A Study to Evaluate Tenofovir Disoproxil Fumarate (DF) in Asian-American Adults With Chronic Hepatitis B Infection

NCT ID: NCT00736190

Last Updated: 2011-12-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2010-07-31

Brief Summary

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The purpose of this study is to evaluate the antiviral activity and safety of tenofovir disoproxil fumarate (TDF) in Asian-American adults (self-reported Asian descent, living in the United States) with chronic hepatitis B infection. All participants will receive active treatment with TDF for 48 weeks.

Detailed Description

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Efficacy of TDF will be evaluated for reductions in serum HBV DNA, changes in liver enzymes, and the generation of antibody to the virus. Safety will be assessed by evaluating adverse events, laboratory abnormalities, and the development of drug resistance mutations.

Conditions

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Chronic Hepatitis B

Keywords

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Hepatitis B Hepatitis Tenofovir disoproxil fumarate Tenofovir DF Asian-American

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TDF

300-mg tablet (marketed formulation) taken orally once daily

Group Type EXPERIMENTAL

Tenofovir disoproxil fumarate

Intervention Type DRUG

300-mg tablet (marketed formulation) taken orally once daily

Interventions

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Tenofovir disoproxil fumarate

300-mg tablet (marketed formulation) taken orally once daily

Intervention Type DRUG

Other Intervention Names

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Viread

Eligibility Criteria

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Inclusion Criteria

* Male or female
* Asian-American, defined as a person of self-reported Asian ancestry who is residing in the United States (US)
* 18 through 75 years of age, inclusive
* Documented chronic HBV infection, defined as positive serum HBsAg =/\> 6 months
* HBV DNA =/\> 10,000 copies/mL (PCR method)
* ALT \> ULN and \</= 10 × ULN at screening or within the past 12 months prior to screening
* Willing and able to provide written informed consent
* Negative serum beta-human chorionic gonadotropin (HCG) pregnancy test (females of child-bearing potential)
* Estimated glomerular filtration rate (creatinine clearance) =/\> 60 mL/min/1.73m\^2 by the Cockcroft-Gault equation
* Adequate hematologic function (absolute neutrophil count =/\> 1,500/mm\^3; hemoglobin =/\> 10.0 g/dL)
* No prior TDF therapy; participants may have taken \< 12 weeks of oral anti-HBV therapy, with the last dose =/\> 16 weeks prior to screening; participants may have received prior interferon, but must have discontinued interferon therapy =/\> 6 months prior to screening

Exclusion Criteria

* Pregnant women, women who are breast feeding or who believe they may wish to become pregnant during the course of the study.
* Males and females of reproductive potential who are not willing to use an effective method of contraception during the study. For males, condoms should be used and for females, a barrier contraception method should be used in combination with one other form of contraception.
* Decompensated liver disease defined as direct (conjugated) bilirubin \> 1.2 X ULN, prothrombin time (PT) \> 1.2 X ULN, platelets \< 150,000/mm3, or serum albumin \< 3.5 g/dL
* Prior history of clinical hepatic decompensation (eg, ascites, jaundice, encephalopathy) or variceal hemorrhage
* Receipt of prior TDF treatment
* Receipt of =/\> 12 weeks of oral anti-HBV nucleoside/nucleotide therapy, or receipt of ANY oral anti-HBV treatment \< 16 weeks prior to screening
* Receipt of interferon (pegylated or not) therapy within 6 months of the Screening Visit
* alpha-fetoprotein \> 50 ng/mL
* Evidence of hepatocellular carcinoma (HCC)
* Co-infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis D virus (HDV)
* History of significant renal disease (eg, nephrotic syndrome, renal dysgenesis, polycystic kidney disease, congenital nephrosis, acute tubular necrosis, other renal disease)
* History of significant bone disease (eg, osteomalacia, chronic osteomyelitis, osteogenesis imperfecta, osteochrondroses, multiple bone fractures)
* Significant cardiovascular, pulmonary or neurological disease
* Evidence of a gastrointestinal malabsorption syndrome that may interfere with absorption of orally administered medications
* History of solid organ or bone marrow transplantation
* Ongoing therapy with any of the following: nephrotoxic agents, competitors of renal excretion (eg, probenecid), systemic chemotherapeutic agents, systemic corticosteroids, Interleukin-2 (IL-2) and other immunomodulating agents, investigational agents (except with the expressed approval of the Sponsor); administration of any of the above medications must be discontinued at least 30 days prior to the Baseline Visit and for the duration of the study period
* Known hypersensitivity to the study drugs, the metabolites, or formulation excipients
* Any other condition (including alcohol or substance abuse) or prior therapy that, in the opinion of the Investigator, would make the participant unsuitable for the study or unable to comply with dosing requirements
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Fountain Valley, California, United States

Site Status

Hacienda Heights, California, United States

Site Status

Los Angeles, California, United States

Site Status

Monterey Park, California, United States

Site Status

Mountain View, California, United States

Site Status

Oakland, California, United States

Site Status

Palo Alto, California, United States

Site Status

San Jose, California, United States

Site Status

Hamden, Connecticut, United States

Site Status

Baltimore, Maryland, United States

Site Status

Laurel, Maryland, United States

Site Status

Silver Spring, Maryland, United States

Site Status

Englewood, New Jersey, United States

Site Status

Brooklyn, New York, United States

Site Status

Flushing, New York, United States

Site Status

New York, New York, United States

Site Status

New York, New York, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Fairfax, Virginia, United States

Site Status

Falls Church, Virginia, United States

Site Status

Bellevue, Washington, United States

Site Status

Countries

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United States

References

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Pan CQ, Chan S, Trinh H, Yao A, Bae H, Lou L. Similar efficacy and safety of tenofovir in Asians and non-Asians with chronic hepatitis B. World J Gastroenterol. 2015 May 14;21(18):5524-31. doi: 10.3748/wjg.v21.i18.5524.

Reference Type DERIVED
PMID: 25987775 (View on PubMed)

Pan CQ, Trinh H, Yao A, Bae H, Lou L, Chan S; Study 123 Group. Efficacy and safety of tenofovir disoproxil fumarate in Asian-Americans with chronic hepatitis B in community settings. PLoS One. 2014 Mar 4;9(3):e89789. doi: 10.1371/journal.pone.0089789. eCollection 2014.

Reference Type DERIVED
PMID: 24594870 (View on PubMed)

Other Identifiers

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GS-US-174-0123

Identifier Type: -

Identifier Source: org_study_id