HBeAg-positive Chronic Hepatitis BPhase 3NCT01940471
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
A Phase 3 study testing TAF and TDF in people with HBeAg-positive Chronic Hepatitis B, run by Gilead Sciences at 160 sites in 19 countries.
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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HBeAg-positive Chronic Hepatitis B
- 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
- 875 participants
- Where
- 160 sitesin 19 countries
- Study dates
- 11 Sep 2013to 13 Oct 2022
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 electrocardiogram (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, 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.
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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
160 sites in 19 countries.
160 sites in 19 countries
South Korea22 sites
Kosin University College of Medicine
Busan, Seo-gu, 602702
Pusan National University Hospital
Busan, 602-739
SoonChunHyang University Hospital Cheonan
Cheonan, 330-721
Keimyung University Dongsan Medical Center
Daegu, 700-712
Kyungpook National University Hospital
Daegu, 700-721
Konyang University Hospital
Daejeon, 302-718
Inje University Ilsan Paik Hospital
Gyeonggi-do, 411-706
Ajou University Hospital
Gyeonggi-do, 443-380
Seoul National University Bundang Hospital
Gyeonggi-do, 463-707
Seoul National University Hospital
Seoul, 110-744
Severance Hospital Yonsei University Health System
Seoul, 120-752
Samsung Medical Center
Seoul, 135-710
Gangnam Severance Hospital
Seoul, 135-720
Seoul Saint Mary Hospital
Seoul, 137-701
Asan Medical Center
Seoul, 138-736
Konkuk University Medical Center
Seoul, 143-729
Korea University Guro Hospital
Seoul, 152-703
SMG-SNU Boramae Medical Center
Seoul, 156-707
Chung-Ang University Hospital
Seoul, 156-755
Ulsan University Hospital
Ulsan, 682-714
Yonsei Unversity Wonju
Wŏnju, 220-701
Pusan National University Yangsan Hospital
Yangsan, 626-770
India18 sites
Postgraduate Institute of Medical Education & Research
Chandigarh, 160012
YR Gaitonde Centre for AIDS Research and Education
Chennai, 600113
VGM Hospital
Coimbatore, 641005
Gleneagles Global Hospital
Hyderabad, 500004
Centre for Liver Research & Diagnostic, Deccan College of Medical Sciences and Allied Hospitals
Hyderabad, 500058
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
S. R Kalla Memorial Gastro & General Hospital
Jaipur, 302001
Peerless Hospital & B.K.Roy Research Center
Kolkata, 700 094
Postgraduate Institute of Medical Education & Research
Kolkata, 700020
BYL Nair Hospital & T N Medical College
Mumbai, Maharashtra, 400008
Seth GS Medical College and KEM Hospital
Mumbai, 400012
Government Medical College and Superspecialty Hospital
Nagpur, Maharashtra, 440003
Midas Multispecialty Hospital
Nagpur, Maharashtra, 440010
All India Institute of Medical Sciences
New Delhi, 110029
Sir Ganga Ram Hospital
New Delhi, 110060
Institute of Liver and Biliary Sciences
New Delhi, 110070
Global Hospital Super Specialty & Transplant Centre
Parel, 400 012
Nirmal Hospital
Surat, 395002
Japan16 sites
Kyushu University Hospital
Fukuoka, Fukuoka-shi, 812-8582
Shin-Kokura Hospital
Fukuoka, 803-8505
National Hospital Organization Kyushu Medical Center
Fukuoka, 810-8563
Kagawa Prefectural Central Hospital
Kagawa, 760-8557
Kobe City Medical Center General Hospital
Kobe, 650-0047
Yamanashi Prefectural Central Hospital
Kofu, 400-8506
Kurume University Hospital
Kurume, 830-0011
Kyoto Prefectural University of Medicine
Kyoto, 602-8566
Japan Red Cross Musashino Hospital
Musashino, 180-8610
Hyogo College of Medicine
Nishinomiya, 663-8501
Okayama University Hospital
Okayama, 700-8558
National Hospital Organization Nagasaki Medical Center
Ōmura, 856-8562
Osaka Red Cross Hospital
Osaka, 543-8555
Osaka University Hospital
Osaka, 545-8586
Hokkaido University Hospital
Sapporo, 060-8648
Medical Hospital of Tokyo Medical and Dental University
Tokyo, 113-8519
United States15 sites
Texas Clinical Research Institute, LLC
Arlington, Texas, 76012
Tufts Medical Center, Inc
Boston, Massachusetts, 02111
Digestive Disease Associates, PA
Catonsville, Maryland, 21228
Henry Ford Health System
Detroit, Michigan, 48202
Sing Chan Private Practice
Flushing, New York, 11354
New Discovery, LLC
Flushing, New York, 11355
Kelsey Research Foundation
Houston, Texas, 77005
Coalition of Inclusive Medicine
Los Angeles, California, 90020
University of Miami
Miami, Florida, 33136
Stanford University Medical Center
Palo Alto, California, 94304
Huntington Medical Research Institutes
Pasadena, California, 91105
Jefferson Medical College
Philadelphia, Pennsylvania, 19107
Xiaoli Ma, PC
Philadelphia, Pennsylvania, 19107
Research and Education, Inc.
San Diego, California, 92105
Silicon Valley Research Institute
San Jose, California, 95128
Canada12 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
Zeidler Ledcor Centre Division of Gastroenterology / Department of Medicine
Edmonton, Alberta, T6G 2X8
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
University Health Network / Toronto General Hospital
Toronto, Ontario, M5G 2C4
Inspiration Research Limited
Toronto, Ontario, M5T 2S8
Toronto Liver Centre
Toronto, Ontario, M6H 3M1
Liver and Intestinal Research Centre
Vancouver, British Columbia, V5Z 1H2
Gordon and Leslie Diamond Health Care Centre
Vancouver, British Columbia, V5Z 1M9
Dr. John Farley, Inc.
Vancouver, British Columbia, V6A 4B6
Vancouver Infectious Disease Research and Care Centre
Vancouver, British Columbia, V6Z 2C7
Gastrointestinal Research Institute (GIRI)
Vancouver, British Columbia, V6Z 2K5
University of Manitoba, Health Sciences Center
Winnipeg, Manitoba, R3E 3P4
Australia11 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Monash Medical Centre
Clayton, Victoria, 3168
Concord Repatriation General Hospital
Concord, New South Wales, 2137
St. Vincent's Hospital
Fitzroy, Victoria, 3065
Footscray Hospital
Footscray, Victoria, 3011
Austin Health
Heidelberg, Victoria, 3084
The Alfred Hospital
Melbourne, Victoria, 3004
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Royal Perth Hospital
Perth, Western Australia, 6000
Westmead Hospital Westmead
Westmead, New South Wales, 2145
Russia11 sites
Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases
Lipetsk, 398043
Scientific Research Institute of Nutrition
Moscow, 115446
People's Friendship University of Russia
Moscow, 117198
1st Moscow State Medical University University Clinical Hospital #3
Moscow, 119435
Limited Liability Company "Modern Medicine Clinic"
Moscow, 121170
Institute of Clinical Immunology RAMS, Clinic of Immunopathology
Novosibirsk, 630084
Scientific Research Institute of Clinical Immunology
Novosibirsk, 630099
Municipal Clinical Hospital n.a. S.P. Botkin
Saint Petersburg, 191167
Research Institute of Influenza
Saint Petersburg, 197376
Medical Company Hepatology
Samara, 443063
Sverdlovsk Regional Clinical Hospital #1
Yekaterinburg, 620102
Italy8 sites
Azienda Ospedaliera di Bologna - Policlinico S. Orsola Malpighi
Bologna, 40138
Istituto Europeo di Oncologia
Bologna, 40138
Azienda Ospedaliero Universitaria Ospedali Riuniti di
Foggia, 71100
Policlinico Universitario G. Martino via Consolare
Messina, 98124
Azienda Ospedale San Paolo
Milan, 20142
Azienda Ospedaliera di Padova
Padova, 35100
Azienda Ospedaliera di Padova
Padova, 35121
Azienda Ospedaliero Universitaria Pisana
Pisa, 56124
Taiwan8 sites
Chiayi Christian Hospital
Chiayi City, 60002
Hualien Tzu Chi Medical Center
Hualien City, 970
Kaohsiung Med. College Hosp. Dept. of Internal Medicine
Kaohsiung City, 80756
China Medical University Hospital
Taichung, 404
National Cheng Kung University Hospital
Tainan, 70403
National Taiwan University Hospital
Taipei, 10002
Cathay General Hospital
Taipei, 10630
Far-Eastern Memorial Hospital
Taipei, 220
Hong Kong5 sites
Queen Mary Hospital
Hong Kong
Princess Margaret Hospital
Lai Chi Kok
Prince of Wales Hospital
Shatin
Alice Ho Miu Ling Nethersole Hospital
Tai Po
Tuen Mun Hospital
Tuenmen
Poland5 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku Klinika
Bialystok, 15-540
Szpital Specjalistyczny
Chorzów, 41-500
SPZOZ, Wojewódzki Specjalistyczny Szpital
Lodz, 91-347
SP ZOZ Wojewódzki Szpital Zakazny
Warsaw, 01-201
Centrum Badan Klinicznych
Wroclaw, 50-349
Romania5 sites
Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"
Bucharest, 021105
Centrul Medical de Diagnostic si Tratament "Dr. Victor Babes"
Bucharest, 030303
Spitatul Clinic de Boli Infectioase Constanta
Constanța, 900709
Gastromedica SRL
Iași, 700506
Spitalul Clinic Judetean de Urgenta Timisoara
Timișoara, 300736
Turkey (Türkiye)5 sites
Ankara Üniversitesi Gastroenteroloji Bilim Dalı Cebeci
Ankara, 06100
University of Uludag
Bursa, 16059
Dicle University Medical Faculty Department of Infectious Diseases
Diyarbakır, 21280
Istanbul Universitesi Cerrahpassa Tip Fakultesi Enfeksiyon
Istanbul, 34098
Ege Universitesi Tip Fakultesi Hastanesi
Izmir, 35100
Bulgaria4 sites
Tokuda Hospital - Sofia
Sofia, 1407
MHAT Alexandrovska Medical University, Sofia
Sofia, 1431
MMA Hospital of Active Treatment
Sofia, 1606
MHAT Sofia Med
Sofia, 1797
France4 sites
Hopital Beaujon
Clichy, 92110
Hopital Pitie Salpetriere
Paris, 75651
Hopital Civil de Strasbourg
Strasbourg, 67091
Hopital Paul Brousse
Villejuif, 94804
United Kingdom4 sites
Barts & The London NHS Trust
London, E1 1BB
Royal Free Hospital
London, NW3 2QG
King's College Hospital
London, SE5 9RS
Nottingham University Hospitals NHS Trust
Nottingham, NG7 2UH
Singapore3 sites
National University Hospital Singapore
Singapore, 119228
Singapore General Hospital
Singapore, 169608
Changi General Hospital Pte Ltd.
Singapore, 529889
New Zealand2 sites
Auckland Clinical Studies Limited
Auckland, 1142
Waikato Hospital (District Health Board)
Hamilton, 2001
Spain2 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Universitario Virgen del Rocio
Seville, 4103
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.
Read the detailed description
This study GS-US-320-0110 is a multi-center clinical trial planned to enroll participants in multiple countries, including China. However, due to the review timeline difference in China, full enrollment was reached in the main study before China was able to participate. Therefore, details for the China cohort are registered separately (NCT02836249) on ClinicalTrials.gov as this cohort will not be part of the main study analysis.
- Conditions
- HBeAg-positive Chronic Hepatitis B
- 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 Vemlidy®, GS-7340
25 mg tablet administered orally once daily
TDFDrug
Also called Viread®
300 mg tablet administered orally once daily
TAF PlaceboDrug
Tablet administered orally once daily
TDF PlaceboDrug
Tablet administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| TAF 25 mg | Experimental | TAF + TDF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3). Receives: Drug: TAF; Drug: TDF Placebo |
| TDF 300 mg | Active comparator | TDF + TAF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3). Receives: Drug: TDF; Drug: TAF Placebo |
| Open-label TAF | Experimental | All participants who complete the double-blind period (96 weeks or 144 weeks) will be eligible to receive open-label TAF until Week 384 of the study.
After the end of study treatment, participants can either switch to commercially available anti-HBV treatments in their country or will be followed every 4 weeks, for up to 24 weeks off treatment (treatment-free follow-up (TFFU)) for safety assessment. 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 posted12 Sep 2013 (estimated)
- Study start11 Sep 2013
- Primary completion16 Nov 2015
- Study completion13 Oct 2022
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 (7)Papers the sponsor has linked to this study.
- Other trials for HBeAg-positive Chronic Hepatitis BStudies 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
- 875 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
- NCT01940471
- Sponsor's protocol ID
- GS-US-320-0110
- Other IDs
- 2013-000636-10
- Status last verified
- Sep 2023
- First submitted
- 20 Aug 2013
- Last updated
- 10 Oct 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- 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/
Publications
Buti M, Lim YS, Chan HLY, Agarwal K, Marcellin P, Brunetto MR, Chuang WL, Janssen HLA, Fung SK, Izumi N, Jablkowski MS, Abdurakhmanov D, Abramov F, Wang H, Botros I, Yee LJ, Mateo R, Flaherty JF, Osinusi A, Pan CQ, Shalimar X, Seto WK, Gane EJ. Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials. Aliment Pharmacol Ther. 2024 Dec;60(11-12):1573-1586. doi: 10.1111/apt.18278. Epub 2024 Sep 27.
PubMed 39327857Lim 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 37771546Chan HLY, Buti M, Lim YS, Agarwal K, Marcellin P, Brunetto M, Chuang WL, Janssen HLA, Fung S, Izumi N, Abdurakhmanov D, Jablkowski M, Celen MK, Ma X, Caruntu F, Flaherty JF, Abramov F, Wang H, Camus G, Osinusi A, Pan CQ, Shalimar, Seto WK, Gane E; GS-US-320-0110 and GS-US-320-0108 investigators. Long-Term Treatment With Tenofovir Alafenamide for Chronic Hepatitis B Results in High Rates of Viral Suppression and Favorable Renal and Bone Safety. Am J Gastroenterol. 2024 Mar 1;119(3):486-496. doi: 10.14309/ajg.0000000000002468. Epub 2023 Aug 9.
PubMed 37561058Cathcart AL, Chan HL, Bhardwaj N, Liu Y, Marcellin P, Pan CQ, Shalimar, Buti M, Cox S, Parhy B, Zhou E, Martin R, Chang S, Lin L, Flaherty JF, Kitrinos KM, Gaggar A, Izumi N, Lim YS. No Resistance to Tenofovir Alafenamide Detected through 96 Weeks of Treatment in Patients with Chronic Hepatitis B Infection. Antimicrob Agents Chemother. 2018 Sep 24;62(10):e01064-18. doi: 10.1128/AAC.01064-18. Print 2018 Oct.
PubMed 30038044Seto WK, Asahina Y, Brown TT, Peng CY, Stanciu C, Abdurakhmanov D, Tabak F, Nguyen TT, Chuang WL, Inokuma T, Ikeda F, Santantonio TA, Habersetzer F, Ramji A, Lau AH, Suri V, Flaherty JF, Wang H, Gaggar A, Subramanian GM, Mukewar S, Brunetto MR, Fung S, Chan HL. Improved Bone Safety of Tenofovir Alafenamide Compared to Tenofovir Disoproxil Fumarate Over 2 Years in Patients With Chronic HBV Infection. Clin Gastroenterol Hepatol. 2018 Jun 20:S1542-3565(18)30633-5. doi: 10.1016/j.cgh.2018.06.023. Online ahead of print.
PubMed 29933096Agarwal K, Brunetto M, Seto WK, Lim YS, Fung S, Marcellin P, Ahn SH, Izumi N, Chuang WL, Bae H, Sharma M, Janssen HLA, Pan CQ, Celen MK, Furusyo N, Shalimar D, Yoon KT, Trinh H, Flaherty JF, Gaggar A, Lau AH, Cathcart AL, Lin L, Bhardwaj N, Suri V, Mani Subramanian G, Gane EJ, Buti M, Chan HLY; GS-US-320-0110; GS-US-320-0108 Investigators. 96 weeks treatment of tenofovir alafenamide vs. tenofovir disoproxil fumarate for hepatitis B virus infection. J Hepatol. 2018 Apr;68(4):672-681. doi: 10.1016/j.jhep.2017.11.039. Epub 2018 Jan 17.
PubMed 29756595Chan HL, Fung S, Seto WK, Chuang WL, Chen CY, Kim HJ, Hui AJ, Janssen HL, Chowdhury A, Tsang TY, Mehta R, Gane E, Flaherty JF, Massetto B, Gaggar A, Kitrinos KM, Lin L, Subramanian GM, McHutchison JG, Lim YS, Acharya SK, Agarwal K; GS-US-320-0110 Investigators. Tenofovir alafenamide versus tenofovir disoproxil fumarate for the treatment of HBeAg-positive chronic hepatitis B virus infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet Gastroenterol Hepatol. 2016 Nov;1(3):185-195. doi: 10.1016/S2468-1253(16)30024-3. Epub 2016 Sep 22.
PubMed 28404091
Study at a glance
From the registry record, last updated by the sponsor on 10 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01940471
- Acronym / sponsor ID
- GS-US-320-0110
- Conditions
- HBeAg-positive Chronic Hepatitis B
- Keywords
- Hepatitis, Tenofovir, Viread
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 875 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 11 Sep 2013 (actual)
- Primary completion
- 16 Nov 2015 (actual)
- Study completion
- 13 Oct 2022 (actual)
- First posted
- 12 Sep 2013 (estimated)
- Results
- Posted 30 Mar 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
This study GS-US-320-0110 is a multi-center clinical trial planned to enroll participants in multiple countries, including China. However, due to the review timeline difference in China, full enrollment was reached in the main study before China was able to participate. Therefore, details for the China cohort are registered separately (NCT02836249) on ClinicalTrials.gov as this cohort will not be part of the main study analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| TAF 25 mg | Experimental | Drug: TAF, Drug: TDF PlaceboTAF + TDF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3). |
| TDF 300 mg | Active comparator | Drug: TDF, Drug: TAF PlaceboTDF + TAF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3). |
| Open-label TAF | Experimental | Drug: TAFAll participants who complete the double-blind period (96 weeks or 144 weeks) will be eligible to receive open-label TAF until Week 384 of the study. After the end of study treatment, participants can either switch to commercially available anti-HBV treatments in their country or will be followed every 4 weeks, for up to 24 weeks off treatment (treatment-free follow-up (TFFU)) for safety assessment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- 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:
- 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).
Key exclusion criteria (13 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TAFAlso: Vemlidy®, GS-734025 mg tablet administered orally once daily | Drug | Open-label TAF, TAF 25 mg |
| TDFAlso: Viread®300 mg tablet administered orally once daily | Drug | TDF 300 mg |
| TAF PlaceboTablet administered orally once daily | Drug | TDF 300 mg |
| TDF PlaceboTablet administered orally once daily | Drug | TAF 25 mg |
Primary outcome
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Time frame: Week 48
4 secondary outcomes
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion to Antibody Against Hepatitis B e Antigen (Anti-HBe) at Week 48
Time frame: Week 48
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Time frame: Baseline, Week 48
Percent Change From Baseline in Spine BMD at Week 48
Time frame: Baseline, Week 48
Change From Baseline at Week 48 in Serum Creatinine
Time frame: Baseline, Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Oct 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39327857Buti M, Lim YS, Chan HLY, Agarwal K, Marcellin P, Brunetto MR, Chuang WL, Janssen HLA, Fung SK, Izumi N, Jablkowski MS, Abdurakhmanov D, Abramov F, Wang H, Botros I, Yee LJ, Mateo R, Flaherty JF, Osinusi A, Pan CQ, Shalimar X, Seto WK, Gane EJ. Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials. Aliment Pharmacol Ther. 2024 Dec;60(11-12):1573-1586. doi: 10.1111/apt.18278. Epub 2024 Sep 27.
- Derived from this study: PubMed 37771546Lim 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.
- Derived from this study: PubMed 37561058Chan HLY, Buti M, Lim YS, Agarwal K, Marcellin P, Brunetto M, Chuang WL, Janssen HLA, Fung S, Izumi N, Abdurakhmanov D, Jablkowski M, Celen MK, Ma X, Caruntu F, Flaherty JF, Abramov F, Wang H, Camus G, Osinusi A, Pan CQ, Shalimar, Seto WK, Gane E; GS-US-320-0110 and GS-US-320-0108 investigators. Long-Term Treatment With Tenofovir Alafenamide for Chronic Hepatitis B Results in High Rates of Viral Suppression and Favorable Renal and Bone Safety. Am J Gastroenterol. 2024 Mar 1;119(3):486-496. doi: 10.14309/ajg.0000000000002468. Epub 2023 Aug 9.
- Derived from this study: PubMed 30038044Cathcart AL, Chan HL, Bhardwaj N, Liu Y, Marcellin P, Pan CQ, Shalimar, Buti M, Cox S, Parhy B, Zhou E, Martin R, Chang S, Lin L, Flaherty JF, Kitrinos KM, Gaggar A, Izumi N, Lim YS. No Resistance to Tenofovir Alafenamide Detected through 96 Weeks of Treatment in Patients with Chronic Hepatitis B Infection. Antimicrob Agents Chemother. 2018 Sep 24;62(10):e01064-18. doi: 10.1128/AAC.01064-18. Print 2018 Oct.
- Derived from this study: PubMed 29933096Seto WK, Asahina Y, Brown TT, Peng CY, Stanciu C, Abdurakhmanov D, Tabak F, Nguyen TT, Chuang WL, Inokuma T, Ikeda F, Santantonio TA, Habersetzer F, Ramji A, Lau AH, Suri V, Flaherty JF, Wang H, Gaggar A, Subramanian GM, Mukewar S, Brunetto MR, Fung S, Chan HL. Improved Bone Safety of Tenofovir Alafenamide Compared to Tenofovir Disoproxil Fumarate Over 2 Years in Patients With Chronic HBV Infection. Clin Gastroenterol Hepatol. 2018 Jun 20:S1542-3565(18)30633-5. doi: 10.1016/j.cgh.2018.06.023. Online ahead of print.
- Derived from this study: PubMed 29756595Agarwal K, Brunetto M, Seto WK, Lim YS, Fung S, Marcellin P, Ahn SH, Izumi N, Chuang WL, Bae H, Sharma M, Janssen HLA, Pan CQ, Celen MK, Furusyo N, Shalimar D, Yoon KT, Trinh H, Flaherty JF, Gaggar A, Lau AH, Cathcart AL, Lin L, Bhardwaj N, Suri V, Mani Subramanian G, Gane EJ, Buti M, Chan HLY; GS-US-320-0110; GS-US-320-0108 Investigators. 96 weeks treatment of tenofovir alafenamide vs. tenofovir disoproxil fumarate for hepatitis B virus infection. J Hepatol. 2018 Apr;68(4):672-681. doi: 10.1016/j.jhep.2017.11.039. Epub 2018 Jan 17.
- Derived from this study: PubMed 28404091Chan HL, Fung S, Seto WK, Chuang WL, Chen CY, Kim HJ, Hui AJ, Janssen HL, Chowdhury A, Tsang TY, Mehta R, Gane E, Flaherty JF, Massetto B, Gaggar A, Kitrinos KM, Lin L, Subramanian GM, McHutchison JG, Lim YS, Acharya SK, Agarwal K; GS-US-320-0110 Investigators. Tenofovir alafenamide versus tenofovir disoproxil fumarate for the treatment of HBeAg-positive chronic hepatitis B virus infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet Gastroenterol Hepatol. 2016 Nov;1(3):185-195. doi: 10.1016/S2468-1253(16)30024-3. Epub 2016 Sep 22.
- Gilead Clinical Trials WebsiteLink provided by the sponsor.
- Individual participant dataSharing planned: 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/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gilead Study Director study director
Gilead Sciences
160 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing TAF and TDF in people with HBeAg-positive Chronic Hepatitis B, run by Gilead Sciences at 160 sites in 19 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 160 sites in South Korea, India, Japan, United States, Canada and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48 (time frame: Week 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01940471, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Oct 2023.