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Phase 3 Study of GSK548470 in Patients With Compensated Chronic Hepatitis B Untreated With Nucleic Acid Analogue

A Multi-center, Randomized, Active Controlled, Double-blind, Parallel Group Comparison Study and Subsequent Open-label Study of GSK548470 in Patients With Compensated Chronic Hepatitis B Untreated With Nucleic Acid Analogue

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01480284
Enrollment
166
Registered
2011-11-28
Start date
2011-11-30
Completion date
2014-11-30
Last updated
2016-08-10

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, Chronic Hepatitis B

Brief summary

The purpose of this study is to evaluate the efficacy and safety of GSK548470 administered once daily at a dose level of 300 mg to Japanese patients with compensated chronic hepatitis B untreated with any nucleic acid analogue. In efficacy, the non-inferiority of GSK548470 to ETV will be verified using the antiviral effect as the index.

Detailed description

This study is a multicenter, randomized, active comparator-controlled, double-blind, parallel-group comparison study in Japanese patients with compensated chronic hepatitis B untreated with any nucleic acid analogue and its subsequent open-label study. Efficacy and safety will be compared between once-daily dosing of GSK548470 300 mg and once-daily dosing of ETV 0.5 mg, and subsequently the efficacy and safety of GSK548470 administered long term will be investigated. A total of 165 subjects will be assigned to the GSK548470 group or the ETV group at a ratio of 2:1. The subjects will be assigned by stratified randomization in terms of HBe antigen and serum HBV-DNA level. The primary purpose is to verify the non-inferiority of GSK548470 to ETV using as an index the change amount of HBV-DNA level at Week 24 from the baseline level. The secondary purpose is to investigate the efficacy and safety of GSK548470 300 mg administered once daily for a long term.

Interventions

Blue tablets, each tablet containing 300 mg of tenofovir disoproxil fumarate

DRUGETV 0.5 mg capsule

Brown capsules, each capsule containing 0.53 mg of entecavir hydrate

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

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 \< 480 msec with Bundle Branch Block * Chronic HBV infection, defined as positive serum HBsAg for at least 6 month, or negative serum IgM-HBc antibody * HBeAg positive; HBV-DNA \>= 6 log10 copies/mL, HBeAg negative; HBV-DNA \>= 5 log10 copies/mL * Serum ALT \>= 31 U/L and \<= 10 × ULN * Creatinine clearance \>= 70 mL/min * Haemoglobin \>= 8 g/dL * WBC \>= 1,000 /mm3 * Nucleic acid analogue naïve, i.e., no prior therapy for over 6 months in the past * No mutation that shows resistance in LAM, ETV and/or TDF at screening

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 nucleoside, nucleotide, 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
Mean Change From Baseline in Serum HBV DNA Level at Week 24Baseline and Week 24The mean change from Baseline in the hepatitis B virus deoxyribonucleic acid (HBV DNA) level at Week 24 was assessed (lower limit of quantitation : 2.1 log 10 copies/mL). The mean values were adjusted by Baseline HBV DNA levels. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Secondary

MeasureTime frameDescription
Number of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 24, Week 48 and Week 96The number of participants with serum HBV DNA level less than the lower limit of quantitation (i.e. 2.1 log10 copies/mL) at Week 24, 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 HBeAg/hepatitis Be 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 the change of detectable antibody to HBeAg from negative to positive. 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.
Mean Change From Baseline in Serum HBV DNA Level at Week 48 and Week 96Baseline, Week 48 and Week 96The mean change from Baseline in the HBV DNA level at Week 48 and Week 96 were assessed (lower limit of quantitation : 2.1 log10 copies/mL). The mean values were adjusted by Baseline HBV DNA levels. Change from Baseline was calculated as the post-baseline value minus the Baseline value. 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 HBsAg category (HBsAg \<80, 80 to 800, 800 to 8000, 8000 to 80000, and \>=80000) (kilo international unit per liter \[KIU/L\]) by study visit was summarized. The LOCF method was applied for missing values.
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, 3.0 to 4.0, 4.0 to 5.0, 5.0 to 6.0, and \>=6.0) (Log kilo unit per liter \[KU/L\]) by study visit was summarized. The LOCF method was applied for missing values.
Number of Participants With Virological Breakthrough Through End of the StudyFrom Baseline to throughout studyThe number of participants who experienced virological breakthrough was summarized. Virological breakthrough is defined as serum HBV DNA level increase \>=1 log10 copies/mL above the treatment nadir. Virological breakthrough values were presented from Baseline to through out the study. Baseline is defined as the value at Week 0 visit.
Number of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)Screening, Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to throughout the study)The development of drug resistance-related (RA) mutations was analyzed to look for resistance to Lamivudine (LAM), Adefovir dipivoxil (ADV), and/or ETV in a case where a virologic breakthrough has been observed after starting the study treatment (serum HBV DNA level has increased from the nadir by at least 1 log10 copies/mL) or where the serum HBV DNA level is not less than the HBV DNA detection limit (2.1 log10 copies/mL) at Week 24, Week 48 and Week 96. Virologic breakthrough was defined as 1.0 log10 or greater increases in serum HBV-DNA levels from on-treatment nadir. Participants who achieved the HBV-DNA values below lower limit of quantification (LLQ) (\< 2.1 log10 copies/mL) in quantitative analysis at entire the study were also considered Negative in drug-resistance without implementation of genotypic analysis. Resistance mutation values were presented from Baseline to throughout the study. Baseline is defined as the value at Week 0 visit.
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 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 .is defined as change of detectable antibody to HBsAg from negative to positive. The LOCF method was applied for missing values.

Countries

Japan

Participant flow

Pre-assignment details

A total of 166 participants (110 participants in the Tenofovir Disoproxil Fumarate \[GSK548470, TDF\] group and 56 participants in the Entecavir Hydrate \[ETV\] group) were enrolled in the study.

Participants by arm

ArmCount
TDF 300 mg OD
Participants received TDF 300 mg tablet OD and ETV placebo capsule OD for 96 weeks.
109
ETV 0.5 mg OD
Participants received ETV 0.5 mg capsule OD and TDF placebo tablet OD for 48 weeks.
56
Total165

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyLost to Follow-up10
Overall StudyPhysician Decision10
Overall StudyStudy closed/terminated30
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicTDF 300 mg ODETV 0.5 mg ODTotal
Age, Continuous45.4 Years
STANDARD_DEVIATION 9.23
46.1 Years
STANDARD_DEVIATION 9.68
45.6 Years
STANDARD_DEVIATION 9.36
Race/Ethnicity, Customized
Asian - Japanese Heritage
109 Participants56 Participants165 Participants
Sex: Female, Male
Female
41 Participants16 Participants57 Participants
Sex: Female, Male
Male
68 Participants40 Participants108 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
83 / 10940 / 56
serious
Total, serious adverse events
7 / 1092 / 56

Outcome results

Primary

Mean Change From Baseline in Serum HBV DNA Level at Week 24

The mean change from Baseline in the hepatitis B virus deoxyribonucleic acid (HBV DNA) level at Week 24 was assessed (lower limit of quantitation : 2.1 log 10 copies/mL). The mean values were adjusted by Baseline HBV DNA levels. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

Time frame: Baseline and Week 24

Population: Per Protocol Set (PPS) Population: all participants who received at least 1 dose of investigational product (IP) and had at least one efficacy assessment after the treatment initiation, and with no major protocol violations. Missing values observed during the treatment period were imputed by the last observation carried forward (LOCF) method.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TDF 300 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 24-4.63 log10 copies/milliliter (copies/mL)Standard Error 0.044
ETV 0.5 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 24-4.50 log10 copies/milliliter (copies/mL)Standard Error 0.063
p-value: <0.000195% CI: [-0.28, 0.02]ANCOVA
Secondary

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

The mean change from Baseline in the HBV DNA level at Week 48 and Week 96 were assessed (lower limit of quantitation : 2.1 log10 copies/mL). The mean values were adjusted by Baseline HBV DNA levels. Change from Baseline was calculated as the post-baseline value minus the Baseline value. The LOCF method was applied for missing values.

Time frame: Baseline, Week 48 and Week 96

Population: Full Analysis Set (FAS) Population: all participants who entered into the study, received at least one dose of investigational product, and have at least one efficacy assessment after the treatment initiation.

ArmMeasureGroupValue (MEAN)Dispersion
TDF 300 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 48 and Week 96Week 48-4.86 log10 copies/mLStandard Deviation 1.353
TDF 300 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 48 and Week 96Week 96-4.96 log10 copies/mLStandard Deviation 1.445
ETV 0.5 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 48 and Week 96Week 48-4.85 log10 copies/mLStandard Deviation 0.916
ETV 0.5 mg ODMean Change From Baseline in Serum HBV DNA Level at Week 48 and Week 96Week 96NA log10 copies/mL
95% CI: [-0.4, 0.39]
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, 3.0 to 4.0, 4.0 to 5.0, 5.0 to 6.0, and \>=6.0) (Log kilo unit 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)
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Baseline19 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 4824 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 2421 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 4816 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Baseline13 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 4818 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 2416 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 4823 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Baseline19 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 4828 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 2418 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 9624 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Baseline7 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 2417 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 9622 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Baseline51 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 9623 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 2437 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 9622 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 9618 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 96NA Participants
ETV 0.5 mg ODNumber 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 ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Baseline6 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Baseline11 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Baseline9 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Baseline30 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 2410 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 248 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 248 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 247 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 2423 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 4812 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 486 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 489 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 4810 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg >=6.0 Log KU/L, Week 4819 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg <3.0 Log KU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 3.0-4.0 Log KU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 4.0-5.0 Log KU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBcrAg Category at Baseline, Week 24, Week 48 and Week 96HBcrAg 5.0-6.0 Log KU/L, Week 96NA 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 HBsAg category (HBsAg \<80, 80 to 800, 800 to 8000, 8000 to 80000, and \>=80000) (kilo international unit per liter \[KIU/L\]) 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)
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Baseline2 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Baseline15 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Baseline58 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Baseline31 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Baseline3 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 243 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 2417 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 2463 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 2426 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 240 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 485 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 4819 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 4860 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 4825 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 480 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 965 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 9623 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 9660 Participants
TDF 300 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 9621 Participants
TDF 300 mg ODNumber 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 ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Baseline2 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 481 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Baseline10 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Baseline33 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 489 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Baseline10 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 96NA Participants
ETV 0.5 mg ODNumber 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 ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 4839 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg <80 KIU/L, Week 241 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 80-800 KIU/L, Week 2410 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 487 Participants
ETV 0.5 mg ODNumber 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 ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 800-8000 KIU/L, Week 2436 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 96NA Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg 8000-80,000 KIU/L, Week 249 Participants
ETV 0.5 mg ODNumber of Participants Achieving Each Indicated HBsAg Category at Baseline, Week 24, Week 48 and Week 96HBsAg >=80,000 KIU/L, Week 480 Participants
Secondary

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

The number of participants with 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 .is 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. Only participants with positive HBsAg and negative HBsAb at Baseline were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 240 Participants
TDF 300 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 480 Participants
TDF 300 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 961 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 240 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 480 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg/HBsAb Seroconversion at Week 24, Week 48 and Week 96Week 96NA 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)
TDF 300 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 240 Participants
TDF 300 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 480 Participants
TDF 300 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 961 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 240 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 480 Participants
ETV 0.5 mg ODNumber of Participants Achieving HBsAg Loss at Week 24, Week 48 and Week 96Week 96NA 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 IP 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)
TDF 300 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 2458 Participants
TDF 300 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 4862 Participants
TDF 300 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 9674 Participants
ETV 0.5 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 2435 Participants
ETV 0.5 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 4835 Participants
ETV 0.5 mg ODNumber of Participants With Alanine Aminotransferase (ALT) Normalization at Week 24, Week 48 and Week 96Week 96NA Participants
Secondary

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

The number of participants achieving HBeAg/hepatitis Be 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 the 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. Only participants with positive HBeAg and negative HBeAb at Baseline were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 484 Participants
TDF 300 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 240 Participants
TDF 300 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 965 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 241 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 482 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg/HBeAb Seroconversion at Week 24, Week 48 and Week 96Week 96NA 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. Only participants with positive HBeAg at Baseline were analyzed.

ArmMeasureGroupValue (NUMBER)
TDF 300 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 243 Participants
TDF 300 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 489 Participants
TDF 300 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 9613 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 242 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 483 Participants
ETV 0.5 mg ODNumber of Participants With HBeAg Loss at Week 24, Week 48 and Week 96Week 96NA Participants
Secondary

Number of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)

The development of drug resistance-related (RA) mutations was analyzed to look for resistance to Lamivudine (LAM), Adefovir dipivoxil (ADV), and/or ETV in a case where a virologic breakthrough has been observed after starting the study treatment (serum HBV DNA level has increased from the nadir by at least 1 log10 copies/mL) or where the serum HBV DNA level is not less than the HBV DNA detection limit (2.1 log10 copies/mL) at Week 24, Week 48 and Week 96. Virologic breakthrough was defined as 1.0 log10 or greater increases in serum HBV-DNA levels from on-treatment nadir. Participants who achieved the HBV-DNA values below lower limit of quantification (LLQ) (\< 2.1 log10 copies/mL) in quantitative analysis at entire the study were also considered Negative in drug-resistance without implementation of genotypic analysis. Resistance mutation values were presented from Baseline to throughout the study. Baseline is defined as the value at Week 0 visit.

Time frame: Screening, Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to throughout the study)

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)
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 24, n=49, 340 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 48, n=23, 190 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Screening, n=109, 560 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 96, n=11, 00 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 24, n=49, 340 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 96, n=11, 00 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 24, n=49, 340 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 96, n=11, 00 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 48, n=23, 190 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Virologic Breakthrough, n=2, 20 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Screening, n=109, 560 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Virologic Breakthrough, n=2, 20 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 48, n=23, 190 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Virologic Breakthrough, n=2, 20 Participants
TDF 300 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Screening, n=109, 560 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Virologic Breakthrough, n=2, 20 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Screening, n=109, 560 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Screening, n=109, 560 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Screening, n=109, 560 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 24, n=49, 340 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 24, n=49, 340 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 24, n=49, 340 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 48, n=23, 190 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 48, n=23, 190 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 48, n=23, 190 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Week 96, n=11, 0NA Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Week 96, n=11, 0NA Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ETV RA mutations, Week 96, n=11, 0NA Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)LAM RA mutations, Virologic Breakthrough, n=2, 20 Participants
ETV 0.5 mg ODNumber of Participants With Resistance Related Mutations at Week 24, Week 48, Week 96 and Virological Breakthrough (Baseline to Throughout the Study)ADV RA mutations, Virologic Breakthrough, n=2, 20 Participants
Secondary

Number of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96

The number of participants with serum HBV DNA level less than the lower limit of quantitation (i.e. 2.1 log10 copies/mL) at Week 24, Week 48 and Week 96 were summarized. The LOCF method was applied for missing values.

Time frame: Week 24, Week 48 and Week 96

Population: FAS Population

ArmMeasureGroupValue (NUMBER)
TDF 300 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 2459 Participants
TDF 300 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 4884 Participants
TDF 300 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 9697 Participants
ETV 0.5 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 2422 Participants
ETV 0.5 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 4837 Participants
ETV 0.5 mg ODNumber of Participants With Serum HBV DNA < 2.1 log10 Copies/mL at Week 24, Week 48 and Week 96Week 96NA Participants
Secondary

Number of Participants With Virological Breakthrough Through End of the Study

The number of participants who experienced virological breakthrough was summarized. Virological breakthrough is defined as serum HBV DNA level increase \>=1 log10 copies/mL above the treatment nadir. Virological breakthrough values were presented from Baseline to through out the study. Baseline is defined as the value at Week 0 visit.

Time frame: From Baseline to throughout study

Population: FAS Population

ArmMeasureValue (NUMBER)
TDF 300 mg ODNumber of Participants With Virological Breakthrough Through End of the Study2 Participants
ETV 0.5 mg ODNumber of Participants With Virological Breakthrough Through End of the Study2 Participants

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026