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TAF Real World Study for Universal Effectiveness (TRUE)

25 de noviembre de 2019 actualizado por: Qin Ning, Tongji Hospital

A Real-world Clinical Study on Effectiveness and Safety of Long-term TAF Treatment in Chronic Hepatitis B Patients in China

This study is a multi-center, prospective, real-world study, males and non-pregnant, non-lactating female HBeAg positive or negative patients (above 18 years of age) who were mono-infected with HBV, either NA treatment-naïve or treatment-experienced, but TAF naïve will be enrolled in this study, and they will be treated with TAF, alone or in combination with other HBV antivirals. During 36 months of treatment, efficacy and safety will be evaluated.

Descripción general del estudio

Estado

Reclutamiento

Condiciones

Intervención / Tratamiento

Descripción detallada

This study is a multi-center, prospective, real-world study, aiming to investigate the use of TAF in routine clinical management of chronic hepatitis B patients and evaluate its effectiveness and safety across a heterogeneous population in China. Approximately 500 patients will take part in this study, 10 sites will be included which distribute in China's major cities, thus each site will enroll 50 patients. Male or female HBeAg positive or negative patients (above 18 years of age) who were mono-infected with HBV, either NA treatment-naïve or treatment-experienced, but TAF naïve will be enrolled in this study, and they will be treated with TAF, alone or in combination with other HBV antivirals. During 36 months of treatment, efficacy and safety will be evaluated.

Tipo de estudio

De observación

Inscripción (Anticipado)

500

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

  • Nombre: Qin Ning, MD., Ph.D.
  • Número de teléfono: +86 278366 2391
  • Correo electrónico: qning@vip.sina.com

Copia de seguridad de contactos de estudio

  • Nombre: Di Wu, MD., Ph.D.
  • Número de teléfono: +86 278366 2391
  • Correo electrónico: woody_1984@163.com

Ubicaciones de estudio

  • Porcelana
      • Hangzhou, Porcelana
        • Reclutamiento
        • Shulan(Hangzhou) hospitai
        • Contacto:
          • Zhe Yu
        • Investigador principal:
          • Zhe Yu
      • Nanchang, Porcelana
        • Reclutamiento
        • First Affiliated Hospital of Nanchang University
        • Contacto:
          • Xiaoping Wu, Doctor
      • Shanghai, Porcelana
        • Reclutamiento
        • Shanghai public health clinic
        • Contacto:
          • Liang Chen
        • Investigador principal:
          • Liang Chen
      • Wuhan, Porcelana
        • Aún no reclutando
        • General Hospital of The Yangtze River Shipping
        • Contacto:
          • Lvye Xu
        • Investigador principal:
          • Lvye Xu
      • Wuhan, Porcelana
        • Reclutamiento
        • The Seventh Hospital of Wuhan
        • Contacto:
          • Youqin Yan
        • Investigador principal:
          • Youqin Yan
      • Xiangya, Porcelana
        • Reclutamiento
        • Xiangya Hospital of Central South University
        • Investigador principal:
          • Yan Huang
    • Hubei
      • Wuhan, Hubei, Porcelana, 430030
        • Aún no reclutando
        • Department of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
        • Contacto:
          • Qin Ning, Prof.
          • Número de teléfono: 862883662391
          • Correo electrónico: qning@vip.sina.com
        • Investigador principal:
          • Qin Ning, Doctor
        • Investigador principal:
          • Di Wu, Doctor

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

Males and non-pregnant, non-lactating female patients with HBsAg positive > 6 months above 18 years of age; Documented evidence of chronic HBV infection previously; HBV mono-infected HBeAg positive or negative; NA treatment-naive and treatment-experienced; TAF naive; Agree to participate in the study and sign the patient informed consent.

Subjects coinfected with HCV, hepatitis D virus (HDV), human immunodeficiency virus (HIV) or who have received TAF or who haveChild-Pugh C decompensated liver disease or HCC will be excluded.

Descripción

Inclusion Criteria:

  1. Must have the ability to understand and sign a written informed consent form, consent must be obtained prior to initiation of study procedures
  2. Adult males and nonpregnant, nonlactating females
  3. Documented evidence of chronic HBV infection previously
  4. TAF naive

Exclusion Criteria:

  1. Patents who were TAF experienced
  2. Women who are breastfeeding
  3. Pregnant females
  4. Co-infection with hepatitis A virus (HAV), hepatitis C virus (HCV), hepatitis D virus (HDV), or HIV
  5. 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)
  6. Chronic liver disease of non-HBV etiology (e.g., hemochromatosis, fatty liver disease, cholangitis)
  7. Current evidence of Child-Pugh Score C decompensated liver disease,or moderate to severe ascites, Grade III-IV hepatic encephalopathy
  8. Abnormal hematological and biochemical parameters, including:
  9. Albumin < 2.8 mg/ dL
  10. International normalized ratio (INR) > 2.3 X ULN (unless stable on anticoagulant regimen)
  11. Total bilirubin > 3 X ULN
  12. Patient develops clinical or laboratory findings suggestive of lactic acidosis or pronounced hepatotoxicity
  13. Received solid organ or bone marrow transplant, except patients who underwent liver or kidney transplantation
  14. Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (e.g., basal cell skin cancer). Individuals under evaluation for possible malignancy are not eligible.
  15. Individuals receiving ongoing therapy with drugs not to be used with TAF or individuals with a known hypersensitivity to study drugs, metabolites, or formulation excipients
  16. Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements
  17. Use of investigational agents within 3 months of screening, unless allowed by the sponsor
  18. Patients included in another trial or having been given investigational drugs within 12 weeks prior to screening
  19. Current alcohol or substance abuse judged by the investigator to potentially interfere with compliance
  20. Inability or unwillingness to provide informed consent or abide by the requirements of the study
  21. In addition to the above exclusion criteria, patients who meet any of the contraindications for TAF

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Intervención / Tratamiento
Tenofovir alafenamide (TAF)
Male or female HBeAg positive or negative patients (above 18 years of age) who were mono-infected with HBV, either NA treatment-naïve or treatment-experienced, but TAF naïve will be enrolled in this study, and they will be treated with TAF, alone or in combination with anti-HBV agents.
Droga: Tenofovir Alafenamide
The dose of tenofovir alafenamide (TAF) will be 25mg tablet taken orally once daily with food for 36 months, patients will be treated with TAF alone or in combination with anti-HBV agents
Otros nombres:
  • Vemlidy®

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
proportion of participants with HBV DNA < 20 IU/mL
Periodo de tiempo: 36 months
proportion of participants with HBV DNA < 20 IU/mL as measured by the COBAS TaqMan HBV Test (Roche Molecular Diagnostics, Pleasanton, CA, USA), with taken at 36 months
36 months

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
The proportion of patients with HBV DNA < 20 IU/mL
Periodo de tiempo: 12 months
The proportion of patients with HBV DNA < 20 IU/mL at 12 months
12 months
The proportion of patients with HBV DNA <300 copies/mL
Periodo de tiempo: 12 months
The proportion of patients with HBV DNA <300 copies/mL at 12 months
12 months
The proportion of patients with HBV DNA < 20 IU/mL
Periodo de tiempo: 24 months
The proportion of patients with HBV DNA < 20 IU/mL at 24 months
24 months
The proportion of patients with HBV DNA <300 copies/mL IU/mL
Periodo de tiempo: 24 months
The proportion of patients with HBV DNA <300 copies/mL at 24 months
24 months
The proportion of patients with HBV DNA <300 copies/mL IU/mL
Periodo de tiempo: 36 months
The proportion of patients with HBV DNA <300 copies/mL at 36 months
36 months
Proportion of participants with Hepatitis B e Antigen (HBeAg) Loss
Periodo de tiempo: 36 months
Proportion of participants with Hepatitis B e Antigen (HBeAg) Loss at 36 months
36 months
Proportion of participants with seroconversion to Anti-Hepatitis B e-Antigen (Anti-HBe)
Periodo de tiempo: 36 months
Proportion of participants with seroconversion to Anti-Hepatitis B e-Antigen (Anti-HBe) at 36 months
36 months
Proportion of participants with Normal Alanine Aminotransferase (ALT)
Periodo de tiempo: 36 months
Proportion of participants with Normal Alanine Aminotransferase (ALT) at 36 months
36 months
Change from baseline in fibrosis as assessed by Fibroscan®
Periodo de tiempo: 36 months
Change from baseline in fibrosis as assessed by Fibroscan® at 36 months
36 months
Percent Change from baseline in Bone Mineral Density (BMD)
Periodo de tiempo: 36 months
Percent Change from baseline in Bone Mineral Density (BMD) at 36 months
36 months
Change from baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFR-CG)
Periodo de tiempo: 36 months
Change from baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFR-CG) at 36 months
36 months
the rate of mother-to-child transmission of HBV
Periodo de tiempo: at postpartum 6 months
For unplanned pregnant subjects, if not withdrawn, mother-to-child transmission (MTCT) rate
at postpartum 6 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Tongji Hospital

Colaboradores

Gilead Sciences

Investigadores

  • Silla de estudio: Qin Ning, MD., Ph.D., Department and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

25 de enero de 2019

Finalización primaria (Anticipado)

1 de mayo de 2023

Finalización del estudio (Anticipado)

1 de septiembre de 2023

Fechas de registro del estudio

Enviado por primera vez

20 de noviembre de 2018

Primero enviado que cumplió con los criterios de control de calidad

21 de noviembre de 2018

Publicado por primera vez (Actual)

26 de noviembre de 2018

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

26 de noviembre de 2019

Última actualización enviada que cumplió con los criterios de control de calidad

25 de noviembre de 2019

Última verificación

1 de noviembre de 2019

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • IN-US-320-4669

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

Sí

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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