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Efficacy and Safety of Tenofovir Disoproxil Fumarate (TDF) 300mg in Chinese Subjects With Chronic Hepatitis B (CHB)

A Multi-centre, Double Blind, Double Dummy, Randomised, Controlled Study to Evaluate the Efficacy and Safety of TDF 300mg Once Daily (QD) Versus Adefovir Dipivoxil (ADV) 10mg QD in Chinese Subjects With CHB

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01300234
Acronym
TDF in CHB
Enrollment
512
Registered
2011-02-21
Start date
2011-03-30
Completion date
2016-12-06
Last updated
2018-07-13

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

Conditions

Hepatitis B

Keywords

tenofovir disoproxil fumarate, chronic hepatitis B, adefovir dipivoxil

Brief summary

This is a multi-centre, double blind, double dummy, randomised, controlled study to evaluate the efficacy and safety of TDF 300mg QD versus ADV 10mg QD in Chinese subjects with CHB. This study is designed to demonstrate the superiority of TDF 300mg QD over ADV 10mg QD in treating Chinese subjects with CHB (hepatitis B e antigen \[HBeAg\] positive subjects and HBeAg negative subjects). It will also provide long-term efficacy and safety data (up to 240 weeks) for TDF 300 mg administered once daily.

Detailed description

This is a multi-centre, double-blind, double-dummy, randomised, controlled study to evaluate the efficacy and safety of TDF 300mg QD versus ADV 10mg QD in Chinese subjects with CHB. Four hundred and ninety-four subjects with CHB (200 HBeAg positive subjects and 294 HBeAg negative subjects) will be randomised (1:1ratio) to either TDF 300mg QD or ADV 10mg QD treatment arms. The primary endpoint is the proportion of subjects with blood hepatitis B virus (HBV) deoxyribonucleic acid (DNA) \<400copies/mL (Roche COBAS Taqman HBV test) at Week 48 in HBeAg positive subjects with CHB and HBeAg negative subjects with CHB. This is a two-part study. The first treatment period (baseline to Week 48) will investigate the effects of TDF and ADV on safety and efficacy endpoints; dosing will be double-blind. This period will be followed by 192 weeks in which all subjects will receive open-label TDF (Week 49 to Week 240). Subjects will undergo regular safety and efficacy assessments every 4 weeks for the first 12 weeks followed by every 12 weeks for a total of up to 5 years.

Interventions

DRUGTenofovir disoproxil fumarate (TDF) tablets

white, almond-shaped, film-coated tablets containing 300mg of TDF

DRUGAdefovir dipivoxil (ADV) tablets

white to off-white, round, biconvex tablets containing 10mg of ADV

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 69 Years
Healthy volunteers
No

Inclusion criteria

* HBeAg positive/negative CHB with blood HBVDNA≥10\^5 copies/mL and elevated ALT * Nucleoside and nucleotide naïve CHB subjects. Previous lamivudine treatment is allowed in less than 10% of the total study population

Exclusion criteria

* subjects with hepatocellular carcinoma (HCC) potential or decompensated liver disease * subjects with acute liver disease due to other causes * subjects with medication history of immunosuppressive therapy, immunomodulatory therapy, systemic cytotoxic agents, chronic antiviral agents including Chinese herbal medicines known to have activity against HBV (e.g., lamivudine, hepatitis B immunoglobulin (HBIg)) within the previous 6 months prior to randomisation into this study

Design outcomes

Primary

MeasureTime frameDescription
Participants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48Week 48The number of participants with Hepatitis B Virus (HBV) deoxyribonucleic acid (DNA) \<400 copies/milliliter (mL) at Week 48 in the hepatitis B e antigen (HBeAg)-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually, a negative result indicates that the participant has lower levels of virus in the blood and is less infectious. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Secondary

MeasureTime frameDescription
Participants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Weeks 96, 144, 192, and 240The number of participants with HBV DNA \<400 copies/mL in the hepatitis B e antigen (HBeAg)-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually, a negative result indicates that the participant has lower levels of virus in the blood and is less infectious. Week 96, 144, 192, and 240 data are not yet available, as this report includes data up to and including Week 48. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Change From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Baseline, Weeks 48, 96, 144, 192 and 240Change from Baseline of log 10 copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240 in the HBeAg-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually a negative result indicates that the participant has lower levels of virus in the blood and less infectious. Values at Day 0 were considered as Baseline values. Change from Baseline was calculated as post Baseline values minus Baseline values. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Number of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineBaseline; Weeks 48, 96, 144, 192 and 240Participants who had abnormal ALT at Baseline and had normalized ALT at Weeks 48, 96, 144, 192 and 240 were assessed. This report includes data up to and including Weeks 48, 96, 144, 192 and 240. An increased level of ALT is referred to as abnormal ALT (the normal range is 0 to 48 units per liter \[U/L\]). Values at Day 0 were considered as Baseline values. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.
Number of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Baseline; Week 48 and Week 240Histological improvement is defined as a reduction of \>=2 points in the KNS with no increase in fibrosis at Week 48 and Week 240 in participants with Baseline KNS \>=2 which was derived from the American Association for the Study of Liver Diseases Practice Guidelines for Management of Chronic Hepatitis B (2009) and the European Association for the Study of the Liver Clinical Practice Guidelines Management of chronic hepatitis B virus infection (2012). The Knodell scale consists of 5 domains: periportal +/- bridging necrosis (scored from best to worst: 0, 1, 3, 4, 5, 6, or 10); intralobular degeneration and focal necrosis (0 to 4); portal inflammation (0 to 4); and fibrosis (0 to 4). The necroinflammatory score (ranging from 0 \[best\] to 14 \[worst\]) is the combined score for necrosis (0 to 10) plus inflammation (0 to 4; the participant is scored for only one inflammatory condition). Liver biopsy slides within 6 months prior to randomization could be accepted as Baseline evaluation.
Number of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Weeks 24, 48, 96, 144, 192 and 240HBeAg loss is defined as a negative HBeAg result for those participants who were HBeAg positive at Baseline. Seroconversion to anti-HBe is defined as HBeAg loss and a positive anti-HBe result. This report includes data up to and including Weeks 24, 48, 96, 144, 192 and 240.
Number of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48Week 24 to Week 48Durable HBsAg loss is defined as the loss of HBsAg and no detectable HBV DNA and ALT normalization at any three consecutive visits at least 12 Weeks apart. This report includes data up to and including Week 48. A non-completers equal failures approach was used for the analysis in ITT population.
Number of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Weeks 24, 48, 96, 144, 192 and 240HBsAg loss is defined as negative HBsAg results for those participants with who were HBsAg positive at Baseline. Seroconversion to anti-HBs is defined as HBsAg loss and a positive anti-HBs result. This report includes data up to and including Week 240.
Number of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Weeks 24, 48, 96, 144, 192 and 240HBsAg loss is defined as a negative HBsAg result for those participants with who were HBsAg positive at Baseline. Seroconversion to anti-HBs is defined as HBsAg loss and a positive anti-HBs result. This report includes data up to and including Week 240.
Number of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240Week 96 to Week 240Durable HBsAg loss is defined as the loss of HBsAg and no detectable HBV DNA and ALT normalization at any three consecutive visits at least 12 Weeks apart from Week 96 to 240. This report includes data up to and including Week 240. A non-completers equal failures approach was used for the analysis in ITT population.
Number of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Weeks 48, 96, 144, 192 and 240The number of HBeAg-positive and HBeAg-negative participants who had virological breakthrough at Weeks 48, 96, 144, 192 and 240 were assessed. Virological breakthrough is defined by \>= one log increase in HBV DNA from NADIR (as determined by two sequential HBV DNA measurements at least one month apart or last on treatment measurement). A non-completers equal failures approach was used for the analysis in ITT population.
Number of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Up to Week 240 treatment period and 24 weeks follow-up visit off treatmentAn AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is Grade 4 (life threatening or disabling). Participants with any non-serious AEs and SAEs has been reported.
Number of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Up to Week 240TE grade 3 or grade 4 LAs are defined as values that increase by \>=1 grade from Baseline (Day 0) to Grade 3 (severe) or 4 (potentially life threatening) at any post-Baseline value. The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was referred for grading. Laboratory parameters assessed included Sodium for hyponatremia and hypernatremia; Potassium for hypokalemia and hyperkalemia; glucose for hypoglycemia and hyperglycemia non-fasting; Phosphate for hypophosphatemia; alanine aminotransferase/aspartate aminotransferase, bilirubin, creatinine kinase, hemoglobin, platelets, neutrophils, lymphocytes, prothrombin time and amylase.
Number of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusUp to Week 240The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was referred for grading. Serum creatinine: Grade 1, \> 133 to 177 micromoles per Liter (µmoles/Liter), Grade 2, \>177 to 265 µmoles/Liter, Grade 3, \>265 to 530 µmoles/Liter, Grade 4, \>530 µmoles/Liter. Serum phosphorus: Grade 2, 0.63 to \<0.80 millimoles per Liter (mmoles/L), Grade 3, 0.31 to \<0.63 mmoles/L, Grade 4, \<0.31 mmoles/L. The normal range for serum phosphorus was 0.8 to 1.45 mmoles/L; the upper limit for a Grade 2 abnormality is 0.80 mmoles/L. Therefore, no Grade 1 abnormalities could be attributed, as values were contained within the normal range. NA indicates the value was not available for the indicated time point.
Number of Participants in the Indicated Category for Renal Laboratory AbnormalitiesUp to Week 240The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was used for grading. Confirmed is defined as two consecutive visits. mg=milligrams. dL=deciliter, G= Grade.

Countries

China

Participant flow

Recruitment details

This was a 2 sequential treatment period study. In first period (double-blinded),participants received tenofovir disoproxil fumarate (TDF) 300 milligram (mg) once daily (QD) or adefovir dipivoxil (ADV) 10 mg QD for 48 Weeks. In second period (open-label single treatment), participants received TDF 300 mg QD for additional 192 Weeks.

Pre-assignment details

969 participants were screened, 512 were randomized and 509 were treated with at least one dose of study medication in the double-blind treatment period. Participants who received at least one dose of study medication continued in open-label period.

Participants by arm

ArmCount
TDF-TDF
In first treatment period, participants self-administered TDF 300 mg tablets plus matching ADV placebo at the same time QD for 48 Weeks. In second treatment, participants self-administered TDF 300 mg QD for additional 192 Weeks.
257
ADV-TDF
In first treatment period, participants self-administered ADV 10 mg tablets plus matching TDF placebo at the same time QD for 48 Weeks. In second treatment, participants self-administered TDF 300 mg QD for additional 192 Weeks.
252
Total509

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event11
Overall StudyLost to Follow-up1412
Overall StudyParticipant reached stopping critera20
Overall StudyParticipant refused return to hospital10
Overall StudyParticipant stopped medication11
Overall StudyPregnancy21
Overall StudyProtocol Violation23
Overall StudyWithdrawal by Subject59

Baseline characteristics

CharacteristicTDF-TDFADV-TDFTotal
Age, Continuous36.1 Years
STANDARD_DEVIATION 10.48
36.4 Years
STANDARD_DEVIATION 10.43
36.3 Years
STANDARD_DEVIATION 10.44
Race/Ethnicity, Customized
Asian - East Asian Heritage
257 participants252 participants509 participants
Sex: Female, Male
Female
43 Participants42 Participants85 Participants
Sex: Female, Male
Male
214 Participants210 Participants424 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 2570 / 252
other
Total, other adverse events
140 / 257121 / 252
serious
Total, serious adverse events
12 / 25720 / 252

Outcome results

Primary

Participants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48

The number of participants with Hepatitis B Virus (HBV) deoxyribonucleic acid (DNA) \<400 copies/milliliter (mL) at Week 48 in the hepatitis B e antigen (HBeAg)-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually, a negative result indicates that the participant has lower levels of virus in the blood and is less infectious. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Week 48

Population: Intent-to-Treat (ITT) Population: All randomized participants who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgParticipants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48HBeAg-positive, n=103, 9979 Participants
TDF 300 mgParticipants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48HBeAg-negative, n=154, 153149 Participants
ADV 10 mgParticipants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48HBeAg-positive, n=103, 9918 Participants
ADV 10 mgParticipants With Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) <400 Copies/Milliliter (mL) at Week 48HBeAg-negative, n=154, 153109 Participants
p-value: <0.000197.5% CI: [45.8, 71.3]Roche COBAS Taqman HBV test
p-value: <0.000197.5% CI: [16.7, 34.3]Roche COBAS Taqman HBV test
Secondary

Change From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240

Change from Baseline of log 10 copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240 in the HBeAg-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually a negative result indicates that the participant has lower levels of virus in the blood and less infectious. Values at Day 0 were considered as Baseline values. Change from Baseline was calculated as post Baseline values minus Baseline values. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline, Weeks 48, 96, 144, 192 and 240

Population: ITT Population.

ArmMeasureGroupValue (MEAN)Dispersion
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-positive, n=102, 97-6.4 log10 copies/mLStandard Deviation 0.86
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-negative, n=151, 148-4.9 log10 copies/mLStandard Deviation 1.16
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-positive, n=101, 97-6.5 log10 copies/mLStandard Deviation 0.86
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-negative, n=147,148-4.9 log10 copies/mLStandard Deviation 1.26
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-postive, n=100, 96-6.6 log10 copies/mLStandard Deviation 0.86
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-negative, n=145, 146-4.9 log10 copies/mLStandard Deviation 1.16
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-positive, n=97,93-6.6 log10 copies/mLStandard Deviation 0.86
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-negative, n=145,145-4.9 log10 copies/mLStandard Deviation 1.17
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-positive, n=91,90-6.6 log10 copies/mLStandard Deviation 1.01
TDF 300 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-negative, n=138,138-4.9 log10 copies/mLStandard Deviation 1.16
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-negative, n=145,145-4.8 log10 copies/mLStandard Deviation 1.14
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-positive, n=102, 97-4.4 log10 copies/mLStandard Deviation 1.69
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-negative, n=145, 146-4.9 log10 copies/mLStandard Deviation 1.09
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-negative, n=151, 148-4.3 log10 copies/mLStandard Deviation 1.31
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-negative, n=138,138-4.9 log10 copies/mLStandard Deviation 1.07
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-positive, n=101, 97-6.5 log10 copies/mLStandard Deviation 0.81
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-positive, n=97,93-6.6 log10 copies/mLStandard Deviation 0.81
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-negative, n=147,148-4.8 log10 copies/mLStandard Deviation 1.17
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-positive, n=91,90-6.5 log10 copies/mLStandard Deviation 0.79
ADV 10 mgChange From Baseline of Log 10 Copies/mL HBV DNA at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-postive, n=100, 96-6.5 log10 copies/mLStandard Deviation 0.8
Secondary

Number of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240

HBsAg loss is defined as a negative HBsAg result for those participants with who were HBsAg positive at Baseline. Seroconversion to anti-HBs is defined as HBsAg loss and a positive anti-HBs result. This report includes data up to and including Week 240.

Time frame: Weeks 24, 48, 96, 144, 192 and 240

Population: ITT Population. Only those participants with data available at specific time point were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 24, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 24, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 48, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 48, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 96, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 96, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 144, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 144, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 192, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 192, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 240, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 240, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 240, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 24, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 144, HBsAg loss1 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 24, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 192, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 48, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 144, HBsAg seroconversion1 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 48, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 240, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 96, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 192, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-negative Participants Achieving HBsAg Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192, 240Week 96, HBsAg seroconversion0 Participants
Secondary

Number of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.

HBeAg loss is defined as a negative HBeAg result for those participants who were HBeAg positive at Baseline. Seroconversion to anti-HBe is defined as HBeAg loss and a positive anti-HBe result. This report includes data up to and including Weeks 24, 48, 96, 144, 192 and 240.

Time frame: Weeks 24, 48, 96, 144, 192 and 240

Population: ITT Population. Only those participants with data available at specific time point were analyzed

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 144, HBeAg loss37 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 24, HBeAg loss15 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 24, HBeAg seroconversion14 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 48, HBeAg loss18 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 48, HBeAg seroconversion16 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 96, HBeAg loss37 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 96, HBeAg seroconversion32 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 144, HBeAg seroconversion33 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 192, HBeAg loss43 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 192, HBeAg seroconversion33 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 240, HBeAg loss43 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 240, HBeAg seroconversion33 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 240, HBeAg loss36 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 144, HBeAg loss24 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 96, HBeAg seroconversion18 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 24, HBeAg loss4 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 192, HBeAg seroconversion24 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 24, HBeAg seroconversion4 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 144, HBeAg seroconversion20 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 48, HBeAg loss10 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 240, HBeAg seroconversion28 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 48, HBeAg seroconversion9 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 192, HBeAg loss31 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving HBeAg Loss and HBeAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240.Week 96, HBeAg loss21 Participants
Secondary

Number of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240

HBsAg loss is defined as negative HBsAg results for those participants with who were HBsAg positive at Baseline. Seroconversion to anti-HBs is defined as HBsAg loss and a positive anti-HBs result. This report includes data up to and including Week 240.

Time frame: Weeks 24, 48, 96, 144, 192 and 240

Population: ITT Population. Only those participants with data available at specific time point were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 24, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 24, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 48, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 48, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 96, HBsAg loss0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 96, HBsAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 144, HBsAg loss1 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 144, HBaAg seroconversion0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 192, HBsAg, loss1 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 192, HBsAg, seroconversion0 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 240, HBsAg loss1 Participants
TDF 300 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 240 HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 240, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 24, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 144, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 24, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 192, HBsAg, seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 48, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 144, HBaAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 48, HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 240 HBsAg seroconversion0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 96, HBsAg loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 192, HBsAg, loss0 Participants
ADV 10 mgNumber of HBeAg-positive Participants Achieving Hepatitis B Surface Antigen (HBsAg) Loss and HBsAg Seroconversion at Weeks 24, 48, 96, 144, 192 and 240Week 96, HBsAg seroconversion0 Participants
Secondary

Number of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48

Durable HBsAg loss is defined as the loss of HBsAg and no detectable HBV DNA and ALT normalization at any three consecutive visits at least 12 Weeks apart. This report includes data up to and including Week 48. A non-completers equal failures approach was used for the analysis in ITT population.

Time frame: Week 24 to Week 48

Population: ITT Population. Only those participants available at the indicated time points were assessed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48HBeAg-positive, n =100, 970 Participants
TDF 300 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48HBeAg-negative, n=150, 1470 Participants
ADV 10 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48HBeAg-positive, n =100, 970 Participants
ADV 10 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 24 to Week 48HBeAg-negative, n=150, 1470 Participants
Secondary

Number of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240

Durable HBsAg loss is defined as the loss of HBsAg and no detectable HBV DNA and ALT normalization at any three consecutive visits at least 12 Weeks apart from Week 96 to 240. This report includes data up to and including Week 240. A non-completers equal failures approach was used for the analysis in ITT population.

Time frame: Week 96 to Week 240

Population: ITT Population.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240HBeAg-positive, n= 88, 901 Participants
TDF 300 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240HBeAg-negative, n = 132, 1370 Participants
ADV 10 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240HBeAg-positive, n= 88, 900 Participants
ADV 10 mgNumber of Participants Achieving Durable HBsAg Loss From Weeks 96 to Week 240HBeAg-negative, n = 132, 1371 Participants
Secondary

Number of Participants in the Indicated Category for Renal Laboratory Abnormalities

The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was used for grading. Confirmed is defined as two consecutive visits. mg=milligrams. dL=deciliter, G= Grade.

Time frame: Up to Week 240

Population: Safety Analysis Population

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesCreatinine increase of 0.5 mg/dL above Baseline1 Participants
TDF 300 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed creatinine >=2.0 mg/dL0 Participants
TDF 300 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed clearance <50 milliliters/minute0 Participants
TDF 300 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed phosphorus G 3/4 abnormality, <2.0 mg/dL3 Participants
ADV 10 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed phosphorus G 3/4 abnormality, <2.0 mg/dL0 Participants
ADV 10 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesCreatinine increase of 0.5 mg/dL above Baseline0 Participants
ADV 10 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed clearance <50 milliliters/minute0 Participants
ADV 10 mgNumber of Participants in the Indicated Category for Renal Laboratory AbnormalitiesConfirmed creatinine >=2.0 mg/dL0 Participants
Secondary

Number of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at Baseline

Participants who had abnormal ALT at Baseline and had normalized ALT at Weeks 48, 96, 144, 192 and 240 were assessed. This report includes data up to and including Weeks 48, 96, 144, 192 and 240. An increased level of ALT is referred to as abnormal ALT (the normal range is 0 to 48 units per liter \[U/L\]). Values at Day 0 were considered as Baseline values. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Baseline; Weeks 48, 96, 144, 192 and 240

Population: ITT Population.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 48, HBeAg-positive, n=102, 9788 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 48, HBeAg-negative, n=136, 132120 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 96, HBeAg-positive, n=102, 9793 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 96, HBeAg-negative, n=136,132126 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 144, HBeAg-positive, n=102, 9792 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 144, HBeAg-negative, n=136, 132123 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 192, HBeAg-positive, n=102, 9789 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 192, HBeAg-negative, n=136,132125 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 240, HBeAg-positive, n=102, 9782 Participants
TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 240, HBeAg-negative, n=136,132119 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 192, HBeAg-negative, n=136,132118 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 48, HBeAg-positive, n=102, 9783 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 144, HBeAg-negative, n=136, 132119 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 48, HBeAg-negative, n=136, 132116 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 240, HBeAg-negative, n=136,132111 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 96, HBeAg-positive, n=102, 9788 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 192, HBeAg-positive, n=102, 9779 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 96, HBeAg-negative, n=136,132118 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 240, HBeAg-positive, n=102, 9780 Participants
ADV 10 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Weeks 48, 96, 144, 192 and 240 in Participants Who Had Abnormal ALT at BaselineWeek 144, HBeAg-positive, n=102, 9787 Participants
Secondary

Number of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, or is Grade 4 (life threatening or disabling). Participants with any non-serious AEs and SAEs has been reported.

Time frame: Up to Week 240 treatment period and 24 weeks follow-up visit off treatment

Population: Safety Analysis Population: All participants who received at least one dose of study medication and had at least one post-Baseline safety assessment

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Non-serious AE140 Participants
TDF 300 mgNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)SAE12 Participants
ADV 10 mgNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)Non-serious AE121 Participants
ADV 10 mgNumber of Participants With Any Serious Adverse Event (SAE) and Any Non-serious Adverse Event (AE)SAE20 Participants
Secondary

Number of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.

Histological improvement is defined as a reduction of \>=2 points in the KNS with no increase in fibrosis at Week 48 and Week 240 in participants with Baseline KNS \>=2 which was derived from the American Association for the Study of Liver Diseases Practice Guidelines for Management of Chronic Hepatitis B (2009) and the European Association for the Study of the Liver Clinical Practice Guidelines Management of chronic hepatitis B virus infection (2012). The Knodell scale consists of 5 domains: periportal +/- bridging necrosis (scored from best to worst: 0, 1, 3, 4, 5, 6, or 10); intralobular degeneration and focal necrosis (0 to 4); portal inflammation (0 to 4); and fibrosis (0 to 4). The necroinflammatory score (ranging from 0 \[best\] to 14 \[worst\]) is the combined score for necrosis (0 to 10) plus inflammation (0 to 4; the participant is scored for only one inflammatory condition). Liver biopsy slides within 6 months prior to randomization could be accepted as Baseline evaluation.

Time frame: Baseline; Week 48 and Week 240

Population: ITT Population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 48, HBeAg-positive, n=38, 4931 Participants
TDF 300 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 48, HBeAg-negative, n=45, 5032 Participants
TDF 300 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 240, HBeAg-positive, n=38, 495 Participants
TDF 300 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 240, HBeAg-negative, n=45, 508 Participants
ADV 10 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 240, HBeAg-negative, n=45, 504 Participants
ADV 10 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 48, HBeAg-positive, n=38, 4939 Participants
ADV 10 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 240, HBeAg-positive, n=38, 492 Participants
ADV 10 mgNumber of Participants With Histological Improvement at Weeks 48 and 240 Who Had a Baseline Knodell Necroinflammatory Score (KNS) >=2.Week 48, HBeAg-negative, n=45, 5034 Participants
Secondary

Number of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)

TE grade 3 or grade 4 LAs are defined as values that increase by \>=1 grade from Baseline (Day 0) to Grade 3 (severe) or 4 (potentially life threatening) at any post-Baseline value. The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was referred for grading. Laboratory parameters assessed included Sodium for hyponatremia and hypernatremia; Potassium for hypokalemia and hyperkalemia; glucose for hypoglycemia and hyperglycemia non-fasting; Phosphate for hypophosphatemia; alanine aminotransferase/aspartate aminotransferase, bilirubin, creatinine kinase, hemoglobin, platelets, neutrophils, lymphocytes, prothrombin time and amylase.

Time frame: Up to Week 240

Population: Safety Analysis Population

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Sodium2 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Phosphate2 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Alanine aminotransferase19 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Aspartate aminotransferase10 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Bilirubin1 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Creatine kinase6 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Hemoglobin4 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Platelets4 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Neutrophils6 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Prothrombin time10 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Potassium1 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Glucose1 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Lymphocytes2 participants
TDF 300 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Amylase1 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Potassium0 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Sodium0 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Platelets3 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Phosphate3 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Lymphocytes3 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Alanine aminotransferase14 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Neutrophils4 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Aspartate aminotransferase6 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Glucose2 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Bilirubin1 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Prothrombin time17 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Creatine kinase4 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Amylase2 participants
ADV 10 mgNumber of Participants With the Indicated Grade 3 and Grade 4 Treatment-emergent (TE) Laboratory Abnormalities (LAs)Hemoglobin5 participants
Secondary

Number of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum Phosphorus

The Gilead Grading Scale for Severity of Adverse Events and Laboratory Abnormalities, version 21, September 2011 was referred for grading. Serum creatinine: Grade 1, \> 133 to 177 micromoles per Liter (µmoles/Liter), Grade 2, \>177 to 265 µmoles/Liter, Grade 3, \>265 to 530 µmoles/Liter, Grade 4, \>530 µmoles/Liter. Serum phosphorus: Grade 2, 0.63 to \<0.80 millimoles per Liter (mmoles/L), Grade 3, 0.31 to \<0.63 mmoles/L, Grade 4, \<0.31 mmoles/L. The normal range for serum phosphorus was 0.8 to 1.45 mmoles/L; the upper limit for a Grade 2 abnormality is 0.80 mmoles/L. Therefore, no Grade 1 abnormalities could be attributed, as values were contained within the normal range. NA indicates the value was not available for the indicated time point.

Time frame: Up to Week 240

Population: Safety Analysis Population

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 10 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 20 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 30 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 40 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 1NA Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 242 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 32 Participants
TDF 300 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 40 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 40 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 11 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 1NA Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 20 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 33 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 30 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum phosphorus, Grade 255 Participants
ADV 10 mgNumber of Participants With the Indicated Treatment-emergent Laboratory Abnormalities for Serum Creatinine and Serum PhosphorusSerum creatinine, Grade 40 Participants
Secondary

Number of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240

The number of HBeAg-positive and HBeAg-negative participants who had virological breakthrough at Weeks 48, 96, 144, 192 and 240 were assessed. Virological breakthrough is defined by \>= one log increase in HBV DNA from NADIR (as determined by two sequential HBV DNA measurements at least one month apart or last on treatment measurement). A non-completers equal failures approach was used for the analysis in ITT population.

Time frame: Weeks 48, 96, 144, 192 and 240

Population: ITT Population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-negative, n=154, 1533 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-Positive, n=103, 990 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 48, HBeAg-Negative, n=154, 1530 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-positive, n=103, 990 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-negative, n=154, 1532 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-positive, n=103, 990 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-negative, n=154, 1533 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-positive, n=103, 990 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-positive, n=103, 994 Participants
TDF 300 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-negative, n=154, 1533 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-positive, n=103, 997 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 192, HBeAg-negative, n=154, 1535 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-positive, n=103, 997 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 48,HBeAg-Positive, n=103, 994 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-negative, n=154, 1538 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 48, HBeAg-Negative, n=154, 1532 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 144, HBeAg-negative, n=154, 1534 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-positive, n=103, 994 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 240, HBeAg-positive, n=103, 9911 Participants
ADV 10 mgNumber of Participants With Virological Breakthrough at Weeks 48, 96, 144, 192 and 240Week 96, HBeAg-negative, n=154, 1533 Participants
Secondary

Participants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240

The number of participants with HBV DNA \<400 copies/mL in the hepatitis B e antigen (HBeAg)-positive and HBeAg-negative population was assessed. HBeAg is a viral protein that is secreted by hepatitis B-infected cells. It is associated with chronic hepatitis B infections and is used as a marker of active viral disease and a participant's degree of infectiousness. A positive result indicates that the participant has high levels of virus in the blood and greater infectiousness. Usually, a negative result indicates that the participant has lower levels of virus in the blood and is less infectious. Week 96, 144, 192, and 240 data are not yet available, as this report includes data up to and including Week 48. A non-completers equal failures approach is used for the analysis in ITT population. Only those participants available at the specified time points (represented by n=X in the category titles) were analyzed.

Time frame: Weeks 96, 144, 192, and 240

Population: ITT Population

ArmMeasureGroupValue (NUMBER)
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 96, HBeAg-negative, n=154, 153144 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 192,HBeAg-negative, n=154,153144 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 144, HBeAg-negative, n=154,153144 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 240, HBeAg-positive, n=103,9987 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 144, HBeAg-positive, n=103, 9997 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 240, HBeAg-negative, n=154,153138 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 192, HBeAg-positive, n=103,9994 Participants
TDF 300 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 96, HBeAg-positive, n=103, 9995 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 192, HBeAg-positive, n=103,9993 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 96, HBeAg-negative, n=154, 153143 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 144, HBeAg-positive, n=103, 9995 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 144, HBeAg-negative, n=154,153145 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 96, HBeAg-positive, n=103, 9992 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 192,HBeAg-negative, n=154,153141 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 240, HBeAg-positive, n=103,9987 Participants
ADV 10 mgParticipants With HBV DNA <400 Copies/mL at Weeks 96, 144, 192, and 240Week 240, HBeAg-negative, n=154,153137 Participants

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026