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Adefovir dipivoxil

Phase 4FDA approved

Chronic Hepatitis B | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Trials Updated: Aug 10, 2021

Adefovir dipivoxil development status

FDA approval on record Sep 20, 2002 as Hepsera
Approval holderGilead
ApplicationNDA021449
Highest phase Phase 4 run by Jun Cheng (NCT01436539)
Phase scored for GILDPhase 3
Registered trials 36 across 9 sponsors since Aug 2001

Adefovir dipivoxil target and mechanism

ModalitySmall molecule

Also known as Adefovir Dipivoxil (ADV)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment396

FDA Designations

No designations recorded

Adefovir dipivoxil clinical trials

Adefovir dipivoxil · 8 trials · 4 indications

Phase 3 2Phase 2 1Phase 1 5
NCT00095121Safety and Efficacy of Adefovir Dipivoxil in Children and Adolescents With Chronic Hepatitis BChronic Hepatitis B
COMPLETED173 Analytics
NCT00071201Evaluate Efficacy, Safety and PK of Adefovir Dipivoxil Liquid Suspension in Patients With Chronic Hepatitis BChronic Hepatitis B
COMPLETED48 Analytics
PHASE3COMPLETED
Safety and Efficacy of Adefovir Dipivoxil in Children and Adolescents With Chronic Hepatitis B
Chronic Hepatitis BUnlock trial analytics
PHASE3COMPLETED
Evaluate Efficacy, Safety and PK of Adefovir Dipivoxil Liquid Suspension in Patients With Chronic Hepatitis B
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Serum Hepatitis B Virus (HBV) Deoxyribonucleic Acid (DNA) < 1000 Copies/mL (Polymerase Chain Reaction [PCR]-Based Assay) and Normal Alanine Aminotransferase (ALT) at Week 48 (Missing = Failure)
Week 48

In the absence of biopsy data from these pediatric participants, this endpoint enables assessments of drug effect on viral replication and the underlying degree of inflammation in the liver.

To evaluate pharmacokinetics of tacrolimus or cyclosporine when co-administered with adefovir dipivoxil 10 mg once daily to patients post-liver transplantation
21 days
Development of de Novo Hepatitis B Infection After Transplant With a Core Antibody Positive Liver
Standard of care visits post-transplant for 2 years

Determined by positive hepatitis B serology (tests positive for HBsAg) and HBV DNA viral load (\>40 IU/mL).

To characterize the PK profile of adefovir 0.14 mg/kg and 0.3 mg/kg in children 2-11 years, including dose proportionality of adefovir dipivoxil liquid formulation. To characterize the PK profile of adefovir dipivoxil 10 mg in adoloscents 12-17 years.
8 days

Secondary Endpoints

Percentage of Participants With Serum HBV DNA < 1000 Copies/mL (PCR-based Assay) While on Treatment (Missing = Failure) (ADV Baseline)
ADV baseline
Percentage of Participants With Serum HBV DNA < 1000 Copies/mL (PCR-based Assay) While on Treatment - Missing = Failure) (ADV Week 192)
ADV Week 192
Percentage of Participants With Serum HBV DNA < 1000 Copies/mL (PCR-based Assay) While on Treatment (Missing = Failure) (ADV Week 240)
ADV Week 240
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo (PLB)PLACEBO_COMPARATORParticipants randomized to receive placebo received placebo during the first 48 weeks of treatment (double-blind phase) and then all eligible participants were administered open-label ADV for the remainder of the study.
Adefovir Dipivoxil (ADV)EXPERIMENTALParticipants randomized to receive ADV received ADV during the first 48 weeks of treatment (double-blind phase) and then all eligible participants were administered open-label ADV for the remainder of the study.
Treatment Arm 1OTHERAdefovir dipivoxil 10 mg once daily with tacrolimus or cyclosporine for 14 days
ADV plus hepatitis B vaccinationEXPERIMENTALAdefovir dipivoxil and hepatitis B vaccination: All subjects will receive adefovir 10mg po daily, or adjusted for renal function and an option for Hepatitis B vaccination, double dose.
Treatment Group AOTHERADV (0.14 mg/kg) oral suspension formulation on Day 1 followed by ADV (0.3 mg/kg) oral suspension formulation on Day 8 in 2-6 and 7-11 year old age group
Treatment Group BOTHERADV (0.3 mg/kg) oral suspension formulation on Day 1 followed by ADV (0.14 mg/kg) oral suspension formulation on Day 8 in 2-6 and 7-11 year old age group
Treatment Group COTHERADV 10 mg single dose on Day 1 in 12-17 year old age group

Interventions

NameTypeDescription
Placebo (PLB)DRUGMatching placebo
Adefovir Dipivoxil (ADV)DRUG10-mg tablet or 2-mg/mL oral suspension
LamivudineDRUG100-mg tablet administered according to package labeling. Lamivudine was to be added to the open-label ADV regimen of subjects with a serum HBV DNA concentration \>= 1000 copies/mL at 2 consecutive study visits at or after Study Week 96. If the HBV DNA concentration remained \>= 1000 copies/mL at 2 consecutive study visits after the addition of lamivudine, the investigator was required to discontinue all study drugs, perform the early termination ssessments, and have the subject return every 4 weeks for 16 weeks of posttreatment evaluations.
Adefovir Dipivoxil for oral suspension, 2 mg/mLDRUG -
Adefovir DipivoxilDRUGAdefovir dipivoxil 10 mg once daily for 14 days co-administered with tacrolimus or cyclosporine
Adefovir dipivoxil and hepatitis B vaccinationDRUGAdefovir 10mg po daily, or adjusted for renal function and option for Hepatitis B vaccination, double dose
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Eligibility Criteria

Age Range2 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites1

Key Inclusion Criteria: * Positive HBsAg \>= 6 months prior to randomization and positive HBeAg at screening. * Serum HBV DNA greater than or equal to 1 x 100,000 copies/mL (PCR assay) at initial or confirmatory screening visit. * Serum ALT levels greater than or equal to 1.5 x ULN at both initial ...

Countries:United StatesBelgiumGermanyPolandUnited Kingdom
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Frequently asked questions about Adefovir dipivoxil

What is adefovir dipivoxil?

Adefovir dipivoxil is a small molecule antiviral drug developed by Gilead Sciences, Inc. (ticker GILD) for infectious disease. It is studied in chronic hepatitis B, hepatitis B, and HIV infections. It is given orally, including as a 2 mg/mL oral suspension, and has been evaluated in placebo-controlled, randomized, double-blind clinical trials.

What is adefovir dipivoxil used for in chronic hepatitis B?

Adefovir dipivoxil is used for the treatment of chronic hepatitis B, and it has also been studied in hepatitis B and HIV infections. Its clinical program includes a Phase 3 trial in children and adolescents with chronic hepatitis B, as well as pharmacokinetic and safety studies in liver transplant patients.

Who makes adefovir dipivoxil?

Adefovir dipivoxil is developed by Gilead Sciences, Inc., which trades under the ticker GILD. Gilead is the company associated with the drug's clinical development across its hepatitis B and HIV infection programs.

What phase is adefovir dipivoxil in?

Adefovir dipivoxil has reached Phase 3 development. Its Phase 3 trial was a safety and efficacy study in children and adolescents with chronic hepatitis B. Additional completed studies include Phase 1 and Phase 2 trials, and no trials are currently active.

What clinical trials is adefovir dipivoxil in?

Adefovir dipivoxil has been studied in completed trials including NCT00095121, a Phase 3 safety and efficacy study in children and adolescents with chronic hepatitis B; NCT00645294, a Phase 1 pharmacokinetics and safety study in children and adolescents with HBV; NCT00644761, a Phase 2 drug interaction study in post-liver transplant patients; and NCT01146808, a Phase 1 study of adefovir plus vaccination in transplant patients.

Is adefovir dipivoxil the same as ADV or adefovir dipivoxil for oral suspension?

Yes. Adefovir dipivoxil is also known as ADV, and it is supplied as adefovir dipivoxil for oral suspension at 2 mg/mL. Related search terms include adefovir dipivoxil and hepatitis B vaccination, reflecting trial combinations of the drug with hepatitis B vaccination.