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CTRI Number  CTRI/2014/01/004317 [Registered on: 16/01/2014] Trial Registered Prospectively
Last Modified On: 12/01/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   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-Negative, Chronic Hepatitis B 
Scientific Title of Study   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-Negative, Chronic Hepatitis B 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
GS-US-320-0108 Amendment 3: 05 Feb 2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Vaishali Karadkar 
Designation  Medical Monitor 
Affiliation  Klinera Corporation India 
Address  801, Neelkanth Corporate Park, Near Vidyavihar Station, Vidhyavihar West,Mumbai 400086

Mumbai
MAHARASHTRA
400086
India 
Phone  02225004573  
Fax  02225004588  
Email  safetyreporting@klinera.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Mr Sunil Verma 
Designation  Clinical Trial Project Manager 
Affiliation  Klinera Corporation India  
Address  801, Neelkanth Corporate Park, Near Vidyavihar Station, Vidhyavihar West, Mumbai 400 086

Mumbai
MAHARASHTRA
400086
India 
Phone  2225091470  
Fax  2225004588  
Email  sunil.verma@klinera.com  
 
Source of Monetary or Material Support  
Gilead Sciences, Inc.  
 
Primary Sponsor  
Name  Gilead Sciences Inc 
Address  Gilead Sciences, Inc. 333 Lakeside Drive Foster City, CA 94404 USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
KlinEra Corporation India  401, Hill View Industrial Estate, Ghatkopar West, Mumbai-400086 
 
Countries of Recruitment     Australia
Canada
China
France
Germany
Hong Kong
India
Italy
Japan
New Zealand
Poland
Romania
Russian Federation
Spain
Taiwan
Turkey
United Kingdom
United States of America
Viet Nam  
Sites of Study
Modification(s)  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shalimar  All India Institute of Medical Sciences   Department of Gastroenterology and Human Nutrition, Room number: 3105, 3rd Floor, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, Delhi -110029
New Delhi
DELHI 
91126596643
91126588641
drshalimar@yahoo.com 
Dr Aejaz Habeeb  Centre for Liver Research & Diagnostics ,Deccan College of Medical Sciences and Allied Hospitals  Zafar Garh, Kanchanbagh, Hyderabad- 500058 Andhra Pradesh
Hyderabad
ANDHRA PRADESH 
91-9848034860

aejazhabeeb@hotmail.com 
Dr Y K Chawla  Department of Hepatology, Postgraduate Institute of Medical Education and Research  Department of Hepatology, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh-160012,(UT)
Chandigarh
CHANDIGARH 
91-172-2756336

ykchawla@gmail.com 
Dr Sachin Palnitkar  Global Hospital  Lakadi Ka Pul, Hyderabad-500004, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
91-9966789779
91-4023244455
Palnitkarsachin@gmail.com 
Dr Manoj Kumar Sharma  Institute of Liver and Biliary Sciences   Ground Floor, OPD Block, D-1 Vasant Kunj New Delhi Delhi- 110070
New Delhi
DELHI 
91-9313416555
91-11-46300010
manojkumardm@gmail.com 
Dr Samir Shah  Institute of Liver Diseases, HPB Surgery and Transplant, Global Hospitals  Department of Hepatology, Institute of Liver Diseases, HPB Surgery and Transplant, Global Hospitals Dr. E. Borges Road, Hospital Avenue, Opp. Shirodkar High School, Parel, Mumbai- 400012, Maharashtra, India
Mumbai
MAHARASHTRA 
91-9820144338
91-22-67670181
drshahsamir@gmail.com 
Dr Abhijit Chowdhury  Institute of Post Graduate Medical Education And Research  Ronald ross building, 9 floor, 244 A, J.C. Bose Road, Kolkata- 700 020, West Bengal
Kolkata
WEST BENGAL 
91-9433045435
91-33-22235435
chaudhuria@gmail.com 
Dr Rajiv Mehta   Nirmal Hospital Pvt. Ltd.  Ring Road, Surat, Gujarat-395002
Surat
GUJARAT 
91-9879863510

rmgastro@yahoo.com 
Dr Ramesh Rooprai  S.R. Kalla Memorial Gastro & General Hospital  78, Dhuleshwar Garden, Sardar Patel Marg, C-Scheme, Jaipur-302001, Rajsthan, India
Jaipur
RAJASTHAN 
91-9314962655

rameshroop@gmail.com 
Dr Shobna Bhatia   Seth GS Medical College and KEM Hospital   9th floor, Dept. of Gastroenterology, Acharya Donde Marg, Parel, Mumbai– 400012, Maharashtra
Mumbai
MAHARASHTRA 
91-22-24136051
91-22-24103057
shobna.bhatia@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
All India Institute of Medical Sciences Ethics Committee; New Delhi; Dr. Shalimar   Approved 
Institute of Liver and Biliary Sciences Ethics Committee, New Delhi- Dr. Manoj Kumar Sharma  Approved 
Institutional Ethics Committee (IEC) II. Seth G SMedical College and KEM hospital,Mumbai, India; Dr.Shobna Bhatia  Approved 
Institutional Ethics Committee, Deccan College of Medical Sciences and Allied Hospitals, Hyderabad, Dr. Aejaz Habeeb  Approved 
Institutional Ethics Committee, Global Hospital- Dr. Sachin Palnitkar  Approved 
Institutional Ethics Committee, Institute of Liver Diseases, HPB Surgery and Transplant, Global Hospitals, Dr Samir Shah  Approved 
Institutional Ethics Committee- Postgraduate Institute of Medical Education and Research; Chandigarh, Dr. Ajay Duseja  Approved 
IPGME&R Research Oversight Committee, Kolkata, Dr. Abhijit Chowdhury  Approved 
Nirmal Hospital Private Limited Ethics Committee, Surat; Dr. Rajiv Mehta   Approved 
S. R. Kalla Memorial Ethical committee for Human research- Dr. Ramesh Roop Rai  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Chronic hepatitis B virus (HBV) HBeAg–negative infection ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Drug: Tenofovir alafenamide Tenofovir alafenamide 25 mg tablet administered orally once daily Drug: Tenofovir DF 300 mg tablet administered orally once daily Other Name: Viread®   Approximately 390 participants will be randomized in a 2:1 ratio (A:B) to the treatment arms and will be stratified by plasma HBV DNA level ( 7 log10 IU/mL, 7 log10 IU/mL - 8 log10 IU/mL, 8 log10 IU/mL) and oral antiviral treatment status (treatment-naïve vs. treatment-experienced). Treatment Arm A: 260 participants TAF 25 mg QD and matched placebo of TDF 300 mg QD total duration of therapy is 144 weeks. 
Comparator Agent  Drug: Placebo to match tenofovir alafenamide Placebo to match tenofovir alafenamide administered as a tablet orally once daily Drug: Placebo to match tenofovir DF Placebo to match tenofovir DF administered as a tablet orally once daily   Treatment Arm B: 130 participants TDF 300 mg QD and matched placebo of TAF 25 mg QD total duration of therapy is 144 weeks 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1 Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
2 Adult males and non-pregnant, non-lactating females, 18 years of age and older
3 Documented evidence of chronic HBV CHB infection
4 Hepatitis e antigen HBeAg negative, chronic hepatitis B with all of the following
HBeAg-negative and hepatitis B e antibody HBeAb positive at screening
Screening HBV DNA greater than or equal to 2 x 10 upon 4 IU per mL
Screening serum alanine aminotransferase ALT level greater than 60 U/L males or greater than 38 U per L females and greater than 10 x the upper limit of the normal
range ULN
5 Treatment-naive participants (defined as lower than 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 greater than or equal 12 weeks of previous treatment with any nucleoside or nucleotide analogue
6 Previous treatment with interferon pegylated or non pegylated must have ended at least 6 months prior to the baseline visit.
7 Adequate renal function
8 Normal ECG
 
 
ExclusionCriteria 
Details  1 Females who are breastfeeding
2 Males and females of reproductive potential who are unwilling to use an effective, protocol specified methods of contraception during the study
3 Co-infection with hepatitis C, HIV, or hepatitis D
4 Evidence of hepatocellular carcinoma
5 Any clinical and/or laboratory evidence of hepatic decompensation
6 Abnormal hematological and biochemical parameters, including aspartate aminotransferase AST greater than 10 x ULN
7 Received solid organ or bone marrow transplant
8 History of malignancy within the past 5 years, with the exception of specific cancers that are cured by surgical resection participants under evaluation for possible malignancy are not eligible
9 Currently receiving therapy with immunomodulators eg corticosteroids investigational agents, nephrotoxic agents, or agents capable of modifying renal excretion
10 Subjects receiving ongoing therapy with drugs not to be used with tenofovir alafenamide or tenofovir disoproxil fumarate or subjects with a known hypersensitivity to study drugs, metabolites, or formulation excipients
11 Current alcohol or substance abuse judged by the investigator to potentially interfere with participant compliance
12 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
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
The proportion of participants with hepatitis B virus (HBV) DNA less than 29 IU per mL
The primary efficacy endpoint is determined by the achievement of HBV DNA less than 29 IU per mL at Week 48.
The proportion of subjects with plasma HBV DNA 29 IU/mL at
Weeks 96, 144, 240, and 384
The proportion of subjects with plasma HBV DNA 29 IU/mL(target not detected) at Weeks 48, 96, 144, 240, and 384




 
Week 48
Week 96
Week 144
Week 240
Week 384 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
• Percent change from baseline in hip and spine bone mineral density (BMD) at Week 48
• Change from baseline in serum creatinine at Week 48.
.The proportion of subjects in each treatment arm with tolerability failure (defined as an adverse event [AE] leading to permanent
discontinuation of study drug) at Weeks 48, and 96, 144, 240, and 384 will be summarized. Change from baseline in serum creatinine will be assessed at every visit and summarized through Week 384/ED.  
Week 24, 48, 72, 96, 120, and 144, and every 48 weeks until Week 384/ED.  
 
Target Sample Size   Total Sample Size="390"
Sample Size from India="240" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
24/01/2014 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  09/09/2013 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="4"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not applicable 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

The purpose of this study is to evaluate the safety and efficacy of tenofovir alafenamide (TAF) compared to that of tenofovir disoproxil fumarate (TDF) in treatment naive and experienced adult subjects with chronic hepatitis B virus (HBV) infection, as determined by the achievement of HBV DNA less than 29 IU/mL at Week 48 infection, .To compare the efficacy of TAF 25 mg QD versus TDF 300 mg QD for the treatment of HBeAg-negative, chronic hepatitis B in regard to the proportion of subjects with plasma HBV DNA levels below 29 IU/mL at Weeks 96 and 144. To compare the biochemical (ALT normalization) response of TAF 25 mg QD versus TDF 300 mg QD for the treatment of HBeAg-negative, chronic hepatitis B at Weeks 48, 96, and 144.To compare the serological response (loss of HBsAg with seroconversion to anti-HBs) of TAF 25 mg QD versus TDF 300 mg QD for the treatment of HBeAg-negative, chronic hepatitis B at Weeks 48, 96, and 144.The duration of double-blind treatment is 144 weeks (96 weeks under Amendments 1 and 2). At Week 144, all subjects remaining on blinded treatment will be switched to the open-label TAF 25 mg QD extension period for up to an additional 240 weeks (Week 144 throughWeek 384/ED). Subjects already assigned to open-label TAF 25 mg QD at Week 96 per Amendment 1 or 2 will continue on open-label TAF 25 mg QD through Week 384/ED. All subjects who complete the double-blind period of treatment are eligible for participation in the open-label TAF 25 mg QD extension period. Subjects who permanently discontinue study drug(either prematurely [ED] or at the end of study [Week 384]) for reasons other than HBsAg loss with confirmed seroconversion to anti-HBs, will be followed every 4 weeks for 24 weeks off treatment or until initiation of alternative, commercially available HBV therapy, whichever occurs first.

 
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