This study explores the efficacy, safety and tolerability of tenofovir DF (TDF) 300 mg once daily monotherapy versus the combination of emtricitabine 200 mg plus tenofovir DF 300 mg (FTC/TDF) once daily in subjects currently being treated with adefovir dipivoxil (Hepsera) for chronic hepatitis B who have persistent viral replication (detectable hepatitis B virus deoxyribonucleic acid \[HBV DNA\]). Subjects with confirmed (within 4 weeks) plasma HBV DNA ≥ 400 copies/mL during double blind treatment at Week 24 or any time thereafter have the option of receiving 12 weeks of open-label FTC/TDF which may be continued through the end of the 168-week treatment period if there is a virologic response (HBV DNA \< 400 copies/mL). Alternatively, subjects with confirmed HBV DNA \< 400 copies/mL at or any time after Week 24 of double-blind treatment may continue blinded therapy up to Week 168 at the discretion of the investigator. If, in the investigator's opinion, it is felt that continued blinded treatment beyond 24 weeks in subjects with confirmed HBV DNA ≥ 400 copies/mL is not beneficial, the subject may discontinue the study and begin commercially available HBV therapy rather than initiate open-label FTC/TDF.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
106
300 mg tablet, once daily (QD)
emtricitabine 200 mg/tenofovir DF 300 mg once daily (combination tablet)
Unnamed facility
San Francisco, California, United States
Unnamed facility
San Jose, California, United States
Unnamed facility
Flushing, New York, United States
Unnamed facility
New York, New York, United States
Unnamed facility
New York, New York, United States
Unnamed facility
New York, New York, United States
Unnamed facility
Philadelphia, Pennsylvania, United States
Unnamed facility
Fairfax, Virginia, United States
Unnamed facility
Norfolk, Virginia, United States
Unnamed facility
Richmond, Virginia, United States
...and 18 more locations
Percentage of Participants With Plasma HBV DNA < 169 Copies/mL at Week 48
Time frame: 48 weeks
Percentage of Participants With Plasma HBV DNA < 400 Copies/mL at Week 48
Time frame: 48 Weeks
Change From Baseline in log10 Plasma HBV DNA Levels at Week 48
Time frame: 48 Weeks
Change From Baseline in Alanine Aminotransferase (ALT) Levels at Week 48
Time frame: 48 Weeks
Percentage of Participants With Normal ALT at Week 48
ULN for males = 43 U/L; 34 U/L for females
Time frame: 48 Weeks
Percentage of Participants With Normalized ALT at Week 48
Subjects with elevated ALT at baseline that return to normal by Week 48.
Time frame: 48 Weeks
Hepatitis B Early Antigen (HBeAg) Loss at Week 48
Defined as having negative serum HBeAg for subjects with positive HBeAg at baseline.
Time frame: 48 Weeks
HBeAg Seroconversion at Week 48
Defined as having negative serum HBeAg and positive serum antibody to HBeAg \[anti-HBe\] for subjects with positive serum HBeAg at baseline.
Time frame: 48 Weeks
HBsAg Loss at Week 48
Defined as having negative serum HBsAg for subjects with positive HBsAg at baseline.
Time frame: 48 Weeks
Hepatitis B Surface Antigen (HBsAg) Seroconversion at Week 48
Defined as having negative serum HBsAg and positive serum antibody to HBsAg \[anti-HBs\] for subject with positive serum HBsAg at baseline.
Time frame: 48 Weeks
Change From Baseline in log10 Plasma HBV DNA Levels at Week 168
Time frame: 168 weeks
Change From Baseline in Alanine Aminotransferase (ALT) Levels at Week 168
Time frame: 168 weeks
Percentage of Participants With Plasma HBV DNA < 400 Copies/mL at Week 168
Time frame: 168 weeks
Percentage of Participants With Normal ALT at Week 168
ULN for males = 43 U/L; ULN for females = 34 U/L
Time frame: 168 weeks
Percentage of Participants With Normalized ALT at Week 168
Subjects with elevated ALT at baseline that return to normal by Week 48.
Time frame: 168 weeks
Hepatitis B Early Antigen (HBeAg) Loss at Week 168
Defined as having negative serum HBeAg for subjecst with positive HBeAg at baseline.
Time frame: 168 weeks
Hepatitis B Surface Antigen (HBsAg) Seroconversion at Week 168
Defined as having negative serum BHsAg and positive serum antibody to HBsAg (anti-HBs) for subject with positive serum BHsAg at baseline.
Time frame: 168 weeks
HBsAg Loss at Week 168
Defined as having negative serum HBsAg for subjects with positive HBsAg at baseline.
Time frame: 168 weeks
Percentage of Participants With Plasma HBV DNA < 169 Copies/mL at Week 168
P-values were from a Cochran-Mantel-Haenszel test, controlling for baseline HBeAg status and prior lamivudine use.
Time frame: 168 weeks
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