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Efficacy & Safety of Tenofovir Disoproxil Fumarate (TDF) Plus Peginterferon α-2a (Peg-IFN) Versus TDF or Peg-IFN Monotherapy in Chronic Hepatitis B

A Phase 4, Randomized, Open-label, Active-Controlled, Superiority Study to Evaluate the Efficacy and Safety of Tenofovir Disoproxil Fumarate (TDF) in Combination With Peginterferon α-2a (Pegasys®) Versus Standard of Care Tenofovir Disoproxil Fumarate Monotherapy or Peginterferon α-2a Monotherapy for 48 Weeks in Non-Cirrhotic Subjects With HBeAg-Positive or HBeAg-Negative Chronic Hepatitis B (CHB)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01277601
Enrollment
751
Registered
2011-01-17
Start date
2011-04-30
Completion date
2015-07-31
Last updated
2016-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Hepatitis B

Keywords

Chronic Hepatitis B, Hep B, Non cirrhotic, Tenofovir disoproxil fumarate (TDF), Peginterferon α-2a (Peg-IFN)

Brief summary

The primary objective of this study is to evaluate the efficacy of tenofovir disoproxil fumarate (TDF) plus peginterferon α-2a (Peg-IFN) combination therapy for 48 weeks versus standard of care TDF monotherapy or Peg-IFN monotherapy for 48 weeks in non-cirrhotic adults with chronic hepatitis B virus (HBV) as determined by loss of hepatitis B surface antigen (HBsAg). The study will consist of 2 phases for participants in the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups. Following an initial 48 weeks of treatment, participants in these groups will be monitored for 24 weeks for signs of worsening HBV, and those meeting TDF retreatment and flare management criteria will be eligible to receive TDF monotherapy during a retreatment phase, up to Week 120.

Interventions

DRUGTDF

TDF 300 mg tablets administered orally once daily

Peg-IFN 180 µg administered via subcutaneous injection once weekly

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Adults (age 18-75) with chronic HBV (positive for serum hepatitis B surface antigen (HBsAg) or HBV DNA for at least 6 months) prior to baseline * Anti-HBV treatment-naive adults; adults who have taken oral anti-HBV nucleoside therapy with the last dose ≥ 24 weeks prior to screening are also eligible. * Positive or negative for hepatitis B e antigen (HBeAg) * HBV DNA ≥ 20,000 IU/ml (HBeAg-positive participants) and ≥ 2,000 IU/ml (HBeAg-negative participants) * Alanine aminotransferase (ALT) \> 54 U/L and ≤ 400 U/L for men and \> 36 U/L and ≤ 300 U/L for women * Creatinine clearance ≥ 70 mL/min * Negative serum pregnancy test for females of childbearing potential * Sexually active females of childbearing potential must agree to use a protocol-recommended method of contraception throughout the study and for 30 days following the last dose of study medication * Lactating females must agree to discontinue nursing before initiation of study investigational medicinal product

Exclusion criteria

* Known bridging fibrosis or cirrhosis and/or decompensated liver disease * Evidence of hepatocellular carcinoma * Significant kidney, heart, lung, neurological, autoimmune disease, or bone disease (eg, osteomalacia,chronic osteomyelitis, osteogenesis imperfecta, osteochondrosis, multiple bone fractures) * Absolute neutrophil count \< 1,500/mm\^3, platelet \< 100,000/mm\^3, hemoglobin \< 10 g/dL (female) or \< 11 g/dL (male) * History of severe depression or severe psychiatric disease * Thyroid dysfunction * Coinfection with HIV, hepatitis C virus (HCV) or hepatitis D virus (HDV) * Pregnant

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With HBsAg Loss at Week 72 Following Treatment With 48 Weeks of TDF Plus Peg-IFN Combination Versus Peg-IFN Alone for 48 Weeks or TDF AloneBaseline; Week 72Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis.

Secondary

MeasureTime frameDescription
Percentage of Participants With HBsAg Loss at Weeks 96 and 120Baseline; Weeks 96 and 120Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 96 comprised study Week 90 through Week 102, so results up to Week 102 are included in this analysis. The analysis visit window for Week 120 comprised study Week 114 through Week 126, so results up to Week 126 are included in this analysis.
Percentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Baseline; Weeks 72, 96, and 120HBsAg seroconversion was defined as change of detectable antibody to HBsAg from negative to positive. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis. The analysis visit window for Week 96 comprised Week 90 through Week 102, so results up to Week 102 are included in this analysis. The analysis visit window for Week 120 comprised Week 114 through Week 120.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 72Baseline; Week 72Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 96Baseline; Week 96Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.
Percentage of Participants With HBeAg Loss and Seroconversion at Week 120Baseline; Week 120Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.
Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 72Week 72For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.
Percentage of Participants With HBsAg Loss at Week 72 Following Treatment With TDF (48 Weeks) Plus Peg-IFN (16 Weeks) Combination Versus Peg-IFN Alone for 48 Weeks or TDF AloneBaseline; Week 72Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis.
Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 120Week 120For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.
Percentage of Participants With Normal ALT at Week 72Week 72Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.
Percentage of Participants With Normal ALT at Week 96Week 96Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.
Percentage of Participants With Normal ALT at Week 120Week 120Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.
Percentage of Participants Who Required RetreatmentUp to 120 weeksParticipants in the TDF 120 week group were not eligible to enter the retreatment phase and are not presented.
Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 96Week 96For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.

Countries

Australia, Canada, France, Germany, Greece, Hong Kong, India, Italy, Netherlands, Poland, Portugal, Romania, Singapore, South Korea, Spain, Taiwan, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in North America, Europe, Asia, and Australia. The first participant was screened on 12 April 2011. The last study visit occurred on 17 July 2015.

Pre-assignment details

1597 participants were screened.

Participants by arm

ArmCount
TDF+Peg-IFN 48 Weeks
TDF 300 mg tablet once daily plus Peg-IFN 180 µg s.c. injection once weekly for 48 weeks
186
TDF 48 Weeks + Peg-IFN 16 Week
TDF 300 mg tablet once daily plus Peg-IFN 180 µg s.c. injection once weekly for 16 weeks followed by TDF 300 mg tablet once daily for an additional 32 weeks
184
TDF 120 Weeks
TDF 300 mg tablet once daily for 120 weeks
185
Peg-IFN 48 Weeks
Peg-IFN 180 µg s.c. injection once weekly for 48 weeks
185
Total740

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event5307
Overall StudyLost to Follow-up7942
Overall StudyNoncompliance with Study Drug1320
Overall StudyPhysician Decision3516
Overall StudyPregnancy2241
Overall StudyProtocol Violation0250
Overall StudySubject Never Dosed with Study Drug1231
Overall StudySubject Terminated from Study by Sponsor0102
Overall StudyWithdrawal by Subject1821817

Baseline characteristics

CharacteristicTDF+Peg-IFN 48 WeeksTotalPeg-IFN 48 WeeksTDF 120 WeeksTDF 48 Weeks + Peg-IFN 16 Week
Age, Continuous38 years
STANDARD_DEVIATION 10.7
37 years
STANDARD_DEVIATION 10.5
38 years
STANDARD_DEVIATION 10.5
36 years
STANDARD_DEVIATION 10.8
37 years
STANDARD_DEVIATION 9.9
Alanine Aminotransferase (ALT)121.2 U/L
STANDARD_DEVIATION 180.82
110.3 U/L
STANDARD_DEVIATION 116.94
106.6 U/L
STANDARD_DEVIATION 91.51
100.9 U/L
STANDARD_DEVIATION 67.65
112.2 U/L
STANDARD_DEVIATION 94.44
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants18 Participants7 Participants3 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
182 Participants719 Participants177 Participants181 Participants179 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants3 Participants1 Participants1 Participants1 Participants
HBV Genotype
Genotype A
17 participants61 participants14 participants14 participants16 participants
HBV Genotype
Genotype B
50 participants203 participants53 participants49 participants51 participants
HBV Genotype
Genotype C
78 participants314 participants79 participants78 participants79 participants
HBV Genotype
Genotype D
39 participants154 participants38 participants41 participants36 participants
HBV Genotype
Genotype E-H
2 participants8 participants1 participants3 participants2 participants
Hepatitis B e Antigen (HBeAg) Status
Nonreactive
78 participants312 participants79 participants76 participants79 participants
Hepatitis B e Antigen (HBeAg) Status
Reactive
108 participants428 participants106 participants109 participants105 participants
Hepatitis B Surface Antigen (HBsAg)3.88 log 10 IU/mL
STANDARD_DEVIATION 0.84
3.84 log 10 IU/mL
STANDARD_DEVIATION 0.836
3.76 log 10 IU/mL
STANDARD_DEVIATION 0.844
3.89 log 10 IU/mL
STANDARD_DEVIATION 0.812
3.84 log 10 IU/mL
STANDARD_DEVIATION 0.849
Hepatitis B Virus (HBV) DNA7.06 log 10 IU/mL
STANDARD_DEVIATION 1.542
7.04 log 10 IU/mL
STANDARD_DEVIATION 1.553
6.94 log 10 IU/mL
STANDARD_DEVIATION 1.619
7.02 log 10 IU/mL
STANDARD_DEVIATION 1.55
7.13 log 10 IU/mL
STANDARD_DEVIATION 1.505
Race/Ethnicity, Customized
Asian
142 participants554 participants137 participants141 participants134 participants
Race/Ethnicity, Customized
Black or African American
5 participants18 participants6 participants4 participants3 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 participants3 participants1 participants0 participants0 participants
Race/Ethnicity, Customized
Other
1 participants4 participants0 participants1 participants2 participants
Race/Ethnicity, Customized
White
36 participants161 participants41 participants39 participants45 participants
Region of Enrollment
Australia
10 participants53 participants14 participants15 participants14 participants
Region of Enrollment
Canada
19 participants58 participants11 participants14 participants14 participants
Region of Enrollment
France
6 participants13 participants3 participants1 participants3 participants
Region of Enrollment
Germany
6 participants20 participants3 participants4 participants7 participants
Region of Enrollment
Greece
0 participants9 participants4 participants2 participants3 participants
Region of Enrollment
Hong Kong
25 participants97 participants21 participants27 participants24 participants
Region of Enrollment
India
10 participants30 participants6 participants9 participants5 participants
Region of Enrollment
Italy
2 participants11 participants4 participants4 participants1 participants
Region of Enrollment
Korea, Republic of
34 participants145 participants35 participants38 participants38 participants
Region of Enrollment
Netherlands
2 participants4 participants1 participants0 participants1 participants
Region of Enrollment
Poland
4 participants22 participants5 participants6 participants7 participants
Region of Enrollment
Portugal
0 participants3 participants0 participants0 participants3 participants
Region of Enrollment
Romania
12 participants49 participants9 participants13 participants15 participants
Region of Enrollment
Singapore
7 participants27 participants8 participants7 participants5 participants
Region of Enrollment
Spain
3 participants14 participants5 participants3 participants3 participants
Region of Enrollment
Taiwan
20 participants66 participants19 participants12 participants15 participants
Region of Enrollment
Turkey
5 participants24 participants7 participants6 participants6 participants
Region of Enrollment
United Kingdom
2 participants10 participants4 participants1 participants3 participants
Region of Enrollment
United States
19 participants85 participants26 participants23 participants17 participants
Sex: Female, Male
Female
59 Participants254 Participants66 Participants64 Participants65 Participants
Sex: Female, Male
Male
127 Participants486 Participants119 Participants121 Participants119 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
147 / 18626 / 112142 / 18431 / 11589 / 185152 / 18533 / 117
serious
Total, serious adverse events
21 / 1867 / 11218 / 1843 / 11513 / 18518 / 1856 / 117

Outcome results

Primary

Percentage of Participants With HBsAg Loss at Week 72 Following Treatment With 48 Weeks of TDF Plus Peg-IFN Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone

Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis.

Time frame: Baseline; Week 72

Population: Full Analysis Set: participants who were randomized and received at least 1 dose of study drug. Participants in the TDF+Peg-IFN 48 Weeks, TDF 120 Weeks, and Peg-IFN 48 Weeks groups were analyzed by randomized treatment.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With 48 Weeks of TDF Plus Peg-IFN Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone9.05 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With 48 Weeks of TDF Plus Peg-IFN Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone0.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With 48 Weeks of TDF Plus Peg-IFN Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone2.84 percentage of participants
p-value: <0.001Log Rank
p-value: 0.002Log Rank
Secondary

Percentage of Participants Who Required Retreatment

Participants in the TDF 120 week group were not eligible to enter the retreatment phase and are not presented.

Time frame: Up to 120 weeks

Population: Safety Analysis Set. Participants in the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups were analyzed.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants Who Required Retreatment60.2 percentage of participants
TDF 120 WeeksPercentage of Participants Who Required Retreatment62.5 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants Who Required Retreatment63.2 percentage of participants
Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 120

Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.

Time frame: Baseline; Week 120

Population: Participants in the Full Analysis Set who were HBeAg reactive or indeterminate at baseline were analyzed. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the outcome.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss38.6 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion29.5 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss25.0 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion21.9 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss37.5 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion35.0 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss23.1 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion15.4 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss20.2 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion15.6 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss33.3 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion25.0 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Loss18.6 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 120HBeAg Seroconversion17.1 percentage of participants
Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 72

Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.

Time frame: Baseline; Week 72

Population: Participants in the Full Analysis Set who were HBeAg reactive or indeterminate at baseline were analyzed. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the outcome.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss35.5 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion28.9 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss15.6 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion15.6 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss32.8 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion31.1 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss15.9 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion13.6 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss14.7 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion12.8 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss32.8 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion31.3 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Loss14.3 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 72HBeAg Seroconversion14.3 percentage of participants
Secondary

Percentage of Participants With HBeAg Loss and Seroconversion at Week 96

Loss of HBeAg was defined as change of detectable HBeAg from positive to negative. HBeAg seroconversion was defined as change of detectable antibody to HBeAg from negative to positive. Percentages were based on the number of subjects with non-missing HBeAg results or missing HBeAg results imputed as failures at each visit. For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.

Time frame: Baseline; Week 96

Population: Participants in the Full Analysis Set who were HBeAg reactive or indeterminate at baseline were analyzed. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the outcome.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion36.4 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss43.2 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss20.3 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion18.8 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss45.5 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion43.2 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss14.8 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion13.1 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion16.5 percentage of participants
TDF 120 WeeksPercentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss18.3 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss37.8 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion29.7 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Loss14.5 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With HBeAg Loss and Seroconversion at Week 96HBeAg Seroconversion13.0 percentage of participants
Secondary

Percentage of Participants With HBsAg Loss at Week 72 Following Treatment With TDF (48 Weeks) Plus Peg-IFN (16 Weeks) Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone

Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis.

Time frame: Baseline; Week 72

Population: Full Analysis Set. Participants in the TDF 48 week + Peg-IFN 16 Weeks, TDF 120 Weeks, and Peg-IFN 48 Weeks groups were analyzed.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With TDF (48 Weeks) Plus Peg-IFN (16 Weeks) Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone2.83 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With TDF (48 Weeks) Plus Peg-IFN (16 Weeks) Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone0.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Week 72 Following Treatment With TDF (48 Weeks) Plus Peg-IFN (16 Weeks) Combination Versus Peg-IFN Alone for 48 Weeks or TDF Alone2.84 percentage of participants
Secondary

Percentage of Participants With HBsAg Loss at Weeks 96 and 120

Loss of HBsAg was defined as change of detectable HBsAg from positive to negative. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 96 comprised study Week 90 through Week 102, so results up to Week 102 are included in this analysis. The analysis visit window for Week 120 comprised study Week 114 through Week 126, so results up to Week 126 are included in this analysis.

Time frame: Baseline; Weeks 96 and 120

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 12010.36 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 969.69 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 963.49 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 1203.49 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 960.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 1200.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 1203.51 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Loss at Weeks 96 and 120Week 962.84 percentage of participants
Secondary

Percentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120

HBsAg seroconversion was defined as change of detectable antibody to HBsAg from negative to positive. Proportions are based on a Kaplan-Meier estimate. The analysis visit window for Week 72 comprised Week 70 through Week 78, so results up to Week 78 are included in this analysis. The analysis visit window for Week 96 comprised Week 90 through Week 102, so results up to Week 102 are included in this analysis. The analysis visit window for Week 120 comprised Week 114 through Week 120.

Time frame: Baseline; Weeks 72, 96, and 120

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 728.05 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 12010.08 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 968.05 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 720.56 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 1200.56 percentage of participants
TDF 120 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 960.56 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 960.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 720.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 1200.00 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 722.87 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 1202.87 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With HBsAg Seroconversion at Weeks 72, 96, and 120Week 962.87 percentage of participants
Secondary

Percentage of Participants With Normal ALT at Week 120

Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.

Time frame: Week 120

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120AASLD Criteria39.2 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120Central Laboratory Criteria44.6 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 120Central Laboratory Criteria72.3 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 120AASLD Criteria54.5 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120Central Laboratory Criteria40.6 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120AASLD Criteria30.4 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120Central Laboratory Criteria78.3 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 120AASLD Criteria48.7 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 120AASLD Criteria48.6 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 120Central Laboratory Criteria73.0 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 120AASLD Criteria30.9 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 120Central Laboratory Criteria41.2 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 120Central Laboratory Criteria73.5 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 120AASLD Criteria47.0 percentage of participants
Secondary

Percentage of Participants With Normal ALT at Week 72

Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.

Time frame: Week 72

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72AASLD Criteria42.1 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72Central Laboratory Criteria59.5 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 72Central Laboratory Criteria40.0 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 72AASLD Criteria18.3 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72Central Laboratory Criteria57.6 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72AASLD Criteria40.7 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72Central Laboratory Criteria34.8 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 72AASLD Criteria18.2 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 72AASLD Criteria47.6 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 72Central Laboratory Criteria72.4 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 72AASLD Criteria35.0 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 72Central Laboratory Criteria57.5 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 72Central Laboratory Criteria33.8 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 72AASLD Criteria9.2 percentage of participants
Secondary

Percentage of Participants With Normal ALT at Week 96

Normal ALT was ≤ 30 U/L for males and ≤ 19 U/L for females (based on the American Association for the Study of Liver Diseases (AASLD) 2008 guidelines), and ≤ 41 U/L for males and ≤ 31 U/L for females (based on central laboratory upper limit of the normal range (ULN) for ALT). For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.

Time frame: Week 96

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureGroupValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96AASLD Criteria43.2 percentage of participants
TDF+Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96Central Laboratory Criteria55.6 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 96AASLD Criteria42.9 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 96Central Laboratory Criteria71.4 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96AASLD Criteria34.1 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96Central Laboratory Criteria52.4 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96AASLD Criteria46.1 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Normal ALT at Week 96Central Laboratory Criteria73.5 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 96AASLD Criteria48.1 percentage of participants
TDF 120 WeeksPercentage of Participants With Normal ALT at Week 96Central Laboratory Criteria73.0 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 96AASLD Criteria34.7 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Normal ALT at Week 96Central Laboratory Criteria47.2 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 96AASLD Criteria39.8 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Normal ALT at Week 96Central Laboratory Criteria68.1 percentage of participants
Secondary

Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 120

For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 120, and in the Retreated column for participants who did enter the retreatment phase by Week 120.

Time frame: Week 120

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12032.4 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12081.3 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12018.8 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12083.5 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12082.2 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12013.2 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 12082.1 percentage of participants
Secondary

Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 72

For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 72, and in the Retreated column for participants who did enter the retreatment phase by Week 72.

Time frame: Week 72

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7215.3 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7226.2 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7214.5 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7215.1 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7284.9 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7211.7 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 7240.4 percentage of participants
Secondary

Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 96

For the TDF+Peg-IFN 48 Weeks, TDF 48 Weeks + Peg-IFN 16 Weeks, and Peg-IFN 48 Weeks groups, data are presented in the Not Retreated column for participants who had not entered the retreatment phase by Week 96, and in the Retreated column for participants who did enter the retreatment phase by Week 96.

Time frame: Week 96

Population: Full Analysis Set. The missing = failure method was used in which participants on study with missing data were considered to have failed to achieve the endpoint.

ArmMeasureValue (NUMBER)
TDF+Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9621.7 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9668.0 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9615.7 percentage of participants
Peg-IFN 48 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9680.2 percentage of participants
TDF 120 WeeksPercentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9683.8 percentage of participants
Peg-IFN 48 Weeks (Not Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9613.9 percentage of participants
Peg-IFN 48 Weeks (Retreated)Percentage of Participants With Virological Response (HBV DNA < 117 IU/mL) at Week 9670.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026