HBVPhase 3NCT02836249
Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate for Treatment of Hepatitis B e Antigen-Positive Hepatitis B (China)
A Phase 3 study testing TAF and TDF in people with HBV and Chronic HBV Infection, run by Gilead Sciences at 25 sites in China.
Trial summary
The primary objective of this study is to compare the efficacy, safety, and tolerability of tenofovir alafenamide (TAF) versus tenofovir disoproxil fumarate (TDF) in treatment-naive and treatment-experienced adults with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B virus (HBV) infection in China. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HBV, Chronic HBV Infection
- What is being tested?
- TAF and TDF
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 181 participants
- Where
- 25 sitesChina
- Study dates
- 19 Jun 2015to 31 Aug 2023
- Phase
- Phase 3
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
- Adult males and non-pregnant, non-lactating females
- Documented evidence of chronic HBV infection
- HBeAg-positive, chronic hepatitis B with all of the following:
- HBeAg-positive at screening
- Screening HBV DNA ≥ 2 x 10^4 IU/mL
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- Screening serum alanine aminotransferase (ALT) level > 60 U/L (males) or > 38 U/L (females) and ≤ 10 x the upper limit of the normal range (ULN)
- Treatment-naive participants (defined as < 12 weeks of oral antiviral treatment with any nucleoside or nucleotide analogue) OR treatment-experienced participants (defined as participants meeting all entry criteria [including HBV DNA and serum ALT criteria] and with ≥ 12 weeks of previous treatment with any nucleoside or nucleotide analogue)
- Previous treatment with interferon (pegylated or non-pegylated) must have ended at least 6 months prior to the baseline visit
- Adequate renal function
- Normal ECG
Who cannot join
- Females who are breastfeeding
- Males and females of reproductive potential who are unwilling to use an "effective", protocol specified method(s) of contraception during the study
- Co-infection with hepatitis C virus, HIV, or hepatitis D virus
- Evidence of hepatocellular carcinoma
- Any history of, or current evidence of, clinical hepatic decompensation
- Abnormal hematological and biochemical parameters, including aspartate aminotransferase (AST) > 10 x ULN
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- Received solid organ or bone marrow transplant
- History of malignancy within the past 5 years, with the exception of specific cancers that are cured by surgical resection; individuals under evaluation for possible malignancy are not eligible
- Currently receiving therapy with immunomodulators (eg, corticosteroids), investigational agents, nephrotoxic agents, or agents capable of modifying renal excretion
- Individuals receiving ongoing therapy with drugs not to be used with tenofovir alafenamide or tenofovir disoproxil fumarate or individuals with a known hypersensitivity to study drugs, metabolites, or formulation excipients
- Current alcohol or substance abuse judged by the investigator to potentially interfere with participant compliance
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the participant unsuitable for the study or unable to comply with dosing requirements
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
25 sites in 1 country.
25 sites in 1 country
China25 sites
Beijing Ditan Hospital
Beijing, 100015
PLA 302 Hospital
Beijing, 100039
Beijing Friendship Hospital, Capital Medical University
Beijing, 100050
Beijing Youan Hospital, Capital Medical University
Beijing, 100069
Xianya Hospital, Central South University
Changsha, 410008
Guangzhou Eighth People's Hospital
Guangzhou, 510060
Nanfang Medical University, Nanfang Hospital
Guangzhou, 510515
No. 3 Hospital, Zhongshan Medical University
Guangzhou, 510630
The Affiliated Hospital of Guiyang Medical College
Guiyang, 550004
The People's Hospital of Hainan Province
Haikou, 570311
The Second Xiangya Hospital of Central South University
Hunan, 410011
The First Affiliated Hospital of Nanchang University
Jiangxi, 330006
1st Hospital Jilin University
Jilin City, 130021
Jinan Infectious Disease Hospital
Jinan, 250021
2nd Hospital of Nanjing City
Nanjing, 210003
Jiangsu Province People's Hospital
Nanjing, 210029
Ruijin Hospital, JiaoTong University School of Medicine
Shanghai, 200025
Shanghai Public Health Clinical Center
Shanghai, 200083
85 Hospital of People's Liberation Army
Shanghai, 200235
Shengjing Hospital of China Medical University
Shenyang, 110004
The Sixth People's Hospital of Shenyang
Shenyang, 110006
3rd Hospital of Hebei Medical University
Shijiazhuang, 050051
West China Hospital, Sichuan University
Sichuan, 610041
First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, 710061
1st Affiliated Hospital Kunming Medical College
Yunnan, 650032
About this study
Official title: A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Tenofovir Alafenamide (TAF) 25 mg QD Versus Tenofovir Disoproxil Fumarate (TDF) 300 mg QD for the Treatment of HBeAg Positive, Chronic Hepatitis B
The primary objective of this study is to compare the efficacy, safety, and tolerability of tenofovir alafenamide (TAF) versus tenofovir disoproxil fumarate (TDF) in treatment-naive and treatment-experienced adults with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B virus (HBV) infection in China.
Read the detailed description
This study GS-US-320-0110 is an international study planned to enroll participants in global countries, including China. However, due to the review timeline difference in China, full enrollment was reached in the main study (NCT01940471) before China was able to participate. Therefore, this registration only includes the China cohorts as they were not part of the main study analysis. Data for China cohorts were analyzed separately after the main study analysis was completed.
- Conditions
- HBV, Chronic HBV Infection
- Being tested
- TAF, TDF, TAF Placebo, TDF Placebo
- Keywords
- Hepatitis, Tenofovir, Viread
- Medical subject headings
- Hepatitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TAFDrug
Also called GS-7340, Vemlidy®
TAF 25 mg tablet administered orally once daily
TDFDrug
Also called Viread®
TDF 300 mg tablet administered orally once daily
TAF PlaceboDrug
TAF placebo tablet administered orally once daily
TDF PlaceboDrug
TDF placebo tablet administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| Double-Blind TAF | Experimental | Tenofovir alafenamide (Vemlidy®; TAF) 25 mg tablet + tenofovir disoproxil fumarate (Viread®; TDF) placebo tablet once daily for up to 144 weeks (per amendment 3.1). Receives: Drug: TAF; Drug: TDF Placebo |
| Double-Blind TDF | Active comparator | TDF 300 mg tablet + TAF placebo tablet once daily for up to 144 weeks (per amendment 3.1). Receives: Drug: TDF; Drug: TAF Placebo |
| Open-label TAF | Experimental | All participants who complete the double-blind period will be eligible to receive open-label TAF until Week 384 of the study. Receives: Drug: TAF |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Measured: Week 48
Secondary outcomes (4)
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion to Antibody Against Hepatitis B e Antigen (Anti-HBe) at Week 48
Measured: Week 48
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Measured: Baseline; Week 48
Percent Change From Baseline in Spine BMD at Week 48
Measured: Baseline; Week 48
Change From Baseline at Week 48 in Serum Creatinine
Measured: Baseline; Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jul 2016 (estimated)
- Study start19 Jun 2015
- Primary completion21 Mar 2017
- Study completion31 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for HBVStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 181 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gilead Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02836249
- Sponsor's protocol ID
- GS-US-320-0110 (China)
- Other IDs
- 2013-000636-10
- Status last verified
- Sep 2024
- First submitted
- 14 Jul 2016
- Last updated
- 15 Oct 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gileadclinicaltrials.com/transparency-policy#Commitment
Publications
Hou J, Ning Q, Duan Z, Chen Y, Xie Q, Wang FS, Zhang L, Wu S, Tang H, Li J, Lin F, Yang Y, Gong G, Flaherty JF, Gaggar A, Mo S, Cheng C, Camus G, Chen C, Huang Y, Jia J, Zhang M; GS-US-320-0110 and GS-US-320-0108 China Investigators. 3-year Treatment of Tenofovir Alafenamide vs. Tenofovir Disoproxil Fumarate for Chronic HBV Infection in China. J Clin Transl Hepatol. 2021 Jun 28;9(3):324-334. doi: 10.14218/JCTH.2020.00145. Epub 2021 Apr 28.
PubMed 34221918Hou J, Ning Q, Duan Z, Chen Y, Xie Q, Zhang L, Wu S, Tang H, Li J, Lin F, Yang Y, Gong G, Luo Y, Xie S, Wang H, Mateo R, Yazdi T, Abramov F, Yee LJ, Flaherty J, Chen C, Huang Y, Zhang M, Jia J. Five-year Treatment with Tenofovir Alafenamide Achieves High Rates of Viral Suppression, Alanine Aminotransferase Normalization, and Favorable Bone and Renal Safety in Chinese Chronic Hepatitis B Patients. J Clin Transl Hepatol. 2024 May 28;12(5):469-480. doi: 10.14218/JCTH.2023.00417. Epub 2024 Apr 15.
PubMed 38779514Lim YS, Chan HLY, Ahn SH, Seto WK, Ning Q, Agarwal K, Janssen HLA, Pan CQ, Chuang WL, Izumi N, Fung S, Shalimar, Brunetto M, Hui AJ, Chang TT, Lim SG, Abramov F, Flaherty JF, Wang H, Yee LJ, Kao JH, Gane E, Hou J, Buti M. Tenofovir alafenamide and tenofovir disoproxil fumarate reduce incidence of hepatocellular carcinoma in patients with chronic hepatitis B. JHEP Rep. 2023 Jul 13;5(10):100847. doi: 10.1016/j.jhepr.2023.100847. eCollection 2023 Oct.
PubMed 37771546