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Chronic Hepatitis BPhase 2NCT02932150

Study of Tenofovir Alafenamide (TAF) in Children and Teen Participants With Chronic Hepatitis B Virus Infection

A Phase 2 study testing TAF in people with Chronic Hepatitis B, run by Gilead Sciences at 39 sites in 8 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The goals of this clinical study are to compare the effectiveness, safety and tolerability of study drug, tenofovir alafenamide (TAF), versus placebo in teens and children with CHB and to learn more about the dosing levels in children. Read more about this study

Who is it for?
Ages 2 to 17 years
Conditions the study is for
Chronic Hepatitis B
What is being tested?
TAF
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
39 sitesin 8 countries
Study dates
Nov 2016to Oct 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Males and non-pregnant, non-lactating females
  • Weight at screening as follows:
  • Cohort 1 = ≥ 35 kg (≥ 77 lbs)
  • Cohort 2 Group 1 = ≥ 25 kg (≥ 55 lbs)
  • Cohort 2 Group 2 = ≥ 14 kg to < 25 kg (≥ 30 lbs to <55 lbs)
  • Cohort 2 Group 3 = ≥ 10 kg to < 14 kg (≥ 22 lbs to < 30 lbs) or
Show all 15Show fewer
  • 14 kg to < 25 kg (≥ 30 lbs to < 55 lbs)
  • Willing and able to provide written informed consent/assent (child and parent/legal guardian)
  • Documented evidence of CHB (eg, HBsAg-positive for ≥ 6 months)
  • HBeAg-positive, or HBeAg-negative, chronic HBV infection with all of the following:
  • Screening HBV DNA ≥ 2 × 10^4 IU/mL
  • Screening serum ALT > 45 U/L (> 1.5 × ULN: 30 U/L) and ≤ 10 × ULN (by central laboratory range)
  • Treatment-naive or treatment-experienced will be eligible for enrollment.
  • Estimated creatinine clearance (CLCr) ≥ 80 mL/min/1.73m^2 (using the Schwartz formula)
  • Normal ECG

Who cannot join

  • Females who are pregnant or breastfeeding
  • Males and females of reproductive potential who are unwilling to use an "effective", protocol-specified method(s) of contraception during the study.
  • Coinfection with hepatitis C virus (HCV), HIV, or hepatitis D virus (HDV)
  • Evidence of hepatocellular carcinoma (Note: if screening alpha-fetoprotein (AFP) is < 50 ng/mL no imaging study is needed; however, if the screening AFP is > 50 ng/mL an imaging study is required)
  • Any history of, or current evidence of, clinical hepatic decompensation
  • Abnormal hematological and biochemical parameters
Show all 13Show fewer
  • Chronic liver disease of non-HBV etiology (e.g., hemochromatosis, alpha-1 antitrypsin deficiency, cholangitis)
  • Received solid organ or bone marrow transplant
  • Currently receiving therapy with immunomodulators (eg, corticosteroids), or immunosuppressants
  • Significant renal, cardiovascular, pulmonary, or neurological disease in the opinion of the Investigator
  • Malignancy within the 5 years prior to screening. Individuals under evaluation for possible malignancy are not eligible.
  • Current alcohol or substance abuse judged by the investigator to potentially interfere with subject compliance.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

39 sites in 8 countries.

39 sites in 8 countries

United States15 sites
  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Johns Hopkins University

    Baltimore, Maryland, 21287

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Texas Children's Hospital - Main Hospital

    Houston, Texas, 77030

  • Indiana University School of Medicine

    Indianapolis, Indiana, 46202

  • Children's Mercy Hospital

    Kansas City, Missouri, 64108

  • Children's Hospital of Los Angeles

    Los Angeles, California, 90027

  • Monroe Carell Jr. Children's Hospital at Vanderbilt

    Nashville, Tennessee, 37232

  • American Research Corporation at Texas Liver Institute

    San Antonio, Texas, 78215

  • Rady Childrens Hospital

    San Diego, California, 92123

  • University of California, San Francisco (UCSF)

    San Francisco, California, 94158

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • The Children's Hospital at Montefiore

    The Bronx, New York, 10467

Other trials in United States

India8 sites
  • Institute of Post Graduation Medical Education & Research

    Kolkata, 700020

  • M. V Hospital and Research Center

    Lucknow, 226003

  • Seth GS Medical College and KEM Hospital

    Mumbai, 400012

  • LTMMC & LTMG Hospital

    Mumbai, 400022

  • Khalatkar Hospital

    Nagpur, 440009

  • All India Institute of Medical Sciences

    New Delhi, 110029

  • SIDS Hospital and Research Centre

    Surat, 395002

  • Samvedna Hospital

    Varanasi, 221005

Other trials in India

Taiwan5 sites
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 807

  • Chang Gung Medical Foundation, Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung City, 83301

  • National Cheng Kung University Hospital

    Tainan, 704

  • National Taiwan University Hospital

    Taipei, 100

  • Chang Gung Medical Foundation, Chang Gung Memorial Hospital, Linkou

    Taoyuan, 33305

Other trials in Taiwan

Russia4 sites
  • Federal Research Centre of Nutrition, Biotechnology and Food Safety

    Moscow, 115446

  • Federal State-Financed Institution Pediatric Research and Clinical Center for Infectious Diseases

    Saint Petersburg, 197022

  • Republican Clinical Hospital of Infectious Diseases named after A.F. Agafonov

    Tatarstan, 420110

  • Limited Medical Company Hepatolog

    Tolyatti, 445009

Other trials in Russia

South Korea3 sites
  • Kyungpook National University Hospital

    Daegu, 41944

  • Asan Medical Center

    Seoul, 5505

  • Samsung Medical Center

    Seoul, 6351

Other trials in South Korea

Romania2 sites
  • Spitalul Grigore Alexandrescu-Sectia Pediatrie III

    Bucharest, 11743

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

    Bucharest, 21105

Other trials in Romania

Belgium1 site
  • Cliniques Universitaires Saint-LUC UCL

    Brussels, 1200

Other trials in Belgium

Hong Kong1 site
  • Prince of Wales Hospital

    Shatin

Other trials in Hong Kong

About this study

Official title: A Randomized, Double-Blind Evaluation of the Pharmacokinetics, Safety, and Antiviral Efficacy of Tenofovir Alafenamide (TAF) in Children and Adolescent Subjects With Chronic Hepatitis B Virus Infection

The goals of this clinical study are to compare the effectiveness, safety and tolerability of study drug, tenofovir alafenamide (TAF), versus placebo in teens and children with CHB and to learn more about the dosing levels in children.

Being tested
TAF, Placebo
Keywords
CHB, HBV
Medical subject headings
Hepatitis B, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAFDrug

    Administered orally once daily

  • PlaceboDrug

    Administered orally once daily

Study groups in NCT02932150
Study groupRoleWhat they receive
TAF (Cohort 1)ExperimentalParticipants (12 to < 18 years) weighing ≥ 35 kg will receive TAF 25 mg tablet for 24 weeks
Receives: Drug: TAF
Placebo (Cohort 1)Placebo comparatorParticipants (12 to < 18 years) weighing ≥ 35 kg will receive placebo tablet for 24 weeks
Receives: Drug: Placebo
TAF (Cohort 2 Group 1)ExperimentalParticipants (6 to < 12 years) weighing ≥ 25 kg will receive TAF 25 mg tablet for 24 weeks
Receives: Drug: TAF
TAF (Cohort 2 Group 2)ExperimentalParticipants (6 to < 12 years) weighing ≥ 14 kg to < 25 kg will receive TAF 15 mg oral granules for 24 weeks
Receives: Drug: TAF
TAF (Cohort 2 Group 3)ExperimentalParticipants (2 to < 6 years) will receive TAF for 24 weeks as follows: * weight ≥ 10 kg to < 14 kg (7.5 mg oral granules) * weight ≥ 14 kg to < 25 kg (15 mg oral granules) The study has reopened and recruitment is initiated only for this cohort for ≥ 10 to < 14 kg at this time.
Receives: Drug: TAF
Cohort 2 PlaceboPlacebo comparatorParticipants will receive matching placebo of TAF (tablet or oral granules) for 24 weeks.
Receives: Drug: Placebo
Open-Label TAFExperimentalFollowing 24 weeks of blinded randomized treatment, participants will be eligible to participate in an open-label extension phase to receive TAF for an additional 216 weeks.
Receives: Drug: TAF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Treatment-Emergent Serious Adverse Events (SAEs) at Week 24

    Measured: Week 24

  2. Incidence of Treatment-Emergent Adverse Events (AEs) at Week 24

    Measured: Week 24

  3. Percentage of participants with plasma HBV DNA < 20 IU/mL at Week 24

    Measured: Week 24

  4. PK Parameter: AUCtau of TAF for participants from Cohort 2 Part A

    AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 or 12

Secondary outcomes (36)
  1. Percentage of participants experiencing graded laboratory abnormalities

    Measured: Weeks 24, 48, 96, and 240

  2. Development as measured by Tanner Stage Assessment

    Measured: Weeks 24, 48, 96, and 240

  3. Percentage change from baseline in bone mineral density (BMD) of whole body (minus head) by dual imaging x-ray absorptiometry (DXA)

    Measured: Baseline; Weeks 24, 48, 96, and 240

  4. Percentage change from baseline in BMD of lumbar spine by DXA

    Measured: Baseline; Weeks 24, 48, 96, and 240

  5. Change from baseline in serum creatinine

    Measured: Baseline; Weeks 4, 8, 12, 24, 48, 96, and 240

  6. Change from baseline in estimated glomerular filtration rate (eGFR) by the Schwartz formula

    Measured: Baseline; Weeks 24, 48, 96, and 240

  7. Incidence of treatment-emergent SAEs in participants treated with TAF or placebo for 24 weeks followed by open-label TAF at Weeks 48, 96 and 240

    Measured: Weeks 48, 96, and 240

  8. Incidence of treatment-emergentAEs in participants treated with TAF or placebo for 24 weeks followed by open-label TAF at Weeks 48, 96 and 240

    Measured: Weeks 48, 96, and 240

  9. Change from baseline in retinol-binding protein to creatine ratio at Weeks 4, 8, 12, 24, and 48

    Measured: Baseline; Weeks 4, 8, 12, 24, and 48

  10. Change from baseline in beta-2-microglobulin to creatine ratio at Weeks 4, 8, 12, 24, and 48

    Measured: Baseline; Weeks 4, 8, 12, 24, and 48

  11. Change from baseline in glucose at Weeks 4, 8, 12, 24, and 48

    Measured: Baseline; Weeks 4, 8, 12, 24, and 48

  12. Change from baseline in phosphate at Weeks 4, 8, 12, 24, and 48

    Measured: Baseline; Weeks 4, 8, 12, 24, and 48

  13. Percentage of participants with plasma HBV DNA < 20 IU/mL at Weeks 48, 96, and 240

    Measured: Weeks 48, 96, and 240

  14. Proportion of participants with plasma HBV DNA < 20 IU/mL (target not detected) at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  15. Percentage of participants with alanine aminotransferase (ALT) normalization at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  16. Composite endpoint of percentage of participants with ALT normalization and HBV DNA < 20 IU/mL at Weeks 24, 48, 96 and 240

    Measured: Weeks 24, 48, 96 and 240

  17. Change from baseline in fibrosis as assessed by FibroTest at Weeks 24, 48, 96, and 240

    Measured: Baseline; Weeks 24, 48, 96, and 240

  18. Percentage of participants with hepatitis B e antigen (HBeAg) loss and seroconversion to anti-HBe (HBeAG-positive participants only) at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  19. Percentage of participants with composite endpoint of HBeAg seroconversion and HBV DNA < 20 IU/mL at Weeks 24, 48, 96, and 240 (in HBeAg-positive participants only)

    Measured: Weeks 24, 48, 96, and 240

  20. Percentage of participants with composite endpoint of ALT normalization, HBeAg seroconversion and HBV DNA < 20 IU/mL at Weeks 24, 48, 96, and 240 (in HBeAg-positive participants only)

    Measured: Weeks 24, 48, 96, and 240

  21. Percentage of participants with hepatitis B surface antigen (HBsAg) loss and seroconversion to anti-HBs at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  22. Percentage of participants with qHBsAg log10 IU/mL at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  23. Incidence of resistance mutations at Weeks 24, 48, 96, and 240

    Measured: Weeks 24, 48, 96, and 240

  24. Acceptability of study drug

    To assess acceptability of study drug, the investigator will ask participants if they were able to taste the medication on a scale of 1-5, how much they like the taste of the medication (1 = dislike very much to 5 = like very much).

    Measured: Baseline; Weeks 4, 24, and 36

  25. Palatability of study drug

    To assess palatability of study drug, the investigator will ask participants on a scale of 0-3 how easy it was to swallow the pill (0 = poor to 3 = excellent).

    Measured: Baseline; Weeks 4, 24, and 36

  26. PK Parameter: AUCtau of tenofovir (TFV)

    AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  27. PK Parameter: AUClast of TAF and TFV

    AUClast is defined as the concentration of drug from time zero to the last observable concentration.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  28. PK Parameter: Ctau of TFV

    Ctau is defined as the observed drug concentration at the end of the dosing interval.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  29. PK Parameter: Cmax of TAF and TFV

    Cmax is defined as the maximum observed concentration of drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  30. PK Parameter: Clast of TAF and TFV

    Clast is defined as the last observable concentration of drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  31. PK Parameter: Tmax of TAF and TFV

    Tmax is defined as the time of Cmax (the maximum concentration of drug).

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  32. PK Parameter: Tlast of TAF and TFV

    Tlast is defined as the time (observed time point) of Clast.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  33. PK Parameter: λz of TAF and TFV

    λz is defined as the terminal elimination rate constant, estimated by linear regression of the terminal elimination phase of the log plasma concentration of drug versus time curve of the drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  34. PK Parameter: CL/F of TAF and TFV

    CL/F is defined as the apparent oral clearance following administration of the drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  35. PK Parameter: Vz/F of TAF and TFV

    Vz/F is defined as the apparent volume of distribution of the drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

  36. PK Parameter: t1/2 of TAF and TFV

    t1/2 is defined as the estimate of the terminal elimination half-life of the drug.

    Measured: Predose, 15 minutes, 30 minutes, 1, 1.5, 2, 3, 4, 5, and 8 hours postdose at Week 4 or 8 (Cohort 1), and Week 4, 8, or 12 (Cohort 2)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Oct 2016 (estimated)
  2. Study startNov 2016
  3. Primary completionSep 2026 (estimated)
  4. Study completionOct 2029 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02932150
Sponsor's protocol ID
GS-US-320-1092
Other IDs
2016-000785-37, 2023-506143-42, 2023, 2016
Status last verified
Jun 2026
First submitted
16 Sep 2016
Last updated
18 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TAF in people with Chronic Hepatitis B, run by Gilead Sciences at 39 sites in 8 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 15 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: under way, not looking for participants, as of the sponsor's last update on 18 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, India, Taiwan, Russia, South Korea and 3 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Incidence of Treatment-Emergent Serious Adverse Events (SAEs) at Week 24 (time frame: Week 24). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Jun 2026.

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