Tenofovir Alafenamide (TAF) in Children and Adolescents With Chronic Hepatitis B Virus Infection
Status: | Recruiting |
---|---|
Conditions: | Infectious Disease, Hepatitis, Hepatitis |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 2 - 17 |
Updated: | 3/15/2019 |
Start Date: | November 2016 |
End Date: | November 2026 |
Contact: | Gilead Study Team |
Email: | GS-US-320-1092@gilead.com |
A Randomized, Double-Blind Evaluation of the Pharmacokinetics, Safety, and Antiviral Efficacy of Tenofovir Alafenamide (TAF) in Children and Adolescent Subjects With Chronic Hepatitis B Virus Infection
The primary objective of Cohort 1 of this study is to evaluate the safety, tolerability, and
antiviral activity (HBV DNA < 20 IU/mL) of tenofovir alafenamide (TAF) 25 mg once daily
versus placebo through Week 24 in treatment-naive and treatment-experienced adolescents (aged
12 to < 18 years) with chronic hepatitis B (CHB).
Cohort 2 will consist of 2 parts: Part A and Part B. Intensive pharmacokinetic (PK) data will
be collected from all participants in Part A to confirm the dose of TAF in each dose group
and the remaining participants will be enrolled into Part B once dose confirmation is
achieved. The primary objectives of Part A are to evaluate the steady-state PK of TAF and
tenofovir (TFV) and confirm the dose of TAF given once daily in children (aged 2 to < 12
years) with CHB. The primary objective of Part B is to evaluate the safety and tolerability
of TAF at Week 48 and the antiviral activity (HBV DNA < 20 IU/mL) of TAF at Week 24 in
children (aged 2 to < 12 years) with CHB.
antiviral activity (HBV DNA < 20 IU/mL) of tenofovir alafenamide (TAF) 25 mg once daily
versus placebo through Week 24 in treatment-naive and treatment-experienced adolescents (aged
12 to < 18 years) with chronic hepatitis B (CHB).
Cohort 2 will consist of 2 parts: Part A and Part B. Intensive pharmacokinetic (PK) data will
be collected from all participants in Part A to confirm the dose of TAF in each dose group
and the remaining participants will be enrolled into Part B once dose confirmation is
achieved. The primary objectives of Part A are to evaluate the steady-state PK of TAF and
tenofovir (TFV) and confirm the dose of TAF given once daily in children (aged 2 to < 12
years) with CHB. The primary objective of Part B is to evaluate the safety and tolerability
of TAF at Week 48 and the antiviral activity (HBV DNA < 20 IU/mL) of TAF at Week 24 in
children (aged 2 to < 12 years) with CHB.
Key Inclusion criteria:
- Males and non-pregnant, non-lactating females
- Weight at screening as follows:
- Cohort 1 = ≥ 35 kg (≥ 77 lbs)
- Cohort 2 Group 1 = ≥ 25 kg (≥ 55 lbs)
- Cohort 2 Group 2 = ≥ 17 kg to < 25 kg (≥ 37 lbs to <55 lbs)
- Cohort 2 Group 3 = < 17 kg (< 37 lbs)
- Willing and able to provide written informed consent/assent (child and parent/legal
guardian)
- Documented evidence of CHB (eg, HBsAg-positive for ≥ 6 months)
- Treatment-naive or treatment-experienced will be eligible for enrollment.
- Estimated creatinine clearance (CLCr) ≥ 80 mL/min/1.73m^2 (using the Schwartz formula)
- Normal ECG
Key Exclusion criteria:
- Females who are breastfeeding
- Males and females of reproductive potential who are unwilling to use an "effective",
protocol-specified method(s) of contraception during the study.
- Coinfection with hepatitis C virus (HCV), HIV, or hepatitis D virus (HDV)
- Evidence of hepatocellular carcinoma (Note: if screening alpha-fetoprotein (AFP) is <
50 ng/mL no imaging study is needed; however, if the screening AFP is > 50 ng/mL an
imaging study is required)
- Any history of, or current evidence of, clinical hepatic decompensation
- Abnormal hematological and biochemical parameters
- Chronic liver disease of non-HBV etiology (e.g., hemochromatosis, alpha-1 antitrypsin
deficiency, cholangitis)
- Received solid organ or bone marrow transplant
- Currently receiving therapy with immunomodulators (eg, corticosteroids), or
immunosuppressants
- Significant renal, cardiovascular, pulmonary, or neurological disease in the opinion
of the Investigator
- Malignancy within the 5 years prior to screening. Individuals under evaluation for
possible malignancy are not eligible.
- Current alcohol or substance abuse judged by the investigator to potentially interfere
with subject compliance.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
We found this trial at
17
sites
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials
Click here to add this to my saved trials