Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate for Treatment of Hepatitis B e Antigen-Negative Hepatitis B (China)
Primary Purpose
HBV, Chronic HBV Infections
Status
Active
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
TAF
TDF
TAF Placebo
TDF Placebo
Sponsored by
About this trial
This is an interventional treatment trial for HBV focused on measuring Hepatitis, Tenofovir, Viread
Eligibility Criteria
Key Inclusion Criteria:
- 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
Hepatitis e antigen (HBeAg)-negative, chronic hepatitis B with all of the following:
- HBeAg-negative and hepatitis B e antibody (HBeAb) positive at screening
- Screening HBV DNA ≥ 2 x 10^4 IU/mL
- 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
Key Exclusion Criteria:
- 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
- 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.
Sites / Locations
- Peking University First Hospital
- The Third Affiliated Hospital of Sun Yat-Sen University
- The 1st Affiliated Hospital of Guangxi Medical University
- The Affiliated Hospital of Guiyang Medical College
- The 3rd Hospital of Hebei Medical University
- Tongji Hospital, Tongji Medical college HuaZhong University of Science&Technology
- Nanjing No. 2 Hospital
- The First Affiliated Hospital of Nanchang University
- The First Hospital of Jilin University
- The sixth People's Hospital of Shenyang
- Jinan Infectious Disease Hospital
- West China Hospital, Sichuan University
- No.1 Hospital Affiliated to Kunming Medical College
- Beijing Ditan Hospital
- No. 302 PLA Hospital
- Peking University People's Hospital
- Beijing Friendship Hospital, Capital Medical University
- Beijing Youan Hospital, Capital Medical University
- XiangYa Hospital Central South University
- The 2nd Xiangya Hospital Central South University
- Guangzhou No.8 People's Hospital
- Nanfang Medical University, Nanfang Hospital
- The People's Hospital of Hainan Province
- Jiangsu Provincial People's Hospital
- Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
- Shanghai Public Health Clinical Center
- 85 Hospital of People's Liberation Army
- Shengjing Hospital of China Medical University
- First Affiliated Hospital of Xi'an Jiaotong
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Experimental
Arm Label
TAF
TDF
Open-label TAF
Arm Description
TAF + TDF placebo for up to 144 weeks
TDF + TAF placebo for up to 144 weeks
All participants who complete the double-blind period will be eligible to receive open-label TAF until Week 384 of the study.
Outcomes
Primary Outcome Measures
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Secondary Outcome Measures
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Percent Change From Baseline in Spine BMD at Week 48
Change From Baseline in Serum Creatinine at Week 48
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02836236
Brief Title
Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate for Treatment of Hepatitis B e Antigen-Negative Hepatitis B (China)
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-Negative, Chronic Hepatitis B
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 19, 2015 (Actual)
Primary Completion Date
February 24, 2017 (Actual)
Study Completion Date
January 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief 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)-negative chronic hepatitis B virus (HBV) infection in China.
Detailed Description
This study GS-US-320-0108 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 (NCT01940341) 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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HBV, Chronic HBV Infections
Keywords
Hepatitis, Tenofovir, Viread
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
155 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TAF
Arm Type
Experimental
Arm Description
TAF + TDF placebo for up to 144 weeks
Arm Title
TDF
Arm Type
Active Comparator
Arm Description
TDF + TAF placebo for up to 144 weeks
Arm Title
Open-label TAF
Arm Type
Experimental
Arm Description
All participants who complete the double-blind period will be eligible to receive open-label TAF until Week 384 of the study.
Intervention Type
Drug
Intervention Name(s)
TAF
Other Intervention Name(s)
GS-7340, Vemlidy®
Intervention Description
TAF 25 mg tablet administered orally once daily
Intervention Type
Drug
Intervention Name(s)
TDF
Other Intervention Name(s)
Viread®
Intervention Description
TDF 300 mg tablet administered orally once daily
Intervention Type
Drug
Intervention Name(s)
TAF Placebo
Intervention Description
TAF placebo tablet administered orally once daily
Intervention Type
Drug
Intervention Name(s)
TDF Placebo
Intervention Description
TDF placebo tablet administered orally once daily
Primary Outcome Measure Information:
Title
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Time Frame
Week 48
Secondary Outcome Measure Information:
Title
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Time Frame
Baseline; Week 48
Title
Percent Change From Baseline in Spine BMD at Week 48
Time Frame
Baseline; Week 48
Title
Change From Baseline in Serum Creatinine at Week 48
Time Frame
Baseline; Week 48
Other Pre-specified Outcome Measures:
Title
Percentage of Participants With Treatment-emergent Proteinuria by Urinalysis (Dipstick) Through Week 48
Description
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method.
Time Frame
Up to 48 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
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
Hepatitis e antigen (HBeAg)-negative, chronic hepatitis B with all of the following:
HBeAg-negative and hepatitis B e antibody (HBeAb) positive at screening
Screening HBV DNA ≥ 2 x 10^4 IU/mL
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
Key Exclusion Criteria:
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
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gilead Study Director
Organizational Affiliation
Gilead Sciences
Official's Role
Study Director
Facility Information:
Facility Name
Peking University First Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100034
Country
China
Facility Name
The Third Affiliated Hospital of Sun Yat-Sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510630
Country
China
Facility Name
The 1st Affiliated Hospital of Guangxi Medical University
City
Nanning
State/Province
Guangxi
ZIP/Postal Code
530021
Country
China
Facility Name
The Affiliated Hospital of Guiyang Medical College
City
Guiyang
State/Province
Guiyang
ZIP/Postal Code
550004
Country
China
Facility Name
The 3rd Hospital of Hebei Medical University
City
Shijiazhuang
State/Province
Hebei
ZIP/Postal Code
050051
Country
China
Facility Name
Tongji Hospital, Tongji Medical college HuaZhong University of Science&Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430030
Country
China
Facility Name
Nanjing No. 2 Hospital
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
The First Affiliated Hospital of Nanchang University
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330006
Country
China
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130021
Country
China
Facility Name
The sixth People's Hospital of Shenyang
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110006
Country
China
Facility Name
Jinan Infectious Disease Hospital
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250021
Country
China
Facility Name
West China Hospital, Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Facility Name
No.1 Hospital Affiliated to Kunming Medical College
City
Kunming
State/Province
Yunnan
ZIP/Postal Code
650032
Country
China
Facility Name
Beijing Ditan Hospital
City
Beijing
ZIP/Postal Code
100015
Country
China
Facility Name
No. 302 PLA Hospital
City
Beijing
ZIP/Postal Code
100039
Country
China
Facility Name
Peking University People's Hospital
City
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
Beijing Friendship Hospital, Capital Medical University
City
Beijing
ZIP/Postal Code
100050
Country
China
Facility Name
Beijing Youan Hospital, Capital Medical University
City
Beijing
ZIP/Postal Code
100069
Country
China
Facility Name
XiangYa Hospital Central South University
City
Changsha
ZIP/Postal Code
410008
Country
China
Facility Name
The 2nd Xiangya Hospital Central South University
City
Changsha
ZIP/Postal Code
410011
Country
China
Facility Name
Guangzhou No.8 People's Hospital
City
Guangzhou
ZIP/Postal Code
510060
Country
China
Facility Name
Nanfang Medical University, Nanfang Hospital
City
Guangzhou
ZIP/Postal Code
510515
Country
China
Facility Name
The People's Hospital of Hainan Province
City
Haikou
ZIP/Postal Code
570311
Country
China
Facility Name
Jiangsu Provincial People's Hospital
City
Nanjing
ZIP/Postal Code
210029
Country
China
Facility Name
Rui Jin Hospital Shanghai Jiao Tong University School of Medicine
City
Shanghai
ZIP/Postal Code
200025
Country
China
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
ZIP/Postal Code
200083
Country
China
Facility Name
85 Hospital of People's Liberation Army
City
Shanghai
ZIP/Postal Code
200235
Country
China
Facility Name
Shengjing Hospital of China Medical University
City
Shenyang
ZIP/Postal Code
110004
Country
China
Facility Name
First Affiliated Hospital of Xi'an Jiaotong
City
Xi'an
ZIP/Postal Code
710061
Country
China
12. IPD Sharing Statement
Citations:
PubMed Identifier
34221918
Citation
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.
Results Reference
derived
Links:
URL
https://www.gileadclinicaltrials.com/study/?id=GS-US-320-0108%20(China)
Description
Gilead Clinical Trials Website
Learn more about this trial
Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate for Treatment of Hepatitis B e Antigen-Negative Hepatitis B (China)
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