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 |
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Secondary IDs if Any
Modification(s)
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Secondary ID |
Identifier |
GS-US-320-0108 Amendment 3: 05 Feb 2016 |
Protocol Number |
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
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Name |
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Designation |
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Affiliation |
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Address |
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Phone |
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Fax |
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Email |
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Details of Contact Person Scientific Query
Modification(s)
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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 |
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Details of Contact Person Public Query
Modification(s)
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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 |
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Source of Monetary or Material Support
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Primary Sponsor
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Name |
Gilead Sciences Inc |
Address |
Gilead Sciences, Inc. 333 Lakeside Drive Foster City, CA 94404 USA |
Type of Sponsor |
Pharmaceutical industry-Global |
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Details of Secondary Sponsor
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Name |
Address |
KlinEra Corporation India |
401, Hill View Industrial Estate, Ghatkopar West, Mumbai-400086 |
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Countries of Recruitment
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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)
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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 |
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Details of Ethics Committee
Modification(s)
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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 |
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Regulatory Clearance Status from DCGI
Modification(s)
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Health Condition / Problems Studied
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Health Type |
Condition |
Patients |
Chronic hepatitis B virus (HBV) HBeAg–negative infection , |
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Intervention / Comparator Agent
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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®
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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
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Treatment Arm B: 130 participants TDF 300 mg QD and matched
placebo of TAF 25 mg QD
total duration of therapy is 144 weeks |
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Inclusion Criteria
Modification(s)
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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
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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
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Method of Generating Random Sequence
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Computer generated randomization |
Method of Concealment
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Case Record Numbers |
Blinding/Masking
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Participant and Investigator Blinded |
Primary Outcome
Modification(s)
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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
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Week 48
Week 96
Week 144
Week 240
Week 384 |
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Secondary Outcome
Modification(s)
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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. |
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Target Sample Size
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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
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Years="4" Months="7" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Completed |
Recruitment Status of Trial (India) |
Completed |
Publication Details
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Not applicable |
Individual Participant Data (IPD) Sharing Statement
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Will individual participant data (IPD) be shared publicly (including data dictionaries)?
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Brief Summary
Modification(s)
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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. |