Phase III Hallmark DUAL: ASV+DCV (Nulls/Partials, Intolerants/Ineligibles. Naives) (Hallmark DUAL)
Hepatitis C Virus

About this trial
This is an interventional treatment trial for Hepatitis C Virus
Eligibility Criteria
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Males and females, ≥ 18 years of age
- HCV Genotype 1b who previously failed treatment with peginterferon alfa and ribavirin, classified as previous null or partial responders based on previous therapy, OR intolerant or ineligible to P/R due to neutropenia, anemia, depression or thrombocytopenia with fibrosis/cirrhosis, OR treatment naive
- HCV RNA ≥ 10,000 IU/mL
- Seronegative for Human immunodeficiency virus (HIV) and Hepatitis B surface antigen (HBsAg)
- Subjects with compensated cirrhosis are permitted (compensated cirrhotics are capped at approximately 25% of treated population)
Exclusion Criteria:
- Prior treatment of HCV with HCV direct acting antiviral (DAA)
- Evidence of a medical condition contributing to chronic liver disease other than HCV
- Evidence of decompensated liver disease including, but not limited to, a history or presence of ascites, bleeding varices, or hepatic encephalopathy
- Diagnosed or suspected hepatocellular carcinoma or other malignancies
- Uncontrolled diabetes or hypertension
Sites / Locations
- The Health Care Authority For Baptist Health
- Scripps Clinic
- Scpmg/ Kaiser Permanente Los Angeles Medical Center
- University Of Colorado Denver And Hospital
- Uf Hepatology Research At Ctrb
- Johns Hopkins Medical Institutions
- Beth Israel Deaconess Medical Center
- Henry Ford Health System
- Washington University School Of Medicine
- North Shore-Long Island Jewish Health System
- Weill Cornell Medical College
- University Of North Carolina At Chapel Hill School Of Med
- Carolinas Medical Center
- Duke University Medical Center
- Baylor College Of Medicine
- Vamc
- Alamo Medical Research
- Dean Clinic
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- Gastrointestinal Research Institute (G.I.R.I.)
- Percuro Clinical Research Ltd
- Toronto General Hospital-University Health Network
- Toronto Liver Centre
- Toronto Digestive Disease Associates, Inc.
- Clinique Medicale Lactuel
- Jewish General Hospital
- Alpha-Recherche Clinique
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Arm 1: Null or Partial Responder to P/R (ASV + DCV)
Arm 2: Intolerant to or Ineligible for P/R (ASV + DCV)
Arm 3: Treatment naive (ASV + DCV)
Arm 4: Null or Partial Responder to P/R (ASV + DCV) 24/48 week
Asunaprevir 100 mg Capsules by mouth, Twice daily for 24 Weeks Daclatasvir 60 mg Tablet by mouth, Once daily for 24 Weeks
Asunaprevir 100 mg Capsules by mouth, Twice daily for 24 Weeks Daclatasvir 60 mg Tablet by mouth, Once daily for 24 Weeks
[Subjects will receive ASV + DCV for 24 weeks] followed by ASV + DCV for 24 weeks in protocol AI444026] Subjects meeting prespecified rescue criteria in the treatment naive cohort may have therapeutic rescue instituted with QUAD regimen (QUAD= ASV + DCV + P/R) Asunaprevir 100 mg Capsules by mouth, Twice daily for 24 or 48 Weeks Daclatasvir 60 mg Tablet by mouth, Once daily for 24 or 48 Weeks Pegylated-interferon alfa 2a (PegIFN) 180 mcg/0.5 mL injection subcutaneously (SC), once weekly for 24 or 48 weeks Ribavirin 1000 mg/1200 mg (total daily dose) tablet by mouth for 24 or 48 weeks
Subjects meeting prespecified rescue criteria in the null or partial responder cohort or active arm of the treatment naive cohort may have therapeutic rescue instituted with QUAD regimen (QUAD= ASV + DCV + P/R) Asunaprevir 100 mg Capsules by mouth, Twice daily for 24 or 48 Weeks Daclatasvir 60 mg Tablet by mouth, Once daily for 24 or 48 Weeks Pegylated-interferon alfa 2a (PegIFN) 180 mcg/0.5 mL injection subcutaneously (SC), once weekly for 24 or 48 weeks Ribavirin 1000 mg / 1200 mg (total daily dose) Tablet by mouth, for 24 or 48 weeks