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Peginterferon Lambda-1a

Phase 3

Hepatitis C | Monoclonal antibody | Infectious Disease |Bristol-Myers Squibb Company|Trials Updated: Jul 31, 2019

Peginterferon Lambda-1a development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since May 2012

Peginterferon Lambda-1a target and mechanism

Molecular targetIFNAR1, IFNAR2
Target classAgonist
ModalityMonoclonal antibody

Also known as BMS-914143

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials4
Total Enrollment1,408

FDA Designations

No designations recorded

Peginterferon Lambda-1a clinical trials

Peginterferon Lambda-1a · 4 trials · 5 indications

Phase 3 3Phase 1 1
NCT01754974Safety and Efficacy Study of Peginterferon Lambda-1a vs. Peginterferon Alfa-2a, Plus Ribavirin in Subjects With Genotype 1 Hepatitis CHepatitis C Virus (HCV)
COMPLETED40 Analytics
NCT01718158Efficacy and Safety Evaluation of a Regimen Consisting of Peginterferon Lambda-1a + Ribavirin + Daclatasvir (Lambda + RBV + DCV) in HCV Genotype 1b Treatment naïve Patients or Prior Relapsers to Peginterferon Alfa + Ribavirin (Alfa + RBV) TherapyHepatitis C
COMPLETED444 Analytics
NCT01598090Phase 3 Efficacy and Safety Study of Peginterferon Lambda-1a and Ribavirin With TelaprevirHepatitis C Virus
COMPLETED881 Analytics
PHASE3COMPLETED
Safety and Efficacy Study of Peginterferon Lambda-1a vs. Peginterferon Alfa-2a, Plus Ribavirin in Subjects With Genotype 1 Hepatitis C
Hepatitis C Virus (HCV)Unlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Evaluation of a Regimen Consisting of Peginterferon Lambda-1a + Ribavirin + Daclatasvir (Lambda + RBV + DCV) in HCV Genotype 1b Treatment naïve Patients or Prior Relapsers to Peginterferon Alfa + Ribavirin (Alfa + RBV) Therapy
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
Phase 3 Efficacy and Safety Study of Peginterferon Lambda-1a and Ribavirin With Telaprevir
Hepatitis C VirusUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects who develop treatment emergent cytopenic abnormalities (anemia as defined by Hb < 10 g/dL, and/or neutropenia as defined by ANC < 750 mm3 and/or thrombocytopenia as defined by platelets < 50,000 mm3) in treatment-naive subjects
Up to 48 weeks of treatment

* ANC = Absolute Neutrophil Count * Hb = Hemoglobin

Proportion of subjects with Sustained Virologic Response at post-treatment follow-up Week 12 (SVR12)
Post treatment follow-up Week 12
Percentage of Participants With Extended Rapid Virologic Response (eRVR) - Part A
Assessed at Week 4 and Week 12, week 12 reported

eRVR was defined as Hepatitis C virus (HCV) RNA level below the lower limit of quantitation, target not detected at Weeks 4 and 12 of treatment. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

Percentage of Participants With Sustained Virologic Response at Follow-up Week 12 (SVR12) - Part B
Follow-up Week 12

SVR12 was defined as Hepatitis C virus (HCV) RNA level below lower limit of quantitation, target detected or not detected at Week 12 of post-treatment follow-up. HCV RNA level was measured using the Roche COBAS® TaqMan HCV Test v.2.0 (lower limit of quantitation =25 IU/mL; limit of detection \~ 10 IU/mL).

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Drug Related AEs, Discontinuation Due to AEs, Dose Reductions and Death - Part A
Day 1 of treatment up to Week 48

An AE was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a participant or clinical investigation participant administered an investigational (medicinal product. An SAE was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening, required inpatient hospitalization or caused prolongation of existing hospitalization.

Area under the serum concentration-time curve from time 0 extrapolated to infinity [AUC(INF)] of a single 180-μg subcutaneous (SC) dose of Lambda in subjects with normal renal function and subjects with renal dysfunction
18 time points up to Day 29
Area under the serum concentration-time curve from time 0 to the time of last quantifiable concentration [AUC(0-T)] of a single 180-μg subcutaneous (SC) dose of Lambda in subjects with normal renal function and subjects with renal dysfunction
18 time points up to Day 29
Maximum observed serum concentration (Cmax) of a single 180-μg subcutaneous (SC) dose of Lambda in subjects with normal renal function and subjects with renal dysfunction
18 time points up to Day 29
Apparent volume of distribution (Vz/F) of a single 180-μg subcutaneous (SC) dose of Lambda in subjects with normal renal function and subjects with renal dysfunction
18 time points up to Day 29
Total body clearance (CLT/F) of a single 180-μg subcutaneous (SC) dose of Lambda in subjects with normal renal function and subjects with renal dysfunction
18 time points up to Day 29

Secondary Endpoints

Proportion of subjects with Sustained Virologic Response at Post-Treatment Follow-up Week 24 (SVR24), defined as Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) < Lower Limit of Quantitation of Assay (LLOQ)
At Post-Treatment Follow-up Week 24
Proportion of subjects with Rapid Virologic Response (RVR) (HCV RNA not detected)
On treatment Week 4 (of an up to 48-week treatment period)
Proportion of subjects with on-treatment Serious Adverse Events (SAEs) through end of treatment
Up to 48 weeks of treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Peginterferon Lambda-1a + RibavirinEXPERIMENTALPeginterferon Lambda-1a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Peginterferon alfa-2a + RibavirinACTIVE_COMPARATORPeginterferon alfa-2a 180 μg solution for subcutaneous (sc) injection once weekly and Ribavirin 1000 or 1200 mg based on weight tablet by mouth twice daily for 48 weeks
Peginterferon Lambda-1a + Ribavirin + DaclatasvirEXPERIMENTALPeginterferon Lambda-1a 180 µg solution for subcutaneous injection, once a week for 24 Weeks Ribavirin 200 mg tablets \[1000-1200 mg total daily dose: subjects should take either 400 mg (2 tablets for subjects \< 75 kg) or 600 mg (3 tablets for subjects ≥ 75 kg) in the morning with food and 600 mg (3 tablets) in the evening with food\] by mouth, twice daily, for 24 weeks Daclatasvir 60 mg tablets by mouth, once a day for 12 weeks
Peginterferon Alfa-2a + Ribavirin + TelaprevirEXPERIMENTALPeginterferon Alfa-2a 180 µg solution for subcutaneous injection, once a week for 24 to 48 weeks depending on response Ribavirin 200 mg tablets \[1000-1200 mg total daily dose: subjects should take either 400 mg (2 tablets for subjects \< 75 kg) or 600 mg (3 tablets for subjects ≥ 75 kg) in the morning with food and 600 mg (3 tablets) in the evening with food\] by mouth, twice daily, for 24 to 48 weeks depending on response Telaprevir 375 mg tablets \[2250 mg total daily dose: subjects should take 750 mg (two 375 mg tablets) orally three times a day, approximately 7-9 hours apart) for 12 weeks
Part A: Peginterferon Lambda-1a + RBV + TVREXPERIMENTAL -
Part B (Arm 1): Peginterferon Lambda-1a + RBV + TVREXPERIMENTAL -
Part B (Arm 2): Peginterferon Lambda-2a + RBV + TVREXPERIMENTAL -
Group 1: BMS-914143 (eGFR ≥ 80 mL/min/1.73 m2)EXPERIMENTALBMS-914143 (Peginterferon Lambda-1a) single 180 µg Solution, Subcutaneous injection for subjects with normal renal function with eGFR ≥ 80 mL/min/1.73 m2
Group 2: BMS-914143 (eGFR 60 to 79 mL/min/1.73 m2)EXPERIMENTALBMS-914143 (Peginterferon Lambda-1a) single 180 µg Solution, Subcutaneous injection for subjects with mild renal dysfunction with eGFR 60 to 79 mL/min/1.73 m2
Group 3: BMS-914143 (eGFR 30 to 59 mL/min/1.73 m2)EXPERIMENTALBMS-914143 (Peginterferon Lambda-1a) single 180 µg Solution, Subcutaneous injection for subjects with moderate renal dysfunction with eGFR 30 to 59 mL/min/1.73 m2
Group 4: BMS-914143 (eGFR 15 to 29 mL/min/1.73 m2)EXPERIMENTALBMS-914143 (Peginterferon Lambda-1a) single 180 µg Solution, Subcutaneous injection for subjects with severe renal dysfunction with eGFR 15 to 29 mL/min/1.73 m2
Group 5: BMS-914143 (eGFR < 15 mL/min/1.73 m2)EXPERIMENTALBMS-914143 (Peginterferon Lambda-1a) single 180 µg Solution, Subcutaneous injection for subjects with end-stage renal dysfunction with eGFR \< 15 mL/min/1.73 m2 (on hemodialysis \[HD\] or non-HD)

Interventions

NameTypeDescription
Peginterferon Lambda-1aBIOLOGICAL -
RibavirinDRUG -
Peginterferon alfa-2aBIOLOGICAL -
DaclatasvirDRUG -
TelaprevirDRUG -
BMS-914143 (Peginterferon Lambda-1a)BIOLOGICAL -
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Chronic hepatitis C, Genotype 1 * HCV RNA ≥100,000 IU/mL at screening * Liver biopsy documenting no cirrhosis (within prior 3 years). Where approved for staging of liver disease, non-invasive imaging may be used to assess the extent of liver disease * Naïve to prior anti-HCV t...

Countries:CzechiaMexicoSouth KoreaUnited StatesArgentinaFranceGermanyIsraelItalyJapanPolandRussiaSpainTaiwanUnited KingdomAustriaBelgiumBrazilCanadaSwitzerland
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Competitive Landscape -Hepatitis C 13 trials

Top 1 of 4 competitors

CompanyTickerTrialsLead PhaseDrugs
Atea Pharmaceuticals, Inc.AVIR2PHASE3Bemnifosbuvir-Ruzasvir
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Frequently asked questions about Peginterferon Lambda-1a

What is Peginterferon Lambda-1a?

Peginterferon Lambda-1a is an investigational interferon therapy developed by Bristol-Myers Squibb for the treatment of hepatitis C virus infection. It is a type III interferon designed as an alternative to peginterferon alfa, and it has been studied in Phase 3 clinical trials in combination with ribavirin and direct-acting antivirals.

What is Peginterferon Lambda-1a used for in Hepatitis C?

Peginterferon Lambda-1a is being studied for the treatment of chronic hepatitis C virus infection. Phase 3 trials evaluated it in combination with ribavirin, and in some studies with daclatasvir or telaprevir, in patients with genotype 1 HCV, including treatment-naive patients and prior relapsers to peginterferon alfa plus ribavirin.

What does Peginterferon Lambda-1a target?

Peginterferon Lambda-1a targets the IFNAR1 and IFNAR2 receptor subunits, acting as an agonist. By binding these receptors it activates type III interferon signaling, which is intended to produce antiviral activity against hepatitis C virus while potentially limiting the broader receptor distribution associated with type I interferons.

Who makes Peginterferon Lambda-1a?

Peginterferon Lambda-1a is developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company sponsored the Phase 3 clinical program evaluating the drug in hepatitis C virus infection.

What phase is Peginterferon Lambda-1a in?

Peginterferon Lambda-1a is in Phase 3 clinical development. It is investigational and has not been approved by the FDA. The Phase 3 trials in hepatitis C have been completed, and no trials are currently active.

What clinical trials is Peginterferon Lambda-1a in?

Three Phase 3 trials of Peginterferon Lambda-1a have been completed: NCT01754974, which compared it with peginterferon alfa-2a plus ribavirin in genotype 1 HCV; NCT01718158, which tested it with ribavirin and daclatasvir; and NCT01598090, which studied it with ribavirin and telaprevir.