Trial Outcomes & Findings for A Study to Compare Tenofovir Disoproxil Fumarate Versus Adefovir Dipivoxil for the Treatment of HBeAg-Positive Chronic Hepatitis B (NCT NCT00116805)

NCT ID: NCT00116805

Last Updated: 2017-03-09

Results Overview

Complete response was a composite endpoint defined as histological response and HBV DNA \< 400 copies/mL. Histological response was based on the Knodell numerical scoring of liver biopsy specimens and defined as at least a 2-point reduction in Knodell necroinflammatory score without worsening in Knodell fibrosis score. The Knodell necroinflammatory score is the combined necrosis and inflammation domain scores and ranges from 0 to 14; the Knodell fibrosis domain score ranges from 0 to 4. A participant was a nonresponder for the primary endpoint if either biopsy (baseline or end-of-treatment) was missing or if there was not an HBV DNA value available at or beyond Week 40.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

266 participants

Primary outcome timeframe

Baseline; Week 48

Results posted on

2017-03-09

Participant Flow

Participants were enrolled at study sites in North America, Europe, and Australia/New Zealand. The first participant was screened on 09 June 2005. The last study visit occurred on 28 January 2016.

603 participants were screened.

Participant milestones

Participant milestones
Measure
TDF-TDF
Tenofovir disoproxil fumarate (TDF) 300 mg plus placebo to match adefovir dipivoxil (ADV) (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added emtricitabine (FTC) to their treatment regimen (as part of FTC 200 mg/TDF 300 mg fixed-dose combination (FDC) tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
Double-blind Period Through Week 48
STARTED
176
90
Double-blind Period Through Week 48
COMPLETED
165
85
Double-blind Period Through Week 48
NOT COMPLETED
11
5
Open-label Period Weeks 49 - 96
STARTED
154
84
Open-label Period Weeks 49 - 96
COMPLETED
144
83
Open-label Period Weeks 49 - 96
NOT COMPLETED
10
1
Open-label Period Weeks 97 - 144
STARTED
144
83
Open-label Period Weeks 97 - 144
COMPLETED
133
74
Open-label Period Weeks 97 - 144
NOT COMPLETED
11
9
Open-label Period Weeks 145 - 192
STARTED
133
74
Open-label Period Weeks 145 - 192
COMPLETED
123
68
Open-label Period Weeks 145 - 192
NOT COMPLETED
10
6
Open-label Period Weeks 193 - 240
STARTED
123
68
Open-label Period Weeks 193 - 240
COMPLETED
110
64
Open-label Period Weeks 193 - 240
NOT COMPLETED
13
4
Open-label Period Weeks 241 - 288
STARTED
110
64
Open-label Period Weeks 241 - 288
COMPLETED
104
64
Open-label Period Weeks 241 - 288
NOT COMPLETED
6
0
Open-label Period Weeks 289 - 336
STARTED
104
64
Open-label Period Weeks 289 - 336
COMPLETED
98
57
Open-label Period Weeks 289 - 336
NOT COMPLETED
6
7
Open-label Period Weeks 337 - 384
STARTED
98
57
Open-label Period Weeks 337 - 384
COMPLETED
90
56
Open-label Period Weeks 337 - 384
NOT COMPLETED
8
1
Open-label Period Weeks 385 - 432
STARTED
59
30
Open-label Period Weeks 385 - 432
COMPLETED
57
30
Open-label Period Weeks 385 - 432
NOT COMPLETED
2
0
Open-label Period Weeks 433 - 480
STARTED
57
29
Open-label Period Weeks 433 - 480
COMPLETED
53
29
Open-label Period Weeks 433 - 480
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
TDF-TDF
Tenofovir disoproxil fumarate (TDF) 300 mg plus placebo to match adefovir dipivoxil (ADV) (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added emtricitabine (FTC) to their treatment regimen (as part of FTC 200 mg/TDF 300 mg fixed-dose combination (FDC) tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
Double-blind Period Through Week 48
Lost to Follow-up
6
2
Double-blind Period Through Week 48
Protocol Violation
1
1
Double-blind Period Through Week 48
Withdrew Consent
4
2
Open-label Period Weeks 49 - 96
Investigator's Discretion
1
0
Open-label Period Weeks 49 - 96
Lost to Follow-up
2
0
Open-label Period Weeks 49 - 96
Protocol Violation
2
0
Open-label Period Weeks 49 - 96
Safety, Tolerability, or Efficacy Reason
1
0
Open-label Period Weeks 49 - 96
Seroconversion
2
0
Open-label Period Weeks 49 - 96
Withdrew Consent
2
1
Open-label Period Weeks 97 - 144
Completed Study
1
0
Open-label Period Weeks 97 - 144
Investigator's Discretion
2
0
Open-label Period Weeks 97 - 144
Lost to Follow-up
5
2
Open-label Period Weeks 97 - 144
Protocol Violation
0
1
Open-label Period Weeks 97 - 144
Seroconversion
2
3
Open-label Period Weeks 97 - 144
Withdrew Consent
1
3
Open-label Period Weeks 145 - 192
Completed Study
1
1
Open-label Period Weeks 145 - 192
Investigator's Discretion
2
0
Open-label Period Weeks 145 - 192
Lost to Follow-up
3
1
Open-label Period Weeks 145 - 192
Protocol Violation
1
0
Open-label Period Weeks 145 - 192
Safety, Tolerability, or Efficacy Reason
0
1
Open-label Period Weeks 145 - 192
Seroconversion
0
1
Open-label Period Weeks 145 - 192
Withdrew Consent
3
2
Open-label Period Weeks 193 - 240
Completed Study
0
1
Open-label Period Weeks 193 - 240
Investigator's Discretion
1
0
Open-label Period Weeks 193 - 240
Lost to Follow-up
3
0
Open-label Period Weeks 193 - 240
Safety, Tolerability, or Efficacy Reason
2
2
Open-label Period Weeks 193 - 240
Withdrew Consent
7
1
Open-label Period Weeks 241 - 288
Safety, Tolerability, or Efficacy Reason
2
0
Open-label Period Weeks 241 - 288
Withdrew Consent
4
0
Open-label Period Weeks 289 - 336
Completed Study
0
1
Open-label Period Weeks 289 - 336
Investigator's Discretion
3
2
Open-label Period Weeks 289 - 336
Lost to Follow-up
1
1
Open-label Period Weeks 289 - 336
Protocol Violation
0
1
Open-label Period Weeks 289 - 336
Safety, Tolerability, or Efficacy Reason
0
1
Open-label Period Weeks 289 - 336
Study Site Discontinued
0
1
Open-label Period Weeks 289 - 336
Withdrew Consent
2
0
Open-label Period Weeks 337 - 384
Completed Study
1
0
Open-label Period Weeks 337 - 384
Investigator's Discretion
1
0
Open-label Period Weeks 337 - 384
Lost to Follow-up
2
0
Open-label Period Weeks 337 - 384
Protocol Violation
1
0
Open-label Period Weeks 337 - 384
Withdrew Consent
3
1
Open-label Period Weeks 385 - 432
Investigator's Discretion
1
0
Open-label Period Weeks 385 - 432
Withdrew Consent
1
0
Open-label Period Weeks 433 - 480
Investigator's Discretion
1
0
Open-label Period Weeks 433 - 480
Withdrew Consent
3
0

Baseline Characteristics

A Study to Compare Tenofovir Disoproxil Fumarate Versus Adefovir Dipivoxil for the Treatment of HBeAg-Positive Chronic Hepatitis B

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added emtricitabine (FTC) to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
Total
n=266 Participants
Total of all reporting groups
Age, Categorical
<=18 years
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
173 Participants
n=5 Participants
89 Participants
n=7 Participants
262 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
34 years
STANDARD_DEVIATION 11.3 • n=5 Participants
34 years
STANDARD_DEVIATION 12.2 • n=7 Participants
34 years
STANDARD_DEVIATION 11.6 • n=5 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
26 Participants
n=7 Participants
83 Participants
n=5 Participants
Sex: Female, Male
Male
119 Participants
n=5 Participants
64 Participants
n=7 Participants
183 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants
14 participants
n=7 Participants
44 participants
n=5 Participants
Region of Enrollment
Greece
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Region of Enrollment
Spain
7 participants
n=5 Participants
2 participants
n=7 Participants
9 participants
n=5 Participants
Region of Enrollment
Turkey
10 participants
n=5 Participants
4 participants
n=7 Participants
14 participants
n=5 Participants
Region of Enrollment
Italy
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United Kingdom
6 participants
n=5 Participants
1 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
France
11 participants
n=5 Participants
3 participants
n=7 Participants
14 participants
n=5 Participants
Region of Enrollment
Czech Republic
3 participants
n=5 Participants
5 participants
n=7 Participants
8 participants
n=5 Participants
Region of Enrollment
Canada
17 participants
n=5 Participants
10 participants
n=7 Participants
27 participants
n=5 Participants
Region of Enrollment
Poland
16 participants
n=5 Participants
8 participants
n=7 Participants
24 participants
n=5 Participants
Region of Enrollment
Australia
22 participants
n=5 Participants
6 participants
n=7 Participants
28 participants
n=5 Participants
Region of Enrollment
Bulgaria
17 participants
n=5 Participants
11 participants
n=7 Participants
28 participants
n=5 Participants
Region of Enrollment
Germany
20 participants
n=5 Participants
8 participants
n=7 Participants
28 participants
n=5 Participants
Region of Enrollment
Netherlands
6 participants
n=5 Participants
4 participants
n=7 Participants
10 participants
n=5 Participants
Region of Enrollment
New Zealand
10 participants
n=5 Participants
11 participants
n=7 Participants
21 participants
n=5 Participants
Baseline Alanine Aminotransferase (ALT) above the Upper Limit of the Normal (ULN) Range
Yes
169 participants
n=5 Participants
90 participants
n=7 Participants
259 participants
n=5 Participants
Baseline Alanine Aminotransferase (ALT) above the Upper Limit of the Normal (ULN) Range
No
7 participants
n=5 Participants
0 participants
n=7 Participants
7 participants
n=5 Participants
Prior Lamivudine or FTC Treatment
Yes
8 participants
n=5 Participants
1 participants
n=7 Participants
9 participants
n=5 Participants
Prior Lamivudine or FTC Treatment
No
168 participants
n=5 Participants
89 participants
n=7 Participants
257 participants
n=5 Participants
Baseline Hepatitis B Deoxyribonucleic Acid (HBV DNA)
8.64 log10 copies/mL
STANDARD_DEVIATION 1.076 • n=5 Participants
8.88 log10 copies/mL
STANDARD_DEVIATION 0.930 • n=7 Participants
8.72 log10 copies/mL
STANDARD_DEVIATION 1.033 • n=5 Participants
Baseline Knodell Necroinflammatory Score
8.3 units on a scale
STANDARD_DEVIATION 2.11 • n=5 Participants
8.5 units on a scale
STANDARD_DEVIATION 2.07 • n=7 Participants
8.4 units on a scale
STANDARD_DEVIATION 2.09 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline; Week 48

Population: Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study medication; the missing-equals-failure approach was used where participants with missing data were considered to have failed to reach the endpoint.

Complete response was a composite endpoint defined as histological response and HBV DNA \< 400 copies/mL. Histological response was based on the Knodell numerical scoring of liver biopsy specimens and defined as at least a 2-point reduction in Knodell necroinflammatory score without worsening in Knodell fibrosis score. The Knodell necroinflammatory score is the combined necrosis and inflammation domain scores and ranges from 0 to 14; the Knodell fibrosis domain score ranges from 0 to 4. A participant was a nonresponder for the primary endpoint if either biopsy (baseline or end-of-treatment) was missing or if there was not an HBV DNA value available at or beyond Week 40.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBV DNA < 400 Copies/mL and Histological Improvement (2-point Reduction in Knodell Necroinflammatory Score Without Worsening in Knodell Fibrosis Score) at Week 48
66.5 percentage of participants
12.2 percentage of participants

SECONDARY outcome

Timeframe: Week 48

Population: Randomized and Treated Analysis Set; the missing-equals-failure approach was used where participants with missing data were considered to have failed to reach the endpoint.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBV DNA < 400 Copies/mL at Week 48
76.1 percentage of participants
13.3 percentage of participants

SECONDARY outcome

Timeframe: Week 96

Population: Participants in the Randomized and Treated Analysis Set with available data were analyzed. Data included for participants who discontinued study unless the discontinuation was unrelated to protocol criteria.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=165 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=86 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBV DNA < 400 Copies/mL at Week 96
77.6 percentage of participants
77.9 percentage of participants

SECONDARY outcome

Timeframe: Weeks 144, 192, 240, 288, 336, and 384

Population: Randomized and Treated Analysis Set. Data included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria. Participants with missing values related to protocol criteria or who added FTC to their open-label TDF regimen were considered to have failed to reach the endpoint.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=166 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=88 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 144
71.7 percentage of participants
70.5 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 192
67.9 percentage of participants
71.6 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 240
63.4 percentage of participants
66.3 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 288
61.3 percentage of participants
64.8 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 336
59.4 percentage of participants
62.1 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Week 384
56.1 percentage of participants
60.5 percentage of participants

SECONDARY outcome

Timeframe: Weeks 432 and 480

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added emtricitabine to their open-label TDF regimen were included in the analysis.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=57 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=29 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 432 and 480
Week 432
93.0 percentage of participants
100.0 percentage of participants
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 432 and 480
Week 480
98.0 percentage of participants
96.6 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=160 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=85 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 432
-6.13 log10 IU/mL
Standard Deviation 1.306
-6.45 log10 IU/mL
Standard Deviation 1.008
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 480
-6.18 log10 IU/mL
Standard Deviation 1.300
-6.37 log10 IU/mL
Standard Deviation 1.159
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 48
-6.17 log10 IU/mL
Standard Deviation 1.067
-3.93 log10 IU/mL
Standard Deviation 1.728
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 96
-6.26 log10 IU/mL
Standard Deviation 1.137
-6.38 log10 IU/mL
Standard Deviation 1.184
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 144
-6.32 log10 IU/mL
Standard Deviation 1.098
-6.31 log10 IU/mL
Standard Deviation 1.407
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 192
-6.30 log10 IU/mL
Standard Deviation 1.203
-6.49 log10 IU/mL
Standard Deviation 1.028
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 240
-6.22 log10 IU/mL
Standard Deviation 1.217
-6.45 log10 IU/mL
Standard Deviation 0.986
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 288
-6.27 log10 IU/mL
Standard Deviation 1.248
-6.49 log10 IU/mL
Standard Deviation 1.003
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 336
-6.35 log10 IU/mL
Standard Deviation 1.208
-6.46 log10 IU/mL
Standard Deviation 1.017
Change From Baseline in HBV DNA at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 384
-6.38 log10 IU/mL
Standard Deviation 1.167
-6.28 log10 IU/mL
Standard Deviation 1.450

SECONDARY outcome

Timeframe: Week 48; Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=144 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=80 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 96
-0.10 log10 IU/mL
Standard Deviation 0.422
-2.43 log10 IU/mL
Standard Deviation 1.724
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 144
-0.19 log10 IU/mL
Standard Deviation 0.475
-2.27 log10 IU/mL
Standard Deviation 1.866
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 192
-0.20 log10 IU/mL
Standard Deviation 0.565
-2.41 log10 IU/mL
Standard Deviation 1.662
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 240
-0.14 log10 IU/mL
Standard Deviation 0.706
-2.49 log10 IU/mL
Standard Deviation 1.599
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 288
-0.18 log10 IU/mL
Standard Deviation 0.762
-2.62 log10 IU/mL
Standard Deviation 1.679
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 336
-0.25 log10 IU/mL
Standard Deviation 0.618
-2.59 log10 IU/mL
Standard Deviation 1.622
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 384
-0.29 log10 IU/mL
Standard Deviation 0.643
-2.34 log10 IU/mL
Standard Deviation 1.821
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 432
-0.13 log10 IU/mL
Standard Deviation 0.854
-2.32 log10 IU/mL
Standard Deviation 1.694
Change From Week 48 in HBV DNA at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 480
-0.24 log10 IU/mL
Standard Deviation 0.630
-2.16 log10 IU/mL
Standard Deviation 1.882

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Randomized and Treated Analysis Set; the missing-equals-failure approach was used where participants with missing data were considered to have failed to reach the endpoint.

Histological response was based on the Knodell numerical scoring of liver biopsy specimens and defined as at least a 2-point reduction in Knodell necroinflammatory score without worsening in Knodell fibrosis score. The Knodell necroinflammatory score is the combined necrosis and inflammation domain scores and ranges from 0 to 14; the Knodell fibrosis domain score ranges from 0 to 4.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With Histological Response at Week 48
Yes
74.4 percentage of participants
67.8 percentage of participants
Percentage of Participants With Histological Response at Week 48
No
25.6 percentage of participants
32.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 240

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Histological response was based on the Knodell numerical scoring of liver biopsy specimens and defined as at least a 2-point reduction in Knodell necroinflammatory score without worsening in Knodell fibrosis score. The Knodell necroinflammatory score is the combined necrosis and inflammation domain scores and ranges from 0 to 14; the Knodell fibrosis domain score ranges from 0 to 4.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=76 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=48 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With Histological Response at Week 240
Yes
88.2 percentage of participants
89.6 percentage of participants
Percentage of Participants With Histological Response at Week 240
No
11.8 percentage of participants
10.4 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Participants in the Randomized and Treated Analysis Set with measurements at Baseline and Week 48 were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis.

The Knodell necroinflammatory score is the combined score for necrosis and inflammation domains of the Knodell scoring system, and ranges from 0 (best) to 14 (worst). The Ishak score measures the degree of liver fibrosis (scarring) caused by chronic necroinflammation (inflammation leading to cell death) and ranges from 0 (best) to 6 (worst).

Outcome measures

Outcome measures
Measure
TDF-TDF
n=157 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=79 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Baseline in Knodell and Ishak Necroinflammatory Scores at Week 48
Knodell Necroinflammatory Score
-3.6 units on a scale
Standard Deviation 2.30
-3.2 units on a scale
Standard Deviation 2.35
Change From Baseline in Knodell and Ishak Necroinflammatory Scores at Week 48
Ishak Necroinflammatory Score
-2.7 units on a scale
Standard Deviation 1.70
-2.6 units on a scale
Standard Deviation 1.94

SECONDARY outcome

Timeframe: Baseline; Week 240

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

The Knodell necroinflammatory score is the combined score for necrosis and inflammation domains of the Knodell scoring system, and ranges from 0 (best) to 14 (worst). The Ishak score measures the degree of liver fibrosis (scarring) caused by chronic necroinflammation (inflammation leading to cell death) and ranges from 0 (best) to 6 (worst).

Outcome measures

Outcome measures
Measure
TDF-TDF
n=76 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=48 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Baseline in Knodell and Ishak Necroinflammatory Scores at Week 240
Knodell Necroinflammatory Score
-4.8 units on a scale
Standard Deviation 2.34
-5.1 units on a scale
Standard Deviation 2.43
Change From Baseline in Knodell and Ishak Necroinflammatory Scores at Week 240
Ishak Necroinflammatory Score
-4.1 units on a scale
Standard Deviation 2.14
-4.5 units on a scale
Standard Deviation 2.32

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Randomized and Treated Analysis Set; the missing-equals-failure approach was used where participants with missing data were considered to have failed to reach the endpoint.

Participants were ranked as having improvement, no change, worsening, or missing data (compared to Baseline) based on the Knodell scoring system, and results are presented as the percentage of participants in each category. The Knodell necroinflammatory score is the combined score for necrosis and inflammation domains of the Knodell scoring system, which ranges from 0 (best) to 14 (worst). The Knodell fibrosis domain score ranges from 0 (best) to 4 (worst). A decrease of 1 point or more indicated improvement, and an increase of 1 point or more indicated worsening.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Improvement - Necroinflammation
81.3 percentage of participants
78.9 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
No Change - Necroinflammation
4.5 percentage of participants
3.3 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Worsening - Necroinflammation
3.4 percentage of participants
5.6 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Missing Data - Necroinflammation
10.8 percentage of participants
12.2 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Improvement - Fibrosis
19.9 percentage of participants
20.0 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
No Change - Fibrosis
63.6 percentage of participants
61.1 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Worsening - Fibrosis
5.1 percentage of participants
6.7 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 48
Missing Data - Fibrosis
11.4 percentage of participants
12.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 240

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Participants were ranked as having improvement, no change, worsening, or missing data (compared to Baseline) based on the Knodell scoring system, and results are presented as the percentage of participants in each category. The Knodell necroinflammatory score is the combined score for necrosis and inflammation domains of the Knodell scoring system, which ranges from 0 (best) to 14 (worst). The Knodell fibrosis domain score ranges from 0 (best) to 4 (worst). A decrease of 1 point or more indicated improvement, and an increase of 1 point or more indicated worsening.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=76 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=48 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
No Change - Fibrosis
39.5 percentage of participants
39.6 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
Worsening - Fibrosis
3.9 percentage of participants
2.1 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
Improvement - Necroinflammation
96.1 percentage of participants
97.9 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
No Change - Necroinflammation
3.9 percentage of participants
2.1 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
Worsening - Necroinflammation
0 percentage of participants
0 percentage of participants
Ranked Assessment of Necroinflammation and Fibrosis at Week 240
Improvement - Fibrosis
56.6 percentage of participants
58.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Participants in the Randomized and Treated Analysis Set with ALT \> ULN at baseline were analyzed; the missing-equals-failure approach was used where participants with missing data were considered to have failed to reach the endpoint.

ALT normalization was defined as ALT \> upper limit of normal (ULN) at baseline and within the normal range at the end of blinded treatment. The ULN was 43 U/L for males and 34 U/L for females aged 18 to \< 69, and 35 U/L for males and 32 U/L for females aged ≥ 69.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=169 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With Alanine Aminotransferase (ALT) Normalization at Week 48
68.0 percentage of participants
54.4 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 96

Population: Participants in the Randomized and Treated Analysis Set with ALT \> ULN at baseline. Data included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria; data for participants who added FTC to their open-label TDF regimen were included in the analysis.

ALT normalization was defined as ALT \> ULN at baseline and within the normal range at Week 96. The ULN was 43 U/L for males and 34 U/L for females aged 18 to \< 69, and 35 U/L for males and 32 U/L for females aged ≥ 69.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=158 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=86 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With ALT Normalization at Week 96
65.2 percentage of participants
74.4 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 144, 192, 240, 288, 336, and 384

Population: Participants in the Randomized and Treated Analysis Set with ALT \> ULN at baseline and available data were analyzed. Data included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria; data for participants who added FTC to their open-label TDF regimen were included in the analysis.

ALT normalization was defined as ALT \> ULN at baseline and within the normal range at the subsequent time point. The ULN was 43 U/L for males and 34 U/L for females aged 18 to \< 69, and 35 U/L for males and 32 U/L for females aged ≥ 69.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=161 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=87 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 144
60.2 percentage of participants
67.8 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 192
59.6 percentage of participants
69.4 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 240
50.0 percentage of participants
65.9 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 288
51.3 percentage of participants
70.1 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 336
46.2 percentage of participants
67.9 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 144, 192, 240, 288, 336, and 384
Week 384
52.6 percentage of participants
67.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 432 and 480

Population: Participants in the Randomized and Treated Analysis Set with ALT \> ULN at baseline and with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

ALT normalization was defined as ALT \> ULN at baseline and within the normal range at the subsequent time point. The ULN was 43 U/L for males and 34 U/L for females aged 18 to \< 69, and 35 U/L for males and 32 U/L for females aged ≥ 69.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=54 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=29 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With ALT Normalization at Weeks 432 and 480
Week 432
79.6 percentage of participants
78.6 percentage of participants
Percentage of Participants With ALT Normalization at Weeks 432 and 480
Week 480
75.0 percentage of participants
82.8 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=160 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=84 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 48
-107.2 U/L
Standard Deviation 109.44
-106.1 U/L
Standard Deviation 118.90
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 96
-107.8 U/L
Standard Deviation 108.07
-120.4 U/L
Standard Deviation 138.03
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 144
-100.7 U/L
Standard Deviation 105.96
-126.2 U/L
Standard Deviation 150.46
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 192
-101.4 U/L
Standard Deviation 108.63
-139.6 U/L
Standard Deviation 137.95
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 240
-95.9 U/L
Standard Deviation 117.03
-134.8 U/L
Standard Deviation 135.59
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 288
-102.3 U/L
Standard Deviation 111.68
-130.9 U/L
Standard Deviation 123.08
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 336
-101.9 U/L
Standard Deviation 112.72
-132.3 U/L
Standard Deviation 125.81
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 384
-108.1 U/L
Standard Deviation 118.05
-133.7 U/L
Standard Deviation 128.57
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 432
-105.0 U/L
Standard Deviation 139.61
-162.1 U/L
Standard Deviation 157.83
Change From Baseline in ALT at Weeks 48, 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 480
-92.3 U/L
Standard Deviation 83.56
-157.5 U/L
Standard Deviation 159.96

SECONDARY outcome

Timeframe: Week 48; Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480

Population: Participants in the Randomized and Treated Analysis Set with observed data were analyzed; the missing-equals-excluded approach was used where participants with missing data were excluded from the analysis. Data for participants who added FTC to their open-label TDF regimen were included in the analysis.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=141 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=81 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 192
-1.3 U/L
Standard Deviation 19.57
-7.8 U/L
Standard Deviation 27.07
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 240
3.7 U/L
Standard Deviation 32.48
-8.1 U/L
Standard Deviation 22.92
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 288
-1.6 U/L
Standard Deviation 19.91
-10.3 U/L
Standard Deviation 25.26
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 336
-1.2 U/L
Standard Deviation 19.72
-9.3 U/L
Standard Deviation 22.69
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 384
-4.4 U/L
Standard Deviation 24.87
-6.9 U/L
Standard Deviation 31.76
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 432
-4.3 U/L
Standard Deviation 24.27
-11.6 U/L
Standard Deviation 27.09
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 480
-5.5 U/L
Standard Deviation 19.28
-7.1 U/L
Standard Deviation 39.76
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 96
-2.0 U/L
Standard Deviation 17.94
-6.9 U/L
Standard Deviation 59.64
Change From Week 48 in ALT at Weeks 96, 144, 192, 240, 288, 336, 384, 432, and 480
Week 144
-0.4 U/L
Standard Deviation 21.94
-0.7 U/L
Standard Deviation 82.70

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Participants in the Randomized and Treated Analysis Set who were HBeAg-positive at baseline and with available data were analyzed.

HBeAg loss was defined as HBeAg positive at baseline and HBeAg negative at Week 48. Seroconversion to anti-HBe was defined as change of detectable antibody to HBeAg from negative at baseline to positive at Week 48.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=153 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=80 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss/Seroconversion at Week 48
HBeAg Loss
22.2 percentage of participants
17.5 percentage of participants
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss/Seroconversion at Week 48
HBeAg Seroconversion
20.9 percentage of participants
17.5 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 96

Population: Participants in the Randomized and Treated Analysis Set who were HBeAg-positive at baseline and with available data were analyzed. Data included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria.

HBeAg loss was defined as HBeAg positive at baseline and HBeAg negative at Week 96. Seroconversion to anti-HBe was defined as change of detectable antibody to HBeAg from negative at baseline to positive at Week 96.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=158 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=82 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBeAg Loss or Seroconversion to Anti-HBe at Week 96
HBeAg Loss
25.9 percentage of participants
25.6 percentage of participants
Percentage of Participants With HBeAg Loss or Seroconversion to Anti-HBe at Week 96
Seroconversion to Anti-HBe
22.8 percentage of participants
22.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Participants in the Randomized and Treated Analysis Set with available data were analyzed.

HBsAg loss was defined as HBsAg positive at baseline and HBsAg negative at Week 48. Seroconversion to anti-HBs was defined as change of detectable antibody to HBsAg from negative at baseline to positive at Week 48.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=158 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=82 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With Hepatitis B S-Antigen (HBsAg) Loss or Seroconversion at Week 48
HBsAg Loss
3.2 percentage of participants
0 percentage of participants
Percentage of Participants With Hepatitis B S-Antigen (HBsAg) Loss or Seroconversion at Week 48
HBsAg Seroconversion
1.3 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 96

Population: Participants in the Randomized and Treated Analysis Set with available data were analyzed. Data is included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria.

HBsAg loss was defined as HBsAg positive at baseline and HBsAg negative at the subsequent time point. Seroconversion to anti-HBs was defined as change of detectable antibody to HBsAg from negative at baseline to positive at the subsequent time point.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=171 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=86 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Week 96
HBsAg Loss
5.3 percentage of participants
5.8 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Week 96
Anti-HBs Seroconversion
4.1 percentage of participants
4.7 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Weeks 144, 192, 240, 288, 336, 384, 432, and 480

Population: Randomized and Treated Analysis Set. Data is included for participants who had discontinued unless the reason for discontinuation was unrelated to protocol criteria. Participants with missing values related to protocol criteria or who added FTC to their open-label TDF regimen were considered to have failed to reach the endpoint.

HBsAg loss was defined as HBsAg positive at baseline and HBsAg negative at the subsequent time point. Seroconversion to anti-HBs was defined as change of detectable antibody to HBsAg from negative at baseline to positive at the subsequent time point.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=174 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=89 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 144
7.5 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 144
5.2 percentage of participants
6.8 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 192
9.4 percentage of participants
7.9 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 192
6.4 percentage of participants
6.7 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 240
9.2 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 240
6.3 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 288
9.2 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 288
6.4 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 336
10.3 percentage of participants
7.9 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 336
7.5 percentage of participants
7.9 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 384
11.0 percentage of participants
9.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 384
8.1 percentage of participants
7.9 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 432
10.9 percentage of participants
10.2 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 432
7.6 percentage of participants
8.0 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
HBsAg Loss - Week 480
10.9 percentage of participants
10.1 percentage of participants
Percentage of Participants With HBsAg Loss or Seroconversion to Anti-HBs at Weeks 144, 192, 240, 288, 336, 384, 432, and 480
Anti-HBs Seroconversion - Week 480
8.0 percentage of participants
7.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline; Week 48

Population: Participants in the Randomized and Treated Analysis Set were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL, those with viral breakthrough, and those who discontinued after Week 24 with HBV DNA ≥ 400 copies/mL.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=176 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=90 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 48 (Resistance Surveillance)
Participants evaluated
31 participants
75 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 48 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
2 participants
8 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 48 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
13 participants
17 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 48 (Resistance Surveillance)
No genotypic changes (wild-type virus)
7 participants
43 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 48 (Resistance Surveillance)
Unable to be genotyped
9 participants
7 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 49 to 96

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 48 (ie, entered the open-label phase) were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 96 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 48 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=154 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=15 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=84 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=13 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 96 (Resistance Surveillance)
Participants evaluated
18 participants
13 participants
16 participants
10 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 96 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
2 participants
0 participants
2 participants
3 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 96 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
3 participants
1 participants
1 participants
2 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 96 (Resistance Surveillance)
No genotypic changes (wild-type virus)
10 participants
5 participants
12 participants
3 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 96 (Resistance Surveillance)
Unable to be genotyped
3 participants
7 participants
1 participants
2 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 97 to 144

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 96 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 144 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 96 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 96 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=126 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=17 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=69 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=13 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 144 (Resistance Surveillance)
Participants evaluated
2 participants
7 participants
5 participants
5 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 144 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
1 participants
2 participants
2 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 144 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
0 participants
3 participants
3 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 144 (Resistance Surveillance)
No genotypic changes (wild-type virus)
1 participants
2 participants
0 participants
3 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 144 (Resistance Surveillance)
Unable to be genotyped
0 participants
0 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 145 to 192

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 144 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 192 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 144 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 144 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=115 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=15 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=61 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=10 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 192 (Resistance Surveillance)
Participants evaluated
2 participants
5 participants
1 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 192 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 192 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
1 participants
0 participants
1 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 192 (Resistance Surveillance)
No genotypic changes (wild-type virus)
0 participants
1 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 192 (Resistance Surveillance)
Unable to be genotyped
1 participants
3 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 193 to 240

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 192 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 240 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 192 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 192 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=103 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=13 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=55 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=12 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 240 (Resistance Surveillance)
Participants evaluated
3 participants
3 participants
0 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 240 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 240 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
2 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 240 (Resistance Surveillance)
No genotypic changes (wild-type virus)
1 participants
2 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 240 (Resistance Surveillance)
Unable to be genotyped
0 participants
1 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 241 to 288

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 240 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 288 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 240 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 240 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=92 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=11 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=52 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=12 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 288 (Resistance Surveillance)
Participants evaluated
3 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 288 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 288 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 288 (Resistance Surveillance)
No genotypic changes (wild-type virus)
2 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 288 (Resistance Surveillance)
Unable to be genotyped
1 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 289 to 336

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 288 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 336 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 288 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 288 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=93 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=12 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=53 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=12 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 336 (Resistance Surveillance)
Participants evaluated
1 participants
0 participants
1 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 336 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 336 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 336 (Resistance Surveillance)
No genotypic changes (wild-type virus)
0 participants
0 participants
1 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 336 (Resistance Surveillance)
Unable to be genotyped
1 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 337 to 384

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 336 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 384 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 336 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 336 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=87 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=12 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=50 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=10 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 384 (Resistance Surveillance)
Participants evaluated
1 participants
0 participants
2 participants
2 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 384 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
1 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 384 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
0 participants
0 participants
1 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 384 (Resistance Surveillance)
No genotypic changes (wild-type virus)
0 participants
0 participants
0 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 384 (Resistance Surveillance)
Unable to be genotyped
1 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 385 to 432

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 384 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 432 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 384 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 384 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=49 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=10 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=26 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=4 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 432 (Resistance Surveillance)
Participants evaluated
1 participants
3 participants
0 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 432 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 432 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
1 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 432 (Resistance Surveillance)
No genotypic changes (wild-type virus)
0 participants
3 participants
0 participants
1 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 432 (Resistance Surveillance)
Unable to be genotyped
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline; Weeks 433 to 480

Population: Participants in the Randomized and Treated Analysis Set who continued on the study after Week 432 with available data were analyzed to determine if they qualified for protocol criteria for resistance surveillance, and those meeting the criteria were evaluated.

Of the total number analyzed, participants evaluated for resistance included those with HBV DNA ≥ 400 copies/mL at Week 480 on TDF monotherapy, those with viral breakthrough, those who discontinued after Week 432 with HBV DNA ≥ 400 copies/mL, and those who added emtricitabine to the open-label TDF regimen after Week 432 and had HBV DNA ≥ 400 copies/mL at the time of the addition.

Outcome measures

Outcome measures
Measure
TDF-TDF
n=47 Participants
TDF 300 mg plus placebo to match ADV (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV 10 mg
n=10 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
ADV-TDF
n=26 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group did not add FTC to their study regimen in the open-label period.
ADV-TDF With Addition of FTC
n=3 Participants
ADV 10 mg plus placebo to match TDF (double-blind period), followed by TDF 300 mg (open-label period). Participants in this reporting group added FTC (as part of FTC 200 mg/TDF 300 mg FDC tablet) to their study regimen in the open-label period.
Number of Participants With HBV Genotypic Changes From Baseline at Week 480 (Resistance Surveillance)
Participants evaluated
0 participants
3 participants
1 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 480 (Resistance Surveillance)
Changes at conserved sites in HBV polymerase
0 participants
0 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 480 (Resistance Surveillance)
Changes at polymorphic sites in HBV polymerase
0 participants
1 participants
0 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 480 (Resistance Surveillance)
No genotypic changes (wild-type virus)
0 participants
2 participants
1 participants
0 participants
Number of Participants With HBV Genotypic Changes From Baseline at Week 480 (Resistance Surveillance)
Unable to be genotyped
0 participants
0 participants
0 participants
0 participants

Adverse Events

Double-Blind TDF

Serious events: 15 serious events
Other events: 97 other events
Deaths: 0 deaths

Double-Blind ADV

Serious events: 7 serious events
Other events: 49 other events
Deaths: 0 deaths

Open-Label TDF

Serious events: 41 serious events
Other events: 165 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Double-Blind TDF
n=176 participants at risk
Adverse events this reporting group include those occurring in the TDF-TDF group during the double-blind period only (baseline to Week 48). TDF 300 mg plus placebo to match ADV (double-blind period).
Double-Blind ADV
n=90 participants at risk
Adverse events this reporting group include those occurring in the ADV-TDF group during the double-blind period only (baseline to Week 48). ADV 10 mg plus placebo to match TDF (double-blind period).
Open-Label TDF
n=238 participants at risk
Adverse events for this reporting group include those occurring during the open-label TDF 300 mg period (Week 49 up to Week 480), regardless of which group they were randomized to in the double-blind period. TDF 300 mg + ADV placebo or ADV 10 mg + TDF placebo (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
Blood and lymphatic system disorders
Thrombocytopenia
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Cardiac disorders
Acute myocardial infarction
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Cardiac disorders
Angina pectoris
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Cardiac disorders
Ischaemic cardiomyopathy
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Cardiac disorders
Myocarditis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Congenital, familial and genetic disorders
Congenital anomaly in offspring
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Gastrointestinal disorders
Inguinal hernia
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
General disorders
Chest pain
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Hepatobiliary disorders
Cholelithiasis
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Hepatobiliary disorders
Hepatitis
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Abscess soft tissue
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Diverticulitis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Epididymitis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Gastroenteritis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Groin abscess
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Hepatitis B
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Orchitis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Respiratory tract infection
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Sepsis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Skin infection
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Urinary tract infection
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Arthropod bite
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Procedural dizziness
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Skull fracture
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Subdural haematoma
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Injury, poisoning and procedural complications
Ulna fracture
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Investigations
Alanine aminotransferase increased
3.4%
6/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
4.4%
4/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
2.5%
6/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Investigations
Aspartate aminotransferase increased
1.1%
2/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.84%
2/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Investigations
Blood creatine phosphokinase increased
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Investigations
Glucose urine present
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.84%
2/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Osteoporosis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Synovial cyst
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon adenoma
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer metastatic
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic neoplasm
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular carcinoma
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.84%
2/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hodgkin's disease
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastatic
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.84%
2/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tonsillar neoplasm
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Diabetic neuropathy
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Facial spasm
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Seizure
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Subarachnoid haemorrhage
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Transient ischaemic attack
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.84%
2/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Psychiatric disorders
Drug dependence
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Renal and urinary disorders
Calculus ureteric
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.3%
3/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Renal and urinary disorders
Tubulointerstitial nephritis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Reproductive system and breast disorders
Ovarian cyst ruptured
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Surgical and medical procedures
Abortion induced
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Vascular disorders
Thrombosis
0.00%
0/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.00%
0/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
0.42%
1/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Double-Blind TDF
n=176 participants at risk
Adverse events this reporting group include those occurring in the TDF-TDF group during the double-blind period only (baseline to Week 48). TDF 300 mg plus placebo to match ADV (double-blind period).
Double-Blind ADV
n=90 participants at risk
Adverse events this reporting group include those occurring in the ADV-TDF group during the double-blind period only (baseline to Week 48). ADV 10 mg plus placebo to match TDF (double-blind period).
Open-Label TDF
n=238 participants at risk
Adverse events for this reporting group include those occurring during the open-label TDF 300 mg period (Week 49 up to Week 480), regardless of which group they were randomized to in the double-blind period. TDF 300 mg + ADV placebo or ADV 10 mg + TDF placebo (double-blind period), followed by TDF 300 mg (open-label period). Participants may have added FTC to their treatment regimen (as part of FTC 200 mg/TDF 300 mg FDC tablet) in the open-label period.
Gastrointestinal disorders
Abdominal pain
3.4%
6/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.3%
3/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
9.2%
22/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain upper
8.5%
15/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
4.4%
4/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
10.5%
25/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
6.8%
12/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.3%
3/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.0%
12/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Gastrointestinal disorders
Nausea
14.8%
26/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.8%
9/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
General disorders
Fatigue
12.5%
22/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
8.9%
8/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
8.4%
20/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
General disorders
Influenza like illness
5.1%
9/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.3%
3/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.9%
14/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Immune system disorders
Seasonal allergy
2.3%
4/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
7.1%
17/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Bronchitis
1.1%
2/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
4.4%
4/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.5%
13/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Influenza
4.5%
8/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.6%
5/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
10.5%
25/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
12.5%
22/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
14.4%
13/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
18.1%
43/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection
4.0%
7/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
6.7%
6/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
8.8%
21/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Investigations
Creatinine renal clearance decreased
0.57%
1/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.0%
12/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Arthralgia
2.8%
5/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
6.7%
6/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
7.1%
17/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Back pain
7.4%
13/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.3%
3/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
7.6%
18/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
1.1%
2/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
3.3%
3/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
6.3%
15/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Myalgia
4.5%
8/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.6%
5/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
4.6%
11/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Dizziness
6.8%
12/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
2.2%
2/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
4.6%
11/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Nervous system disorders
Headache
17.6%
31/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
15.6%
14/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
12.6%
30/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
5.7%
10/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.6%
5/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
12.6%
30/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.5%
8/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
5.6%
5/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
7.6%
18/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
Vascular disorders
Hypertension
1.7%
3/176 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
1.1%
1/90 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.
10.1%
24/238 • Baseline to Week 480
Randomized and Treated Analysis Set: all participants who were randomized and received at least one dose of study drug.

Additional Information

Clinical Trial Disclosures

Gilead Sciences, Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution and investigator may publish or present the results of the trial generated there with prior written consent of Gilead; or 2 years after the trial has ended at all institutions. Proposed publications/target venue must go to Gilead 30 days (manuscripts) or 15 days (abstracts/presentations) prior. Any Gilead confidential information in the document(s) must be deleted, or if requested publication delayed for up to 45 days to permit Gilead to obtain intellectual property protection.
  • Publication restrictions are in place

Restriction type: OTHER