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Phase 3 Study of GSK548470 in Patients With Compensated Chronic Hepatitis B With Poor Response to Other Drugs

A Multi-center, Open-label Study of GSK548470 (Tenofovir Disoproxil Fumarate) in Patients With Compensated Chronic Hepatitis B With Poor Response to Other Drugs

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01475851
Enrollment
34
Registered
2011-11-21
Start date
2011-12-31
Completion date
2014-10-31
Last updated
2015-06-22

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

Conditions

Hepatitis B, Chronic

Keywords

Tenofovir disoproxil fumarate, compensated chronic hepatitis B

Brief summary

The purpose of this study is to evaluate the efficacy and safety of once-daily treatment with GSK548470 300 mg in Japanese patients with compensated chronic hepatitis B with poor response to other drugs.

Detailed description

This is a multicenter, open-label study in Japanese patients with compensated chronic hepatitis B with poor response to other drugs in order to evaluate the efficacy and safety of GSK548470 administered at a dose of 300 mg once daily. The target sample size is set at 32 subjects. The primary objective is to evaluate the efficacy and safety of once-daily treatment with GSK548470 300 mg in subjects with compensated chronic hepatitis B with poor response to other drugs. The secondary objective is to evaluate the long-term efficacy and safety of once-daily treatment with GSK548470 300 mg.To evaluate the efficacy and safety of GSK548470 in the study, subjects receiving a combination of lamivudine (LAM) and adefovir pivoxil (ADV) will be switched to a combination of LAM and GSK548470, while subjects on entecavir hydrate (ETV) with or without ADV will be switched to a combination of ETV and GSK548470.

Interventions

Blue tablets containing 300 mg of tenofovir disoproxil fumarate

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* The ability to understand and sign a written informed consent form * 16 to 69 years of age at the time of informed consent * Females of childbearing potential must have a negative pregnancy test and agree to avoidance of pregnancy * Subject must show QTc \<450 millisecond (msec) or \<480msec with Bundle Branch Block * Chronic HBV infection, defined as positive serum HBsAg for at least 6 month * Subjects currently treated with LAM/ADV, ETV or ETV/ADV for greater than 24 weeks * Chronic hepatitis B ; HBV NDA \>= 4 log10 copies/mL, Chronic hepatitis B with cirrhosis ; HBV NDA \>= 3 log10 copies/mL * Serum ALT \<= 10 × ULN * Creatinine clearance \>= 70 mL/min * Haemoglobin \>= 8 g/dL * WBC \>= 1,000 /mm3

Exclusion criteria

* Decompensated liver disease * Co-infection with HIV or HCV * Autoimmune hepatitis rather than chronic hepatitis B * Subject with serious complication * Received or have a plan for solid organ or bone marrow transplantation * Has proximal tubulopathy * History of hypersensitivity to nucleoside and/or nucleotide analogues * Evidence of hepatocellular carcinoma by diagnostic imaging at screening and/or serum α-fetoprotein \> 50 ng/mL at screening * History of HCC * Received any interferon or HB vaccine therapy within 24 weeks prior to initiation * Received overdose NSAIDs, excluding temporary or topical use, within 7 days prior to initiation * Received drugs for injection containing glycyrrhizin as the main component within 4 weeks prior to initiation * Received drugs causing renal impairment, competitors of renal excretion, immunosuppressants, chemotherapeutics and/or corticosteroids within 8 weeks prior to initiation * Participation in another clinical study within 6 months of study entry or planned participation in another clinical study after entry to this study * Woman who is pregnant, lactating, possibly pregnant or planning a pregnancy during the study period * Psychiatry disorder or cognitive disorder that may affect the subject ability to give informed consent or to follow specified study procedures * History of alcohol or drug abuse * Any condition or situation that may interfere with the subject's participation in the study

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With HBV DNA Level < 2.1 log10 Copies/mL at Week 24Week 24The number of participants with serum hepatitis B virus deoxyribonucleic acid (HBV DNA) level \< the lower limit of quantitation (2.1 log10 copies/millilitres\[copies/mL\]) (i.e., the rate of suppression) at Week 24 was summarized. Statistical analysis was not provided for the number of participants achieving HBV DNA \<2.1 log10 copies/mL (at Week 24). Missing values observed during the treatment period was imputed by the last observation carried forward (LOCF) method.

Secondary

MeasureTime frameDescription
Number of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96Week 48 and Week 96The number of participants with serum HBV DNA level \< the lower limit of quantitation (2.1 log10 copies/mL) (i.e., the rate of suppression) at Week 48 and Week 96 were summarized. The LOCF method was applied for missing values.
Number of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants with alanine aminotransferase (ALT) normalization at Week 24, Week 48 and Week 96 were summarized. ALT normalization is defined as when an ALT value exceeds the upper limit of normal range (ULN) at Baseline and within the normal range at the end of treatment. The LOCF method was applied for missing values.
Number of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants achieving hepatitis Be antigen (HBeAg) loss at Week 24, Week 48 and Week 96 in positive HBeAg participants at Baseline were summarized. Loss of HBeAg is defined as the change of detectable HBeAg from positive to negative. The LOCF method was applied for missing values.
Number of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants achieving hepatitis Be antigen (HBeAg)/hepatitis B e antibody (HBeAb) seroconversion at Week 24, Week 48 and Week 96 in positive HBeAg and negative HBeAb participants at Baseline were summarized. Seroconversion to HBeAg is defined as change of detectable antibody to HBeAg from negative to positive. The LOCF method was applied for missing values.
Mean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Baseline and Week 24, Week 48 and Week 96The mean change from Baseline in the hepatitis B virus deoxyribonucleic acid (HBV DNA) level at Week 24, Week 48 and Week 96 were assessed (HBV DNA values below the lower limit of quantitation \[i.e. 2.1 log10 copies/mL\] for the assay were set to the lower limit minus 0.1 \[i.e. 2.0 log10 copies/mL\]). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The Last Observation Carried Forward (LOCF) method was applied for missing values.
Number of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants with hepatitis B surface antigen (HBsAg)/hepatitis B surface antibody (HBsAb) seroconversion at Week 24, Week 48 and Week 96 in positive HBsAg and negative HBsAb participants at Baseline were summarized. HBsAg seroconversion was defined as change of detectable antibody to HBsAg from negative to positive. The LOCF method was applied for missing values.
Number of Participants With Virological Breakthrough and Resistance-related MutationsScreening, Week 24, Week 48, Week 96 and Virological BreakthroughThe number of participants who harbored resistance-related mutations and developed virological breakthrough was summarized. Virological breakthrough defined as HBV DNA level increase \>=1 log10 copies/mL above the treatment nadir were analyzed through end of treatment. Subjects who achieved the HBV-DNA values below lower limit of quantification (LLQ) (\< 2.1 log10 copies/mL) in quantitative analysis at Week 96 were also considered negative in drug-resistance without implementation of genotypic analysis. Lamivudine (LAM), adefovir pivoxil (ADV), and entecavir hydrate (ETV) resistance-related mutations were analyzed at Screening (i.e. Baseline), Week 24, Week 48 and Week 96 in participants with HBV DNA level above the lower limit of detection. Virologic breakthrough was defined as 1.0 log10 or greater increases in serum HBV DNA levels from on-treatment nadir. The LOCF method was applied for missing values.
Number of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96Baseline, Week 24, Week 48 and Week 96The number of participants achieving each indicated hepatitis B surface antigen (HBsAg) category (HBsAg \<80, 80 to 800, 800 to 8000, 8000 to 80000, \>=80000) (kilo international unit per liter \[KIU/L\]) by study visit was summarized.
Number of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96Baseline, Week 24, Week 48 and Week 96The number of participants achieving each indicated hepatitis B core-related antigen (HBcrAg) category (HBcrAg \<3.0 log10, 3.0 to 4.0 log10, 4.0 to 5.0 log10, 5.0 to 6.0 log10, \>=6.0 log10) (kilo units per liter \[KU/L\]) by study visit was summarized. The LOCF method was applied for missing values.
Number of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants with hepatitis B surface antigen (HBsAg) loss at Week 24, Week 48 and Week 96 in positive HBsAg participants at Baseline were summarized. Loss of HBsAg is defined as change of detectable HBsAg from positive to negative. The LOCF method was applied for missing values.

Countries

Japan

Participant flow

Pre-assignment details

A total of 34 participants (13 participants in the Lamivudine \[LAM\]/ Tenofovir disoproxil fumarate \[TDF\] group and 21 participants in the Entecavir \[ETV\]/TDF group) were enrolled in the study

Participants by arm

ArmCount
LAM 100 mg/TDF 300 mg
Participants received a single, Open-Label (OL) Lamivudine (LAM) 100 milligram (mg) tablet once daily (OD) and a single, OL tenofovir disoproxil fumarate (TDF) 300 mg tablet OD for 96 weeks.
13
ETV 0.5 mg/TDF 300 mg
Participants received a single, OL entecavir (ETV) 0.5 mg tablet OD and a single, OL TDF 300 mg tablet OD for 96 weeks.
21
Total34

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyProtocol defined stopping criteria10

Baseline characteristics

CharacteristicLAM 100 mg/TDF 300 mgETV 0.5 mg/TDF 300 mgTotal
Age, Continuous52.1 Years
STANDARD_DEVIATION 7.57
50.3 Years
STANDARD_DEVIATION 9.18
51.0 Years
STANDARD_DEVIATION 8.52
Race/Ethnicity, Customized
Asian-Japanese Heritage
13 Participants21 Participants34 Participants
Sex: Female, Male
Female
5 Participants4 Participants9 Participants
Sex: Female, Male
Male
8 Participants17 Participants25 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
12 / 1317 / 21
serious
Total, serious adverse events
1 / 132 / 21

Outcome results

Primary

Number of Participants With HBV DNA Level < 2.1 log10 Copies/mL at Week 24

The number of participants with serum hepatitis B virus deoxyribonucleic acid (HBV DNA) level \< the lower limit of quantitation (2.1 log10 copies/millilitres\[copies/mL\]) (i.e., the rate of suppression) at Week 24 was summarized. Statistical analysis was not provided for the number of participants achieving HBV DNA \<2.1 log10 copies/mL (at Week 24). Missing values observed during the treatment period was imputed by the last observation carried forward (LOCF) method.

Time frame: Week 24

Population: Full Analysis Set (FAS) Population: all participants who received at least one dose of investigational product (IP) and had at least one efficacy assessment after the start of study treatment.

ArmMeasureValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With HBV DNA Level < 2.1 log10 Copies/mL at Week 248 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBV DNA Level < 2.1 log10 Copies/mL at Week 2412 participants
Secondary

Mean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96

The mean change from Baseline in the hepatitis B virus deoxyribonucleic acid (HBV DNA) level at Week 24, Week 48 and Week 96 were assessed (HBV DNA values below the lower limit of quantitation \[i.e. 2.1 log10 copies/mL\] for the assay were set to the lower limit minus 0.1 \[i.e. 2.0 log10 copies/mL\]). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The Last Observation Carried Forward (LOCF) method was applied for missing values.

Time frame: Baseline and Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (MEAN)
LAM 100 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 24-2.72 log10 copies/mL
LAM 100 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 48-2.88 log10 copies/mL
LAM 100 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 96-3.02 log10 copies/mL
ETV 0.5 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 24-3.33 log10 copies/mL
ETV 0.5 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 48-3.50 log10 copies/mL
ETV 0.5 mg/TDF 300 mgMean Change From Baseline in Serum HBV DNA Level at Week 24, Week 48 and Week 96Week 96-3.50 log10 copies/mL
Secondary

Number of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96

The number of participants achieving each indicated hepatitis B core-related antigen (HBcrAg) category (HBcrAg \<3.0 log10, 3.0 to 4.0 log10, 4.0 to 5.0 log10, 5.0 to 6.0 log10, \>=6.0 log10) (kilo units per liter \[KU/L\]) by study visit was summarized. The LOCF method was applied for missing values.

Time frame: Baseline, Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 480 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Baseline12 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 481 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 241 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 480 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 240 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 482 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Baseline0 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 4810 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 240 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 960 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Baseline0 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 961 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 241 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 960 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Baseline1 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 963 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 2411 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 969 Participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Baseline0 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 9617 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 241 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Baseline0 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Baseline1 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Baseline0 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Baseline19 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 240 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 241 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 241 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 2418 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 480 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 481 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 481 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 481 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 4818 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 960 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 961 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 961 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 962 Participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline,Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Baseline1 Participants
Secondary

Number of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96

The number of participants achieving each indicated hepatitis B surface antigen (HBsAg) category (HBsAg \<80, 80 to 800, 800 to 8000, 8000 to 80000, \>=80000) (kilo international unit per liter \[KIU/L\]) by study visit was summarized.

Time frame: Baseline, Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 480 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Baseline0 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 483 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Baseline0 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 485 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 485 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Baseline6 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 480 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 245 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 960 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 243 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 964 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 245 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 966 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Baseline6 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 963 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 960 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Baseline1 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 960 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Baseline0 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Baseline0 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Baseline12 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Baseline8 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Baseline1 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 2415 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 246 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 481 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 4814 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 486 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 960 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 963 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 9613 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 965 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 240 participants
Secondary

Number of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96

The number of participants with hepatitis B surface antigen (HBsAg)/hepatitis B surface antibody (HBsAb) seroconversion at Week 24, Week 48 and Week 96 in positive HBsAg and negative HBsAb participants at Baseline were summarized. HBsAg seroconversion was defined as change of detectable antibody to HBsAg from negative to positive. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 480 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 960 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 960 participants
Secondary

Number of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96

The number of participants with hepatitis B surface antigen (HBsAg) loss at Week 24, Week 48 and Week 96 in positive HBsAg participants at Baseline were summarized. Loss of HBsAg is defined as change of detectable HBsAg from positive to negative. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 480 participants
LAM 100 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 960 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 960 participants
Secondary

Number of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96

The number of participants with alanine aminotransferase (ALT) normalization at Week 24, Week 48 and Week 96 were summarized. ALT normalization is defined as when an ALT value exceeds the upper limit of normal range (ULN) at Baseline and within the normal range at the end of treatment. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: Biochemically Evaluable Population (BEP): all participants who received at least one dose of investigational product and with an abnormal ALT at Baseline. The population for the analysis of ALT normalization was all participants with an ALT value \> ULN at Baseline.

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 243 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 483 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 963 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 246 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 485 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 966 participants
Secondary

Number of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96

The number of participants achieving hepatitis Be antigen (HBeAg)/hepatitis B e antibody (HBeAb) seroconversion at Week 24, Week 48 and Week 96 in positive HBeAg and negative HBeAb participants at Baseline were summarized. Seroconversion to HBeAg is defined as change of detectable antibody to HBeAg from negative to positive. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 480 participants
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 960 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 960 participants
Secondary

Number of Participants With HBeAg Loss at Week 24, Week 48 and Week 96

The number of participants achieving hepatitis Be antigen (HBeAg) loss at Week 24, Week 48 and Week 96 in positive HBeAg participants at Baseline were summarized. Loss of HBeAg is defined as the change of detectable HBeAg from positive to negative. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 240 participants
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 481 participants
LAM 100 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 961 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 240 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 480 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 960 participants
Secondary

Number of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96

The number of participants with serum HBV DNA level \< the lower limit of quantitation (2.1 log10 copies/mL) (i.e., the rate of suppression) at Week 48 and Week 96 were summarized. The LOCF method was applied for missing values.

Time frame: Week 48 and Week 96

Population: FAS Population.

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96Week 489 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96Week 9610 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96Week 9614 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 48 and Week 96Week 4812 participants
Secondary

Number of Participants With Virological Breakthrough and Resistance-related Mutations

The number of participants who harbored resistance-related mutations and developed virological breakthrough was summarized. Virological breakthrough defined as HBV DNA level increase \>=1 log10 copies/mL above the treatment nadir were analyzed through end of treatment. Subjects who achieved the HBV-DNA values below lower limit of quantification (LLQ) (\< 2.1 log10 copies/mL) in quantitative analysis at Week 96 were also considered negative in drug-resistance without implementation of genotypic analysis. Lamivudine (LAM), adefovir pivoxil (ADV), and entecavir hydrate (ETV) resistance-related mutations were analyzed at Screening (i.e. Baseline), Week 24, Week 48 and Week 96 in participants with HBV DNA level above the lower limit of detection. Virologic breakthrough was defined as 1.0 log10 or greater increases in serum HBV DNA levels from on-treatment nadir. The LOCF method was applied for missing values.

Time frame: Screening, Week 24, Week 48, Week 96 and Virological Breakthrough

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

ArmMeasureGroupValue (NUMBER)
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations,Screening,n=13,214 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsVirological breakthrough, through end of study n=00 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations,Screening,n=13,2111 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations,Screening,n=13,216 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 24, n=5, 94 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 24, n=5, 92 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 24, n=5, 91 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 48, n= 3, 92 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 48, n= 3, 91 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 48, n= 3, 91 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 96, n= 2, 72 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 96, n= 2, 71 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 96, n= 2, 72 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, VB, n=0,10 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, VB, n=0,10 participants
LAM 100 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, VB, n=0,10 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, VB, n=0,11 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 48, n= 3, 90 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsVirological breakthrough, through end of study n=01 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 96, n= 2, 76 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations,Screening,n=13,2117 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations,Screening,n=13,210 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 48, n= 3, 97 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations,Screening,n=13,2116 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, VB, n=0,10 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 24, n=5, 98 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 96, n= 2, 76 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 24, n=5, 90 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, VB, n=0,11 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsETV resistance-related mutations, Week 24, n=5, 98 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsADV resistance-related mutations, Week 96, n= 2, 70 participants
ETV 0.5 mg/TDF 300 mgNumber of Participants With Virological Breakthrough and Resistance-related MutationsLAM resistance-related mutations, Week 48, n= 3, 97 participants

Source: ClinicalTrials.gov · Data processed: Feb 28, 2026