Status:

COMPLETED

Tenofovir Disoproxil Fumarate (Tenofovir DF) Versus Emtricitabine/Tenofovir DF in Subjects Resistant to Lamivudine

Lead Sponsor:

Gilead Sciences

Conditions:

Hepatitis B

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

The aim of therapy for the treatment of chronic hepatitis B virus (HBV) is to maintain suppression of viral replication to prevent the emergence of complications, which requires long-term therapy. Dur...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Chronic HBV infection, defined as positive serum HBsAg for at least 6 months
  • 18 through 75 years of age, inclusive
  • HBV DNA ≥ 10\^3 IU/mL
  • Receiving treatment with lamivudine with confirmation of HBV reverse transcriptase mutation(s) known to confer resistance to lamivudine (rtM204I/V with or without rtL180M) by central laboratory assessment prior to randomization; adefovir dipivoxil treatment of ≤ 48 weeks at the time of screening (inclusive of combination adefovir dipivoxil + lamivudine at entry) was allowed
  • Willing and able to provide written informed consent
  • Negative serum pregnancy test (for females of childbearing potential only)
  • Calculated creatinine clearance ≥ 50 mL/min
  • Hemoglobin ≥ 10 g/dL
  • Neutrophils ≥ 1000 /mm\^3
  • No prior oral HBV therapy with approved nucleotide and/or nucleoside therapy or other investigational agents for HBV infection other than lamivudine or adefovir dipivoxil
  • Exclusion Criteria
  • Pregnant women, women who are breast feeding or who believe they may wish to become pregnant during the course of the study
  • Males and females of reproductive potential who are not willing to use an effective method of contraception during the study
  • Alanine aminotransferase (ALT) ≥ 10 × the upper limit of the normal range (ULN)
  • Decompensated liver disease
  • Interferon or pegylated interferon therapy within 6 months of the screening visit
  • Alpha fetoprotein \> 50 ng/mL
  • Evidence of hepatocellular carcinoma
  • Coinfection with hepatitis C virus, HIV, or hepatitis D virus
  • Significant renal, cardiovascular, pulmonary, or neurological disease
  • Received solid organ or bone marrow transplantation
  • Receiving therapy with immunomodulators (eg, corticosteroids, etc.), investigational agents, nephrotoxic agents, or agents susceptible of modifying renal excretion
  • Proximal tubulopathy
  • Known hypersensitivity to the study drugs, the metabolites or formulation excipients

Exclusion

    Key Trial Info

    Start Date :

    September 1 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2015

    Estimated Enrollment :

    280 Patients enrolled

    Trial Details

    Trial ID

    NCT00737568

    Start Date

    September 1 2008

    End Date

    February 1 2015

    Last Update

    March 11 2016

    Active Locations (69)

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    Page 1 of 18 (69 locations)

    1

    Bradenton, Florida, United States, 34205

    2

    Flushing, New York, United States, 11355

    3

    Philadelphia, Pennsylvania, United States, 19107

    4

    Innsbruck, Austria, A-6020