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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01204762
Registration number
NCT01204762
Ethics application status
Date submitted
16/09/2010
Date registered
17/09/2010
Date last updated
9/10/2015
Titles & IDs
Public title
Dose Ranging Study of Pegylated Interferon Lambda in Patients With Hepatitis B and Positive for the Hepatitis B e Antigen
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Scientific title
Dose-Ranging Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Pegylated Interferon Lambda (BMS-914143) Monotherapy in Interferon-Naive Patients With Chronic Hepatitis B Virus Infection Who Are HBeAg-positive
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Secondary ID [1]
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2010-020387-38
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Secondary ID [2]
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AI452-005
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Universal Trial Number (UTN)
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Trial acronym
LIRA-B
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis B Virus
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Condition category
Condition code
Infection
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0
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Other infectious diseases
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Oral and Gastrointestinal
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0
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - pegIFN
Treatment: Drugs - pegIFNa-2a
Treatment: Drugs - PegIFN lambda
Treatment: Drugs - Entecavir
Experimental: Part A Arm 1: pegIFN (180 µg) -
Active comparator: Part A Arm 2: pegIFNa-2a -
Experimental: Part B: pegIFN lambda + Entecavir -
Treatment: Drugs: pegIFN
Syringe, Subcutaneous, 180 µg, Once Weekly, 48 weeks
Treatment: Drugs: pegIFNa-2a
Syringe, Subcutaneous 180 µg, Once Weekly, 48 Weeks
Treatment: Drugs: PegIFN lambda
Syringe, Subcutaneous, 180 µg, Once weekly, 48 weeks
Treatment: Drugs: Entecavir
Tablet, Oral, 0.5 mg, Once daily, 12 weeks initial monotherapy followed by 48 weeks of combination therapy with PegIFN lambda
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part A: Proportion of subjects who achieve Hepatitis B e antigen (HBeAg) seroconversion
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Assessment method [1]
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Timepoint [1]
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24 weeks post-dosing (Week 72)
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Primary outcome [2]
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Part A: Number and percent of subjects with serious adverse events (SAEs) and discontinuations due to adverse events
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Assessment method [2]
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Timepoint [2]
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Week 24
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Primary outcome [3]
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Part A: Number and percent of subjects with serious adverse events (SAEs) and discontinuations due to adverse events
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Assessment method [3]
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Timepoint [3]
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24 weeks post-dosing (Week 72)
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Primary outcome [4]
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Part B: Safety and tolerability of Lambda/ETV regimen as measured by the frequency of SAEs and discontinuations due to AEs
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Assessment method [4]
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Timepoint [4]
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Up to 84 Weeks
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Secondary outcome [1]
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Part A: Proportion of subjects who achieve an hepatitis B virus Deoxyribonucleic acid levels (HBV DNA) < 50 IU/mL (approximately 300 copies/mL) using the Roche COBAS® TaqMan - High Pure System (HPS) assay
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Assessment method [1]
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Timepoint [1]
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Weeks 24, 48, 72, 96, 120, 144, 168 and 192
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Secondary outcome [2]
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Part A: Mean change from baseline in log10 HBV DNA levels over time (Proportion of subjects with Alanine amino transferase (ALT) normalization (= 1 x upper limit of normal (ULN))
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Assessment method [2]
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Timepoint [2]
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Baseline (Day 1), Weeks 24, 48, 72, 96, 120, 144, 168 and 192
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Secondary outcome [3]
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Part A: Proportion of subjects with ALT normalization (= 1 x ULN)
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Assessment method [3]
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Timepoint [3]
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Weeks 24, 48, 72, 96, 120, 144, 168 and 192
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Secondary outcome [4]
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Part A: Hepatitis E antigen (HBeAg) loss
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Assessment method [4]
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Timepoint [4]
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Weeks 24, 48, 72, 96, 120, 144, 168 and 192
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Secondary outcome [5]
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Part A: HBeAg seroconversion
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Assessment method [5]
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Timepoint [5]
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Weeks 24, 48, 96, 120, 144, 168 and 192
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Secondary outcome [6]
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Part A: Mean change from baseline in log10 quantitative HBeAg levels over time
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Assessment method [6]
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Timepoint [6]
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Baseline (Day 1), Weeks 24, 48, 96, 120, 144, 168 and 192
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Secondary outcome [7]
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Part A: Number and percent of subjects with adverse events (AEs) or laboratory abnormalities
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Assessment method [7]
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0
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Timepoint [7]
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Up to Week 24
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Secondary outcome [8]
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Part A: Number and percent of subjects with adverse events (AEs) or laboratory abnormalities
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Assessment method [8]
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0
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Timepoint [8]
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Up to Week 72
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Secondary outcome [9]
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Part A: Pharmacokinetic (PK) parameter Maximum observed concentration (Cmax) of Pegylated interferon lambda (pegIFN?) will be derived from serum concentration versus time data
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Assessment method [9]
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Timepoint [9]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [10]
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Part A: Pharmacokinetic (PK) parameter Time of maximum observed concentration (Tmax) of Pegylated interferon lambda (pegIFN?) will be derived from serum concentration versus time data
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Assessment method [10]
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0
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Timepoint [10]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [11]
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Part A: Pharmacokinetic (PK) parameter Trough serum concentration pre-dose (C0) of Pegylated interferon lambda (pegIFN?) will be derived from serum concentration versus time data
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Assessment method [11]
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Timepoint [11]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [12]
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Part A: PK parameter serum concentration 168 hours post observed dose [Cmin] (C0 will be used as an estimate of Cmin if sample is not collected) of pegIFN? will be derived from serum concentration versus time data
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Assessment method [12]
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Timepoint [12]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [13]
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Part A: PK parameter Area under the concentration-time curve in 1 dosing interval from time 0 to 168 hours post observed dose [AUC(TAU)] of pegIFN? will be derived from serum concentration versus time data
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Assessment method [13]
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Timepoint [13]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [14]
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Part A: PK parameter Accumulation index (AI) ratio of AUC(TAU) at steady-state to AUC(TAU) after the first dose (only conducted if data warrant) of pegIFN? will be derived from serum concentration versus time data
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Assessment method [14]
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Timepoint [14]
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Day 1 (including intense PK), Weeks 2, 4, 12 (including intense PK), 16, 24, 40, 48
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Secondary outcome [15]
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Part B: HBeAg seroconversion rate at 24 weeks off treatment
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Assessment method [15]
0
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Timepoint [15]
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Week 84
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Secondary outcome [16]
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Part B: Antiviral activity of Lambda/ETV regimen, as determined by the proportion of subjects who achieve an HBV DNA < 50 IU/mL (approximately 300 copies/mL) using the Roche COBAS® TaqMan - HPS assay
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Assessment method [16]
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Timepoint [16]
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Weeks 4, 8, 12, 24, 36, 60, and 84
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Secondary outcome [17]
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Part B: Mean change from baseline in HBV DNA over time in subjects treated with Lambda/ETV
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Assessment method [17]
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Timepoint [17]
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Weeks 4, 8, 12, 24, 36, 60, and 84
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Secondary outcome [18]
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Part B: HBeAg loss and seroconversion in subjects treated with Lambda/ETV regimen
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Assessment method [18]
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Timepoint [18]
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Weeks 12, 24, 36, 60 and 84
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Secondary outcome [19]
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Part B: HBeAg levels over time in subjects treated with Lambda/ETV regimen
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Assessment method [19]
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Timepoint [19]
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Weeks 4, 8, 12, 24, 36, 60, and 84
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Secondary outcome [20]
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Part B: biochemical response rates in subjects treated with Lambda/ETV regimen
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Assessment method [20]
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Timepoint [20]
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Weeks 4, 8, 12, 24, 36, 60, and 84
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Secondary outcome [21]
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Part B: Pharmacokinetic (PK) parameter Maximum observed concentration (Cmax) of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [21]
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0
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Timepoint [21]
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Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [22]
0
0
Part B: Pharmacokinetic (PK) parameter Time of maximum observed concentration (Tmax) of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [22]
0
0
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Timepoint [22]
0
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Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [23]
0
0
Part B: Pharmacokinetic (PK) parameter Trough serum concentration pre-dose (C0) of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [23]
0
0
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Timepoint [23]
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0
Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [24]
0
0
Part B: PK parameter Area under the concentration-time curve in 1 dosing interval from time 0 to 168 hours post observed dose [AUC(TAU)] of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [24]
0
0
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Timepoint [24]
0
0
Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [25]
0
0
Part B: PK parameter serum concentration 168 hours post observed dose [Cmin] (C0 will be used as an estimate of Cmin if sample is not collected) of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [25]
0
0
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Timepoint [25]
0
0
Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [26]
0
0
Part B: PK parameter Accumulation index (AI) ratio of AUC(TAU) at steady-state to AUC(TAU) after the first dose (only conducted if data warrant) of Lambda/ETV regimen will be derived from serum concentration versus time data
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Assessment method [26]
0
0
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Timepoint [26]
0
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Baseline (Day 1), Weeks 4, 12, 16, 24, 52, 60
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Secondary outcome [27]
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Part B: Rate of resistance to ETV during treatment with the Lambda/ETV regimen
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Assessment method [27]
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Timepoint [27]
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Up to Week 84
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Eligibility
Key inclusion criteria
* Infection with the hepatitis B virus (HBV) and positive for the hepatitis B e antigen
* Between the ages of 18 and 70
* Have not been previously treated with an interferon
* HBV nucleos(t)ide-naive
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Not infected with the hepatitis C virus (HCV), hepatitis D virus (HDV) or human immunodeficiency virus (HIV)
* Do not have a serious liver, psychiatric, blood, thyroid, lung, heart or eye disease
* Able to tolerate oral medication
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2013
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Sample size
Target
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Accrual to date
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Final
197
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Local Institution - Camperdown
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Recruitment hospital [2]
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Local Institution - Liverpool
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Recruitment hospital [3]
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Local Institution - Westmead Nsw
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Recruitment hospital [4]
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Local Institution - Clayton Vic
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Recruitment hospital [5]
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Local Institution - Heidelberg Vic
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Recruitment hospital [6]
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Local Institution - Melbourne
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Recruitment hospital [7]
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Local Institution - Fremantle
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2170 - Liverpool
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Recruitment postcode(s) [3]
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2145 - Westmead Nsw
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Recruitment postcode(s) [4]
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3168 - Clayton Vic
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Recruitment postcode(s) [5]
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3084 - Heidelberg Vic
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Recruitment postcode(s) [6]
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3004 - Melbourne
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Recruitment postcode(s) [7]
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6160 - Fremantle
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Recruitment outside Australia
Country [1]
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0
United States of America
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State/province [1]
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California
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Country [2]
0
0
United States of America
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State/province [2]
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Connecticut
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Country [3]
0
0
United States of America
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State/province [3]
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Georgia
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Country [4]
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0
United States of America
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State/province [4]
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Maryland
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Country [5]
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United States of America
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State/province [5]
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New York
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Country [6]
0
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United States of America
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State/province [6]
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North Carolina
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Country [7]
0
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United States of America
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State/province [7]
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Oregon
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Country [8]
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0
United States of America
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State/province [8]
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Pennsylvania
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Country [9]
0
0
Canada
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State/province [9]
0
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Alberta
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Country [10]
0
0
Canada
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State/province [10]
0
0
Manitoba
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Country [11]
0
0
Canada
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State/province [11]
0
0
Ontario
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Country [12]
0
0
France
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State/province [12]
0
0
Clichy Cedex
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Country [13]
0
0
France
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State/province [13]
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Nice Cedex 03
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Country [14]
0
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France
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State/province [14]
0
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Paris Cedex 12
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Country [15]
0
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France
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State/province [15]
0
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Rennes Cedex 9
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Country [16]
0
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Germany
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State/province [16]
0
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Frankfurt
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Country [17]
0
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Germany
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State/province [17]
0
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Freiburg
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Country [18]
0
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Germany
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State/province [18]
0
0
Hamburg
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Country [19]
0
0
Germany
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State/province [19]
0
0
Hannover
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Country [20]
0
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Germany
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State/province [20]
0
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Tuebingen
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Country [21]
0
0
Hong Kong
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State/province [21]
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Hong Kong
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Country [22]
0
0
Hong Kong
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State/province [22]
0
0
Shatin
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Country [23]
0
0
Hong Kong
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State/province [23]
0
0
Tai Po
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Country [24]
0
0
Italy
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State/province [24]
0
0
Firenze
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Country [25]
0
0
Italy
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State/province [25]
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0
Roma
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Country [26]
0
0
Korea, Republic of
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State/province [26]
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Chuncheon
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Country [27]
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Korea, Republic of
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State/province [27]
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Gyeonggi-Do
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Country [28]
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Korea, Republic of
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Seoul
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Netherlands
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State/province [29]
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Rotterdam
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Country [30]
0
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Singapore
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State/province [30]
0
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Singapore
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Country [31]
0
0
Taiwan
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0
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Kaohsiung
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0
0
Taiwan
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Taichung
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Country [33]
0
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Taiwan
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State/province [33]
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0
Tainan
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Country [34]
0
0
Taiwan
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State/province [34]
0
0
Taipei
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Country [35]
0
0
Taiwan
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State/province [35]
0
0
Taoyuan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
At least 1 dose of pegIFN? will be identified which is safe, well tolerated, and efficacious for the treatment of chronic hepatitis B virus infection (CHB) Amendment 7, Part B Sub Study: The primary purpose of this amendment is to obtain preliminary data on the safety of pegylated interferon Lambda (Lambda) when administered in combination with Entecavir(ETV) to patients with hepatitis E antigen-positive (HBeAg-positive) chronic hepatitis B(CHB) infection employing a sequential therapy approach
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Trial website
https://clinicaltrials.gov/study/NCT01204762
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Trial related presentations / publications
Phillips S, Mistry S, Riva A, Cooksley H, Hadzhiolova-Lebeau T, Plavova S, Katzarov K, Simonova M, Zeuzem S, Woffendin C, Chen PJ, Peng CY, Chang TT, Lueth S, De Knegt R, Choi MS, Wedemeyer H, Dao M, Kim CW, Chu HC, Wind-Rotolo M, Williams R, Cooney E, Chokshi S. Peg-Interferon Lambda Treatment Induces Robust Innate and Adaptive Immunity in Chronic Hepatitis B Patients. Front Immunol. 2017 May 29;8:621. doi: 10.3389/fimmu.2017.00621. eCollection 2017. Chan HLY, Ahn SH, Chang TT, Peng CY, Wong D, Coffin CS, Lim SG, Chen PJ, Janssen HLA, Marcellin P, Serfaty L, Zeuzem S, Cohen D, Critelli L, Xu D, Wind-Rotolo M, Cooney E; LIRA-B Study Team. Peginterferon lambda for the treatment of HBeAg-positive chronic hepatitis B: A randomized phase 2b study (LIRA-B). J Hepatol. 2016 May;64(5):1011-1019. doi: 10.1016/j.jhep.2015.12.018. Epub 2015 Dec 29.
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Public notes
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Contacts
Principal investigator
Name
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0
Bristol-Myers Squibb
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Address
0
0
Bristol-Myers Squibb
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
0
0
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01204762
Download to PDF