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Study to Evaluate Efficacy and Safety of Switching From TDF to TAF in Adults With Chronic Hepatitis B Who Are Virologically Suppressed

A Phase 3, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Switching From Tenofovir Disoproxil Fumarate (TDF) 300 mg QD to Tenofovir Alafenamide (TAF) 25 mg QD in Subjects With Chronic Hepatitis B Who Are Virologically Suppressed

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02979613
Enrollment
490
Registered
2016-12-01
Start date
2016-12-29
Completion date
2020-01-30
Last updated
2020-09-14

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 primary objectives of this study are to evaluate the efficacy, safety, and tolerability of switching to tenofovir alafenamide (TAF) versus continuing tenofovir disoproxil fumarate (TDF) in virologically suppressed adults with chronic hepatitis B virus (HBV) infection.

Interventions

DRUGTAF

25 mg tablet administered orally once daily

DRUGTDF

300 mg tablet administered orally once daily

Tablet administered orally once daily

Tablet administered orally once daily

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: * Must have the ability to understand and sign a written informed consent form; consent must be obtained prior to initiation of study procedures * Adult male and non-pregnant, non-lactating females * Documented evidence of chronic hepatitis B virus (HBV) infection previously * Maintained on tenofovir disoproxil fumarate (TDF) 300 mg once daily for at least 48 weeks, and as monotherapy for chronic hepatitis B for at least 24 weeks with viral suppression (HBV DNA \< lower limit of quantitation) for a minimum of 12 weeks prior to screening * Adequate renal function * Normal Electrocardiogram Key

Exclusion criteria

* Pregnant women or women who are breastfeeding * Males and females of reproductive potential who are unwilling to use an effective, protocol-specified method(s) of contraception during the study. * Co-infection with hepatitis C virus (HCV), hepatitis D virus (HDV), or human immunodeficiency virus (HIV) * Evidence of hepatocellular carcinoma * Current evidence of, or recent (≤ 5 year) history of clinical hepatic decompensation * Abnormal hematological and biochemical parameters, including: * Hemoglobin \< 10 g/dL * Absolute neutrophil count \< 750/mm\^3 * Platelets ≤ 50,000/mm\^3 * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 5 × upper limit of the normal (ULN) * Albumin \< 3.0 mg/ dL * International normalized ratio (INR) \> 1.5 × ULN (unless stable on anticoagulant regimen) * Total bilirubin \> 2.5 × ULN * Received solid organ or bone marrow transplant * Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (eg, basal cell skin cancer). Individuals under evaluation for possible malignancy are not eligible. * Currently receiving therapy with immunomodulators (eg, corticosteroids), nephrotoxic agents, or agents capable of modifying renal excretion * Individuals receiving ongoing therapy with drugs not to be used with TAF or TDF or individuals with a known hypersensitivity to study drugs, metabolites, or formulation excipients * Current alcohol or substance abuse judged by the investigator to potentially interfere with compliance * Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements. * Use of investigational agents within 3 months of screening, unless allowed by the sponsor Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Hepatitis B Virus (HBV) DNA Levels ≥ 20 IU/mL at Week 48, as Determined by the Modified United States Food and Drug Administration (US FDA)-Defined Snapshot AlgorithmWeek 48The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 48 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who: 1. Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 48 analysis window (from Day 295 to Day 378, inclusive), or 2. Did not have on-treatment HBV DNA data available in the Week 48 analysis window and * Discontinued study drug prior to or in the Week 48 analysis window due to lack of efficacy, or * Discontinued study drug prior to or in the Week 48 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL

Secondary

MeasureTime frameDescription
Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 48Weeks 48The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. Missing=Failure (M = F) approach was used for analysis.
Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48Week 48The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. The method of determining percentage of participants with HBV DNA levels \<20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 48, was handled by M = F, and Missing=Excluded (M = E) approaches.
Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 96Week 96The percentage of participants with HBV DNA \< 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. M = F approach was used for analysis.
Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96Week 96The percentage of participants with HBV DNA \< 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. The method of determining percentage of participants with HBV DNA levels \<20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 96, was handled by Missing=Failure (M = F), and Missing=Excluded (M = E) approaches.
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss at Week 48Week 48HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis.
Percentage of Participants With HBeAg Seroconversion at Week 48Week 48HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.
Percentage of Participants With HBeAg Loss at Week 96Week 96HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis.
Percentage of Participants With HBeAg Seroconversion at Week 96Week 96HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.
Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 48Week 48HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis.
Percentage of Participants With HBsAg Seroconversion at Week 48Week 48HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.
Percentage of Participants With HBsAg Loss at Week 96Week 96HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis.
Percentage of Participants With HBsAg Seroconversion at Week 96Week 96HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.
Percentage of Participants With HBV DNA Levels ≥ 20 IU/mL at Week 96, as Determined by the Modified US FDA-Defined Snapshot AlgorithmWeek 96The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 96 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who: 1. Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 96 analysis window (from Day 589 to Day 840, inclusive), or 2. Did not have on-treatment HBV DNA data available in the Week 96 analysis window and * Discontinued study drug prior to or in the Week 96 analysis window due to lack of efficacy, or * Discontinued study drug prior to or in the Week 96 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL
Percentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)Week 48ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.
Percentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)Week 96Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.
Percentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)Week 96ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.
Change From Baseline in FibroTest® Score at Week 48Baseline; Week 48The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 48 minus the value at Baseline.
Change From Baseline in FibroTest® Score at Week 96Baseline; Week 96The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 96 minus the value at Baseline.
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48Baseline; Week 48Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.
Percent Change From Baseline in Hip BMD at Week 96Baseline; Week 96Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.
Percent Change From Baseline in Spine BMD at Week 48Baseline; Week 48Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.
Percent Change From Baseline in Spine BMD at Week 96Baseline; Week 96Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.
Change From Baseline in Estimated Glomerular Filtration Rate Calculated Using the Cockcroft-Gault Equation (eGFR-CG) at Week 48Baseline; Week 48Cockcroft-Gault formula is as follows: * For men: Glomerular filtration rate (GFR) = (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL) * For women: GFR = 0.85 \* (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL). Change from baseline was calculated as the value at Week 48 minus the value at Baseline.
Change From Baseline in eGFR-CG at Week 96Baseline; Week 96Cockcroft-Gault formula is as follows: * For men: Glomerular filtration rate (GFR) = (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL) * For women: GFR = 0.85 \* (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL). Change from baseline was calculated as the value at Week 96 minus the value at Baseline.
Percentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)Week 48Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.

Countries

Canada, Hong Kong, Italy, South Korea, Spain, Taiwan, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in North America, Europe, and Asia. The first participant was screened on 29 December 2016. The last study visit occurred on 30 January 2020.

Pre-assignment details

541 participants were screened.

Participants by arm

ArmCount
TAF 25 mg
Participants who were virologically suppressed and taking TDF 300 mg tablet orally once daily received TAF 25 mg tablet orally once daily, and placebo to match TDF once daily for up to 53 weeks in the DB phase. Participants who completed DB treatment and were willing to enter in the OLE phase, received TAF 25 mg tablet orally once daily for up to 52 weeks.
243
TDF 300 mg
Participants who were virologically suppressed and taking TDF 300 mg tablet orally once daily received TDF 300 mg tablet orally once daily, and placebo to match TAF once daily for up to 50 weeks in the DB phase. Participants who completed DB treatment and were willing to enter in the OLE phase, received TAF 25 mg tablet orally once daily for up to 52 weeks.
245
Total488

Withdrawals & dropouts

PeriodReasonFG000FG001
Double-Blind PhaseAdverse Event20
Double-Blind PhaseLost to Follow-up11
Double-Blind PhasePregnancy22
Double-Blind PhaseProtocol Violation11
Double-Blind PhaseRandomized but Never Treated20
Double-Blind PhaseWithdrew Consent24
Open-Label Extension (OLE) PhaseAdverse Event10
Open-Label Extension (OLE) PhaseDeath01
Open-Label Extension (OLE) PhaseInvestigator's Discretion01
Open-Label Extension (OLE) PhaseWithdrew Consent24

Baseline characteristics

CharacteristicTotalTAF 25 mgTDF 300 mg
Age, Continuous51 years
STANDARD_DEVIATION 10.7
51 years
STANDARD_DEVIATION 10.5
51 years
STANDARD_DEVIATION 10.8
Age, Customized
< 50 Years
216 Participants107 Participants109 Participants
Age, Customized
≥ 50 Years
272 Participants136 Participants136 Participants
Alanine Aminotransferase (ALT)27 U/L
STANDARD_DEVIATION 13.9
28 U/L
STANDARD_DEVIATION 15.6
26 U/L
STANDARD_DEVIATION 12
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
> 5xULN
0 Participants0 Participants0 Participants
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
≤ ULN
383 Participants191 Participants192 Participants
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
> ULN to 5xULN
105 Participants52 Participants53 Participants
ALT Level Based on Central Lab Normal Range
> 5xULN
0 Participants0 Participants0 Participants
ALT Level Based on Central Lab Normal Range
≤ ULN
437 Participants211 Participants226 Participants
ALT Level Based on Central Lab Normal Range
> ULN to 5xULN
51 Participants32 Participants19 Participants
Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFR-CG)94.4 mL/min
STANDARD_DEVIATION 25.35
95.0 mL/min
STANDARD_DEVIATION 25.58
93.8 mL/min
STANDARD_DEVIATION 25.16
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants3 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
485 Participants240 Participants245 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
FibroTest® Score0.42 scores on a scale
STANDARD_DEVIATION 0.223
0.42 scores on a scale
STANDARD_DEVIATION 0.234
0.41 scores on a scale
STANDARD_DEVIATION 0.211
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Negative/Negative
45 Participants17 Participants28 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Negative/Positive
286 Participants148 Participants138 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Positive/Negative
156 Participants78 Participants78 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Positive/Positive
1 Participants0 Participants1 Participants
Hepatitis B virus (HBV) DNA Category
< 20 IU/mL
480 Participants238 Participants242 Participants
Hepatitis B virus (HBV) DNA Category
20 to < 69 IU/mL
5 Participants2 Participants3 Participants
Hepatitis B virus (HBV) DNA Category
≥ 69 IU/mL
3 Participants3 Participants0 Participants
Hip Bone Mineral Density (BMD) Status
Normal (T-score ≥ -1.0)
267 Participants143 Participants124 Participants
Hip Bone Mineral Density (BMD) Status
Osteopenia (-2.5 ≤ T-score < -1.0)
205 Participants89 Participants116 Participants
Hip Bone Mineral Density (BMD) Status
Osteoporosis (T-score < -2.5)
13 Participants9 Participants4 Participants
Race/Ethnicity, Customized
Race
Asian
400 Participants195 Participants205 Participants
Race/Ethnicity, Customized
Race
Black or African American
17 Participants9 Participants8 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Pacific Islander
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Race
Other
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Race
White
69 Participants38 Participants31 Participants
Region of Enrollment
Canada
89 Participants42 Participants47 Participants
Region of Enrollment
Hong Kong
28 Participants15 Participants13 Participants
Region of Enrollment
Italy
21 Participants9 Participants12 Participants
Region of Enrollment
South Korea
138 Participants61 Participants77 Participants
Region of Enrollment
Spain
31 Participants19 Participants12 Participants
Region of Enrollment
Taiwan
41 Participants28 Participants13 Participants
Region of Enrollment
United Kingdom
13 Participants6 Participants7 Participants
Region of Enrollment
United States
127 Participants63 Participants64 Participants
Sex: Female, Male
Female
143 Participants64 Participants79 Participants
Sex: Female, Male
Male
345 Participants179 Participants166 Participants
Spine BMD Status
Normal (T-score ≥ -1.0)
245 Participants125 Participants120 Participants
Spine BMD Status
Osteopenia (-2.5 ≤ T-score < -1.0)
187 Participants90 Participants97 Participants
Spine BMD Status
Osteoporosis (T-score < -2.5)
56 Participants28 Participants28 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
0 / 2430 / 2450 / 2351 / 237
other
Total, other adverse events
31 / 24328 / 24515 / 23515 / 237
serious
Total, serious adverse events
11 / 2433 / 2458 / 2355 / 237

Outcome results

Primary

Percentage of Participants With Hepatitis B Virus (HBV) DNA Levels ≥ 20 IU/mL at Week 48, as Determined by the Modified United States Food and Drug Administration (US FDA)-Defined Snapshot Algorithm

The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 48 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who: 1. Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 48 analysis window (from Day 295 to Day 378, inclusive), or 2. Did not have on-treatment HBV DNA data available in the Week 48 analysis window and * Discontinued study drug prior to or in the Week 48 analysis window due to lack of efficacy, or * Discontinued study drug prior to or in the Week 48 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL

Time frame: Week 48

Population: The Full Analysis Set included all participants who were randomized into the study and received at least 1 dose of study drug. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With Hepatitis B Virus (HBV) DNA Levels ≥ 20 IU/mL at Week 48, as Determined by the Modified United States Food and Drug Administration (US FDA)-Defined Snapshot Algorithm0.4 percentage of participants
TDF 300 mgPercentage of Participants With Hepatitis B Virus (HBV) DNA Levels ≥ 20 IU/mL at Week 48, as Determined by the Modified United States Food and Drug Administration (US FDA)-Defined Snapshot Algorithm0.4 percentage of participants
Comparison: The null hypothesis was that the TAF group is at least 4% worse than the TDF group with respect to the percentage of participants with HBV DNA ≥ 20 IU/mL at Week 48. The alternative hypothesis was that the TAF group is less than 4% worse than the TDF group with respect to the percentage of participants with HBV DNA ≥ 20 IU/mL at Week 48.95% CI: [-1.9, 2]
Secondary

Change From Baseline in eGFR-CG at Week 96

Cockcroft-Gault formula is as follows: * For men: Glomerular filtration rate (GFR) = (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL) * For women: GFR = 0.85 \* (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL). Change from baseline was calculated as the value at Week 96 minus the value at Baseline.

Time frame: Baseline; Week 96

Population: Participants in the Safety Analysis Set with available data were analyzed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEDIAN)
TAF 25 mgChange From Baseline in eGFR-CG at Week 961.626 mL/min
TDF 300 mgChange From Baseline in eGFR-CG at Week 960.544 mL/min
p-value: 0.7535Wilcoxon rank sum test
Secondary

Change From Baseline in Estimated Glomerular Filtration Rate Calculated Using the Cockcroft-Gault Equation (eGFR-CG) at Week 48

Cockcroft-Gault formula is as follows: * For men: Glomerular filtration rate (GFR) = (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL) * For women: GFR = 0.85 \* (140 - age in years) \* body weight in kg / 72 \* serum creatinine (mg/dL). Change from baseline was calculated as the value at Week 48 minus the value at Baseline.

Time frame: Baseline; Week 48

Population: Participants in the Safety Analysis Set (included all randomized participants who received at least 1 dose of study drug) with available data were analyzed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEDIAN)
TAF 25 mgChange From Baseline in Estimated Glomerular Filtration Rate Calculated Using the Cockcroft-Gault Equation (eGFR-CG) at Week 482.240 mL/min
TDF 300 mgChange From Baseline in Estimated Glomerular Filtration Rate Calculated Using the Cockcroft-Gault Equation (eGFR-CG) at Week 48-1.722 mL/min
p-value: <0.0001Wilcoxon rank sum test
Secondary

Change From Baseline in FibroTest® Score at Week 48

The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 48 minus the value at Baseline.

Time frame: Baseline; Week 48

Population: Participants in the Full Analysis Set with available data were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgChange From Baseline in FibroTest® Score at Week 48-0.02 scores on a scaleStandard Deviation 0.082
TDF 300 mgChange From Baseline in FibroTest® Score at Week 48-0.01 scores on a scaleStandard Deviation 0.082
Comparison: P-value, difference in least squares mean (LSM), and its 95% CI were derived from analysis of variance (ANOVA) model with baseline age groups (\< 50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: 0.018695% CI: [-0.03, 0]ANOVA
Secondary

Change From Baseline in FibroTest® Score at Week 96

The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 96 minus the value at Baseline.

Time frame: Baseline; Week 96

Population: Participants in the Full Analysis Set with available data were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgChange From Baseline in FibroTest® Score at Week 96-0.03 scores on a scaleStandard Deviation 0.08
TDF 300 mgChange From Baseline in FibroTest® Score at Week 96-0.03 scores on a scaleStandard Deviation 0.09
Comparison: P-value, difference in LSM, and its 95% CI were from ANOVA with baseline age groups (\<50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: 0.695695% CI: [-0.02, 0.01]ANOVA
Secondary

Percentage of Participants With HBeAg Loss at Week 96

HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Serologically Evaluable Full Analysis Set for HBeAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBeAg Loss at Week 9617.9 percentage of participants
TDF 300 mgPercentage of Participants With HBeAg Loss at Week 969.0 percentage of participants
p-value: 0.100595% CI: [-2, 20.1]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBeAg Seroconversion at Week 48

HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.

Time frame: Week 48

Population: Participants in the Serologically Evaluable Full Analysis Set for HBeAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBeAg Seroconversion at Week 482.6 percentage of participants
TDF 300 mgPercentage of Participants With HBeAg Seroconversion at Week 480.0 percentage of participants
p-value: 0.134895% CI: [-2.3, 7.7]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBeAg Seroconversion at Week 96

HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Serologically Evaluable Full Analysis Set for HBeAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBeAg Seroconversion at Week 965.1 percentage of participants
TDF 300 mgPercentage of Participants With HBeAg Seroconversion at Week 962.6 percentage of participants
p-value: 0.415495% CI: [-4.5, 9.5]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBsAg Loss at Week 96

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Serologically Evaluable Full Analysis Set for HBsAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBsAg Loss at Week 961.6 percentage of participants
TDF 300 mgPercentage of Participants With HBsAg Loss at Week 962.4 percentage of participants
p-value: 0.537395% CI: [-3.7, 2.1]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBsAg Seroconversion at Week 48

HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.

Time frame: Week 48

Population: Participants in the Serologically Evaluable Full Analysis Set for HBsAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBsAg Seroconversion at Week 480.0 percentage of participants
TDF 300 mgPercentage of Participants With HBsAg Seroconversion at Week 480.0 percentage of participants
Secondary

Percentage of Participants With HBsAg Seroconversion at Week 96

HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Serologically Evaluable Full Analysis Set for HBsAg loss and seroconversion were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBsAg Seroconversion at Week 960.8 percentage of participants
TDF 300 mgPercentage of Participants With HBsAg Seroconversion at Week 960.4 percentage of participants
p-value: 0.584595% CI: [-1.7, 2.5]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 48

The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. Missing=Failure (M = F) approach was used for analysis.

Time frame: Weeks 48

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL at Week 4896.3 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL at Week 4896.3 percentage of participants
95% CI: [-3.7, 3.7]
p-value: 0.98Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 96

The percentage of participants with HBV DNA \< 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. M = F approach was used for analysis.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL at Week 9694.7 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL at Week 9693.9 percentage of participants
95% CI: [-3.5, 5.2]
p-value: 0.6863Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBV DNA Levels ≥ 20 IU/mL at Week 96, as Determined by the Modified US FDA-Defined Snapshot Algorithm

The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 96 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who: 1. Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 96 analysis window (from Day 589 to Day 840, inclusive), or 2. Did not have on-treatment HBV DNA data available in the Week 96 analysis window and * Discontinued study drug prior to or in the Week 96 analysis window due to lack of efficacy, or * Discontinued study drug prior to or in the Week 96 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With HBV DNA Levels ≥ 20 IU/mL at Week 96, as Determined by the Modified US FDA-Defined Snapshot Algorithm0.4 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels ≥ 20 IU/mL at Week 96, as Determined by the Modified US FDA-Defined Snapshot Algorithm0.4 percentage of participants
95% CI: [-1.9, 1.9]
p-value: 0.9953Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48

The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. The method of determining percentage of participants with HBV DNA levels \<20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 48, was handled by M = F, and Missing=Excluded (M = E) approaches.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = F Approach: < 20 IU/mL Target Not Detected63.4 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = F Approach: < 20 IU/mL Target Detected32.9 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = E Approach: < 20 IU/mL Target Not Detected65.5 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = E Approach: < 20 IU/mL Target Detected34.0 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = E Approach: < 20 IU/mL Target Detected35.4 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = F Approach: < 20 IU/mL Target Not Detected62.0 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = E Approach: < 20 IU/mL Target Not Detected64.1 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48M = F Approach: < 20 IU/mL Target Detected34.3 percentage of participants
Secondary

Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96

The percentage of participants with HBV DNA \< 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. The method of determining percentage of participants with HBV DNA levels \<20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 96, was handled by Missing=Failure (M = F), and Missing=Excluded (M = E) approaches.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = F Approach: < 20 IU/mL Target Not Detected65.8 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = F Approach: < 20 IU/mL Target Detected28.8 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = E Approach: < 20 IU/mL Target Not Detected69.3 percentage of participants
TAF 25 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = E Approach: < 20 IU/mL Target Detected30.3 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = E Approach: < 20 IU/mL Target Detected29.4 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = F Approach: < 20 IU/mL Target Not Detected66.1 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = E Approach: < 20 IU/mL Target Not Detected70.1 percentage of participants
TDF 300 mgPercentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96M = F Approach: < 20 IU/mL Target Detected27.8 percentage of participants
Secondary

Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss at Week 48

HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis.

Time frame: Week 48

Population: The Serologically Evaluable Full Analysis Set for HBeAg loss and seroconversion included all participants who were randomized and received at least 1 dose of study drug and were HBeAg-positive and HBeAb-negative or had a missing value at baseline. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With Hepatitis B e Antigen (HBeAg) Loss at Week 487.7 percentage of participants
TDF 300 mgPercentage of Participants With Hepatitis B e Antigen (HBeAg) Loss at Week 486.4 percentage of participants
p-value: 0.725895% CI: [-7.2, 10.1]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 48

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis.

Time frame: Week 48

Population: The Serologically Evaluable Full Analysis Set for HBsAg loss and seroconversion included all participants who were randomized and received at least 1 dose of study drug and were HBsAg-positive and HBsAb-negative or had a missing value at baseline. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (NUMBER)
TAF 25 mgPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 480.0 percentage of participants
TDF 300 mgPercentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 482.0 percentage of participants
p-value: 0.028195% CI: [-4.4, 0.3]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)

Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)Central Laboratory Criteria89.3 percentage of participants
TAF 25 mgPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)AASLD Criteria79.0 percentage of participants
TDF 300 mgPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)Central Laboratory Criteria84.9 percentage of participants
TDF 300 mgPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)AASLD Criteria75.1 percentage of participants
Comparison: Central Laboratory Criteriap-value: 0.140595% CI: [-1.6, 10.6]Cochran-Mantel-Haenszel
Comparison: AASLD Criteriap-value: 0.313395% CI: [-3.7, 11.4]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)

Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)Central Laboratory Criteria88.5 percentage of participants
TAF 25 mgPercentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)AASLD Criteria80.7 percentage of participants
TDF 300 mgPercentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)Central Laboratory Criteria91.4 percentage of participants
TDF 300 mgPercentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)AASLD Criteria86.5 percentage of participants
Comparison: Central Laboratory Criteriap-value: 0.280395% CI: [-8.4, 2.6]Cochran-Mantel-Haenszel
Comparison: AASLD Criteriap-value: 0.078895% CI: [-12.6, 0.7]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)

ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.

Time frame: Week 48

Population: Participants in the Full Analysis Set with Baseline ALT \> ULN were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)Central Laboratory Criteria50.0 percentage of participants
TAF 25 mgPercentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)AASLD Criteria50.0 percentage of participants
TDF 300 mgPercentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)Central Laboratory Criteria36.8 percentage of participants
TDF 300 mgPercentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)AASLD Criteria26.4 percentage of participants
Comparison: Central Laboratory criteriap-value: 0.338195% CI: [-16.4, 44.6]Cochran-Mantel-Haenszel
Comparison: AASLD Criteriap-value: 0.013695% CI: [5.3, 42.3]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)

ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to \< 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to \< 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis.

Time frame: Week 96

Population: Participants in the Full Analysis Set with Baseline ALT \> ULN were analyzed. Participants were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
TAF 25 mgPercentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)Central Laboratory Criteria56.3 percentage of participants
TAF 25 mgPercentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)AASLD Criteria55.8 percentage of participants
TDF 300 mgPercentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)Central Laboratory Criteria78.9 percentage of participants
TDF 300 mgPercentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)AASLD Criteria73.6 percentage of participants
Comparison: Central Laboratory Criteriap-value: 0.08895% CI: [-51.2, 3.4]Cochran-Mantel-Haenszel
Comparison: AASLD Criteriap-value: 0.05195% CI: [-37.4, 0.2]Cochran-Mantel-Haenszel
Secondary

Percent Change From Baseline in Hip BMD at Week 96

Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.

Time frame: Baseline; Week 96

Population: Participants in the Hip DXA Analysis Set with available data were analyzed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgPercent Change From Baseline in Hip BMD at Week 961.157 percent changeStandard Deviation 2.8501
TDF 300 mgPercent Change From Baseline in Hip BMD at Week 960.180 percent changeStandard Deviation 2.6813
Comparison: P-value, difference in LSM, and its 95% CI were from ANOVA with baseline age groups (\<50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: 0.000295% CI: [0.465, 1.49]ANOVA
Secondary

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.

Time frame: Baseline; Week 48

Population: Participants in the Hip DXA Analysis Set (included all participants who were randomized into the study, received at least 1 dose of study drug, and had non-missing baseline hip BMD values) with available data were analysed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 480.659 percent changeStandard Deviation 2.0818
TDF 300 mgPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48-0.507 percent changeStandard Deviation 1.9051
Comparison: P-value, difference in LSM, and its 95% CI were from ANOVA with baseline age groups (\<50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: <0.000195% CI: [0.797, 1.536]ANOVA
Secondary

Percent Change From Baseline in Spine BMD at Week 48

Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.

Time frame: Baseline; Week 48

Population: Participants in the Spine DXA Analysis Set (included all participants who were randomized into the study, received at least 1 dose of study drug, and had non-missing baseline spine BMD values) with available data were analysed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgPercent Change From Baseline in Spine BMD at Week 481.743 percent changeStandard Deviation 3.4674
TDF 300 mgPercent Change From Baseline in Spine BMD at Week 48-0.138 percent changeStandard Deviation 3.1072
Comparison: P-value, difference in LSM, and its 95% CI were from ANOVA with baseline age groups (\<50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: <0.000195% CI: [1.275, 2.486]ANOVA
Secondary

Percent Change From Baseline in Spine BMD at Week 96

Percent Change = Change from baseline at a postbaseline visit/baseline \* 100%.

Time frame: Baseline; Week 96

Population: Participants in the Spine DXA Analysis Set with available data were analyzed. Participants were analyzed according to the treatment they actually received.

ArmMeasureValue (MEAN)Dispersion
TAF 25 mgPercent Change From Baseline in Spine BMD at Week 962.330 percent changeStandard Deviation 3.9301
TDF 300 mgPercent Change From Baseline in Spine BMD at Week 961.726 percent changeStandard Deviation 3.8224
Comparison: P-value, difference in LSM, and its 95% CI were from ANOVA with baseline age groups (\<50, ≥ 50 years), baseline HBeAg status, and treatment group as fixed effects in the model.p-value: 0.09795% CI: [-0.11, 1.317]ANOVA

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