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Daclatasvir

Phase 3

Hepatitis C | Small molecule | Infectious Disease |Bristol-Myers Squibb Company|Last Updated: Apr 19, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials12
Total Enrollment2,187
FDA Designations
No designations recorded
Clinical Trials (12)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02496078A Phase 3 Evaluation of Daclatasvir and Asunaprevir in Treatment-naive Subjects With Chronic Hepatitis C Genotype 1b InfectionPHASE3 COMPLETED 207Aug 1, 2015Feb 1, 2017Apr 19, 201729 China, Russia +1
NCT02319031Safety and Efficacy Study of the Combination Daclatasvir (60 mg), Sofosbuvir (400 mg) and Ribavirin (Weight-based Dosing) for 12 or 16 Weeks in Subjects With Genotype 3 Chronic HCV Infection With or Without Prior Treatment Experience and Advanced Fibrosis or Compensated CirrhosisPHASE3 COMPLETED 53Feb 1, 2015Dec 1, 2015Jan 27, 201710 Australia, France
NCT02032875Phase III Daclatasvir, Sofosbuvir, and Ribavirin in Cirrhotic Participants and Participants Post-liver TransplantPHASE3 COMPLETED 116Mar 1, 2014Jan 1, 2016Feb 9, 20175 United States
NCT02032888A Phase 3 Study to Evaluate Combination Therapy With Daclatasvir and Sofosbuvir in the Treatment of HIV and Hepatitis C Virus Coinfection.PHASE3 COMPLETED 238Feb 1, 2014Jan 1, 2015Oct 27, 201537 United States
NCT02032901Phase III Daclatasvir and Sofosbuvir for Genotype 3 Chronic HCVPHASE3 COMPLETED 173Jan 1, 2014Dec 1, 2014Oct 1, 201531 United States, Puerto Rico
NCT01973049UNITY 2: A Study of an Investigational Treatment Regimen of DCV+ASV+BMS-791325 in a Fixed Dose Combination (the DCV 3DAA (Direct Acting Antiviral) Regimen) With or Without RBV for 12 Weeks for the Treatment of Chronic Hepatitis C Virus(HCV)Genotype 1 Infection in Subjects With Compensated CirrhosisPHASE3 COMPLETED 202Dec 1, 2013Nov 1, 2014Oct 9, 201549 United States, Australia +2
NCT01492426Study Comparing Daclatasvir (BMS-790052) With Telaprevir Combined With Peginterferon Alfa-2a and Ribavirin in Patients With Chronic Hepatitis C Virus InfectionPHASE3 COMPLETED 605Jan 1, 2012Mar 1, 2014Jun 3, 201691 United States, Argentina +14
NCT01389323BMS-790052 (Daclatasvir) Plus Peg-Interferon Alfa-2a and Ribavirin in Treatment-Naive Black/African-Americans, Latinos and White/Caucasians With Hepatitis CPHASE3 COMPLETED 448Sep 1, 2011Jan 1, 2014Oct 12, 201536 United States, Puerto Rico
NCT02159352Study Assessing the Effects of Darunavir/Ritonavir or Lopinavir/Ritonavir on the Pharmacokinetics of Daclatasvir in Healthy ParticipantsPHASE1 COMPLETED 49Jun 1, 2014Jul 1, 2014Nov 30, 20151 United States
NCT02103569Drug Interaction Study of an OCP (Norethindrone (ND) Acetate and Ethinyl Estradiol (EE))With a Combination of Daclatasvir (DCV) Asunaprevir (ASV) and BMS-791325PHASE1 COMPLETED 20Apr 1, 2014Jul 1, 2014Aug 15, 2014 -
NCT02104843Drug Interaction Between Daclatasvir/Asunaprevir/BMS-791325 and RosuvastatinPHASE1 COMPLETED 18Apr 1, 2014May 1, 2014Jul 18, 2014 -
NCT01830205Pharmacokinetic and Safety Study of Daclatasvir in Patients With Renal ImpairmentPHASE1 COMPLETED 58Sep 1, 2012Jun 1, 2013Nov 16, 20152 United States
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Study Endpoints
Primary Endpoints
Proportion of treated subjects randomized to Active Dual therapy with Sustained Virologic Response (SVR12)
Post-treatment Week 12

HCV RNA \< Lower limit of quantitation (LLOQ) target detected (TD) or target not detected (TND) at follow-up Week 12

Percent of Participants With a Sustained Virologic Response (SVR) at Follow-up Week 12 (SVR12)
Follow-up Week 12

SVR12, defined as percentage of participants with hepatitis C virus (HCV) ribonucleic acid (RNA) \< lower limit of quantitation (LLOQ), target detected (TD) or target not detected (TND) at follow-up Week 12. SVR12 imputation was based on Next Value Carried Backwards (NVCB) approach. HCV RNA measurements were excluded after the start of non-study anti-HCV medication on treatment or during follow-up.

Percentage of HCV Genotype-1 Infected Post-liver Transplanted Participants With Sustained Virologic Response at Post-treatment Week 12 (SVR12)
Post-treatment follow-up Week 12

SVR12 was defined as hepatitis C Virus (HCV) RNA levels below the lower limit of quantitation (\<LLOQ) i.e., 25 IU/mL target detected or target not detected, at post-treatment Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. For participants who missed the follow-up Week 12 visit, SVR12 was imputed using the next and closest available HCV RNA measurement after the follow-up Week 12 window.

Percentage of Genotype-1 Infected Cirrhotic Participants With Sustained Virologic Response at Post-treatment Week 12 (SVR12)
Post-treatment follow-up Week 12

SVR12 was defined as hepatitis C Virus (HCV) RNA levels below the lower limit of quantitation i.e., 25 IU/mL target detected or target not detected, at post-treatment Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. For participants who missed the follow-up Week 12 visit, SVR12 was imputed using the next and closest available HCV RNA measurement after the follow-up Week 12 window.

Percentage of Genotype 1 Hepatitis C Virus (HCV)-Infected Treatment-naive Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12)
At follow-up Week 12

SVR12 was defined as HCV RNA \<lower limit of quantitation, target detected or target not detected at follow-up Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory. For participants who missed the follow-up Week 12 visit, SVR12 was imputed using the next and closest available HCV RNA measurement after the follow-up Week 12 window.

Percentage of Treatment-Naive Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) Target Detected (TD) or Target Not Detected (TND)
Week 12 (Follow-up period)

SVR12 was defined as hepatitis C virus (HCV) RNA less than the lower limit of quantitation ie., 25 IU/mL, TD or TND at follow-up Week 12. HCV RNA levels were measured by the Roche Cobas® TaqMan® HCV Test version 2.0 from the central laboratory.

Percentage of Treatment-Experienced Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) Target Detected (TD) or Target Not Detected (TND)
Week 12 (Follow-up period)

SVR12 was defined as hepatitis C virus (HCV) RNA less than the lower limit of quantitation ie., 25 IU/mL, target detected or target not detected at follow-up Week 12. HCV RNA levels were measured by the Roche COBAS® TaqMan® HCV Test version 2.0 from the central laboratory.

Proportion of treated subjects in each of the naive arms with sustained virologic response (SVR12)
Post treatment 12 week

SVR12 is defined as Hepatitis C virus ribonucleic acid (HCV RNA) \< Limit of Quantification (LOQ) target detected or target not detected (LOQ TD/TND)

Percentage of Genotype 1b Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12)
Week 12 (Follow-up period)

SVR12 was defined as hepatitis C virus RNA levels to be lower than the limit of quantitation, ie, 25 IU/mL target detected or target not detected at follow-up Week 12.

Percentage of Participants Achieving Sustained Virologic Response at Post-treatment Week 12 (SVR12)
Post-treatment Week 12

SVR12 was defined as Hepatitis C Virus (HCV) RNA levels \<lower limit of quantitation (LLOQ), (target detected or target not detected) at Post-treatment Week 12. The limit of detection for HCV RNA was 10 IU/mL and the LLOQ was 25 IU/mL. For analysis purpose, participants were assigned to following 3 race/ethnicity cohorts: Black/African American, Latino, and White non-Latino. Some participants were represented in more than one race/ethnicity cohort.

Maximum Observed Plasma Concentration (Cmax) for Daclatasvir
Predose (0 hour) on Day 2, 3 and 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 hours on Day 4 (Period 1); Predose (0 hour) on Day 12, 13 and 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 hour on Day 14 (Period 2)

Cmax was obtained from concentration-time plot using a noncompartmental method and a validated pharmacokinetic analysis program.

Area Under the Concentration-Time Curve in 1 Dosing Interval (AUC[TAU]) for Daclatasvir
Predose (0 hour) on Day 2, 3 and 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 hours on Day 4 (Period 1); Predose (0 hour) on Day 12, 13 and 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24 hour on Day 14 (Period 2)

AUC(TAU) was the area under the curve from time zero to end of dosing interval. AUC(TAU) was obtained from concentration-time plot of daclatasvir using noncompartmental method and a validated pharmacokinetic analysis program.

Area under the concentration versus time curve in 1 dosing interval (AUC (TAU)) of Ethinyl Estradiol and Norethindrone
Day 21 to Day 49
Maximum observed plasma concentration (Cmax) of Ethinyl Estradiol and Norethindrone
Day 21 to Day 49
Maximum observed concentration (Cmax) of Rosuvastatin
Day 1 (predose) to Day 5 (96 hours) and Day 15 (predose) to Day 19 (96 hours)
Area under the concentration-time curve from time zero to the time of the last quantifiable concentration (AUC(0-T)) of Rosuvastatin
Day 1 (predose) to Day 5 (96 hours) and Day 15 (predose) to Day 19 (96 hours)
Area under the concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) of Rosuvastatin
Day 1 (predose) to Day 5 (96 hours) and Day 15 (predose) to Day 19 (96 hours)
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of Daclatasvir
Pre-dose (0), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72 and 96 hours post-dose

AUC(INF) was estimated by summing the area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration and the extrapolated area, computed by the quotient of the last observable concentration and elimination rate constant. The pharmacokinetic (PK) analysis was based on Cockcroft-Gault (C-G) creatinine clearance (CLcr) grouping method: normal renal function, end stage renal disease (ESRD), moderate and severe renal impairment. Mild participants were counted as per their original allocation.

Secondary Endpoints
Proportion of subjects with anemia on active Dual therapy
Post-treatment Week 12
Proportion of subjects with neutropenia on active Dual therapy
Post-treatment Week 12
Proportion of subjects with thrombocytopenia on active Dual therapy
Post-treatment Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Active dual armACTIVE_COMPARATORDaclatasvir in tablet form at the dose of 60 mg QD and Asunaprevir in soft capsule form at the dose of 100 mg BID from day 1 to 12 week Daclatasvir in tablet form at the dose of 60 mg QD and Asunaprevir in soft capsule form at the dose of 100 mg BID from 12 to 24 week and follow up to week 48
Placebo armPLACEBO_COMPARATORDaclatasvir placebo in tablet form QD and Asunaprevir placebo in soft capsule form BID from day 1 to 12 week Daclatasvir in tablet form at the dose of 60 mg QD and Asunaprevir in soft capsule form at the dose of 100 mg BID from 12 to 36 week and follow up to week 60
Arm1: Daclatasvir + Sofosbuvir + Ribavirin (12 Weeks)ACTIVE_COMPARATOROral dosing Daclatasvir 60mg once daily, Sofosbuvir 400mg once daily, and Ribavirin 1000-1200mg (weight based dosing) split into am and pm dosing
Arm2 : Daclatasvir + Sofosbuvir + Ribavirin (16 Weeks)ACTIVE_COMPARATOROral dosing Daclatasvir 60mg once daily, Sofosbuvir 400mg once daily, and Ribavirin 1000-1200mg (weight based dosing) split into am and pm dosing
Post-liver Transplant CohortEXPERIMENTALParticipants with liver transplant received daclatasvir 60 mg, sofosbuvir 400 mg, and ribavirin (based on baseline hemoglobin and creatinine clearance and tolerated dose) tablets daily for 12 weeks and were followed for 24 weeks post treatment.
Cirrhotic CohortEXPERIMENTALCirrhotic participants received daclatasvir 60 mg, sofosbuvir 400 mg, and ribavirin (based on baseline hemoglobin and creatinine clearance and tolerated dose) tablets orally for 12 weeks and were followed for 24 weeks post-treatment. Cirrhotic participants who received a liver transplant while on study treatment were eligible (\>3 months post transplant) for a treatment extension of daclatasvir 60 mg, sofosbuvir 400 mg, and ribavirin (dose based on hemoglobin level) tablets orally for an additional 12 weeks
Daclatasvir + Sofosbuvir (Treatment-naive) 12 weeksEXPERIMENTALTreatment-naïve participants received daclatasvir 30, 60, or 90 mg, and sofosbuvir, 400 mg, once daily for 12 weeks
Daclatasvir + Sofosbuvir (Treatment-naive) 8 weeksEXPERIMENTALTreatment-naïve participants received daclatasvir, 30, 60, or 90 mg, and sofosbuvir, 400 mg, once daily for 8 weeks
Daclatasvir + Sofosbuvir (Treatment-experienced) 12 weeksEXPERIMENTALTreatment-experienced participants received daclatasvir, 30, 60, or 90 mg, and sofosbuvir, 400 mg, once daily for 12 weeks
A1:Daclatasvir + Sofosbuvir in treatment-naive subjectsEXPERIMENTALDaclatasvir 60 mg tablet and Sofosbuvir 400 mg tablet orally once daily for 12 weeks
A2:Daclatasvir + Sofosbuvir in treatment-experienced subjectsEXPERIMENTALDaclatasvir 60 mg tablet and Sofosbuvir 400 mg tablet orally once daily for 12 weeks
A1: DCV/ASV/BMS-791325+Placebo matching RBV (naive)EXPERIMENTALTriple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks Placebo matching Ribavirin 0mg tablet orally twice a day for 12 weeks
A2: DCV/ASV/BMS-791325 + RBV (naive)EXPERIMENTALTriple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks Ribavirin 200mg tablet orally twice a day for 12 weeks
A3: DCV/ASV/BMS-791325+Placebo matching RBV (experienced)EXPERIMENTALTriple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks Placebo matching Ribavirin 0 mg tablet orally twice a day for 12 weeks
A4: DCV/ASV/BMS-791325 + RBV (experienced)EXPERIMENTALTriple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks Ribavirin 200 mg tablet orally twice a day for 12 weeks, Weight based dosing: If \< 75 kg, 1000 mg per day (two 200 mg tablets in AM and three 200 mg tablets in PM); if ≥ 75 kg, 1200 mg per day (three 200 mg tablets in AM and three 200 mg tablets in PM), AM=in the morning, PM=in the evening
Daclatasvir + Peginterferon alfa-2a + RibavirinEXPERIMENTAL -
Telaprevir + Peginterferon alfa-2a + RibavirinEXPERIMENTAL -
Arm 1: Daclatasvir + Peg-Interferon Alfa-2a + RibavirinEXPERIMENTAL -
Group 1: Daclatasvir and Darunavir/RitonavirEXPERIMENTALTreatment A: Daclatasvir oral tablet on specific days Treatment B: Daclatasvir tablet and Darunavir Tablet/Ritonavir capsule orally on specific days
Group 2: Daclatasvir and Lopinavir/RitonavirEXPERIMENTALTreatment C: Daclatasvir oral tablet on specific days Treatment D: Daclatasvir tablet and Lopinavir/Ritonavir tablet orally on specific days
Arm 1: FDC of NE/EE + DCV 3DAA FDC + BMS-791325EXPERIMENTALCycle 1- Low dose FDC of Norethindrone and Ethinyl Estradiol tablet orally on specified days Cycle 2- High dose FDC of Norethindrone and Ethinyl Estradiol tablet orally on specified days and High dose FDC of Norethindrone and Ethinyl Estradiol + FDC of Daclatasvir, Asunaprevir and BMS-791325 + BMS-791325 tablets orally on specified days
Arm 1: DCV/ASV/BMS-791325 FDC + BMS-791325 + RosuvastatinEXPERIMENTALTreatment A: Rosuvastatin tablet orally on specified days Treatment B: Daclatasvir, Asunaprevir and BMS-791325 Fixed dose combination (FDC) + BMS-791325 tablet orally on specified days Treatment C: Daclatasvir, Asunaprevir and BMS-791325 FDC + BMS-791325 + Rosuvastatin tablet orally on specified days
Group A (Normal renal function): DaclatasvirEXPERIMENTALDaclatasvir 60 mg tablet by mouth single dose on Day 1
Group B (End Stage Renal Disease): DaclatasvirEXPERIMENTALDaclatasvir 60 mg tablet by mouth single dose on Day 1
Group C (Moderate renal impairment): DaclatasvirEXPERIMENTALDaclatasvir 60 mg tablet by mouth single dose on Day 1
Group D (Severe renal impairment): DaclatasvirEXPERIMENTALDaclatasvir 60 mg tablet by mouth single dose on Day 1
Interventions
NameTypeDescription
DaclatasvirDRUGDaclatasvir tablet 60mg
AsunaprevirDRUGAsunaprevir soft capsule 100 mg
SofosbuvirDRUG -
RibavirinDRUG -
BMS-791325DRUG -
Placebo matching RibavirinDRUG -
TelaprevirDRUGFilm-coated tablet, oral, 750 mg, 3 times daily
Peginterferon alfa-2aDRUGSolution for injection, subcutaneous injection, 180 μg, weekly
Peg-Interferon Alfa-2aDRUGSyringe, Subcutaneous Injection, 180 μg, Once weekly, 24 or 48 weeks depending on response
DarunavirDRUG -
RitonavirDRUG -
Lopinavir/RitonavirDRUG -
FDC of Daclatasvir, Asunaprevir and BMS-791325DRUG -
FDC of Norethindrone and Ethinyl EstradiolDRUG -
Daclatasvir, Asunaprevir and BMS-791325 FDCDRUG -
RosuvastatinDRUG -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites29

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Patients chronically infected with HCV Genotype 1b * No previous exposure to any interferon formulation, Ribavirin (RBV), and HCV direct acting antiviral agent * HCV RNA vira...

Countries:ChinaRussiaSouth KoreaAustraliaFranceUnited StatesPuerto RicoCanadaArgentinaAustriaBrazilDenmarkGermanyIsraelItalyPolandSpainSwitzerlandUnited Kingdom
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