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| ID | Type | Description | Link |
|---|---|---|---|
| 2010-021925-12 | EudraCT Number |
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The primary objective of this study is to evaluate hepatitis B surface antigen (HBsAg) loss and seroconversion in participants who stop tenofovir disoproxil fumarate (TDF) (Stop TDF arm) compared to participants who continue TDF (Continue TDF arm).
Only participants who already are on treatment with TDF monotherapy or TDF in combination with lamivudine or emtricitabine for at least 4 years and who achieved and maintained virologic suppression (< 400 copies/mL) for 3.5 or more years will be included in this study. One treatment arm will stop the TDF therapy while the other treatment arm will continue the TDF therapy. Participants in the Stop TDF arm will be monitored very closely with special focus on biochemical flares (especially alanine aminotransferase (ALT) increases) and virological relapses (Hepatitis B viral load increases). If any participant in the Stop TDF arm exceeds one or more predefined limits for such flares or relapses, TDF treatment will be reinstituted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stop TDF | Experimental | Participants randomized to this arm will stop TDF therapy at baseline. |
|
| Continue TDF | Active Comparator | Participants randomized to this arm will continue TDF therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TDF | Drug | Tenofovir disoproxil fumarate (TDF) 300 mg tablet administered orally once daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants With HBsAg Loss at Week 144 in Both Study Arms | HBsAg loss is defined as qualitative HBsAg result changing from positive at baseline (BL) to negative at any post-baseline visit. Proportions are based on a Kaplan-Meier estimate. | Week 144 |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants With HBsAg Seroconversion in Both Study Arms at Weeks 96 and 144 | HBsAg seroconversion is defined as qualitative HBsAb result changing from negative at baseline to positive at any postbaseline visit. Proportions are based on the Kaplan-Meier estimate. | Weeks 96 and 144 |
| Change From Baseline in Quantitative HBsAg (IU/mL) in Both Study Arms |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leberzentrum am Checkpoint | Berlin | 10969 | Germany | |||
| Charite CVK |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Result | Berg T, Schott E, Felten G, Eisenbach C, Welzel TM, Warger T, et al. Stopping TDF Treatment After Long Term Virologic Suppression in HBeAg-Negative CHB: Two Cases From an Ongoing Randomized, Controlled Trial [Poster Number P47] The Viral Hepatitis Congress; 2012 September 7-9; Frankfurt am Main, Germany. | ||
| Result | Berg T, Simon K-G, Mauss S, Schott E, Heyne R, Klass D, et al. Stopping Tenofovir Disoproxil Fumarate Treatment After Long-Term Virologic Suppression in HBeAg-Negative CHB: Week 48 Interim Results From an Ongoing Randomized, Controlled Trial ("FINITE CHB") [Presentation P119]. The European Association for the Study of the Liver (EASL). 50th International Liver Congress; 2015 22-26 April; Vienna, Austria. | ||
| 28736139 | Derived | Berg T, Simon KG, Mauss S, Schott E, Heyne R, Klass DM, Eisenbach C, Welzel TM, Zachoval R, Felten G, Schulze-Zur-Wiesch J, Cornberg M, Op den Brouw ML, Jump B, Reiser H, Gallo L, Warger T, Petersen J; FINITE CHB study investigators [First investigation in stopping TDF treatment after long-term virological suppression in HBeAg-negative chronic hepatitis B]. Long-term response after stopping tenofovir disoproxil fumarate in non-cirrhotic HBeAg-negative patients - FINITE study. J Hepatol. 2017 Nov;67(5):918-924. doi: 10.1016/j.jhep.2017.07.012. Epub 2017 Jul 21. |
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65 participants were screened.
Participants were enrolled at 13 study sites in Germany. The first participant was screened on 26 April 2011. The last study visit occurred on 23 August 2016.
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| ID | Title | Description |
|---|---|---|
| FG000 | Stop TDF | Participants stopped tenofovir disoproxil fumarate (Viread®; TDF) monotherapy at baseline. |
| FG001 | Continue TDF | Participants continued TDF monotherapy 300 mg once daily. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety Analysis Set: participants who were either randomized to Arm A (Stop TDF) and had a baseline visit, or who were randomized to Arm B (Continue TDF) and received at least one dose of study drug
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| ID | Title | Description |
|---|---|---|
| BG000 | Stop TDF | Participants stopped tenofovir disoproxil fumarate (Viread®; TDF) monotherapy at baseline. |
| BG001 | Continue TDF | Participants continued TDF monotherapy 300 mg once daily. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Proportion of Participants With HBsAg Loss at Week 144 in Both Study Arms | HBsAg loss is defined as qualitative HBsAg result changing from positive at baseline (BL) to negative at any post-baseline visit. Proportions are based on a Kaplan-Meier estimate. | HBsAg Loss and Seroconversion Full Analysis Set: participants in the Full Analysis Set who had at least one post-baseline HBsAg value and with HBsAg positive and HBsAb negative or missing at baseline. | Posted | Number | 95% Confidence Interval | Proportion of participants | Week 144 |
|
Up to 144 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Stop TDF (TDF-Free) [Termination Emergent] | Participants stopped TDF monotherapy at baseline. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute coronary syndrome | Cardiac disorders | MedDRA 19.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vertigo | Ear and labyrinth disorders | MedDRA 19.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosures | Gilead Sciences | ClinicalTrialDisclosures@gilead.com |
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| ID | Term |
|---|---|
| D019694 | Hepatitis B, Chronic |
| D006679 | HIV Seropositivity |
| ID | Term |
|---|---|
| D006509 | Hepatitis B |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D000068698 | Tenofovir |
| ID | Term |
|---|---|
| D063065 | Organophosphonates |
| D009943 | Organophosphorus Compounds |
| D009930 | Organic Chemicals |
| D000225 | Adenine |
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| Stop TDF | Other | Participants will stop TDF therapy |
|
|
| Baseline to Week 144 |
| Proportion of Participants Who Restart TDF Therapy in the Stop TDF Arm | Weeks 48, 96, and 144 |
| Percentage of Participants With Viral Suppression in the Stop TDF Arm (TDF-Free and Re-Start TDF Groups) | Viral suppression is defined as 2 consecutive assessments of HBV DNA < 400 copies/mL (69 IU/mL) through Week 144. | Baseline to Week 144 |
| Percentage of Participants With Alanine Aminotransferase (ALT) > Upper Limit of the Normal Range in the Stop TDF Arm (TDF-Free and Restart TDF) | Baseline to Week 144 |
| Proportion of Participants With HBsAg Loss at Week 96 in Both Study Arms | HBsAg loss is defined as qualitative HBsAg result changing from positive at baseline (BL) to negative at any post-baseline visit. Proportions are based on a Kaplan-Meier estimate. | Week 96 |
| Berlin |
| 13353 |
| Germany |
| Zentrum für HIV und Hepatitis | Düsseldorf | 40237 | Germany |
| J.W. Goethe Universitaetsklinikum | Frankfurt | 60590 | Germany |
| ifi Studien und Projekte GmbH | Hamburg | 20099 | Germany |
| Universitaetsklinikum Hamburg Eppendorf | Hamburg | 20246 | Germany |
| Medizinische Hochschule Hannover | Hanover | 30625 | Germany |
| Universitaetsklinik Heidelberg | Heidelberg | 69120 | Germany |
| Gastroenterologische Gemeinschaftspraxis | Herne | 44623 | Germany |
| Universitaetsklinikum Leipzig | Leipzig | 04103 | Germany |
| Gemeinschaftspraxis Gastroenterologie | Leverkusen | 51375 | Germany |
| Klinikum der LMU Grosshadern | München | 81377 | Germany |
| Universitaetsklinikum Ulm | Ulm | 89081 | Germany |
| Randomized but not Treated |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Hepatitis B Virus Surface Antigen | Mean | Standard Deviation | log10 IU/mL |
|
Participants continued TDF monotherapy 300 mg once daily.
|
|
|
| Secondary | Proportion of Participants With HBsAg Seroconversion in Both Study Arms at Weeks 96 and 144 | HBsAg seroconversion is defined as qualitative HBsAb result changing from negative at baseline to positive at any postbaseline visit. Proportions are based on the Kaplan-Meier estimate. | HBsAg Loss and Seroconversion Full Analysis Set: participants in the Full Analysis Set who had at least 1 post-baseline HBsAg value and with HBsAg positive and HBsAb negative or missing at baseline. | Posted | Number | 95% Confidence Interval | Proportion of participants | Weeks 96 and 144 |
|
|
|
| Secondary | Change From Baseline in Quantitative HBsAg (IU/mL) in Both Study Arms |
| Participants in the Full Analysis Set ( participants who were randomized to Stop TDF arm and had a baseline visit or who were randomized to Continue TDF arm and received at least 1 dose of study drug) with available data were analyzed. | Posted | Mean | Standard Deviation | log10 IU/mL | Baseline to Week 144 |
|
|
|
| Secondary | Proportion of Participants Who Restart TDF Therapy in the Stop TDF Arm | Full Analysis Set (FAS): participants who were randomized to Stop TDF group and had a baseline visit or who were randomized to Continue TDF group and received at least 1 dose of study drug. Proportions are based on the Kaplan-Meier estimate. | Posted | Number | 95% Confidence Interval | Proportion of participants | Weeks 48, 96, and 144 |
|
|
|
| Secondary | Percentage of Participants With Viral Suppression in the Stop TDF Arm (TDF-Free and Re-Start TDF Groups) | Viral suppression is defined as 2 consecutive assessments of HBV DNA < 400 copies/mL (69 IU/mL) through Week 144. | Participants in the FAS with available data were analyzed. When participant randomized in the Stop TDF group restarted TDF therapy, that participant was considered part of the Restart TDF group from that point forward. 1 participant restarted TDF during Wk 72, thus was reported in both Stop TDF and Restart TDF arms based on the TDF restart date. | Posted | Number | Percentage of participants | Baseline to Week 144 |
|
|
|
| Secondary | Percentage of Participants With Alanine Aminotransferase (ALT) > Upper Limit of the Normal Range in the Stop TDF Arm (TDF-Free and Restart TDF) | Participants in the Full Analysis Set with available data were analyzed. Percentages are based on the number of participants with non-missing laboratory test results at each visit. One participant restarted TDF during Weeks 72 and 120 and thus was reported in both the Stop TDF and Re-Start TDF groups based on the date of TDF restart. | Posted | Number | Percentage of participants | Baseline to Week 144 |
|
|
|
| Secondary | Proportion of Participants With HBsAg Loss at Week 96 in Both Study Arms | HBsAg loss is defined as qualitative HBsAg result changing from positive at baseline (BL) to negative at any post-baseline visit. Proportions are based on a Kaplan-Meier estimate. | HBsAg Loss and Seroconversion Full Analysis Set | Posted | Number | 95% Confidence Interval | Proportion of participants | Week 96 |
|
|
|
| 0 |
| 21 |
| 4 |
| 21 |
| 17 |
| 21 |
| EG001 | Re-start TDF [TDF Emergent] | Stop TDF participants who restarted TDF therapy. | 0 | 8 | 1 | 8 | 6 | 8 |
| EG002 | Continue TDF [TDF Emergent] | Participants continued TDF monotherapy 300 mg once daily. | 0 | 21 | 3 | 21 | 16 | 21 |
| Surgical failure | General disorders | MedDRA 19.0 | Systematic Assessment |
|
| Cholelithiasis | Hepatobiliary disorders | MedDRA 19.0 | Systematic Assessment |
|
| Appendicitis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Facial bones fracture | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
|
| Limb traumatic amputation | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA 19.0 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Gastritis | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Haemorrhoids | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 19.0 | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA 19.0 | Systematic Assessment |
|
| Seasonal allergy | Immune system disorders | MedDRA 19.0 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 19.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.0 | Systematic Assessment |
|
| Keratoacanthoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 19.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA 19.0 | Systematic Assessment |
|
| Renal colic | Renal and urinary disorders | MedDRA 19.0 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 19.0 | Systematic Assessment |
|
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met:
| D018347 |
| Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D015658 | HIV Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D011687 |
| Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| Change from Baseline at Week 4 |
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| Change from Baseline at Week 10 |
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| Change from Baseline at Week 108 |
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| Change from Baseline at Week 120 |
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| Change from Baseline at Week 132 |
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| Change from Baseline at Week 144 |
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| Week 132 |
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| Week 60 |
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| Week 72 |
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| Week 84 |
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| Week 96 |
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| Week 108 |
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| Week 132 |
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| Week 144 |
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