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Telbivudine or Tenofovir Treatment in HBeAg-negative Chronic Hepatitis B Patients Based on the Roadmap Concept

OPTIMA: A Randomized, Open-label, 156-week Treatment Study to Evaluate the Efficacy and Safety of Telbivudine or Tenofovir Treatment in HBeAg-negative Chronic Hepatitis B Patients Based on the Roadmap Concept

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01379508
Enrollment
241
Registered
2011-06-23
Start date
2011-03-21
Completion date
2015-12-10
Last updated
2018-11-05

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

Conditions

Chronic Hepatitis B

Brief summary

The purpose of this study is to evaluate the efficacy and safety following the Roadmap Concept strategy with an initial monotherapy using either telbivudine or tenofovir in HBeAg negative CHB patients. The data from the study should allow for the validation of the Roadmap concept in a prospective manner, for both telbivudine and tenofovir treated HBeAg negative CHB patients. As part of a post-approval commitment to the European Health Authorities, the data will also be used to provide an optimized clinical treatment strategy for better clinical use of telbivudine in European HBeAg negative patients. Furthermore, the data from the study will contribute to a better scientific understanding, disease management and treatment of HBeAg negative CHB patients.

Interventions

DRUGtelbivudine

600 mg film-coated tablets taken as 600 mg once daily

DRUGtenofovir disoproxil fumarate

300 mg tablets taken as 300 mg once daily

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Male or female, at least 18 years of age Documented compensated HBeAg negative CHB defined by all of the following: * Detectable serum HBsAg at screening visit and at least 6 months prior; * HBeAg negative at the screening visit with positive HBeAb; * Serum HBV DNA \> 2000 IU/mL Serum ALT level \> 1×ULN and \<10×ULN at screening visit; patient with normal ALT ≤1xULN at screening are eligible, with moderate liver inflammation or fibrosis, complensated liver sirrhosis, ALT level \>1xULN wtihin last 6 months

Exclusion criteria

* Co-infected with HCV, HDV or HIV. * Received treatment of nucleoside or nucleotide drugs at any time * Received IFN or other immunomodulatory treatment within six months before Screening * Pregnant or nursing (lactating) women * Clinical signs/symptoms of hepatic decompensation * History of myopathy, myositis or persistent muscle weakness * history of clinical and laboratory evidence of chronic renal insufficency

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -week 52The primary objective of the study is to compare the efficacy of Roadmap-Concept-based telbivudine treatment versus Roadmap-Concept-based tenofovir treatment in HBeAg-negative CHB patients. The rate of HBV DNA \< 300 copies/mL (51 IU/mL) at week 52 will be used for the comparison of the efficacy. The hypothesis is that the aggregated rate of HBV DNA \< 300 copies/mL (51 IU/mL) at week 52 of Telbivudine (ARM 1) is non-inferior to Tenofovir (ARM 2). For the treating missing as failure analysis, patients who came for their primary endpoint Week 52 visit within the ± 7-day window but not on the exact designated day of the visit were treated as missing data.

Secondary

MeasureTime frameDescription
Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)week 24, 52, 104To assess the antiviral efficacy, as evaluated by the percentage of patients achieving HBV DNA \<300 copies/mL (51 IU/mL), ALT normalization, HBsAg loss, HBsAg conversion, virologic breakthrough (VB) at study visit, cumulative VB by study defined study period, cumulative treatment-emergent resistance
Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)156 weeksTo assess the antiviral efficacy, as evaluated by the percentage of patients achieving HBV DNA \<300 copies/mL (51 IU/mL) at Week156, ALT normalization, HBsAg loss, development of HBsAg conversion , cumulative tx emergent resistance, HBV DNA \<300 copies/mL with HBV DNA \<7 log at Baseline
eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline, 24 weeks, 52 weeks, 104 weeks, 156 weekseGFR changes were calculated using the Modification of Diet in Renal Disease (MDRD) formula: GFR = 186 x (sCr)\^(-1.154) x (age)\^-0.203 with Female: Multiply GFR by 0.742; Black: Multiply GFR by 1.210. sCr is Serum Creatinine in mg/dl (measured at each scheduled visit). Age in years at visit (=\[sCr sample collection date -Date of birth\]/365.25). Weight in kilograms, as measured at the visit or the closest previous visit Safety population.

Countries

Austria, Bulgaria, Germany, Greece, Italy, Russia, Spain, Turkey (Türkiye)

Participant flow

Participants by arm

ArmCount
LdT Mono at Week 24
Patients who had hepatitis B virus deoxyribonucleic acid \< 300 copies/mL in their blood at Week 24 continued to receive 600 mg telbivudine daily after Week 24
99
LdT+TDF at Week 24
Patients who were initially treated with telbivudine and had hepatitis B virus deoxyribonucleic acid \> 300 copies/mL in their blood at Week 24 and continued to receive 600 mg telbivudine daily and additional 300 mg tenofovir after Week 24.
22
TDF Mono at Week 24
Patients who were initially treated with tenofovir and had hepatitis B virus deoxyribonucleic acid \< 300 copies/mL in their blood at Week 24 and continued to receive 300 mg tenofovir daily after Week 24.
109
TDF + LdT at Week 24
Patients who were initially treated with tenofovir and had hepatitis B virus deoxyribonucleic acid \> 300 copies/mL in their blood at Week 24 and continued to receive 300 mg tenofovir and additional 600 mg telbivudine after Week 24.
11
Total241

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Extension Period Weeks 109-156Administrative problems3010
Extension Period Weeks 109-156Lost to Follow-up6150
Extension Period Weeks 109-156Protocol Violation2100
Extension Period Weeks 109-156Withdrawal by Subject8180
Treatment to Week 104Abnormal lab value1000
Treatment to Week 104Abnormal test procedure result(s)1000
Treatment to Week 104Administrative problems3100
Treatment to Week 104Adverse Event2050
Treatment to Week 104Lost to Follow-up5030
Treatment to Week 104Protocol Violation1110
Treatment to Week 104Withdrawal by Subject6140

Baseline characteristics

CharacteristicLdT Mono at Week 24TotalTDF + LdT at Week 24TDF Mono at Week 24LdT+TDF at Week 24
Age, Customized
< 30 years
17 Participants39 Participants0 Participants18 Participants4 Participants
Age, Customized
> 50 years
26 Participants67 Participants4 Participants32 Participants5 Participants
Age, Customized
Between 30 and 50 years
56 Participants135 Participants7 Participants59 Participants13 Participants
HBV DNA5.887 log10 copies/mL)
STANDARD_DEVIATION 1.2862
5.887 log10 copies/mL)
STANDARD_DEVIATION 1.2862
7.938 log10 copies/mL)
STANDARD_DEVIATION 1.0709
5.838 log10 copies/mL)
STANDARD_DEVIATION 1.2464
7.769 log10 copies/mL)
STANDARD_DEVIATION 1.2502
HBV DNA levels < or ≥ 7 log 10 copies/mL at baseline.
< 7 log 10 copies/mL
81 Participants171 Participants3 Participants83 Participants4 Participants
HBV DNA levels < or ≥ 7 log 10 copies/mL at baseline.
≥ 7 log 10 copies/mL
18 Participants70 Participants8 Participants26 Participants18 Participants
Participants with alanine aminotransferase (ALT) - Multiples of upper limits of normal (ULN)
> 1 × - < 2 × ULN
35 Participants74 Participants5 Participants27 Participants7 Participants
Participants with alanine aminotransferase (ALT) - Multiples of upper limits of normal (ULN)
≤ 1 × ULN
46 Participants105 Participants4 Participants52 Participants3 Participants
Participants with alanine aminotransferase (ALT) - Multiples of upper limits of normal (ULN)
2 × - < 5 × ULN
13 Participants51 Participants1 Participants26 Participants11 Participants
Participants with alanine aminotransferase (ALT) - Multiples of upper limits of normal (ULN)
5 × or more ULN
5 Participants11 Participants1 Participants4 Participants1 Participants
Participants with aspartate aminotransferase (AST) - Multiples of upper limits of normal (ULN)
> 1 × - < 2 × ULN
14 Participants51 Participants7 Participants23 Participants7 Participants
Participants with aspartate aminotransferase (AST) - Multiples of upper limits of normal (ULN)
≤ 1 × ULN
70 Participants151 Participants2 Participants69 Participants10 Participants
Participants with aspartate aminotransferase (AST) - Multiples of upper limits of normal (ULN)
2 × - < 5 × ULN
12 Participants33 Participants1 Participants16 Participants4 Participants
Participants with aspartate aminotransferase (AST) - Multiples of upper limits of normal (ULN)
5 × or more ULN
3 Participants6 Participants1 Participants1 Participants1 Participants
Sex: Female, Male
Female
28 Participants73 Participants4 Participants34 Participants7 Participants
Sex: Female, Male
Male
71 Participants168 Participants7 Participants75 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
60 / 9815 / 2256 / 1098 / 11
serious
Total, serious adverse events
6 / 985 / 2211 / 1092 / 11

Outcome results

Primary

Percentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -

The primary objective of the study is to compare the efficacy of Roadmap-Concept-based telbivudine treatment versus Roadmap-Concept-based tenofovir treatment in HBeAg-negative CHB patients. The rate of HBV DNA \< 300 copies/mL (51 IU/mL) at week 52 will be used for the comparison of the efficacy. The hypothesis is that the aggregated rate of HBV DNA \< 300 copies/mL (51 IU/mL) at week 52 of Telbivudine (ARM 1) is non-inferior to Tenofovir (ARM 2). For the treating missing as failure analysis, patients who came for their primary endpoint Week 52 visit within the ± 7-day window but not on the exact designated day of the visit were treated as missing data.

Time frame: week 52

Population: Roadmap intent-to-treat (rITT) population consisted of patients in the ITT population who did not discontinue before Wk 24 and did not receive add-on. The total of the mono and combination arms were analyzed.

ArmMeasureGroupValue (NUMBER)
LdT OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing +/- 7 days DNA for Wk 5291.9 percentage of participants
LdT OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Missing DNA data at Wk 52=failure91.0 percentage of participants
LdT OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing LOCF DNA for Wk 5295.4 percentage of participants
LdT OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing within +28d DNA for Wk 5292.7 percentage of participants
TDF OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing within +28d DNA for Wk 5295.0 percentage of participants
TDF OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing LOCF DNA for Wk 5299.2 percentage of participants
TDF OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Missing DNA data at Wk 52=failure95.0 percentage of participants
TDF OverallPercentage of Participants Achieving HBV DNA < 300 Copies/mL (51 IU/mL) at Week 52 (rITT Population) -Imputing +/- 7 days DNA for Wk 5295.0 percentage of participants
Comparison: Missing DNA data at Wk 52=failure: To evaluate the primary objective, Mantel-Haenszel weighted estimates approach (stratified by HBV DNA level (\< 7 log10 copies/mL or ≥ 7 log10 copies/mL) and ALT (\< 3×ULN or ≥ 3×ULN) at baseline) was employed to assess the proportion of patients (response rate) who achieve HBV DNA \< 300 copies/mL after 52 weeks treatment in each treatment arm, as well as the difference in proportions (telbivudine - tenofovir arm) and the 95% CI of the difference.95% CI: [-10.5, 2.5]
Comparison: Imputing +/- 7 days DNA for Wk 52: To evaluate the primary objective, Mantel-Haenszel weighted estimates approach (stratified by HBV DNA level (\< 7 log10 copies/mL or ≥ 7 log10 copies/mL) and ALT (\< 3×ULN or ≥ 3×ULN) at baseline) was employed to assess the proportion of patients (response rate) who achieve HBV DNA \< 300 copies/mL after 52 weeks treatment in each treatment arm, as well as the difference in proportions (telbivudine - tenofovir arm) and the 95% CI of the difference.95% CI: [-9.4, 3.1]
Comparison: Imputing LOCF DNA for wk 52: d/c for non response prior to Wk 52: Treating missing as failure for patients who discontinued prior to Week 52 due to unsatisfactory therapeutic effect and imputing missing with LOCF for other patients95% CI: [-7.9, 0.4]
Comparison: Imputing within +28d DNA for wk52: d/c for non response \<28 days from Wk 52:Treating missing as failure for patients who discontinued prior to Week 52 due to unsatisfactory therapeutic effect and imputing missing with the earliest available assessment within the 28-day window starting from the scheduled Week 52 date for other patients (if no such assessment is available, treated as failure)95% CI: [-8.3, 3.8]
Secondary

eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the Study

eGFR changes were calculated using the Modification of Diet in Renal Disease (MDRD) formula: GFR = 186 x (sCr)\^(-1.154) x (age)\^-0.203 with Female: Multiply GFR by 0.742; Black: Multiply GFR by 1.210. sCr is Serum Creatinine in mg/dl (measured at each scheduled visit). Age in years at visit (=\[sCr sample collection date -Date of birth\]/365.25). Weight in kilograms, as measured at the visit or the closest previous visit Safety population.

Time frame: Baseline, 24 weeks, 52 weeks, 104 weeks, 156 weeks

Population: Safety population consisted of patients who received at least 1 dose of study drug and had 1 post-baseline safety assessment. Numbers in parentheses represent the number of participants who met the criteria for the measurement in the 2 LDT arms, LDT Overall, 2 TDF arms, TDF Overall, respectively

ArmMeasureGroupValue (MEAN)Dispersion
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)94.71 mL/min/1.73 m2Standard Deviation 16.422
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)100.18 mL/min/1.73 m2Standard Deviation 20.257
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)5.18 mL/min/1.73 m2Standard Deviation 18.842
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)5.19 mL/min/1.73 m2Standard Deviation 16.583
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)8.07 mL/min/1.73 m2Standard Deviation 16.777
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)96.43 mL/min/1.73 m2Standard Deviation 16.434
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)1.43 mL/min/1.73 m2Standard Deviation 12.815
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)101.33 mL/min/1.73 m2Standard Deviation 18.505
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)100.20 mL/min/1.73 m2Standard Deviation 16.287
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)109.79 mL/min/1.73 m2Standard Deviation 19.56
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)102.99 mL/min/1.73 m2Standard Deviation 19.425
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)-10.89 mL/min/1.73 m2Standard Deviation 14.993
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)-6.80 mL/min/1.73 m2Standard Deviation 17.229
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)104.02 mL/min/1.73 m2Standard Deviation 18.201
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)-5.77 mL/min/1.73 m2Standard Deviation 15.943
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)97.73 mL/min/1.73 m2Standard Deviation 17.69
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)100.70 mL/min/1.73 m2Standard Deviation 20.029
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)-12.06 mL/min/1.73 m2Standard Deviation 14.394
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)100.90 mL/min/1.73 m2Standard Deviation 16.643
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)97.47 mL/min/1.73 m2Standard Deviation 17.936
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)3.16 mL/min/1.73 m2Standard Deviation 16.947
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)-1.07 mL/min/1.73 m2Standard Deviation 14.076
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)2.96 mL/min/1.73 m2Standard Deviation 19.064
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)3.99 mL/min/1.73 m2Standard Deviation 18.104
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)96.67 mL/min/1.73 m2Standard Deviation 16.603
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)100.70 mL/min/1.73 m2Standard Deviation 20.054
LdT OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)101.20 mL/min/1.73 m2Standard Deviation 18.712
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)93.32 mL/min/1.73 m2Standard Deviation 18.88
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)93.61 mL/min/1.73 m2Standard Deviation 18.5
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)88.83 mL/min/1.73 m2Standard Deviation 16.773
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)92.19 mL/min/1.73 m2Standard Deviation 18.24
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)-3.83 mL/min/1.73 m2Standard Deviation 15.157
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)95.91 mL/min/1.73 m2Standard Deviation 16.396
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)-2.70 mL/min/1.73 m2Standard Deviation 18.636
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)-5.34 mL/min/1.73 m2Standard Deviation 13.393
TDF Mono at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)-2.41 mL/min/1.73 m2Standard Deviation 14.885
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)94.50 mL/min/1.73 m2Standard Deviation 17.558
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)-8.39 mL/min/1.73 m2Standard Deviation 10.479
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)-8.69 mL/min/1.73 m2Standard Deviation 15.632
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)-7.17 mL/min/1.73 m2Standard Deviation 15.368
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)-6.67 mL/min/1.73 m2Standard Deviation 11.905
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)87.33 mL/min/1.73 m2Standard Deviation 16.854
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)86.12 mL/min/1.73 m2Standard Deviation 14.233
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)85.81 mL/min/1.73 m2Standard Deviation 13.099
TDF + LdT at Week 24eGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)87.93 mL/min/1.73 m2Standard Deviation 13.28
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 actual(62,17,79,79,10,89)88.73 mL/min/1.73 m2Standard Deviation 16.355
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 actual (97,22,119,108,11,119)91.60 mL/min/1.73 m2Standard Deviation 17.879
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 156 change(62,17,79,79,10,89)-5.49 mL/min/1.73 m2Standard Deviation 13.178
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 104 change(97,22,119,108,11,119)-4.28 mL/min/1.73 m2Standard Deviation 15.2
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 change(97,22,119,108,11,119)-3.22 mL/min/1.73 m2Standard Deviation 18.082
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 change (97,22,119,108,11,119)-2.85 mL/min/1.73 m2Standard Deviation 14.928
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyBaseline actual(98,22,120,109,11,120)95.78 mL/min/1.73 m2Standard Deviation 16.433
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 52 actual(97,22,119,108,11,119)92.66 mL/min/1.73 m2Standard Deviation 18.569
TDF OveralleGFR Change From Baseline in Telbivudine Arm vs Tenofovir Arm Over the Course of the StudyWeek 24 actual(97,22,119,108,11,119)93.03 mL/min/1.73 m2Standard Deviation 18.378
Secondary

Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)

To assess the antiviral efficacy, as evaluated by the percentage of patients achieving HBV DNA \<300 copies/mL (51 IU/mL) at Week156, ALT normalization, HBsAg loss, development of HBsAg conversion , cumulative tx emergent resistance, HBV DNA \<300 copies/mL with HBV DNA \<7 log at Baseline

Time frame: 156 weeks

Population: The modified ITT (mITT) population consisted of all patients in ITT population who were eligible and enrolled into the extension.

ArmMeasureGroupValue (NUMBER)
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF16.1 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF14.0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF21.0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF8.7 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF88.7 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 15614.3 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF88.2 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF85.7 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL17.6 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15617.7 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF100.0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 1566.7 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF93.3 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF0.0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15611.8 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF100.0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF16.5 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF91.1 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF8.2 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF88.9 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15616.5 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF10.8 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF12.7 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 15612.0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF88.0 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL16.7 percentage of participants
LdT OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF100.0 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 15610.5 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF1.3 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15613.9 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF100.0 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF86.8 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF1.3 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF0 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL11.7 percentage of participants
TDF Mono at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF0.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF85.7 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF100.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF100.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF0.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15620.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL50.0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF0 percentage of participants
TDF + LdT at Week 24Percentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 15628.6 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB Wk104-156 LOCF1.1 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx-emerg resist Wk156 <7log LOCF0.0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum tx emerg resist Week 156 LOCF0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 156 LOCF86.7 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)ALT normalization Wk 15613.3 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 <7 log at BL12.9 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Wk156 LOCF100.00 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA < 300 Week 15614.6 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBV DNA <300 Wk156 <7 log LOCF100.0 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)Cum VB BL to Wk 156 LOCF1.1 percentage of participants
TDF OverallPercentage of Participants Achieving Secondary Efficacy Endpoints at Week 156 (mITT)HBSAg loss/ seroconversion0 percentage of participants
Secondary

Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)

To assess the antiviral efficacy, as evaluated by the percentage of patients achieving HBV DNA \<300 copies/mL (51 IU/mL), ALT normalization, HBsAg loss, HBsAg conversion, virologic breakthrough (VB) at study visit, cumulative VB by study defined study period, cumulative treatment-emergent resistance

Time frame: week 24, 52, 104

Population: Roadmap intent-to-treat (rITT) population was analyzed.

ArmMeasureGroupValue (NUMBER)
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF92.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF88.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10470.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10468.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF9.2 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF3.3 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10469.6 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 2498.9 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1049.2 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 523.3 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF14.1 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF12.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF100.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF92.1 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF3.3 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 10414.1 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 10412.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF92.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk5293.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 523.3 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 240 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5284.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF97.4 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF100.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 240.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10476.2 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5283.3 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10472.2 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF83.3 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF83.3 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 244.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 1044.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF4.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF4.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk5275.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10450.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF100.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF100.0 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF9.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF97.5 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF2.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 1049.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10470.6 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF81.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF0.9 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 2480.5 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5283.8 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 10412.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF7.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF2.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF89.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1047.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10470.8 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk5292.5 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF86.8 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 240.9 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF92.5 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 522.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF12.4 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF93.8 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10467.5 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 522.7 percentage of particiipants
LdT OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF100.0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 2499.1 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF99.1 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF98.8 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 240 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 520 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10476.3 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 1041.9 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 1041.9 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF1.9 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF100.0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF1.9 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10474.5 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 520 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1040 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10461.4 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF87.7 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF86.0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5282.5 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk5295.0 percentage of particiipants
TDF Mono at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 240 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 520 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF85.7 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5285.7 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10485.7 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk52100.0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1040 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 1040 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10481.8 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10466.7 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF100.0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF100.0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 1040 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF100.0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF85.7 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF0 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 240 percentage of particiipants
TDF + LdT at Week 24Percentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk52-Wk104 LOCF1.7 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 52 LOCF87.5 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseL to Wk 240 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BLto Wk 104 LOCF1.7 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resistance Wk 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 52 LOCF100.0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Ccum tx emergent resistance Wk 1040 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 2489.7 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk10475.9 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk52 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log HBV DNA <300 Wk 104 LOCF98.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg conversion Week 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 104 LOCF85.9 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum tx emergent resist Wk 104 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBsAg loss Week 520 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Week 10464.1 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)ALT Normalization Wk 5282.8 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)<7 log at BL HBV DNA <300 Wk5295.2 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break BaseLto Wk 1041.7 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 52 to Wk 1041.7 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Wk104 LOCF99.1 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum vir break BL to Wk24 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 24 LOCF90.6 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)Cum virol break Wk 24 to Wk 52 LOCF0 percentage of particiipants
TDF OverallPercentage of Patients Achieving Secondary Efficacy Endpoints (rITT)HBV DNA <300 Week 10475.2 percentage of particiipants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026