A Study to Compare Efficacy and Safety of Tenofovir Used Alone or in Combination With Pegylated Interferon Alpha-2b in Participants With Chronic Hepatitis B and Elevated Alanine Aminotransferase (MK-4031-384)

NCT ID: NCT01727271

Last Updated: 2013-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2017-08-31

Brief Summary

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This study will compare monotherapy with tenofovir to sequential therapy with pegylated interferon alpha-2b (pegIFN-2b) followed by tenofovir, and to combination therapy with pegIFN-2b + tenofovir, in participants with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B and elevated alanine aminotransferase (ALT). All enrolled participants will be be administered tenofovir alone for 8 weeks and then will be randomly assigned to 1 of the 3 treatment arms.

Detailed Description

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Conditions

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Hepatitis B

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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Tenofovir Monotherapy

Tenofovir 300 mg tablet, orally (PO) once daily for 8 weeks, then Tenofovir 300 mg tablet, PO, once daily for an additional 96 weeks (total treatment duration 104 weeks)

Group Type ACTIVE_COMPARATOR

Tenofovir

Intervention Type DRUG

PegIFN-2b/Tenofovir Sequential Therapy

Tenofovir 300 mg tablet, PO, once daily for 8 weeks, then PegIFN-2b, 1.5 mcg/kg subcutaneously (SC), once weekly, for 24 weeks, then Tenofovir 300 mg tablet, PO, once daily for 72 weeks (total treatment duration 104 weeks)

Group Type EXPERIMENTAL

Tenofovir

Intervention Type DRUG

Pegylated interferon alpha-2b

Intervention Type BIOLOGICAL

Peg-IFN-2b + Tenofovir Combination Therapy

Tenofovir 300 mg tablet, PO once daily for 8 weeks, then pegIFN-2b, 1.5 mcg/kg SC once weekly and tenofovir 300 mg tablet, PO, once daily for 24 weeks, and then tenofovir 300 mg tablet, PO, once daily for 72 weeks (total treatment duration 104 weeks)

Group Type EXPERIMENTAL

Tenofovir

Intervention Type DRUG

Pegylated interferon alpha-2b

Intervention Type BIOLOGICAL

Interventions

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Tenofovir

Intervention Type DRUG

Pegylated interferon alpha-2b

Intervention Type BIOLOGICAL

Other Intervention Names

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Truvada SCH 054031 MK-4031

Eligibility Criteria

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Inclusion Criteria

* Chronic hepatitis B (hepatitis B surface antigen \[HBsAg\]-positive for \>6 months or evidence of chronic hepatitis B in liver biopsy)
* Elevated serum ALT level
* Liver biopsy or a non-invasive investigation within 12 months prior to randomization with Chronic Hepatitis B
* Treatment naïve or history of interferon for not more than 1 month, taken at least 6 months before enrollment
* Compensated liver disease

Exclusion Criteria

* Known hypersensitivity to tenofovir, interferon alpha-2b, and/or any other component of the study products
* Co-infection with hepatitis C virus (HCV), hepatitis D virus (HDV) or human immunodeficiency virus (HIV)
* Need for prolonged or frequent use of systemic acyclovir or famciclovir
* Previously received lamivudine or an investigational anti-hepatitis B virus (HBV) nucleoside or nucleotide analog and were resistant to these drugs
* History of variceal bleeding or other GI bleeding due to portal hypertension, hepatic encephalopathy, spontaneous bacterial peritonitis, Grade III and IV esophageal varices unless banded or other clinical signs of hepatic decompensation
* History of hepatocellular carcinoma (HCC) or findings suggestive of possible HCC
* Need for potentially hepatotoxic drugs (e.g. dapsone, erythromycin, fluconazole, ketoconazole, rifampin, and anti-tuberculosis regimens) or nephrotoxic drugs (e.g. frequent nonsteroidal anti-inflammatories, aminoglycosides, amphotericin B, and foscarnet)
* One or more additional known primary or secondary causes of liver disease, other than hepatitis B
* History of clinical pancreatitis
* Pregnant or breastfeeding
* Female participants of childbearing potential and male participants must be willing to use acceptable method of birth control.
* Medical condition that requires frequent or prolonged use of systemic corticosteroids
* Use of warfarin or other anticoagulants during 30 days prior to screening or if expected to be needed during the study period
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Other Identifiers

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4031-384

Identifier Type: -

Identifier Source: org_study_id