS-790052 designation in clinical trials for Hepatitis C virus infection, and it is also known by its generic name daclatasvir.