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Pegylated Interferon Lambda

Phase 3

Hepatitis C Virus | Monoclonal antibody | Infectious Disease |Bristol-Myers Squibb Company|Trials Updated: Aug 11, 2020

Pegylated Interferon Lambda development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Oct 2011

Pegylated Interferon Lambda target and mechanism

Molecular targetF8
Target classExogenous Protein
ModalityMonoclonal antibody

Also known as Pegylated Interferon Lambda (pegIFNλ), pegIFNλ, BMS-914143

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials5
Total Enrollment1,324

FDA Designations

No designations recorded

Pegylated Interferon Lambda clinical trials

Pegylated Interferon Lambda · 5 trials · 5 indications

Phase 3 2Phase 2 2Phase 1 1
NCT01741545Safety and Efficacy Study in Subjects With Chronic HCV and Underlying HemophiliaHepatitis C Virus
COMPLETED71 Analytics
NCT01616524Safety and Efficacy Study of Pegylated Interferon Lambda With and Without Daclatasvir, Compared to Pegylated Interferon Alfa, Plus Ribavirin in Subjects With Hepatitis C Genotype 2 and 3Hepatitis C Virus (HCV)
COMPLETED880 Analytics
PHASE3COMPLETED
Safety and Efficacy Study in Subjects With Chronic HCV and Underlying Hemophilia
Hepatitis C VirusUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy Study of Pegylated Interferon Lambda With and Without Daclatasvir, Compared to Pegylated Interferon Alfa, Plus Ribavirin in Subjects With Hepatitis C Genotype 2 and 3
Hepatitis C Virus (HCV)Unlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Who Achieved Sustained Virologic Response (SVR12) at Follow-Up Week 12
Follow-up Week 12

SVR12 was defined as HCV ribonucleic acid (RNA) less than the lower limit of quantitation, target detected or target not detected at follow-up Week 12.

Proportion of subjects who achieve Sustained Virologic Response at post-treatment follow-up week 12 (SVR12)
Post-treatment follow-up week 12
Antiviral activity, as determined by the proportion of non-cirrhotic HCV GT-1b subjects with 12-week sustained virologic response (SVR12), defined as HCV RNA < LLOQ target detected or not detected
Post-treatment Week 12

HCV = Hepatitis C virus; GT = Geno Type; RNA = Ribonucleic acid; LLOQ = Lower limit of quantitation

Safety and tolerability (as measured by the frequency of serious adverse events (SAEs), dose reductions and discontinuations due to adverse events (AEs)
Up to end of treatment ( maximum of 48 weeks) plus 30 days
Antiviral activity as determined by the proportion of Hepatitis C virus (HCV) genotype 1 subjects with 24-week sustained virologic response (SVR24)
At end of treatment (maximum of 48 weeks)
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

Percentage of Participants With Rapid Virologic Response (RVR)
Treatment Week 4
Percentage of Participants With Complete Early Virologic Response (cEVR)
Treatment Week 12
Percentage of Participants With End of the Treatment Response (EOTR)
End of the treatment (Week 12 for Cohort A, Week 24 for Cohort B)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A: Genotype-2,-3 (Lambda/RBV/DCV)EXPERIMENTALLambda 180 μg solution for subcutaneous (SC) injection, once weekly for 12 weeks Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 12 weeks Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks
Cohort B: Genotype-1b,-4 (Lambda/RBV/DCV)EXPERIMENTALLambda 180 μg solution for subcutaneous (SC) injection, once weekly for 24 weeks Ribavirin (RBV) 200 mg tablet by mouth (oral), twice daily for 24 weeks Daclatasvir (DCV) 60mg tablet by mouth (oral), once daily for 12 weeks
Arm 1: pegIFNλ + Ribavirin + Placebo matching DaclatasvirEXPERIMENTAL -
Arm 2: pegIFNλ + Ribavirin + DaclatasvirEXPERIMENTAL -
Arm 3: pegIFNα-2a + Ribavirin + Placebo matching DaclatasvirEXPERIMENTAL -
Substudy C: Pegylated Interferon Lambda+Ribasphere+DaclatasvirEXPERIMENTALPegylated Interferon Lambda 180 μg Solution, Subcutaneous Once weekly for 12 weeks; Ribasphere 1000 mg for subjects weighing \< 75 kg and 1200 mg for subjects weighing ≥ 75 kg oral tablets per day \[subjects should take either 400 mg for subjects \< 75 kg or 600 mg ≥ 75 kg in the morning with food and 600 mg in the evening with food\] for 12 weeks; Daclatasvir 60 mg oral tablet Once daily for 12 weeks
A1: pegIFNλ+BMS-790052+Placebo for BMS-650032+RibavirinEXPERIMENTALPart A
A2: pegIFNλ+BMS-650032+Placebo for BMS-790052+RibavirinEXPERIMENTALPart A
A3: pegIFNα-2a+PBO for BMS-790052+PBO for BMS-650032+RBVACTIVE_COMPARATORPart A
A4: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (24 weeks)EXPERIMENTALPart B
A5: pegIFNλ+BMS-790052+BMS-650032+Ribavirin (16 weeks)EXPERIMENTALPart B
A6: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (24 weeks)EXPERIMENTALPart B
A7: pegIFNλ+BMS-790052+BMS-650032+Placebo for RBV (16 weeks)EXPERIMENTALPart B
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
Pegylated-Interferon-lambdaBIOLOGICAL -
RibavirinDRUG -
DaclatasvirDRUG -
Pegylated interferon lambda (pegIFNλ)BIOLOGICALSyringe, Subcutaneous, 180 μg, Once weekly, 24 weeks
Pegylated interferon alfa-2a (pegIFNα-2a)BIOLOGICALSyringe, Subcutaneous, 180 μg, Once weekly, 24 weeks
Placebo matching DaclatasvirDRUGTablets, Oral, 0 mg, Once daily, 12 weeks
Pegylated Interferon LambdaBIOLOGICAL -
RibasphereDRUG -
BMS-790052 (NS5A Inhibitor)DRUGTablets, Oral, 60 mg, Once daily, 24 weeks
Ribavirin (RBV)DRUGTablets, Oral, 1000 or 1200 mg based on weight, Twice daily, 48 weeks
BMS-650032 (NS3 Protease Inhibitor)DRUGTablets, Oral, 200 mg, Twice daily, 24 weeks
Placebo (PBO) for BMS-650032 (Placebo for NS3 Protease Inhibitor)DRUGTablets, Oral, 0 mg, Twice daily, 24 weeks
Placebo (PBO) for BMS-790052 (Placebo for NS5A Inhibitor)DRUGTablets, Oral, 0 mg, Once daily, 24 weeks
Placebo for Ribavirin (RBV)DRUGTablets, Oral, 0 mg, Twice daily, 24 weeks
BMS-914143 (Peginterferon Lambda-1a)BIOLOGICAL -
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites32

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com. Inclusion Criteria: * Severe hemophilia (defined as \< 1% factor activity level) * Infection with the hepatitis C virus (HCV) with underlying hemophilia * Males 18 years of age and above * Have n...

Countries:United StatesAustraliaFranceItalyNetherlandsRomaniaRussiaSpainArgentinaBelgiumChileFinlandGreeceHong KongJapanMexicoNew ZealandSingaporeSouth KoreaTaiwanUnited KingdomGermanyPuerto Rico
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Frequently asked questions about Pegylated Interferon Lambda

What is Pegylated Interferon Lambda used for?

Pegylated Interferon Lambda is an investigational therapy studied for the treatment of Hepatitis C and Hepatitis C Virus infection. It was evaluated both as part of combination regimens with direct-acting antivirals and ribavirin, and in patients with chronic HCV who also had underlying hemophilia.

What does Pegylated Interferon Lambda target?

Pegylated Interferon Lambda is an exogenous protein designed to target F8. By engaging this target, it is intended to act within the interferon lambda pathway as an antiviral agent for Hepatitis C. It is a monoclonal antibody modality asset developed for infectious disease indications.

Who is developing Pegylated Interferon Lambda?

Pegylated Interferon Lambda is being developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company sponsored the clinical studies evaluating the agent in Hepatitis C and Hepatitis C Virus, including combination regimens with direct-acting antivirals and ribavirin.

What phase is Pegylated Interferon Lambda in?

Pegylated Interferon Lambda is in Phase 2 development and remains investigational. Its clinical program includes Phase 2 and Phase 3 studies, all of which are completed, with no active trials currently listed. It has not been established as an approved therapy.

What clinical trials is Pegylated Interferon Lambda in?

Pegylated Interferon Lambda has been studied in completed trials including NCT01795911, NCT01741545, NCT01616524, and NCT01309932. These randomized, double-blind, active-controlled studies enrolled patients with Hepatitis C or Hepatitis C Virus across the United States and multiple other countries, with total enrollment of 951 participants.

Is Pegylated Interferon Lambda the same as pegIFNλ?

Yes, Pegylated Interferon Lambda is also known as pegIFNλ, Pegylated-Interferon-lambda, and Pegylated interferon lambda (pegIFNλ). These names refer to the same Bristol-Myers Squibb investigational agent studied in Hepatitis C and Hepatitis C Virus clinical trials.