Efficacy and Safety of Switching From TDF to TAF in Adults With Chronic Hepatitis B Who Are Virologically Suppressed



Status:Active, not recruiting
Conditions:Hepatitis, Hepatitis
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - Any
Updated:3/27/2019
Start Date:December 29, 2016
End Date:February 2020

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A Phase 3, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Switching From Tenofovir Disoproxil Fumarate (TDF) 300 mg QD to Tenofovir Alafenamide (TAF) 25mg QD in Subjects With Chronic Hepatitis B Who Are Virologically Suppressed

The primary objectives of this study are to evaluate the efficacy, safety, and tolerability
of switching to tenofovir alafenamide (TAF) versus continuing tenofovir disoproxil fumarate
(TDF) in virologically suppressed adults with chronic hepatitis B virus (HBV) infection.


Key Inclusion Criteria:

- Must have the ability to understand and sign a written informed consent form; consent
must be obtained prior to initiation of study procedures

- Adult male and non-pregnant, non-lactating females

- Documented evidence of chronic HBV infection previously

- Maintained on TDF 300 mg QD for at least 48 weeks, and as monotherapy for chronic
hepatitis B for at least 24 weeks with viral suppression (HBV DNA < LLOQ) for a
minimum of 12 weeks prior to screening

- Adequate renal function

- Normal ECG

Key Exclusion Criteria:

- Pregnant women or women 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.

- Co-infection with hepatitis C virus (HCV), hepatitis D virus (HDV), or HIV

- Evidence of hepatocellular carcinoma

- Current evidence of, or recent (≤ 5 year) history of clinical hepatic decompensation

- Abnormal hematological and biochemical parameters, including:

- Hemoglobin < 10 g/dL

- Absolute neutrophil count < 750/mm^3

- Platelets ≤ 50,000/mm^3

- Aspartate aminotransferase (AST) or ALT > 5 × upper limit of the normal range
(ULN)

- Albumin < 3.0 mg/ dL

- International normalized ratio (INR) > 1.5 × ULN (unless stable on anticoagulant
regimen)

- Total bilirubin > 2.5 × ULN

- Received solid organ or bone marrow transplant

- Malignancy within 5 years prior to screening, with the exception of specific cancers
that are cured by surgical resection (eg, basal cell skin cancer). Individuals under
evaluation for possible malignancy are not eligible.

- Currently receiving therapy with immunomodulators (eg, corticosteroids), nephrotoxic
agents, or agents capable of modifying renal excretion

- Individuals receiving ongoing therapy with drugs not to be used with tenofovir
alafenamide or tenofovir disoproxil fumarate or individuals with a known
hypersensitivity to study drugs, metabolites, or formulation excipients

- Current alcohol or substance abuse judged by the investigator to potentially interfere
with compliance

- Any other clinical condition or prior therapy that, in the opinion of the
investigator, would make the individual unsuitable for the study or unable to comply
with dosing requirements.

- Use of investigational agents within 3 months of screening, unless allowed by the
sponsor

Note: Other protocol defined Inclusion/Exclusion criteria may apply.
We found this trial at
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