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Study to Compare Tenofovir Alafenamide (TAF) Versus Tenofovir Disoproxil Fumarate (TDF) in Participants With Chronic Hepatitis B Infection Who Are Positive for Hepatitis B e Antigen

LAST UPDATED

October 10, 2023

Clinicaltrials.gov ID

NCT01940471

EudraCT ID

2013-000636-10

OVERVIEW

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

PROTOCOL 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.

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Participation Requirements

Calendar

Age

18 Years +

Condition

Sex

All

Healthy Icon

Healthy Volunteers

No

Study Details

Medical Condition

HBeAg-positive Chronic Hepatitis B

Gender

N/A

Date

September 2013 - November 2015

Study Type

Interventional

Study Phase

Phase 3

Product

TAF, TDF, TAF Placebo, TDF Placebo

Eligibility Information

Inclusion

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.
  • HBeAg-positive, chronic hepatitis B with all of the following:
  • HBeAg-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 electrocardiogram (ECG).
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Exclusion

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, human immunodeficiency 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.
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Locations

Locations (160)
Other

Coalition of Inclusive Medicine

Los Angeles, California, United States, 90020

Other

Stanford University Medical Center

Palo Alto, California, United States, 94304

Other

Huntington Medical Research Institutes

Pasadena, California, United States, 91105

Other

Research and Education, Inc.

San Diego, California, United States, 92105

Other

Silicon Valley Research Institute

San Jose, California, United States, 95128

Other

University of Miami

Miami, Florida, United States, 33136

Other

Digestive Disease Associates, PA

Catonsville, Maryland, United States, 21228

Other

Tufts Medical Center, Inc

Boston, Massachusetts, United States, 02111

Other

Henry Ford Health System

Detroit, Michigan, United States, 48202

Other

Sing Chan Private Practice

Flushing, New York, United States, 11354

Other

New Discovery, LLC

Flushing, New York, United States, 11355

Other

Jefferson Medical College

Philadelphia, Pennsylvania, United States, 19107

Other

Xiaoli Ma, PC

Philadelphia, Pennsylvania, United States, 19107

Other

Texas Clinical Research Institute, LLC

Arlington, Texas, United States, 76012

Other

Kelsey Research Foundation

Houston, Texas, United States, 77005

Other

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

Other

Concord Repatriation General Hospital

Concord, New South Wales, Australia, 2137

Other

Westmead Hospital Westmead

Westmead, New South Wales, Australia, 2145

Other

Royal Adelaide Hospital

Adelaide, South Australia, Australia, 5000

Other

Monash Medical Centre

Clayton, Victoria, Australia, 3168

Other

St. Vincent's Hospital

Fitzroy, Victoria, Australia, 3065

Other

Footscray Hospital

Footscray, Victoria, Australia, 3011

Other

Austin Health

Heidelberg, Victoria, Australia, 3084

Other

The Alfred Hospital

Melbourne, Victoria, Australia, 3004

Other

The Royal Melbourne Hospital

Parkville, Victoria, Australia, 3050

Other

Royal Perth Hospital

Perth, Western Australia, Australia, 6000

Other

Tokuda Hospital - Sofia

Sofia, Bulgaria, 1407

Other

MHAT Alexandrovska Medical University, Sofia

Sofia, Bulgaria, 1431

Other

MMA Hospital of Active Treatment

Sofia, Bulgaria, 1606

Other

MHAT Sofia Med

Sofia, Bulgaria, 1797

Other

University of Calgary

Calgary, Alberta, Canada, T2N 4Z6

Other

Zeidler Ledcor Centre Division of Gastroenterology / Department of Medicine

Edmonton, Alberta, Canada, T6G 2X8

Other

Liver and Intestinal Research Centre

Vancouver, British Columbia, Canada, V5Z 1H2

Other

Gordon and Leslie Diamond Health Care Centre

Vancouver, British Columbia, Canada, V5Z 1M9

Other

Dr. John Farley, Inc.

Vancouver, British Columbia, Canada, V6A 4B6

Other

Vancouver Infectious Disease Research and Care Centre

Vancouver, British Columbia, Canada, V6Z 2C7

Other

Gastrointestinal Research Institute (GIRI)

Vancouver, British Columbia, Canada, V6Z 2K5

Other

University of Manitoba, Health Sciences Center

Winnipeg, Manitoba, Canada, R3E 3P4

Other

The Ottawa Hospital

Ottawa, Ontario, Canada, K1H 8L6

Other

University Health Network / Toronto General Hospital

Toronto, Ontario, Canada, M5G 2C4

Other

Inspiration Research Limited

Toronto, Ontario, Canada, M5T 2S8

Other

Toronto Liver Centre

Toronto, Ontario, Canada, M6H 3M1

Other

Hopital Beaujon

Clichy, France, 92110

Other

Hopital Pitie Salpetriere

Paris, France, 75651

Other

Hopital Civil de Strasbourg

Strasbourg, France, 67091

Other

Hopital Paul Brousse

Villejuif, France, 94804

Other

Queen Mary Hospital

Hong Kong, Hong Kong

Other

Princess Margaret Hospital

Lai Chi Kok, Hong Kong

Other

Prince of Wales Hospital

Sha Tin, Hong Kong

Other

Alice Ho Miu Ling Nethersole Hospital

Tai Po, Hong Kong

Other

Tuen Mun Hospital

Tuen Mun, Hong Kong

Other

BYL Nair Hospital & T N Medical College

Mumbai, Maharashtra, India, 400008

Other

Government Medical College and Superspecialty Hospital

Nagpur, Maharashtra, India, 440003

Other

Midas Multispecialty Hospital

Nagpur, Maharashtra, India, 440010

Other

SMS Medical College & Hospital

Jaipur, Rajasthan, India, 302004

Other

Postgraduate Institute of Medical Education & Research

Chandigarh, India, 160012

Other

YR Gaitonde Centre for AIDS Research and Education

Chennai, India, 600113

Other

VGM Hospital

Coimbatore, India, 641005

Other

Gleneagles Global Hospital

Hyderabad, India, 500004

Other

Centre for Liver Research & Diagnostic, Deccan College of Medical Sciences and Allied Hospitals

Hyderabad, India, 500058

Other

S. R Kalla Memorial Gastro & General Hospital

Jaipur, India, 302001

Other

Peerless Hospital & B.K.Roy Research Center

Kolkata, India, 700 094

Other

Postgraduate Institute of Medical Education & Research

Kolkata, India, 700020

Other

Seth GS Medical College and KEM Hospital

Mumbai, India, 400012

Other

All India Institute of Medical Sciences

New Delhi, India, 110029

Other

Sir Ganga Ram Hospital

New Delhi, India, 110060

Other

Institute of Liver and Biliary Sciences

New Delhi, India, 110070

Other

Global Hospital Super Specialty & Transplant Centre

Parel, India, 400 012

Other

Nirmal Hospital

Surat, India, 395002

Other

Azienda Ospedaliera di Bologna - Policlinico S. Orsola Malpighi

Bologna, Italy, 40138

Other

Istituto Europeo di Oncologia

Bologna, Italy, 40138

Other

Azienda Ospedaliero Universitaria Ospedali Riuniti di

Foggia, Italy, 71100

Other

Policlinico Universitario G. Martino via Consolare

Messina, Italy, 98124

Other

Azienda Ospedale San Paolo

Milano, Italy, 20142

Other

Azienda Ospedaliera di Padova

Padova, Italy, 35100

Other

Azienda Ospedaliera di Padova

Padova, Italy, 35121

Other

Azienda Ospedaliero Universitaria Pisana

Pisa, Italy, 56124

Other

Kyushu University Hospital

Fukuoka, Fukuoka-shi, Japan, 812-8582

Other

Shin-Kokura Hospital

Fukuoka, Japan, 803-8505

Other

National Hospital Organization Kyushu Medical Center

Fukuoka, Japan, 810-8563

Other

Kagawa Prefectural Central Hospital

Kagawa, Japan, 760-8557

Other

Kobe City Medical Center General Hospital

Kobe, Japan, 650-0047

Other

Yamanashi Prefectural Central Hospital

Kofu, Japan, 400-8506

Other

Kurume University Hospital

Kurume, Japan, 830-0011

Other

Kyoto Prefectural University of Medicine

Kyoto, Japan, 602-8566

Other

Japan Red Cross Musashino Hospital

Musashino, Japan, 180-8610

Other

Hyogo College of Medicine

Nishinomiya, Japan, 663-8501

Other

Okayama University Hospital

Okayama, Japan, 700-8558

Other

National Hospital Organization Nagasaki Medical Center

Omura, Japan, 856-8562

Other

Osaka Red Cross Hospital

Osaka, Japan, 543-8555

Other

Osaka University Hospital

Osaka, Japan, 545-8586

Other

Hokkaido University Hospital

Sapporo, Japan, 060-8648

Other

Medical Hospital of Tokyo Medical and Dental University

Tokyo, Japan, 113-8519

Other

Kosin University College of Medicine

Busan, Seo-gu, Korea, Republic of, 602702

Other

Pusan National University Hospital

Busan, Korea, Republic of, 602-739

Other

SoonChunHyang University Hospital Cheonan

Cheonan, Korea, Republic of, 330-721

Other

Keimyung University Dongsan Medical Center

Daegu, Korea, Republic of, 700-712

Other

Kyungpook National University Hospital

Daegu, Korea, Republic of, 700-721

Other

Konyang University Hospital

Daejeon, Korea, Republic of, 302-718

Other

Inje University Ilsan Paik Hospital

Gyeonggi-do, Korea, Republic of, 411-706

Other

Ajou University Hospital

Gyeonggi-do, Korea, Republic of, 443-380

Other

Seoul National University Bundang Hospital

Gyeonggi-Do, Korea, Republic of, 463-707

Other

Seoul National University Hospital

Seoul, Korea, Republic of, 110-744

Other

Severance Hospital Yonsei University Health System

Seoul, Korea, Republic of, 120-752

Other

Samsung Medical Center

Seoul, Korea, Republic of, 135-710

Other

Gangnam Severance Hospital

Seoul, Korea, Republic of, 135-720

Other

Seoul Saint Mary Hospital

Seoul, Korea, Republic of, 137-701

Other

Asan Medical Center

Seoul, Korea, Republic of, 138-736

Other

Konkuk University Medical Center

Seoul, Korea, Republic of, 143-729

Other

Korea University Guro Hospital

Seoul, Korea, Republic of, 152-703

Other

SMG-SNU Boramae Medical Center

Seoul, Korea, Republic of, 156-707

Other

Chung-Ang University Hospital

Seoul, Korea, Republic of, 156-755

Other

Ulsan University Hospital

Ulsan, Korea, Republic of, 682-714

Other

Yonsei Unversity Wonju

Wŏnju, Korea, Republic of, 220-701

Other

Pusan National University Yangsan Hospital

Yangsan, Korea, Republic of, 626-770

Other

Auckland Clinical Studies Limited

Auckland, New Zealand, 1142

Other

Waikato Hospital (District Health Board)

Hamilton, New Zealand, 2001

Other

Uniwersytecki Szpital Kliniczny w Bialymstoku Klinika

Bialystok, Poland, 15-540

Other

Szpital Specjalistyczny

Chorzow, Poland, 41-500

Other

SPZOZ, Wojewódzki Specjalistyczny Szpital

Lodz, Poland, 91-347

Other

SP ZOZ Wojewódzki Szpital Zakazny

Warszawa, Poland, 01-201

Other

Centrum Badan Klinicznych

Wroclaw, Poland, 50-349

Other

Centrul Medical de Diagnostic si Tratament "Dr. Victor Babes"

Bucharest, Romania, 030303

Other

Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"

Bucuresti, Romania, 021105

Other

Spitatul Clinic de Boli Infectioase Constanta

Constanţa, Romania, 900709

Other

Gastromedica SRL

Iasi, Romania, 700506

Other

Spitalul Clinic Judetean de Urgenta Timisoara

Timişoara, Romania, 300736

Other

Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases

Lipetsk, Russian Federation, 398043

Other

Scientific Research Institute of Nutrition

Moscow, Russian Federation, 115446

Other

People's Friendship University of Russia

Moscow, Russian Federation, 117198

Other

1st Moscow State Medical University University Clinical Hospital #3

Moscow, Russian Federation, 119435

Other

Limited Liability Company "Modern Medicine Clinic"

Moscow, Russian Federation, 121170

Other

Institute of Clinical Immunology RAMS, Clinic of Immunopathology

Novosibirsk, Russian Federation, 630084

Other

Scientific Research Institute of Clinical Immunology

Novosibirsk, Russian Federation, 630099

Other

Municipal Clinical Hospital n.a. S.P. Botkin

Saint-Petersburg, Russian Federation, 191167

Other

Research Institute of Influenza

Saint-Petersburg, Russian Federation, 197376

Other

Medical Company Hepatology

Samara, Russian Federation, 443063

Other

Sverdlovsk Regional Clinical Hospital #1

Yekaterinburg, Russian Federation, 620102

Other

National University Hospital Singapore

Singapore, Singapore, 119228

Other

Singapore General Hospital

Singapore, Singapore, 169608

Other

Changi General Hospital Pte Ltd.

Singapore, Singapore, 529889

Other

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Other

Hospital Universitario Virgen del Rocio

Sevilla, Spain, 4103

Other

Chiayi Christian Hospital

Chiayi, Taiwan, 60002

Other

Hualien Tzu Chi Medical Center

Hualien, Taiwan, 970

Other

Kaohsiung Med. College Hosp. Dept. of Internal Medicine

Kaohsiung, Taiwan, 80756

Other

China Medical University Hospital

Taichung, Taiwan, 404

Other

National Cheng Kung University Hospital

Tainan, Taiwan, 70403

Other

National Taiwan University Hospital

Taipei, Taiwan, 10002

Other

Cathay General Hospital

Taipei, Taiwan, 10630

Other

Far-Eastern Memorial Hospital

Taipei, Taiwan, 220

Other

Ankara Üniversitesi Gastroenteroloji Bilim Dalı Cebeci

Ankara, Turkey, 06100

Other

University of Uludag

Bursa, Turkey, 16059

Other

Dicle University Medical Faculty Department of Infectious Diseases

Diyarbakir, Turkey, 21280

Other

Istanbul Universitesi Cerrahpassa Tip Fakultesi Enfeksiyon

Istanbul, Turkey, 34098

Other

Ege Universitesi Tip Fakultesi Hastanesi

Izmir, Turkey, 35100

Other

Barts & The London NHS Trust

London, United Kingdom, E1 1BB

Other

Royal Free Hospital

London, United Kingdom, NW3 2QG

Other

King's College Hospital

London, United Kingdom, SE5 9RS

Other

Nottingham University Hospitals NHS Trust

Nottingham, United Kingdom, NG7 2UH