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DCV/ASV/BMS-791325

Phase 3

Hepatitis C | Small molecule | Infectious Disease |Bristol-Myers Squibb Company|Last Updated: Oct 29, 2020

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials3
Total Enrollment557

FDA Designations

No designations recorded

Clinical trial landscape

DCV/ASV/BMS-791325 · 4 trials · 2 indications

Phase 3 3Phase 2 1
NCT02673489A Study of Daclatasvir and Sofosbuvir With Ribavirin in Subjects With Cirrhosis and Genotype 3 Hepatitis C InfectionHepatitis C
COMPLETED106 Analytics
NCT02170727A Phase 3 Study of a Daclatasvir/Asunaprevir/BMS-791325 Fixed Dose Combination (FDC) in Subjects With Chronic Hepatitis C Genotype 1Hepatitis C Virus
COMPLETED199 Analytics
NCT01979939UNITY 1: A Study of an Investigational Treatment Regimen of Daclatasvir (DCV) + Asunaprevir (ASV) + BMS-791325 in a Fixed Dose Combination (the DCV 3DAA (Direct Acting Antiviral) Regimen) for 12 Weeks for the Treatment of Chronic Hepatitis C Virus (HCV) Genotype 1 Infection in Non-cirrhotic SubjectsHepatitis C
COMPLETED416 Analytics
PHASE3COMPLETED
A Study of Daclatasvir and Sofosbuvir With Ribavirin in Subjects With Cirrhosis and Genotype 3 Hepatitis C Infection
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Study of a Daclatasvir/Asunaprevir/BMS-791325 Fixed Dose Combination (FDC) in Subjects With Chronic Hepatitis C Genotype 1
Hepatitis C VirusUnlock trial analytics
PHASE3COMPLETED
UNITY 1: A Study of an Investigational Treatment Regimen of Daclatasvir (DCV) + Asunaprevir (ASV) + BMS-791325 in a Fixed Dose Combination (the DCV 3DAA (Direct Acting Antiviral) Regimen) for 12 Weeks for the Treatment of Chronic Hepatitis C Virus (HCV) Genotype 1 Infection in Non-cirrhotic Subjects
Hepatitis CUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Sustained Virologic Response (SVR12)
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.

Percentage of Participants With Sustained Virologic Response 12 (SVR12) in the Naive Cohort
Post treatment Week 12

Percentage of Participants with SVR12 in the naive cohort, defined as HCV RNA \< LLOQ target detected (TD) or target not detected (TND) (LOQ TD/TND) at post-treatment follow-up Week 12.

Proportion of treated subjects in the naive cohort with sustained virologic response (SVR) 12
Post-Treatment Week 12

SVR12 is defined as HCV ribonucleic acid (RNA) \< limit of quantitation (LOQ) target detected or target not detected (LOQ TD/TND) at post treatment Week 12

Percentage of Participants With Sustained Virologic Response 12 (SVR12)
12 Weeks after treatment discontinuation (Follow-up Week 12)

SVR12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) \< lower limit of quantitation (LLOQ) target detected (TD) or not detected (TND) at post-treatment follow-up Week 12. Imputed SVR12 was based on Next Value Carried Backwards approach.

Number of Participants With Deaths, Serious Adverse Events (SAEs) and AEs Leading to Discontinuation From Treatment
From signature of the informed consent until 4 weeks after last treatment administration.(Approximately 17 months)

SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/ birth defect.

Number of Participants With Selected Grade 3/4 Laboratory Abnormalities
From signature of the informed consent until 4 weeks after last treatment administration.(Approximately 17 months)

Grade 3/4 laboratory abnormalities (hematology, electrolyte, lipase, liver function, metabolic, renal function, urinalysis). The Week 24 data set was used to evaluate the Week-24 on-treatment safety. The cumulative data set was used to evaluate the safety while on treatment. Common Terminology Criteria for Adverse Events v3.0 (CTCAE) Grades:1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening/disabling, 5=Death.

Secondary Endpoints

Percentage of Participants Who Achieve SVR12 in the Presence and Absence of Baseline NS5A (Non-structural Protein 5A) Resistance-associated Polymorphisms
Week 12 (Follow-up period)
Percentage of Subjects Who Achieve HCV RNA < LLOQ, TD or TND Through Follow up Week 24
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)
Percentage of Subjects Who Achieve HCV RNA < LLOQ, TND Through Follow up Week 24
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
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Daclatasvir (DCV) + Sofosbuvir (SOF) + Ribavirin (RBV)EXPERIMENTALOral dosing of DCV 60 mg tablet once daily + SOF 400 mg tablet once daily + RBV 1000-1200 mg tablet per day (weight based) for 24 weeks.
Arm 1 : DCV/ASV/BMS-791325EXPERIMENTALDCV 30 mg (as the free base) / Asunaprevir (ASV) 200 mg / BMS-791325 75 mg FDC tablet orally twice daily for 12 weeks
A 1: DCV/ASV/BMS-791325 in treatment-naive subjectsEXPERIMENTALFixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg and BMS-791325 75 mg) tablet orally twice a day for 12 weeks
A 2: DCV/ASV/BMS-791325 in treatment-experienced subjectsEXPERIMENTALFixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg and BMS-791325 75 mg) tablet orally twice a day for 12 weeks
Arm 1: DCV/ASV/BMS-791325+SofosbuvirEXPERIMENTALInitial Therapy: Daclatasvir/Asunaprevir/BMS-791325 \[30 mg (as the free base)/200 mg/75 mg (as the free base)\] film coated Fixed Dose Combination tablet twice daily orally for 4 weeks Sofosbuvir 400 mg tablet once daily orally for 4 weeks
Arm 2: DCV/ASV/BMS-791325 + SofosbuvirEXPERIMENTALInitial Therapy Daclatasvir/Asunaprevir/BMS-791325 \[30 mg (as the free base)/200 mg/75 mg (as the free base)\] film coated Fixed Dose Combination tablet twice daily orally for 6 weeks Sofosbuvir 400 mg tablet once daily orally for 6 weeks
Rescue Therapy: Arm 1:DCV/ASV/BMS-791325+RBV±PegIFNα-2aEXPERIMENTALDaclatasvir/Asunaprevir/BMS-791325 \[30 mg (as the free base)/200 mg/75 mg (as the free base)\] film coated Fixed Dose Combination tablet twice daily orally for 12 weeks Ribavirin 200 mg tablets twice daily (1000 or 1200 mg per day based on weight) orally for 12 weeks With or without Peginterferon α-2a 180 µg solution for injection subcutaneously once weekly for 12 weeks
Rescue Therapy: Arm 2: Sofosbuvir + RBV + PegIFNα-2aOTHERSofosbuvir 400 mg tablet once daily orally for 12 weeks Ribavirin 200 mg tablets twice daily (1000 or 1200 mg per day based on weight) orally for 12 weeks Peginterferon α-2a 180 µg solution for injection subcutaneously once weekly for 12 weeks

Interventions

NameTypeDescription
DCVDRUG -
SOFDRUG -
RBVDRUG -
DCV/ASV/BMS-791325DRUG -
RibavirinDRUG -
SofosbuvirDRUG -
Peginterferon α-2aDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

For more information regarding Bristol-Myers Squibb (BMS) Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Genotype 3 HCV * HCV RNA ≥10000 IU (International Unit)/mL * Compensated Liver Cirrhosis * BMI 18-40 kg/m2 * Previously treated for HCV or never treate...

Countries:United StatesCanadaRussiaSouth KoreaTaiwanAustraliaFrancePuerto Rico
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Competitive Landscape -Hepatitis C 11 trials

Frequently asked questions about DCV/ASV/BMS-791325

What is DCV/ASV/BMS-791325 used for?

DCV/ASV/BMS-791325 is an investigational fixed-dose combination regimen being studied for the treatment of chronic hepatitis C virus (HCV) genotype 1 infection. It combines three direct-acting antiviral agents: daclatasvir, asunaprevir, and BMS-791325. The regimen is being evaluated in non-cirrhotic subjects and in broader genotype 1 populations.

Who makes DCV/ASV/BMS-791325?

DCV/ASV/BMS-791325 is being developed by Bristol-Myers Squibb Company, traded on the New York Stock Exchange under the ticker BMY. The company has conducted clinical trials of this fixed-dose combination for chronic hepatitis C virus infection.

What phase is DCV/ASV/BMS-791325 in?

DCV/ASV/BMS-791325 is in Phase 3 clinical development for chronic hepatitis C virus infection. It is an investigational regimen and has not been approved by regulatory authorities. The Phase 3 trials have been completed, along with one Phase 2 study.

What clinical trials is DCV/ASV/BMS-791325 in?

DCV/ASV/BMS-791325 has been studied in three completed trials. NCT01979939 (UNITY 1) enrolled 416 non-cirrhotic genotype 1 patients across the US, Australia, Canada, France, and Puerto Rico. NCT02170727 enrolled 199 genotype 1 patients in Russia, South Korea, and Taiwan. NCT02175966 (FOURward) was a Phase 2 study with 35 patients.

Is DCV/ASV/BMS-791325 the same as daclatasvir, asunaprevir, and BMS-791325?

DCV/ASV/BMS-791325 is a fixed-dose combination of three individual drugs: daclatasvir (DCV), asunaprevir (ASV), and BMS-791325. The combination is being studied as a single regimen for chronic hepatitis C virus infection, with the components acting together as direct-acting antivirals.

What does DCV/ASV/BMS-791325 target?

DCV/ASV/BMS-791325 is a combination of direct-acting antiviral agents that target hepatitis C virus proteins. Daclatasvir inhibits the NS5A protein, asunaprevir inhibits the NS3/4A protease, and BMS-791325 inhibits the NS5B polymerase. Together they block multiple steps of the HCV replication cycle.