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

September 21, 2023 updated by: Gilead Sciences

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.

Study Overview

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 Type

Interventional

Enrollment (Actual)

875

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New South Wales
      • Camperdown, New South Wales, Australia, 2050
        • Royal Prince Alfred Hospital
      • Concord, New South Wales, Australia, 2137
        • Concord Repatriation General Hospital
      • Westmead, New South Wales, Australia, 2145
        • Westmead Hospital Westmead
    • South Australia
      • Adelaide, South Australia, Australia, 5000
        • Royal Adelaide Hospital
    • Victoria
      • Clayton, Victoria, Australia, 3168
        • Monash Medical Centre
      • Fitzroy, Victoria, Australia, 3065
        • St. Vincent's Hospital
      • Footscray, Victoria, Australia, 3011
        • Footscray Hospital
      • Heidelberg, Victoria, Australia, 3084
        • Austin Health
      • Melbourne, Victoria, Australia, 3004
        • The Alfred Hospital
      • Parkville, Victoria, Australia, 3050
        • The Royal Melbourne Hospital
    • Western Australia
      • Perth, Western Australia, Australia, 6000
        • Royal Perth Hospital
      • Sofia, Bulgaria, 1407
        • Tokuda Hospital - Sofia
      • Sofia, Bulgaria, 1431
        • MHAT Alexandrovska Medical University, Sofia
      • Sofia, Bulgaria, 1606
        • MMA Hospital of Active Treatment
      • Sofia, Bulgaria, 1797
        • MHAT Sofia Med
    • Alberta
      • Calgary, Alberta, Canada, T2N 4Z6
        • University of Calgary
      • Edmonton, Alberta, Canada, T6G 2X8
        • Zeidler Ledcor Centre Division of Gastroenterology / Department of Medicine
    • British Columbia
      • Vancouver, British Columbia, Canada, V5Z 1H2
        • Liver and Intestinal Research Centre
      • Vancouver, British Columbia, Canada, V5Z 1M9
        • Gordon and Leslie Diamond Health Care Centre
      • Vancouver, British Columbia, Canada, V6A 4B6
        • Dr. John Farley, Inc.
      • Vancouver, British Columbia, Canada, V6Z 2C7
        • Vancouver Infectious Disease Research and Care Centre
      • Vancouver, British Columbia, Canada, V6Z 2K5
        • Gastrointestinal Research Institute (GIRI)
    • Manitoba
      • Winnipeg, Manitoba, Canada, R3E 3P4
        • University of Manitoba, Health Sciences Center
    • Ontario
      • Ottawa, Ontario, Canada, K1H 8L6
        • The Ottawa Hospital
      • Toronto, Ontario, Canada, M5G 2C4
        • University Health Network / Toronto General Hospital
      • Toronto, Ontario, Canada, M5T 2S8
        • Inspiration Research Limited
      • Toronto, Ontario, Canada, M6H 3M1
        • Toronto Liver Centre
      • Clichy, France, 92110
        • Hopital Beaujon
      • Paris, France, 75651
        • Hopital Pitie Salpetriere
      • Strasbourg, France, 67091
        • Hopital Civil de strasbourg
      • Villejuif, France, 94804
        • Hopital Paul Brousse
      • Hong Kong, Hong Kong
        • Queen Mary Hospital
      • Lai Chi Kok, Hong Kong
        • Princess Margaret Hospital
      • Sha Tin, Hong Kong
        • Prince of Wales Hospital
      • Tai Po, Hong Kong
        • Alice Ho Miu Ling Nethersole Hospital
      • Tuen Mun, Hong Kong
        • Tuen Mun Hospital
      • Chandigarh, India, 160012
        • Postgraduate Institute of Medical Education & Research
      • Chennai, India, 600113
        • YR Gaitonde Centre for AIDS Research and Education
      • Coimbatore, India, 641005
        • VGM Hospital
      • Hyderabad, India, 500004
        • Gleneagles Global Hospital
      • Hyderabad, India, 500058
        • Centre for Liver Research & Diagnostic, Deccan College of Medical Sciences and Allied Hospitals
      • Jaipur, India, 302001
        • S. R Kalla Memorial Gastro & General Hospital
      • Kolkata, India, 700 094
        • Peerless Hospital & B.K.Roy Research Center
      • Kolkata, India, 700020
        • Postgraduate Institute of Medical Education & Research
      • Mumbai, India, 400012
        • Seth GS medical college and KEM Hospital
      • New Delhi, India, 110029
        • All India Institute of Medical Sciences
      • New Delhi, India, 110060
        • Sir Ganga Ram Hospital
      • New Delhi, India, 110070
        • Institute of liver and Biliary Sciences
      • Parel, India, 400 012
        • Global Hospital Super Specialty & Transplant Centre
      • Surat, India, 395002
        • Nirmal Hospital
    • Maharashtra
      • Mumbai, Maharashtra, India, 400008
        • BYL Nair Hospital & T N Medical College
      • Nagpur, Maharashtra, India, 440003
        • Government Medical College and Superspecialty Hospital
      • Nagpur, Maharashtra, India, 440010
        • Midas Multispecialty Hospital
    • Rajasthan
      • Jaipur, Rajasthan, India, 302004
        • SMS Medical College & Hospital
      • Bologna, Italy, 40138
        • Azienda Ospedaliera di Bologna - Policlinico S. Orsola Malpighi
      • Bologna, Italy, 40138
        • Istituto Europeo di Oncologia
      • Foggia, Italy, 71100
        • Azienda Ospedaliero Universitaria Ospedali Riuniti di
      • Messina, Italy, 98124
        • Policlinico Universitario G. Martino via Consolare
      • Milano, Italy, 20142
        • Azienda Ospedale San Paolo
      • Padova, Italy, 35100
        • Azienda Ospedaliera di Padova
      • Padova, Italy, 35121
        • Azienda Ospedaliera di Padova
      • Pisa, Italy, 56124
        • Azienda Ospedaliero Universitaria Pisana
      • Fukuoka, Japan, 803-8505
        • Shin-Kokura Hospital
      • Fukuoka, Japan, 810-8563
        • National Hospital Organization Kyushu Medical Center
      • Kagawa, Japan, 760-8557
        • Kagawa Prefectural Central Hospital
      • Kobe, Japan, 650-0047
        • Kobe City Medical Center General Hospital
      • Kofu, Japan, 400-8506
        • Yamanashi Prefectural Central Hospital
      • Kurume, Japan, 830-0011
        • Kurume University Hospital
      • Kyoto, Japan, 602-8566
        • Kyoto Prefectural University of Medicine
      • Musashino, Japan, 180-8610
        • Japan Red Cross Musashino Hospital
      • Nishinomiya, Japan, 663-8501
        • Hyogo College of Medicine
      • Okayama, Japan, 700-8558
        • Okayama University Hospital
      • Omura, Japan, 856-8562
        • National Hospital Organization Nagasaki Medical Center
      • Osaka, Japan, 543-8555
        • Osaka Red Cross Hospital
      • Osaka, Japan, 545-8586
        • Osaka University Hospital
      • Sapporo, Japan, 060-8648
        • Hokkaido University Hospital
      • Tokyo, Japan, 113-8519
        • Medical Hospital of Tokyo Medical and Dental University
    • Fukuoka-shi
      • Fukuoka, Fukuoka-shi, Japan, 812-8582
        • Kyushu University Hospital
      • Busan, Korea, Republic of, 602-739
        • Pusan National University Hospital
      • Cheonan, Korea, Republic of, 330-721
        • Soonchunhyang University Hospital Cheonan
      • Daegu, Korea, Republic of, 700-712
        • Keimyung University Dongsan Medical Center
      • Daegu, Korea, Republic of, 700-721
        • Kyungpook National University Hospital
      • Daejeon, Korea, Republic of, 302-718
        • Konyang University Hospital
      • Gyeonggi-Do, Korea, Republic of, 463-707
        • Seoul National University Bundang Hospital
      • Gyeonggi-do, Korea, Republic of, 411-706
        • Inje University Ilsan Paik Hospital
      • Gyeonggi-do, Korea, Republic of, 443-380
        • Ajou University Hospital
      • Seoul, Korea, Republic of, 135-710
        • Samsung Medical Center
      • Seoul, Korea, Republic of, 138-736
        • Asan Medical Center
      • Seoul, Korea, Republic of, 110-744
        • Seoul National University Hospital
      • Seoul, Korea, Republic of, 156-755
        • Chung-ang University Hospital
      • Seoul, Korea, Republic of, 120-752
        • Severance Hospital Yonsei University Health System
      • Seoul, Korea, Republic of, 135-720
        • Gangnam Severance Hospital
      • Seoul, Korea, Republic of, 137-701
        • Seoul Saint Mary Hospital
      • Seoul, Korea, Republic of, 143-729
        • Konkuk University Medical Center
      • Seoul, Korea, Republic of, 152-703
        • Korea University Guro Hospital
      • Seoul, Korea, Republic of, 156-707
        • SMG-SNU Boramae Medical Center
      • Ulsan, Korea, Republic of, 682-714
        • Ulsan University Hospital
      • Wŏnju, Korea, Republic of, 220-701
        • Yonsei Unversity Wonju
      • Yangsan, Korea, Republic of, 626-770
        • Pusan National University Yangsan Hospital
    • Seo-gu
      • Busan, Seo-gu, Korea, Republic of, 602702
        • Kosin University College of Medicine
      • Auckland, New Zealand, 1142
        • Auckland Clinical Studies Limited
      • Hamilton, New Zealand, 2001
        • Waikato Hospital (District Health Board)
      • Bialystok, Poland, 15-540
        • Uniwersytecki Szpital Kliniczny w Bialymstoku Klinika
      • Chorzow, Poland, 41-500
        • Szpital Specjalistyczny
      • Lodz, Poland, 91-347
        • SPZOZ, Wojewódzki Specjalistyczny Szpital
      • Warszawa, Poland, 01-201
        • SP ZOZ Wojewódzki Szpital Zakazny
      • Wroclaw, Poland, 50-349
        • Centrum Badan Klinicznych
      • Bucharest, Romania, 030303
        • Centrul Medical de Diagnostic si Tratament "Dr. Victor Babes"
      • Bucuresti, Romania, 021105
        • Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"
      • Constanţa, Romania, 900709
        • Spitatul Clinic de Boli Infectioase Constanta
      • Iasi, Romania, 700506
        • GastroMedica SRL
      • Timişoara, Romania, 300736
        • Spitalul Clinic Judetean de Urgenta Timisoara
      • Lipetsk, Russian Federation, 398043
        • Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases
      • Moscow, Russian Federation, 115446
        • Scientific Research Institute of Nutrition
      • Moscow, Russian Federation, 117198
        • People's Friendship University of Russia
      • Moscow, Russian Federation, 119435
        • 1st Moscow State Medical University University Clinical Hospital #3
      • Moscow, Russian Federation, 121170
        • Limited Liability Company "Modern Medicine Clinic"
      • Novosibirsk, Russian Federation, 630084
        • Institute of Clinical Immunology RAMS, Clinic of Immunopathology
      • Novosibirsk, Russian Federation, 630099
        • Scientific Research Institute of Clinical Immunology
      • Saint-Petersburg, Russian Federation, 191167
        • Municipal Clinical Hospital n.a. S.P. Botkin
      • Saint-Petersburg, Russian Federation, 197376
        • Research Institute of Influenza
      • Samara, Russian Federation, 443063
        • Medical Company Hepatology
      • Yekaterinburg, Russian Federation, 620102
        • Sverdlovsk Regional Clinical Hospital #1
      • Singapore, Singapore, 119228
        • National University Hospital Singapore
      • Singapore, Singapore, 169608
        • Singapore General Hospital
      • Singapore, Singapore, 529889
        • Changi General Hospital Pte Ltd.
      • Barcelona, Spain, 08035
        • Hospital Universitari Vall d'Hebron
      • Sevilla, Spain, 4103
        • Hospital Universitario Virgen del Rocio
      • Chiayi, Taiwan, 60002
        • Chiayi Christian Hospital
      • Hualien, Taiwan, 970
        • Hualien Tzu Chi Medical Center
      • Kaohsiung, Taiwan, 80756
        • Kaohsiung Med. College Hosp. Dept. of Internal Medicine
      • Taichung, Taiwan, 404
        • China Medical University Hospital
      • Tainan, Taiwan, 70403
        • National Cheng Kung University Hospital
      • Taipei, Taiwan, 10002
        • National Taiwan University Hospital
      • Taipei, Taiwan, 10630
        • Cathay General Hospital
      • Taipei, Taiwan, 220
        • Far-Eastern Memorial Hospital
      • Ankara, Turkey, 06100
        • Ankara Üniversitesi Gastroenteroloji Bilim Dalı Cebeci
      • Bursa, Turkey, 16059
        • University of Uludag
      • Diyarbakir, Turkey, 21280
        • Dicle University Medical Faculty Department of Infectious Diseases
      • Istanbul, Turkey, 34098
        • Istanbul Universitesi Cerrahpassa Tip Fakultesi Enfeksiyon
      • Izmir, Turkey, 35100
        • Ege Universitesi Tip Fakultesi Hastanesi
      • London, United Kingdom, SE5 9RS
        • King's College Hospital
      • London, United Kingdom, E1 1BB
        • Barts & The London NHS Trust
      • London, United Kingdom, NW3 2QG
        • Royal Free Hospital
      • Nottingham, United Kingdom, NG7 2UH
        • Nottingham University Hospitals NHS Trust
    • California
      • Los Angeles, California, United States, 90020
        • Coalition of Inclusive Medicine
      • Palo Alto, California, United States, 94304
        • Stanford University Medical Center
      • Pasadena, California, United States, 91105
        • Huntington Medical Research Institutes
      • San Diego, California, United States, 92105
        • Research and Education, Inc.
      • San Jose, California, United States, 95128
        • Silicon Valley Research Institute
    • Florida
      • Miami, Florida, United States, 33136
        • University of Miami
    • Maryland
      • Catonsville, Maryland, United States, 21228
        • Digestive Disease Associates, PA
    • Massachusetts
      • Boston, Massachusetts, United States, 02111
        • Tufts Medical Center, Inc
    • Michigan
      • Detroit, Michigan, United States, 48202
        • Henry Ford Health System
    • New York
      • Flushing, New York, United States, 11354
        • Sing Chan Private Practice
      • Flushing, New York, United States, 11355
        • New Discovery, LLC
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19107
        • Jefferson Medical College
      • Philadelphia, Pennsylvania, United States, 19107
        • Xiaoli Ma, PC
    • Texas
      • Arlington, Texas, United States, 76012
        • Texas Clinical Research Institute, LLC
      • Houston, Texas, United States, 77005
        • Kelsey Research Foundation

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

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.
  • 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).

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, 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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: TAF 25 mg
TAF + TDF placebo for 96 weeks (per amendment 1 & 2) or 144 weeks (per amendment 3).
25 mg tablet administered orally once daily
Other Names:
  • Vemlidy®
  • GS-7340
Tablet administered orally once daily
Active Comparator: TDF 300 mg
TDF + TAF placebo for 96 weeks (per amendment 1 & 2) or 144 weeks (per amendment 3).
300 mg tablet administered orally once daily
Other Names:
  • Viread®
Tablet administered orally once daily
Experimental: Open-label TAF

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.

25 mg tablet administered orally once daily
Other Names:
  • Vemlidy®
  • GS-7340

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Time Frame: Week 48
Week 48

Secondary Outcome Measures

Outcome Measure
Time Frame
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
Week 48
Percent Change From Baseline in Spine BMD at Week 48
Time Frame: Baseline, Week 48
Baseline, Week 48
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Time Frame: Baseline, Week 48
Baseline, Week 48
Change From Baseline at Week 48 in Serum Creatinine
Time Frame: Baseline, Week 48
Baseline, Week 48

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of Participants With Treatment-emergent Proteinuria by Urinalysis (Dipstick) Through Week 48
Time Frame: Up to 48 weeks
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method.
Up to 48 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Gilead Study Director, Gilead Sciences

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 11, 2013

Primary Completion (Actual)

November 16, 2015

Study Completion (Actual)

October 13, 2022

Study Registration Dates

First Submitted

August 20, 2013

First Submitted That Met QC Criteria

September 9, 2013

First Posted (Estimated)

September 12, 2013

Study Record Updates

Last Update Posted (Estimated)

October 9, 2023

Last Update Submitted That Met QC Criteria

September 21, 2023

Last Verified

September 1, 2023

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

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/

IPD Sharing Time Frame

18 months after study completion

IPD Sharing Access Criteria

A secured external environment with username, password, and RSA code.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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