Status:

COMPLETED

Study Comparing Tenofovir Disoproxil Fumarate (TDF), Emtricitabine (FTC)/TDF, and Entecavir (ETV) in the Treatment of Chronic HBV in Subjects With Decompensated Liver Disease.

Lead Sponsor:

Gilead Sciences

Conditions:

Chronic Hepatitis B

Eligibility:

All Genders

18-69 years

Phase:

PHASE2

Brief Summary

This study was designed to evaluate and compare the safety and tolerability of tenofovir disoproxil fumarate (TDF), emtricitabine (FTC)/TDF, and entecavir (ETV) in the treatment of hepatitis B patient...

Eligibility Criteria

Inclusion

  • A participant was required to meet all of the following inclusion criteria to be eligible for participation in the study:
  • Chronic Hepatitis B infection
  • 18 through 69 years of age, inclusive
  • HBV DNA ≥ 1000 copies/mL
  • Decompensated liver disease with all of the following:
  • CPT score of 7-12 (inclusive) OR history of CPT score ≥ 7 and any CPT at screen ≤ 12
  • Serum alanine aminotransferase (ALT) \< 10 x the upper limit of the normal range (ULN)
  • Hemoglobin ≥ 7.5 g/dL
  • Total white blood cell (WBC) count ≥ 1,500/mm\^3
  • Platelet count ≥ 30,000/mm\^3
  • Alpha-fetoprotein ≤ 20 ng/mL and ultrasound or other imaging with no evidence of hepatocellular carcinoma (HCC), or alpha-fetoprotein of 21-50 ng/mL and computed tomography (CT)/magnetic resonance imaging (MRI) scan with no evidence of HCC, within 6 months of screening
  • Calculated creatinine clearance ≥ 50 mL/min
  • Negative human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis D virus (HDV) serologies
  • Less than 24 months of total prior adefovir dipivoxil exposure
  • Willing and able to provide written informed consent

Exclusion

  • A participant who met any of the following exclusion criteria could not be enrolled in the study:
  • Pregnant women, women who were breastfeeding or who believed they may have wished to become pregnant during the course of the study
  • Males and females of reproductive potential who were unwilling to use an effective method of contraception during the study
  • Prior use of TDF or ETV
  • History of variceal bleeding, hepatorenal syndrome, Grade 3 or 4 hepatic encephalopathy, or spontaneous bacterial peritonitis within 60 days of screening
  • Grade 2 hepatic encephalopathy at screening
  • History of solid organ or bone marrow transplant
  • Current use of hepatotoxic drugs, nephrotoxic drugs, or drugs that interfere with renal tubular secretion
  • Current therapy with immunomodulators (eg, corticosteroids, interleukin-2, etc.) or investigational drugs
  • Diagnosis of proximal tubulopathy
  • Use of investigational agent within 30 days prior to screening
  • Known hypersensitivity to TDF, FTC, ETV, or formulation excipients of any of the study drug products

Key Trial Info

Start Date :

April 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2011

Estimated Enrollment :

112 Patients enrolled

Trial Details

Trial ID

NCT00298363

Start Date

April 1 2006

End Date

April 1 2011

Last Update

April 25 2013

Active Locations (38)

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Page 1 of 10 (38 locations)

1

Pfleger Liver Institute

Los Angeles, California, United States, 90095

2

California Pacific Medical Center Research Institute

San Francisco, California, United States, 94115

3

University of Miami, Center for Liver Diseases

Miami, Florida, United States, 33136

4

Rush Presbyterian - St. Luke's Medical Center

Chicago, Illinois, United States, 60612