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Clinical Trials List

Protocol NumberGS-US-320-4018
NCT Number(ClinicalTrials.gov Identfier)NCT02979613

2017-03-21 - 2020-07-21

Phase III

Terminated5

ICD-10B18.9

Chronic viral hepatitis, unspecified

A Phase 3, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Switching from Tenofovir Disoproxil Fumarate (TDF) 300 mg QD to Tenofovir Alafenamide (TAF) 25 mg QD in Subjects with Chronic Hepatitis B who are Virologically Suppressed

  • Trial Applicant

    GILEAD SCIENCES HONG KONG LIMITED

  • Sponsor

    Gilead Sciences

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator 陳啟益 Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Sheng-Shun Yang Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Cheng-Yuan Peng Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator

Co-Principal Investigator

Audit

None

Principal Investigator Wan-Long Chuang 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Jia-Horng Kao Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Wan-Long Chuang Digestive System Department

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Chronic Hepatitis B

Objectives

The primary objectives of this study are as follows:  To evaluate the efficacy of switching to TAF 25 mg QD versus continued TDF 300 mg QD in virologically suppressed subjects with chronic HBV as determined by the proportion of subjects with HBV DNA ≥ 20 IU/mL (as defined by the modified US FDA-defined snapshot algorithm) at Week 48  To compare the safety and tolerability of switching to TAF 25 mg QD versus continuing TDF 300 mg QD in virologically suppressed subjects with chronic HBV at Week 48 The key secondary objectives of this study are as follows:  To compare the safety of switching to TAF 25 mg QD versus continued TDF 300 mg QD as determined by the percent change from baseline in hip and spine BMD at Week 48  To compare the safety of switching to TAF 25 mg QD versus continued TDF 300 mg QD as determined by the change from baseline in estimated creatinine clearance by Cockcroft-Gault method (eGFRCG) at Week 48

Test Drug

Tenofovir Alafenamide Tablets

Active Ingredient

Tenofovir Alafenamide Tablets

Dosage Form

tablet

Dosage

25

Endpoints

Primary Endpoint
The primary efficacy endpoint is the proportion of subjects with HBV DNA ≥ 20 IU/mL
(as determined by the modified US FDA-defined snapshot algorithm) at Week 48.

Inclution Criteria

Inclusion Criteria
Subjects must meet all of the following inclusion criteria to be eligible to participate in the study:
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 male and non-pregnant, non-lactating female subjects, ≥18 years of age based on the
date of the screening visit. A negative serum pregnancy test at Screening is required for
female subjects of childbearing potential (as defined in Appendix 5).
3) Documented evidence of chronic HBV infection previously (e.g., documented HBsAg
positive for more than 6 months)
4) Maintained on TDF 300 mg QD for at least 48 weeks, and as monotherapy for CHB for at
least 24 weeks prior to screening and with viral suppression (HBV DNA < LLOQ by local
laboratory assessment) for a minimum of 12 weeks prior to Screening, and including a
Screening HBV DNA value of < 20 IU/mL (by central laboratory)
5) Estimated creatinine clearance ≥ 50 ml/min (using the Cockcroft-Gault method) based on
serum creatinine and actual body weight as measured at the Screening evaluation, as follows:
(140 – age in years) (body weight [kg])/(72) (serum creatinine [mg/dL])
(Note: multiply estimated rate by 0.85 for women)
6) Normal ECG (or if abnormal, determined by the Investigator not to be clinically significant)
7) Must be willing and able to comply with all study requirements

Exclusion Criteria

Exclusion Criteria
Subjects who meet any of the following exclusion criteria are not to be enrolled in this study:
1) Pregnant women, women who are breastfeeding or who believe they may wish to become
pregnant during the course of the study
2) Males and females of reproductive potential who are unwilling to use an “effective”,
protocol-specified method(s) of contraception during the study. For a list of
protocol-specified Contraceptive methods, refer to Appendix 5.
3) Co-infection with HCV, HIV, or HDV
 Subjects who are HCV positive, but have a documented negative HCV RNA, are eligible
4) Evidence of hepatocellular carcinoma (e.g. as evidenced by recent imaging)
5) Current evidence of, or recent (≤ 5 years) history of clinical hepatic decompensation
(e.g., ascites, encephalopathy or variceal hemorrhage)
6) Abnormal hematological and biochemical parameters, including:
a) Hemoglobin < 10 g/dL
b) Absolute neutrophil count < 750/mm3
c) Platelets ≤ 50,000/mm3
d) AST or ALT > 5 × ULN
e) Albumin < 3.0 mg/dL
f) INR > 1.5 × ULN (unless stable on anticoagulant regimen)
g) Total bilirubin > 2.5 × ULN
7) Received solid organ or bone marrow transplant
8) Significant renal, cardiovascular, pulmonary, or neurological disease in the opinion of the investigator
9) 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, etc.). Subjects under evaluation for
possible malignancy are not eligible.
10) Currently receiving therapy with immunomodulators (e.g. corticosteroids), nephrotoxic
agents, or agents capable of modifying renal excretion
11) Known hypersensitivity to study drugs, metabolites, or formulation excipients
12) Current alcohol or substance abuse judged by the investigator to potentially interfere with
subject compliance
13) Any other clinical condition or prior therapy that, in the opinion of the Investigator, would
make the subject unsuitable for the study or unable to comply with dosing requirements.
14) Use of investigational agents within 3 months of screening, unless allowed by the Sponsor
15) Use of any prohibited medications as described in Section 5.4. Subjects on prohibited
medications who are otherwise eligible will need a wash out period of at least 30 days prior to the Baseline visit.

The Estimated Number of Participants

  • Taiwan

    70 participants

  • Global

    460 participants