Entecavir Plus Adefovir Combination Therapy Versus Entecavir Monotherapy vs Therapy With Adefovir Plus Lamivudine for Chronic Hepatitis B Infected Subjects With Lamivudine-resistant Virus

NCT ID: NCT00410202

Last Updated: 2013-11-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

629 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2012-07-31

Brief Summary

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The purpose of this study is to evaluate the effectiveness of entecavir plus adefovir combination therapy versus entecavir monotherapy or therapy with adefovir plus lamivudine

Detailed Description

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Conditions

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Hepatitis B, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Entecavir

With the option of adding tenofovir at week 48. (This does not apply to Korea)

Group Type ACTIVE_COMPARATOR

Entecavir

Intervention Type DRUG

Tablets, Oral, 1mg, once daily, 100 weeks

Tenofovir

Intervention Type DRUG

Tablets, Oral, 300 mg, once daily

Adefovir + Lamivudine

Group Type ACTIVE_COMPARATOR

Adefovir

Intervention Type DRUG

Tablets, Oral, 10mg, once daily, 100 weeks

Lamivudine

Intervention Type DRUG

Tablets, Oral, 100mg, once daily, 100 weeks

Entecavir + Adefovir

Group Type ACTIVE_COMPARATOR

Entecavir

Intervention Type DRUG

Tablets, Oral, 1mg, once daily, 100 weeks

Adefovir

Intervention Type DRUG

Tablets, Oral, 10mg, once daily, 100 weeks

Interventions

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Entecavir

Tablets, Oral, 1mg, once daily, 100 weeks

Intervention Type DRUG

Tenofovir

Tablets, Oral, 300 mg, once daily

Intervention Type DRUG

Adefovir

Tablets, Oral, 10mg, once daily, 100 weeks

Intervention Type DRUG

Lamivudine

Tablets, Oral, 100mg, once daily, 100 weeks

Intervention Type DRUG

Other Intervention Names

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Baraclude BMS-200475 Viread Hepsera Epivir

Eligibility Criteria

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Inclusion Criteria

* Evidence of lamivudine (LVD) resistance
* Subjects must have a history of previous LVD treatment at screening, and must have evidence of at least 1 LVD resistance substitution (valine, isoleucine, or serine) at reverse transcriptase codon 204 (M204V/I/S)
* Nucleoside- and nucleotide-naive, except for LVD, and had chronic hepatitis B (HBV) infection
* Compensated liver function and must have met ALL of the following criteria:International normalization ratio (INR) ≤ 1.5; Serum albumin ≥ 3 g/dL (≥ 30 g/L); Serum total bilirubin ≤ 2.5 mg/dL (≤ 42.75 μmol/L)
* HBV DNA \> 1.72 x 10\*4\* IU/mL (approximately 10\*5\* copies/mL)
* Documentation of hepatitis B e antigen (HBeAg) positive and hepatitis B e antibody (HBeAb) negative status at screening
* alanine aminotransferase (ALT) ≤ 10 \* upper limit of normal (ULN) at screening
* Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study (and for up to 6 weeks after the last dose of investigational product) in such a manner that the risk of pregnancy is minimized
* WOCBP include any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy) or is not postmenopausal. Post menopausal is defined as:
* Women who are using oral contraceptives, other hormonal contraceptives (vaginal products, skin patches, or implanted or injectable products), or mechanical products such as an intrauterine device or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy, or are practicing abstinence or where partner is sterile (e.g., vasectomy), should be considered to be of child bearing potential
* WOCBP must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin) within 72 hours prior to the start of investigational product

Exclusion Criteria

* Evidence of decompensated cirrhosis
* Coinfection with human immunodeficiency virus, hepatitis C virus , or hepatitis D virus
* Women who are pregnant or breastfeeding
* Sexually active fertile men not using effective birth control if their partners were WOCBP
* Laboratory values out of protocol-specified range
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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University Of Connecticut Health Center

Farmington, Connecticut, United States

Site Status

Local Institution

Concord, New South Wales, Australia

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Randwick, New South Wales, Australia

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Porto Alegre Rs, Rio Grande do Sul, Brazil

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Calgary, Alberta, Canada

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Athens, , Greece

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Hong Kong, Hong Kong, Hong Kong

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Shatin, New Territories, Hong Kong

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Tai Po, , Hong Kong

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Lucknow, Uttar Pradesh, India

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Ahmedabad, , India

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Chandigarh, , India

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Indore, , India

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Ludhiana, , India

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New Delhi, , India

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Vellore, , India

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Jakarta, , Indonesia

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Antella, Firenze, , Italy

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Kota Kinabalu, Sabah, Malaysia

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Kuala Lumpur, , Malaysia

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Cebu City, , Philippines

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Manila, , Philippines

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Chorzów, , Poland

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Kielce, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Warsaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Singapore, , Singapore

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Seoul, Dongdaemun-Gu, South Korea

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Ulsan, Donggu, South Korea

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Ansan-si, Gyeonggi-do, South Korea

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Anyang-si, Gyeonggi-do, South Korea

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Bucheon-si, Gyeonggi-do, South Korea

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Seongnam-si, Gyeonggi-do, South Korea

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Suwon, Gyeonggi-do, South Korea

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Koyang, Ilsanseo Gu, South Korea

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Incheon, Jung-Gu, South Korea

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Seoul, Nowon-Gu, South Korea

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Chuncheon, , South Korea

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Daegu, , South Korea

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Gangneung, , South Korea

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Incheon, , South Korea

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Pusan, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Yangsan, , South Korea

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Kaohsiung City, , Taiwan

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Tainan R.o.c., , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Bornova Izmir, , Turkey (Türkiye)

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Trabzon, , Turkey (Türkiye)

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Countries

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Argentina Mexico South Africa United States Australia Brazil Canada Greece Hong Kong India Indonesia Italy Malaysia Philippines Poland Russia Singapore South Korea Taiwan Thailand Turkey (Türkiye)

Related Links

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Other Identifiers

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AI463-111

Identifier Type: -

Identifier Source: org_study_id