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NCT02836249

Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate for Treatment of Hepatitis B e Antigen-Positive Hepatitis B (China)

Completed Phase 3 Results posted Last updated 15 October 2024
What this trial tests

Phase 3 trial testing TAF in HBV in 181 participants. Completed in 31 August 2023.

Timeline
19 June 2015
Primary endpoint
21 March 2017
31 August 2023

Quick facts

Lead sponsorGilead Sciences
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment181
Start date19 June 2015
Primary completion21 March 2017
Estimated completion31 August 2023
Sites25 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with HBV or Chronic HBV Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48 Primary · Week 48
GroupValue95% CI
Double-Blind: TAF 25 mg61.0
Double-Blind: TDF 300 mg68.4
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion to Antibody Against Hepatitis B e Antigen (Anti-HBe) at Week 48 Secondary · Week 48
GroupValue95% CI
Double-Blind: TAF 25 mg11.0
Double-Blind: TDF 300 mg8.8
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48 Secondary · Baseline; Week 48
GroupValue95% CI
Double-Blind: TAF 25 mg0.624± 2.2731
Double-Blind: TDF 300 mg-1.507± 2.4193
Percent Change From Baseline in Spine BMD at Week 48 Secondary · Baseline; Week 48
GroupValue95% CI
Double-Blind: TAF 25 mg0.683± 3.3281
Double-Blind: TDF 300 mg-2.169± 3.4503
Change From Baseline at Week 48 in Serum Creatinine Secondary · Baseline; Week 48
GroupValue95% CI
Double-Blind: TAF 25 mg-0.003± 0.0701
Double-Blind: TDF 300 mg0.016± 0.0920
Percentage of Participants With Treatment-emergent Proteinuria by Urinalysis (Dipstick) Through Week 48 Secondary · Up to 48 weeks

Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method.

Grade 1
GroupValue95% CI
Double-Blind: TAF 25 mg24.4
Double-Blind: TDF 300 mg22.8
Grade 2
GroupValue95% CI
Double-Blind: TAF 25 mg0.8
Double-Blind: TDF 300 mg3.5
Grade 3
GroupValue95% CI
Double-Blind: TAF 25 mg0
Double-Blind: TDF 300 mg0

Adverse events — posted to ClinicalTrials.gov

Time frame: All-Cause Mortality: Up to approximately 414 weeks; Adverse Events: Up to Week 384. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Double-Blind: TAF 25 mg
Serious: 8/123 (7%)
Deaths: 0/123
Double-Blind: TDF 300 mg
Serious: 3/57 (5%)
Deaths: 0/57
Open-label TAF Extension Phase: TAF 25 mg to TAF 25 mg
Serious: 7/113 (6%)
Deaths: 1/113
Open-label TAF Extension Phase: TDF 300 mg to TAF 25 mg
Serious: 4/52 (8%)
Deaths: 0/52

Serious adverse events (27 terms)

ReactionSystemDouble-Blind: TAF 25 mgDouble-Blind: TDF 300 mgOpen-label TAF Extension P…Open-label TAF Extension P…
Hepatic cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cardiac polypCardiac disorders
AscitesGastrointestinal disorders
HaematocheziaGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
PyrexiaGeneral disorders
Cholecystitis acuteHepatobiliary disorders
CholelithiasisHepatobiliary disorders
AppendicitisInfections and infestations
Infective exacerbation of bronchiectasisInfections and infestations
PneumoniaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Foot fractureInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Weight decreasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
Appendix cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral infarctionNervous system disorders
Subarachnoid haemorrhageNervous system disorders
AnxietyPsychiatric disorders
NephrolithiasisRenal and urinary disorders
Abnormal uterine bleedingReproductive system and breast disorders
Uterine polypReproductive system and breast disorders
Cystic lung diseaseRespiratory, thoracic and mediastinal disorders
Other adverse events (29 terms — click to expand)

ReactionSystemDouble-Blind: TAF 25 mgDouble-Blind: TDF 300 mgOpen-label TAF Extension P…Open-label TAF Extension P…
Covid-19Infections and infestations
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Hepatic steatosisHepatobiliary disorders
HyperlipidaemiaMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
Gallbladder polypHepatobiliary disorders
Urinary tract infectionInfections and infestations
HyperuricaemiaMetabolism and nutrition disorders
Renal cystRenal and urinary disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
OsteopeniaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Hepatic cystHepatobiliary disorders
Blood parathyroid hormone increasedInvestigations
PyrexiaGeneral disorders
Suspected COVID-19Infections and infestations
HypercholesterolaemiaMetabolism and nutrition disorders
NephrolithiasisRenal and urinary disorders
ProteinuriaRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
TonsillitisInfections and infestations
Amylase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Creatinine renal clearance decreasedInvestigations
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders

Most-reported serious reactions: Hepatic cancer, Cardiac polyp, Ascites, Haematochezia, Haemorrhoids, Pyrexia, Cholecystitis acute, Cholelithiasis.

Data from ClinicalTrials.gov NCT02836249 adverse events section.

Sponsor's own description

The primary objective of this study is to compare the efficacy, safety, and tolerability of tenofovir alafenamide (TAF) versus tenofovir disoproxil fumarate (TDF) in treatment-naive and treatment-experienced adults with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B virus (HBV) infection in China.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. 3-year Treatment of Tenofovir Alafenamide <i>vs</i>. Tenofovir Disoproxil Fumarate for Chronic HBV Infection in China.
    Hou J, Ning Q, Duan Z, Chen Y, et al · · 2021 · cited 28× · PMID 34221918 · DOI 10.14218/jcth.2020.00145
  2. Tenofovir alafenamide and tenofovir disoproxil fumarate reduce incidence of hepatocellular carcinoma in patients with chronic hepatitis B.
    Lim YS, Chan HLY, Ahn SH, Seto WK, et al · · 2023 · cited 13× · PMID 37771546 · DOI 10.1016/j.jhepr.2023.100847
  3. Five-year Treatment with Tenofovir Alafenamide Achieves High Rates of Viral Suppression, Alanine Aminotransferase Normalization, and Favorable Bone and Renal Safety in Chinese Chronic Hepatitis B Patients.
    Hou J, Ning Q, Duan Z, Chen Y, et al · · 2024 · cited 4× · PMID 38779514 · DOI 10.14218/jcth.2023.00417
  4. Eight-year Results from Two Randomized Phase 3 Trials of Tenofovir Alafenamide for Chronic Hepatitis B Virus Infection in China.
    Hou J, Ning Q, Duan Z, Chen Y, et al · · 2026 · PMID 41810101 · DOI 10.14218/jcth.2025.00438

Verify or expand the search:

Other trials of TAF

Trials testing the same drug.

Other recruiting trials for HBV

Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02836249.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing