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Peginterferon Lambda-1a

Phase 3

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

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment444

FDA Designations

No designations recorded

Clinical trial landscape

Peginterferon Lambda-1a · 3 trials · 3 indications

Phase 3 3
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.

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 -

Interventions

NameTypeDescription
Peginterferon Lambda-1aBIOLOGICAL -
RibavirinDRUG -
Peginterferon alfa-2aBIOLOGICAL -
DaclatasvirDRUG -
TelaprevirDRUG -
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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 11 trials

Frequently asked questions about Peginterferon Lambda-1a

What is Peginterferon Lambda-1a used for?

Peginterferon Lambda-1a is an investigational drug being studied for the treatment of Hepatitis C Virus (HCV) infection. It is a pegylated form of interferon lambda-1a that was evaluated in Phase 3 clinical trials for chronic hepatitis C, including in combination with ribavirin and other antiviral agents.

Who makes Peginterferon Lambda-1a?

Peginterferon Lambda-1a is being developed by Bristol-Myers Squibb Company, which trades under the ticker symbol BMY on the New York Stock Exchange. The company sponsored Phase 3 clinical trials of the drug for the treatment of hepatitis C virus infection.

What phase is Peginterferon Lambda-1a in?

Peginterferon Lambda-1a has completed Phase 3 clinical trials for hepatitis C virus infection. The drug is investigational and has not been approved by regulatory authorities. All three Phase 3 trials listed for the drug have been completed, with no active trials currently ongoing.

What clinical trials has Peginterferon Lambda-1a been in?

Peginterferon Lambda-1a has been studied in three completed Phase 3 clinical trials. NCT01598090 evaluated the drug with ribavirin and telaprevir in 881 patients with hepatitis C. NCT01718158 studied it with ribavirin and daclatasvir in 444 patients with HCV genotype 1b. NCT01754974 compared it to peginterferon alfa-2a with ribavirin in 40 patients with genotype 1 hepatitis C.

How does Peginterferon Lambda-1a work?

Peginterferon Lambda-1a is a pegylated form of interferon lambda-1a, a cytokine that binds to the interferon lambda receptor to stimulate antiviral immune responses. By activating this receptor, the drug triggers intracellular signaling pathways that inhibit viral replication and enhance the body's immune clearance of hepatitis C virus.