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Study to Evaluate the Safety and Efficacy of Switching to Tenofovir Alafenamide (TAF) From Tenofovir Disoproxil Fumarate (TDF) and/or Other Oral Antiviral Treatment (OAV)

A Phase 2, Open-label Study to Evaluate the Safety and Efficacy of Switching to Tenofovir Alafenamide (TAF) From Tenofovir Disoproxil Fumarate (TDF) and/or Other Oral Antiviral Treatment (OAV) in Virologically Suppressed Chronic Hepatitis B Subjects With Renal and/or Hepatic Impairment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03180619
Enrollment
124
Registered
2017-06-08
Start date
2017-06-29
Completion date
2020-09-04
Last updated
2021-09-27

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 objective of this study is to evaluate the safety and tolerability and virologic response of tenofovir alafenamide (TAF) in virologically suppressed chronic hepatitis B participants with renal and/or hepatic impairment.

Interventions

DRUGTAF

Tablet administered orally once daily

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Key Inclusion Criteria: All Participants (Parts A and B): * Adult male or non-pregnant female individuals * Documented evidence of chronic HBV infection * Alanine aminotransferase (ALT) ≤ 10 × upper limit of normal (ULN) Part A Only (renal impairment): * Maintained on TDF and/or other OAV treatment(s) for CHB for at least 48 weeks and with viral suppression (HBV deoxyribonucleic acid \[DNA\] \< lower limit of quantitation \[LLOQ\]) for ≥ 6 months prior to screening * All individuals must have HBV DNA \< 20 International units per milliliter (IU/mL) at screening by central laboratory * Both Hepatitis B e-Antigen (HBeAg) positive and negative individuals are eligible to participate * Moderate renal impairment (30 milliliters per minute \[mL/min\] ≤ estimated glomerular filtration rate by the cockcroft-gault formula \[eGFRcg\] ≤ 59 mL/min), severe renal impairment (15 mL/min ≤ eGFRcg \< 30 mL/min) or end stage renal disease (ESRD) (eGFR \< 15 mL/min) maintained on hemodialysis (HD) * Stable renal function (for participants with moderate or severe impairment): serum creatinine measured at least once within three months prior to screening. The measurement difference between the value measured within three months prior to screening versus the screening value must be ≤ 25% of the screening value Part B Only (hepatic impairment): * Maintained on TDF and/or other OAV(s) for CHB for at least 48 weeks and with viral suppression (HBV DNA \< LLOQ) for ≥ 6 months prior to screening * All individuals must have HBV DNA \< 20 IU/mL at screening by central laboratory * Both HBeAg positive and negative individuals are eligible to participate * Child-pugh-turcotte (CPT) score of 7-12 (inclusive) OR a past history of CPT score ≥ 7 and any CPT score ≤ 12 at screening * eGFRCG ≥ 30 mL/min using the Cockcroft-Gault equation Key

Exclusion criteria

All Individuals (Parts A & B): * Women who are breastfeeding or who believe they may wish to become pregnant during the course of the study * 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), human immunodeficiency virus (HIV), or hepatitis D virus (HDV) * Prior Interferon (IFN) use within 6 months of screening * Evidence of hepatocellular carcinoma * Received solid organ or bone marrow transplant * Significant cardiovascular, pulmonary, or neurological disease * Malignancy within 5 years prior to screening, with the exception of specific cancers that are cured by surgical resection (basal cell skin cancer, etc.). Individuals under evaluation for possible malignancy are not eligible * Currently receiving therapy with immunomodulators (e.g. corticosteroids), nephrotoxic agents, or agents capable of modifying renal excretion * Known hypersensitivity to study drugs, metabolites, or formulation excipients * Current alcohol or substance abuse judged by the investigator to potentially interfere with individual's 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. Part A Only (Renal Impairment): * Current or historical evidence of clinical hepatic decompensation (e.g., ascites, encephalopathy or variceal hemorrhage) * Abnormal hematological and biochemical parameters, including: * Hemoglobin \< 9 grams per deciliter (g/dL) * Absolute neutrophil count \< 750/cubic millimeter (mm\^3) * Platelets ≤ 50,000/mm\^3 * Aspartate aminotransferase (AST) \> 10 × ULN * Albumin \< 3.0 g/dL * Total bilirubin \> 2.5 × ULN * International normalized ratio of prothrombin time (INR) \> 1.5 × ULN (unless stable on anticoagulant regimen) * Individuals with ESRD (i.e. eGFRcg \< 15 mL/min) not on HD, or those on other forms of renal replacement therapy (i.e. peritoneal dialysis) Part B Only (Hepatic Impairment): * Active variceal bleeding within 6 months or prior placement of a portosystemic shunt (such as transjugular intrahepatic portosystemic shunt \[TIPS\]) * History of hepatorenal syndrome, hepatopulmonary syndrome, Grade 3 or Grade 4 hepatic encephalopathy, or spontaneous bacterial peritonitis within 6 months of screening * Grade 2 hepatic encephalopathy at screening * Model for end-stage liver disease (MELD) score ≥ 30 * Abnormal hematological and biochemical parameters, including * Absolute neutrophil count \< 750/mm\^3 * Platelets \< 30,000/mm\^3 * Hemoglobin \< 8.0 g/dL Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Achieving Virologic Response (Plasma Hepatitis B Virus [HBV] Deoxyribonucleic Acid [DNA] < 20 IU/mL) at Week 24Week 24The percentage of participants with HBV DNA \< 20 IU/mL at Week 24 was determined by the Missing = Failure (M = F) approach.
Percentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Week 24Treatment-emergent AEs were defined as: * Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; * Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; * Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.
Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Week 24Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Week 96Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any post-baseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.
Change From Baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFRcg) in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 24Baseline, Week 24GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min Change from baseline was calculated as the value at Week 24 minus the value at Baseline.
Change From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 48Baseline, Week 48GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min Change from baseline was calculated as the value at Week 48 minus the value at Baseline.
Change From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 96Baseline, Week 96GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min 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 24Baseline, Week 24Percent change = Change from baseline at a postbaseline visit/baseline \* 100%.
Percent Change From Baseline in Hip 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 24Baseline, Week 24Percent 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%.
Percentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 48Weeks 48The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was determined by the Missing = Failure (M = F) approach.
Percentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 96Weeks 96The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was determined by the Missing = Failure (M = F) approach.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ Lower Limit of Detection [LLOD]) at Week 24Week 24The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 24 was determined by the M = F approach.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 48Week 48The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 48 was determined by the M = F approach.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 96Week 96The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 96 was determined by the M = F approach.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 24Week 24The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 24 was determined by the M = F approach.
Percentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 96Week 96HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 48Weeks 48The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 48 was determined by the M = F approach.
Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 96Weeks 96The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 96 was determined by the M = F approach.
Percentage of Participants With Serological Response: Loss of Hepatitis B s-Antigen (HBsAg) at Week 24Week 24HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Serological Response: Loss of HBsAg at Week 48Week 48HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Serological Response: Loss of HBsAg at Week 96Week 96HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 24Week 24HBsAg seroconversion was defined as HBsAg loss and HBsAb test 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 Serological Response: Seroconversion to Anti-HBs at Week 48Week 48HBsAg seroconversion was defined as HBsAg loss and HBsAb test 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 Serological Response: Seroconversion to Anti-HBs at Week 96Week 96HBsAg seroconversion was defined as HBsAg loss and HBsAb test 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 Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 24Week 24HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 48Week 48HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline. The M = F approach was used for this analysis.
Percentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 24Week 24HBeAg seroconversion was defined as HBeAg loss and HBeAb test 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 Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 48Week 48HBeAg seroconversion was defined as HBeAg loss and HBeAb test 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 Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 96Week 96HBeAg seroconversion was defined as HBeAg loss and HBeAb test 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 Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaWeek 24Central 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. The M = F approach was used for this analysis.
Percentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaWeek 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. The M = F approach was used for this analysis.
Percentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaWeek 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. The M = F approach was used for this analysis.
Percentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the AASLD CriteriaWeek 24ALT 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. The M = F approach was used for this analysis.
Percentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the AASLD CriteriaWeek 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. The M = F approach was used for this analysis.
Percentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the AASLD CriteriaWeek 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. The M = F approach was used for this analysis.
Change From Baseline in FibroTest® Score at Week 24Baseline, Week 24The 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 24 minus the value at Baseline.
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 96Week 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.
Change From Baseline in Child-Pugh-Turcotte (CPT) Score in Hepatically Impaired Participants at Week 24Baseline, Week 24CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.
Change From Baseline in CPT Score in Hepatically Impaired Participants at Week 48Baseline, Week 48CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.
Percentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Week 48Treatment-emergent AEs were defined as: Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.
Change From Baseline in Model for End-Stage Liver Disease (MELD) Score in Hepatically Impaired Participants at Week 24Baseline, Week 24MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.
Change From Baseline in MELD Score in Hepatically Impaired Participants at Week 48Baseline, Week 48MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.
Change From Baseline in MELD Score in Hepatically Impaired Participants at Week 96Baseline, Week 96MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.
Change From Baseline in CPT Score in Hepatically Impaired Participants at Week 96Baseline, Week 96CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.
Percentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Week 96Treatment-emergent AEs were defined as: Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.
Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Week 48Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.

Countries

Canada, Hong Kong, Italy, New Zealand, South Korea, Taiwan, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in Asia Pacific, North America, New Zealand and Europe. The first participant was screened on 29 June 2017. The last study visit occurred on 04 September 2020.

Pre-assignment details

147 participants were screened.

Participants by arm

ArmCount
Part A (Renal Impairment): Moderate or Severe Renal Impairment
Participants with CHB and moderate or severe renal impairment who were virologically suppressed and taking TDF, a TDF-containing anti-HBV regimen, or other OAVs, switched to TAF and received TAF 25 mg tablet once daily orally for 96 weeks.
78
Part A (Renal Impairment): End Stage Renal Disease
Participants with CHB and end stage renal disease who were virologically suppressed and taking TDF, a TDF-containing anti-HBV regimen, or OAVs, switched to TAF and received TAF 25 mg tablet once daily orally for 96 weeks.
15
Part B: Hepatic Impairment
Participants with CHB and moderate or severe hepatic impairment who were virologically suppressed and taking TDF, a TDF-containing anti-HBV regimen, or OAVs, switched to TAF and received TAF 25 mg tablet once daily orally for 96 weeks.
31
Total124

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event201
Overall StudyDeath212
Overall StudyInvestigator's discretion201
Overall StudyWithdrew Consent502

Baseline characteristics

CharacteristicPart A (Renal Impairment): End Stage Renal DiseasePart A (Renal Impairment): Moderate or Severe Renal ImpairmentTotalPart B: Hepatic Impairment
Age, Continuous54 years
STANDARD_DEVIATION 12.8
66 years
STANDARD_DEVIATION 10.1
61 years
STANDARD_DEVIATION 11.8
55 years
STANDARD_DEVIATION 10.8
Alanine Aminotransferase (ALT)14 Units/Liter (U/L)
STANDARD_DEVIATION 5.2
20 Units/Liter (U/L)
STANDARD_DEVIATION 9.6
21 Units/Liter (U/L)
STANDARD_DEVIATION 10.8
28 Units/Liter (U/L)
STANDARD_DEVIATION 12.4
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
> 5xULN
0 Participants0 Participants0 Participants0 Participants
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
≤ ULN
15 Participants73 Participants109 Participants21 Participants
ALT Level Based on 2018 American Association for the Study of Liver Diseases (AASLD) Normal Range
> ULN - 5xULN
0 Participants5 Participants15 Participants10 Participants
ALT Level Based on Central Lab Normal Range
> 5xULN
0 Participants0 Participants0 Participants0 Participants
ALT Level Based on Central Lab Normal Range
≤ ULN
15 Participants75 Participants117 Participants27 Participants
ALT Level Based on Central Lab Normal Range
> ULN - 5xULN
0 Participants3 Participants7 Participants4 Participants
Child-Pugh-Turcotte (CPT) Score6 units on a scale
STANDARD_DEVIATION 1.7
6 units on a scale
STANDARD_DEVIATION 1.7
Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFRcg)7.8 milliliter/minute (mL/min)
STANDARD_DEVIATION 2.63
45.5 milliliter/minute (mL/min)
STANDARD_DEVIATION 10.89
54.3 milliliter/minute (mL/min)
STANDARD_DEVIATION 34.16
98.8 milliliter/minute (mL/min)
STANDARD_DEVIATION 33.94
FibroTest® Score0.37 units on a scale
STANDARD_DEVIATION 0.199
0.53 units on a scale
STANDARD_DEVIATION 0.199
0.57 units on a scale
STANDARD_DEVIATION 0.231
0.75 units on a scale
STANDARD_DEVIATION 0.206
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Negative/Negative
1 Participants15 Participants26 Participants10 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Negative/Positive
11 Participants50 Participants79 Participants18 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Positive/Negative
3 Participants13 Participants19 Participants3 Participants
Hepatitis B e Antigen/Antibody (HBeAg/HBeAb) Status
Positive/Positive
0 Participants0 Participants0 Participants0 Participants
Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) Categories
< 20 IU/mL
14 Participants77 Participants122 Participants31 Participants
Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) Categories
≥ 20 IU/mL - < 69 IU/mL
1 Participants0 Participants1 Participants0 Participants
Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) Categories
≥ 69 IU/mL
0 Participants1 Participants1 Participants0 Participants
Hepatitis s-Antigen (HBsAg) (log10 IU/mL)2.72 log10 IU/mL
STANDARD_DEVIATION 1.405
2.51 log10 IU/mL
STANDARD_DEVIATION 0.782
2.38 log10 IU/mL
STANDARD_DEVIATION 1.012
1.90 log10 IU/mL
STANDARD_DEVIATION 1.169
Hip Bone Mineral Density (BMD) Status
Normal (T-score ≥ -1.0)
3 Participants34 Participants55 Participants18 Participants
Hip Bone Mineral Density (BMD) Status
Osteopenia (-2.5 ≤ T-score < -1.0)
5 Participants36 Participants53 Participants12 Participants
Hip Bone Mineral Density (BMD) Status
Osteoporosis (T-score < -2.5)
7 Participants7 Participants15 Participants1 Participants
Model for End-Stage Liver Disease (MELD) Score10.7 units on a scale
STANDARD_DEVIATION 3.4
10.7 units on a scale
STANDARD_DEVIATION 3.4
Race/Ethnicity, Customized
Ethnicity
Hispanic or Latino
0 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Ethnicity
Not Hispanic or Latino
15 Participants78 Participants123 Participants30 Participants
Race/Ethnicity, Customized
Race
Asian
13 Participants59 Participants97 Participants25 Participants
Race/Ethnicity, Customized
Race
Black or African American
0 Participants3 Participants4 Participants1 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Pacific Islander
2 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Race
Other
0 Participants1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Race
White
0 Participants15 Participants19 Participants4 Participants
Region of Enrollment
Canada
0 Participants22 Participants25 Participants3 Participants
Region of Enrollment
Hong Kong
1 Participants14 Participants17 Participants2 Participants
Region of Enrollment
Italy
0 Participants13 Participants15 Participants2 Participants
Region of Enrollment
New Zealand
2 Participants0 Participants2 Participants0 Participants
Region of Enrollment
South Korea
3 Participants12 Participants20 Participants5 Participants
Region of Enrollment
Taiwan
9 Participants13 Participants33 Participants11 Participants
Region of Enrollment
United Kingdom
0 Participants1 Participants2 Participants1 Participants
Region of Enrollment
United States
0 Participants3 Participants10 Participants7 Participants
Sex: Female, Male
Female
3 Participants21 Participants34 Participants10 Participants
Sex: Female, Male
Male
12 Participants57 Participants90 Participants21 Participants
Spine BMD Status
Normal (T-score ≥ -1.0)
5 Participants37 Participants58 Participants16 Participants
Spine BMD Status
Osteopenia (-2.5 ≤ T-score < -1.0)
7 Participants22 Participants38 Participants9 Participants
Spine BMD Status
Osteoporosis (T-score < -2.5)
3 Participants19 Participants28 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
2 / 781 / 152 / 31
other
Total, other adverse events
34 / 7815 / 1523 / 31
serious
Total, serious adverse events
12 / 788 / 1510 / 31

Outcome results

Primary

Percentage of Participants Achieving Virologic Response (Plasma Hepatitis B Virus [HBV] Deoxyribonucleic Acid [DNA] < 20 IU/mL) at Week 24

The percentage of participants with HBV DNA \< 20 IU/mL at Week 24 was determined by the Missing = Failure (M = F) approach.

Time frame: Week 24

Population: The Full Analysis Set included all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Achieving Virologic Response (Plasma Hepatitis B Virus [HBV] Deoxyribonucleic Acid [DNA] < 20 IU/mL) at Week 2497.4 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Achieving Virologic Response (Plasma Hepatitis B Virus [HBV] Deoxyribonucleic Acid [DNA] < 20 IU/mL) at Week 24100.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Achieving Virologic Response (Plasma Hepatitis B Virus [HBV] Deoxyribonucleic Acid [DNA] < 20 IU/mL) at Week 24100.0 percentage of participants
Primary

Percentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24

Treatment-emergent AEs were defined as: * Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; * Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; * Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.

Time frame: Week 24

Population: The Safety Analysis Set included all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Any Treatment-emergent AEs53.8 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Grade 3 and Above Treatment-emergent AEs6.4 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Any Treatment-emergent AEs73.3 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Grade 3 and Above Treatment-emergent AEs13.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Any Treatment-emergent AEs54.8 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Adverse Events (AEs) at Week 24Grade 3 and Above Treatment-emergent AEs6.5 percentage of participants
Primary

Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24

Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.

Time frame: Week 24

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Any Graded Laboratory Abnormality96.2 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Grade 3 and Above Laboratory Abnormality11.5 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Any Graded Laboratory Abnormality100.0 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Grade 3 and Above Laboratory Abnormality46.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Any Graded Laboratory Abnormality90.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 24Grade 3 and Above Laboratory Abnormality48.4 percentage of participants
Secondary

Change From Baseline in Child-Pugh-Turcotte (CPT) Score in Hepatically Impaired Participants at Week 24

CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.

Time frame: Baseline, Week 24

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in Child-Pugh-Turcotte (CPT) Score in Hepatically Impaired Participants at Week 240 units on a scaleStandard Deviation 1.1
Secondary

Change From Baseline in CPT Score in Hepatically Impaired Participants at Week 48

CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.

Time frame: Baseline, Week 48

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in CPT Score in Hepatically Impaired Participants at Week 480 units on a scaleStandard Deviation 1.1
Secondary

Change From Baseline in CPT Score in Hepatically Impaired Participants at Week 96

CPT scores grade the severity of cirrhosis and are used to determine the need for liver transplantation. Scores can range from 5 to 15, with higher scores indicating a greater severity of disease.

Time frame: Baseline, Week 96

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in CPT Score in Hepatically Impaired Participants at Week 960 units on a scaleStandard Deviation 1.2
Secondary

Change From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 48

GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min 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 with available data were analyzed.

ArmMeasureValue (MEDIAN)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 48-0.5 mL/min
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 481.2 mL/min
Secondary

Change From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 96

GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min 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.

ArmMeasureValue (MEDIAN)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 961.0 mL/min
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in eGFRcg in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 96-2.4 mL/min
Secondary

Change From Baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFRcg) in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 24

GFR is a measure of the rate at which blood is filtered by the kidney. Cockcroft-Gault is an equation (calculation) used to estimate GFR based on serum creatinine, weight, and gender. eGFRcg = (140 - age in years) x (body weight in kg) x (0.85 if female) divided by 72 x serum creatinine in mg/dL. Moderate renal impairment= 30 mL/min ≤ eGFRCG ≤ 59 mL/min Severe renal impairment= 15 mL/min ≤ eGFRCG \< 30 mL/min Change from baseline was calculated as the value at Week 24 minus the value at Baseline.

Time frame: Baseline, Week 24

Population: Participants in the Safety Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFRcg) in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 24-0.4 mL/min
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in Estimated Glomerular Filtration Rate by the Cockcroft-Gault Formula (eGFRcg) in Participants With Moderate or Severe Renal Impairment and Hepatically Impaired Participants at Week 241.9 mL/min
Secondary

Change From Baseline in FibroTest® Score at Week 24

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 24 minus the value at Baseline.

Time frame: Baseline, Week 24

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in FibroTest® Score at Week 24-0.01 units on a scaleStandard Deviation 0.099
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in FibroTest® Score at Week 24-0.01 units on a scaleStandard Deviation 0.064
Part B: Hepatic ImpairmentChange From Baseline in FibroTest® Score at Week 24-0.05 units on a scaleStandard Deviation 0.106
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.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in FibroTest® Score at Week 48-0.03 units on a scaleStandard Deviation 0.102
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in FibroTest® Score at Week 48-0.01 units on a scaleStandard Deviation 0.071
Part B: Hepatic ImpairmentChange From Baseline in FibroTest® Score at Week 48-0.03 units on a scaleStandard Deviation 0.102
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: Week 96

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in FibroTest® Score at Week 96-0.01 units on a scaleStandard Deviation 0.114
Part A (Renal Impairment): End Stage Renal DiseaseChange From Baseline in FibroTest® Score at Week 960.03 units on a scaleStandard Deviation 0.107
Part B: Hepatic ImpairmentChange From Baseline in FibroTest® Score at Week 96-0.02 units on a scaleStandard Deviation 0.118
Secondary

Change From Baseline in MELD Score in Hepatically Impaired Participants at Week 48

MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.

Time frame: Baseline, Week 48

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in MELD Score in Hepatically Impaired Participants at Week 480.1 units on a scaleStandard Deviation 2.35
Secondary

Change From Baseline in MELD Score in Hepatically Impaired Participants at Week 96

MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.

Time frame: Baseline, Week 96

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in MELD Score in Hepatically Impaired Participants at Week 96-1.0 units on a scaleStandard Deviation 1.61
Secondary

Change From Baseline in Model for End-Stage Liver Disease (MELD) Score in Hepatically Impaired Participants at Week 24

MELD scores are used to assess prognosis and suitability for liver transplantation. Scores can range from 6 to 40, with higher scores indicating greater disease severity.

Time frame: Baseline, Week 24

Population: Participants in the Full Analysis Set only from Part B (Hepatic Impairment) were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentChange From Baseline in Model for End-Stage Liver Disease (MELD) Score in Hepatically Impaired Participants at Week 24-0.6 units on a scaleStandard Deviation 1.94
Secondary

Percentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 48

The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was determined by the Missing = Failure (M = F) approach.

Time frame: Weeks 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 4892.3 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 4893.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 48100.0 percentage of participants
Secondary

Percentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 96

The percentage of participants with HBV DNA \< 20 IU/mL at Week 48 was determined by the Missing = Failure (M = F) approach.

Time frame: Weeks 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 9683.3 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 9686.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Achieving Virologic Response (Plasma HBV DNA < 20 IU/mL) at Week 9677.4 percentage of participants
Secondary

Percentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48

Treatment-emergent AEs were defined as: Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.

Time frame: Week 48

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Any Treatment-emergent AE71.8 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Grade 3 and Above Treatment-emergent AEs15.4 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Any Treatment-emergent AE86.7 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Grade 3 and Above Treatment-emergent AEs20.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Any Treatment-emergent AE71.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 48Grade 3 and Above Treatment-emergent AEs12.9 percentage of participants
Secondary

Percentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96

Treatment-emergent AEs were defined as: Any AEs with an onset date on or after the study drug start date and no later than the study drug stop date + 3 days after permanent discontinuation of study drug; Any AEs with onset date on or after the study drug start date for those who have not permanently discontinued study drug; Any AEs leading to premature discontinuation of study drug. The most severe graded AE from all tests was counted for each participant.

Time frame: Week 96

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Any Treatment-emergent AEs74.4 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Grade 3 and Above treatment-emergent AEs17.9 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Any Treatment-emergent AEs100.0 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Grade 3 and Above treatment-emergent AEs26.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Any Treatment-emergent AEs77.4 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent AEs at Week 96Grade 3 and Above treatment-emergent AEs25.8 percentage of participants
Secondary

Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48

Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.

Time frame: Week 48

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 312.8 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Any Graded Laboratory Abnormality96.2 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 40 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 340.0 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Any Graded Laboratory Abnormality100.0 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 426.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Any Graded Laboratory Abnormality90.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 49.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 48Grade 341.9 percentage of participants
Secondary

Percentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96

Graded treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any post-baseline visit, up to and including the date of last dose of study drug + 3 days for participants who permanently discontinued study drug or the last available date in the database snapshot for participants who were on treatment at the time of the analysis. The most severe graded abnormality from all tests was counted for each participant.

Time frame: Week 96

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 315.4 percentage of particpants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Any Graded Laboratory Abnormality96.2 percentage of particpants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 41.3 percentage of particpants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 346.7 percentage of particpants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Any Graded Laboratory Abnormality100.0 percentage of particpants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 426.7 percentage of particpants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Any Graded Laboratory Abnormality100.0 percentage of particpants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 412.9 percentage of particpants
Part B: Hepatic ImpairmentPercentage of Participants Who Experienced Graded Treatment-Emergent Laboratory Abnormalities at Week 96Grade 341.9 percentage of particpants
Secondary

Percentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 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. The M = F approach was used for this analysis.

Time frame: Week 24

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by central laboratory92.3 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by AASLD criteria87.2 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by central laboratory93.3 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by AASLD criteria93.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by central laboratory83.9 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 24 by Central Laboratory and the American Association for the Study of Liver Diseases (AASLD) CriteriaALT by AASLD criteria80.6 percentage of participants
Secondary

Percentage of Participants With Normal ALT at Week 48 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. The M = F approach was used for this analysis.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by central laboratory89.7 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria87.2 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by central laboratory86.7 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria80.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by central laboratory90.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal ALT at Week 48 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria80.6 percentage of participants
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. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria74.4 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by central laboratory82.1 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by central laboratory86.7 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria86.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by central laboratory71.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normal ALT at Week 96 by Central Laboratory and the AASLD CriteriaALT by AASLD criteria58.1 percentage of participants
Secondary

Percentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the 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. The M = F approach was used for this analysis.

Time frame: Week 24

Population: Participants in the Full Analysis Set with Baseline ALT \> ULN were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory66.7 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria40.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria60.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 24 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory50.0 percentage of participants
Secondary

Percentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the 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. The M = F approach was used for this analysis.

Time frame: Week 48

Population: Participants in the Full Analysis Set with Baseline ALT \> ULN were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory33.3 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria60.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory75.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 48 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria60.0 percentage of participants
Secondary

Percentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the 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. The M = F approach was used for this analysis.

Time frame: Week 96

Population: Participants in the Full Analysis Set with Baseline ALT \> ULN were analyzed.

ArmMeasureGroupValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria20.0 percentage of participants
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory33.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the AASLD CriteriaNormalized ALT by Central Laboratory50.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Normalized ALT at Week 96 by Central Laboratory and the AASLD CriteriaNormalized ALT by AASLD Criteria50.0 percentage of participants
Secondary

Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 48

The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 48 was determined by the M = F approach.

Time frame: Week 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 4826.9 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 4826.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 4825.8 percentage of participants
Secondary

Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 96

The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 96 was determined by the M = F approach.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 9614.1 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 9620.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ LLOD) at Week 960 percentage of participants
Secondary

Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ Lower Limit of Detection [LLOD]) at Week 24

The percentage of participants with HBV DNA \< 20 IU/mL and target detected (≥ LLOD; i.e. 10 IU/mL) at Week 24 was determined by the M = F approach.

Time frame: Week 24

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ Lower Limit of Detection [LLOD]) at Week 2421.8 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ Lower Limit of Detection [LLOD]) at Week 2440.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Detected (≥ Lower Limit of Detection [LLOD]) at Week 2422.6 percentage of participants
Secondary

Percentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 24

The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 24 was determined by the M = F approach.

Time frame: Week 24

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 2475.6 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 2460.0 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 2477.4 percentage of participants
Secondary

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

The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 48 was determined by the M = F approach.

Time frame: Weeks 48

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 4865.4 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 4866.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 4874.2 percentage of participants
Secondary

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

The percentage of participants with HBV DNA \< 20 IU/mL and target not detected (\< LLOD; i.e. 10 IU/mL) at Week 96 was determined by the M = F approach.

Time frame: Weeks 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 9669.2 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 9666.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Plasma HBV DNA < 20 IU/mL and Target Not Detected (< LLOD) at Week 9677.4 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 24

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

Time frame: Week 24

Population: The Serologically Evaluable Full Analysis Set for HBeAg Loss/Seroconversion included all participants who were enrolled and received at least 1 dose of study drug, and with HBeAg positive and HBeAb negative or missing at baseline.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 240 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 240 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 240 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 48

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

Time frame: Week 48

Population: Participants in the Serologically Evaluable Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 480 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 480 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 480 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 96

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

Time frame: Week 96

Population: The Serologically Evaluable Full Analysis Set for HBeAg Loss/Seroconversion included all participants who were enrolled and received at least 1 dose of study drug, and with HBeAg positive and HBeAb negative or missing at baseline.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 960 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 9633.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of HBeAg in HBeAg-Positive Participants at Week 960 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of HBsAg at Week 48

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline. 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/Seroconversion with available data were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of HBsAg at Week 480.0 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of HBsAg at Week 486.7 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of HBsAg at Week 483.3 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of HBsAg at Week 96

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline. 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/Seroconversion with available data were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of HBsAg at Week 960 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of HBsAg at Week 960 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of HBsAg at Week 966.7 percentage of participants
Secondary

Percentage of Participants With Serological Response: Loss of Hepatitis B s-Antigen (HBsAg) at Week 24

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

Time frame: Week 24

Population: The Serologically Evaluable Full Analysis Set for HBsAg Loss/Seroconversion (all participants who were enrolled and received at least 1 dose of study drug, and with HBsAg positive and HBsAb negative or missing at baseline) with available data were analyzed..

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Loss of Hepatitis B s-Antigen (HBsAg) at Week 240 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Loss of Hepatitis B s-Antigen (HBsAg) at Week 240 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Loss of Hepatitis B s-Antigen (HBsAg) at Week 240 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 24

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

Time frame: Week 24

Population: The Serologically Evaluable Full Analysis Set for HBeAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 240 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 240 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 240 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 48

HBeAg seroconversion was defined as HBeAg loss and HBeAb test 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: The Serologically Evaluable Full Analysis Set for HBeAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 480 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 480 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 480 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 96

HBeAg seroconversion was defined as HBeAg loss and HBeAb test 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: The Serologically Evaluable Full Analysis Set for HBeAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 960 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 9633.3 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBe in HBeAg-Positive Participants at Week 960 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 24

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

Time frame: Week 24

Population: The Serologically Evaluable Full Analysis Set for HBsAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 240 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 240 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 240 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 48

HBsAg seroconversion was defined as HBsAg loss and HBsAb test 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 HBsAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 480 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 480 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 480 percentage of participants
Secondary

Percentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 96

HBsAg seroconversion was defined as HBsAg loss and HBsAb test 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: The Serologically Evaluable Full Analysis Set for HBsAg Loss/Seroconversion were analyzed.

ArmMeasureValue (NUMBER)
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 960 percentage of participants
Part A (Renal Impairment): End Stage Renal DiseasePercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 960 percentage of participants
Part B: Hepatic ImpairmentPercentage of Participants With Serological Response: Seroconversion to Anti-HBs at Week 960 percentage of participants
Secondary

Percent Change From Baseline in Hip BMD at Week 48

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

Time frame: Baseline, Week 48

Population: Participants in Hip DXA Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Hip BMD at Week 480.565 percent changeStandard Deviation 2.616
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Hip BMD at Week 48-1.075 percent changeStandard Deviation 3.6355
Part B: Hepatic ImpairmentPercent Change From Baseline in Hip BMD at Week 48-0.221 percent changeStandard Deviation 3.0158
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 Hip DXA Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Hip BMD at Week 960.425 percent changeStandard Deviation 2.8381
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Hip BMD at Week 96-0.834 percent changeStandard Deviation 4.7171
Part B: Hepatic ImpairmentPercent Change From Baseline in Hip BMD at Week 960.277 percent changeStandard Deviation 3.2549
Secondary

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 24

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

Time frame: Baseline, Week 24

Population: Participants in the Hip Dual-Energy X-Ray Absorptiometry (DXA) Analysis Set (all participants who were enrolled and received at least 1 dose of study drug and had non-missing baseline hip BMD values) with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 240.135 percent changeStandard Deviation 1.8348
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 240.322 percent changeStandard Deviation 2.1835
Part B: Hepatic ImpairmentPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 240.322 percent changeStandard Deviation 2.5105
Secondary

Percent Change From Baseline in Spine BMD at Week 24

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

Time frame: Baseline, Week 24

Population: Participants in the Spine DXA Analysis Set (all participants who were enrolled and received at least 1 dose of study drug and had non-missing baseline spine BMD values) with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Spine BMD at Week 241.229 percent changeStandard Deviation 3.4252
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Spine BMD at Week 240.683 percent changeStandard Deviation 3.137
Part B: Hepatic ImpairmentPercent Change From Baseline in Spine BMD at Week 241.258 percent changeStandard Deviation 2.3416
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 with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Spine BMD at Week 481.516 percent changeStandard Deviation 3.7486
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Spine BMD at Week 480.016 percent changeStandard Deviation 4.1636
Part B: Hepatic ImpairmentPercent Change From Baseline in Spine BMD at Week 480.535 percent changeStandard Deviation 3.4386
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.

ArmMeasureValue (MEAN)Dispersion
Part A (Renal Impairment): Moderate or Severe Renal ImpairmentPercent Change From Baseline in Spine BMD at Week 961.293 percent changeStandard Deviation 4.4136
Part A (Renal Impairment): End Stage Renal DiseasePercent Change From Baseline in Spine BMD at Week 96-0.283 percent changeStandard Deviation 4.5327
Part B: Hepatic ImpairmentPercent Change From Baseline in Spine BMD at Week 96-0.249 percent changeStandard Deviation 3.9127

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026