Telbivudine Versus Lamivudine in Adults With Decompensated Chronic Hepatitis B and Evidence of Cirrhosis

NCT ID: NCT00076336

Last Updated: 2011-09-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-12-31

Brief Summary

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This research study was conducted to compare the safety and effectiveness of the investigational medication, LdT (Telbivudine) versus Lamivudine, a drug currently approved by the US, European and Asian Health Authorities for the treatment of Hepatitis B infection. The results for patients taking LdT will be compared to results for patients taking lamivudine.

Detailed Description

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Multicenter, multinational, randomized, double-blind study designed to compare the safety and efficacy of telbivudine (600 mg/day) versus lamivudine (100 mg/day) for 104 weeks in adults with decompensated chronic hepatitis B and evidence of cirrhosis. Patients were pre-stratified by screening Child-Turcotte-Pugh score (CTP score \< 9 or ≥ 9) and ALT level (within normal limits (WNL) or \> 1.0 x ULN) to help assure similar degrees of hepatic insufficiency and liver inflammation on both treatment arms. After 104 weeks of treatment, participants were followed-up with for an additional 16 weeks.

Conditions

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Hepatitis Hepatitis B, Chronic Cirrhosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Telbivudine 600 mg

Participants received Telbivudine 600 mg and a matching lamivudine placebo orally once a day for up to 104 weeks. Participants were followed-up for 16 weeks post-treatment.

Group Type EXPERIMENTAL

Telbivudine

Intervention Type DRUG

600mg/day oral tablet for 104 weeks

Placebo

Intervention Type DRUG

Telbivudine matching placebo or lamivudine matching placebo tablet.

Lamivudine 100 mg

Lamivudine 100 mg and a Telbivudine matching placebo orally once a day for up to 104 weeks. Participants were followed-up for 16 weeks post-treatment.

Group Type ACTIVE_COMPARATOR

Lamivudine

Intervention Type DRUG

100mg/day oral tablet for 104 weeks

Placebo

Intervention Type DRUG

Telbivudine matching placebo or lamivudine matching placebo tablet.

Interventions

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Telbivudine

600mg/day oral tablet for 104 weeks

Intervention Type DRUG

Lamivudine

100mg/day oral tablet for 104 weeks

Intervention Type DRUG

Placebo

Telbivudine matching placebo or lamivudine matching placebo tablet.

Intervention Type DRUG

Other Intervention Names

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LDT600

Eligibility Criteria

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Inclusion Criteria

* Documented decompensated chronic hepatitis B defined by all of the following: 1. Clinical history compatible with decompensated chronic hepatitis B related cirrhosis; 2. Child-Turcotte-Pugh score \> 7 points.
* Evidence of hepatic cirrhosis or portal hypertension.

Exclusion Criteria

* Patient is pregnant or breastfeeding.
* Patient is coinfected with hepatitis C virus (HCV), hepatitis D virus (HDV), or Human immunodeficiency virus (HIV).
* Patient previously received lamivudine, adefovir, or an investigational anti-hepatitis B virus (HBV) nucleoside or nucleotide analog at any time
* Patient has received interferon or other immunomodulatory treatment for HBV infection in the 12 months before Screening for this study.
Minimum Eligible Age

16 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Novartis Pharmaceuticals

Locations

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Phoenix, Arizona, United States

Site Status

Los Angeles, California, United States

Site Status

Denver, Colorado, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Rochester, Minnesota, United States

Site Status

New York, New York, United States

Site Status

Houston, Texas, United States

Site Status

Madison, Wisconsin, United States

Site Status

Heidelburg, , Australia

Site Status

Winnipeg, , Canada

Site Status

Hong Kong, , China

Site Status

Villejuif, , France

Site Status

Hanover, , Germany

Site Status

Novartis

New Delhi, , India

Site Status

Tel Aviv, , Israel

Site Status

Novartis

Riga, , Latvia

Site Status

Novartis

Kuala Lumpur, , Malaysia

Site Status

Auckland, , New Zealand

Site Status

Novartis

Krakow, , Poland

Site Status

Novartis

Moscow, , Russia

Site Status

Singapore, , Singapore

Site Status

Seoul, , South Korea

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Barcelona, , Spain

Site Status

Taipei, , Taiwan

Site Status

Bangkok, , Thailand

Site Status

Novartis

Istanbul, Istanbul, Turkey (Türkiye)

Site Status

London, , United Kingdom

Site Status

Novartis

Hanoi, , Vietnam

Site Status

Countries

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United States Australia Canada China France Germany India Israel Latvia Malaysia New Zealand Poland Russia Singapore South Korea Spain Taiwan Thailand Turkey (Türkiye) United Kingdom Vietnam

References

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E.J. Gane, H.L. Chan, G. Choudhuri, D.J. Suh4, A. Chutaputti, R. Safadi, T. Tanwandee, S. Thongsawat, N. Assy, S.K. Sarin, W. Bao, A. Trylesinski, C. Avila. TREATMENT OF DECOMPENSATED HBV-CIRRHOSIS: RESULTS FROM 2-YEARS RANDOMIZED TRIAL WITH TELBIVUDINE OR LAMIVUDINE. Journal of Hepatology 52, Supplement 1, Page S4. April 2010

Reference Type RESULT

Other Identifiers

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CLDT600A2301

Identifier Type: -

Identifier Source: org_study_id

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