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A Phase 2, Double-Blind, Multi-center, Randomized Study Comparing Tenofovir Disoproxil Fumarate, Emtricitabine Plus Tenofovir Disoproxil Fumarate, and Entecavir in the Treatment of Chronic Hepatitis B Subjects with Decompensated Liver Disease and in the Prevention of Hepatitis B Recurrence Post-Transplantatio

Conditions
Chronic Hepatitis B
MedDRA version: 8.1Level: LLTClassification code 10008910
Registration Number
EUCTR2005-004096-37-ES
Lead Sponsor
Gilead Sciences Incorporated
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

• Chronic HBV infection, defined as positive serum HBsAg for at least 6 months

• 18 through 69 years of age (inclusive)

• Serum HBV DNA = 10000 copies/mL (PCR method)

• Decompensated liver disease with all of the following:

- CPT score of 7-12 (inclusive)
- Serum ALT < 10 × ULN
- Hemoglobin = 7.5 g/dL
- Total WBC count = 1,500/mm3
- Platelet count = 30,000/mm3

• a-fetoprotein = 20 ng/mL and ultrasound or other imaging with no evidence of HCC, or a-fetoprotein of 21-50 ng/mL and CT/MRI with no evidence of HCC, within 3 months of screening

• Calculated creatinine clearance (CLcr) = 50 mL/min using the Cockcroft-Gault equation

• Negative HIV, HCV, and HDV serologies

• Less than 24 months of total prior adefovir dipivoxil exposure

• Willing and able to provide written informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

• Pregnant women, women who are breast feeding 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” method of contraception during the study. For males, condoms should be used and for females, a barrier contraception method should be used

• Prior use of tenofovir DF or entecavir

• History of variceal bleeding, hepatorenal syndrome, hepatic encephalopathy, or spontaneous bacterial peritonitis within 60 days of screening

• History of solid organ or bone marrow transplant

• Current use of hepatotoxic drugs, nephrotoxic drugs, or drugs that interfere with renal tubular secretion

• Current therapy with immunomodulators (e.g., corticosteroids, IL-2, etc.) or investigational agents

• Diagnosis of proximal tubulopathy

• Use of any investigational agent within 30 days prior to the screening visit

• Known hypersensitivity to tenofovir DF (or tenofovir), emtricitabine, entecavir, or formulation excipients of any of the study drug products

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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