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TDF

Phase 3

Chronic Hepatitis B | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: May 18, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment840
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00116805A Study to Compare Tenofovir Disoproxil Fumarate Versus Adefovir Dipivoxil for the Treatment of HBeAg-Positive Chronic Hepatitis BPHASE3 COMPLETED 266Jun 1, 2005Jan 1, 2016Mar 9, 201787 United States, Australia +13
NCT00117676A Study to Compare Tenofovir Disoproxil Fumarate Versus Adefovir Dipivoxil for the Treatment of HBeAg-Negative Chronic Hepatitis BPHASE3 COMPLETED 382Feb 1, 2005Jan 1, 2016Mar 7, 201780 United States, Australia +13
NCT02579382Study to Evaluate the Safety, Tolerability, and Efficacy of Vesatolimod in Combination With Tenofovir Disoproxil Fumarate (TDF) in Adults With Chronic Hepatitis B (CHB) Infection Who Are Currently Not Being TreatedPHASE2 COMPLETED 192Nov 10, 2015May 3, 2019May 18, 202021 United States, Canada +6
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Study Endpoints
Primary Endpoints
Percentage of Participants With HBV DNA < 400 Copies/mL and Histological Improvement (2-point Reduction in Knodell Necroinflammatory Score Without Worsening in Knodell Fibrosis Score) at Week 48
Baseline; Week 48

Complete response was a composite endpoint defined as histological response and HBV DNA \< 400 copies/mL. Histological response was based on the Knodell numerical scoring of liver biopsy specimens and defined as at least a 2-point reduction in Knodell necroinflammatory score without worsening in Knodell fibrosis score. The Knodell necroinflammatory score is the combined necrosis and inflammation domain scores and ranges from 0 to 14; the Knodell fibrosis domain score ranges from 0 to 4. A participant was a nonresponder for the primary endpoint if either biopsy (baseline or end-of-treatment) was missing or if there was not an HBV DNA value available at or beyond Week 40.

Mean Change (Measured in log10 IU/mL) in Hepatitis B Surface Antigen (HBsAg) From Baseline at Week 24
Baseline; Week 24

The change from baseline to Week 24 in HBsAg (log10 IU/mL) was analyzed using a mixed model for repeated measures (MMRM). The model included treatment, baseline HBsAg (log10 IU/mL), baseline Hepatitis B Envelope Antigen (HBeAg) status (positive or negative), baseline alanine aminotransferase (ALT) level relative to upper limit of normal (ULN) (\> 19 vs ≤ 19 IU/L for females; \> 30 vs ≤ 30 IU/L for males), visit and treatment-by-visit interaction as fixed effects, and visit as a repeated measure.

Secondary Endpoints
Percentage of Participants With HBV DNA < 400 Copies/mL at Week 48
Week 48
Percentage of Participants With HBV DNA < 400 Copies/mL at Week 96
Week 96
Percentage of Participants With HBV DNA < 400 Copies/mL at Weeks 144, 192, 240, 288, 336, and 384
Weeks 144, 192, 240, 288, 336, and 384
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TDF-TDFEXPERIMENTALTDF plus ADV placebo (double-blind period), followed by TDF (open-label period). Participants may add FTC (as part of emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) FDC tablet) to their treatment regimen in the open-label period.
ADV-TDFACTIVE_COMPARATORADV plus TDF placebo (double-blind period), followed by TDF (open-label period). Participants may add FTC (as part of FTC/TDF FDC tablet) to their treatment regimen in the open-label period.
TDF + placeboPLACEBO_COMPARATORMain Study Phase: Tenofovir disoproxil fumarate (TDF) 300 mg tablets orally once daily for up to 48 weeks + placebo administered orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
TDF + Vesatolimod 1 mgEXPERIMENTALMain Study Phase:TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 1 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
TDF + Vesatolimod 2 mgEXPERIMENTALMain Study Phase: TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 2 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
TDF + Vesatolimod 4 mgEXPERIMENTALMain Study Phase: TDF 300 mg tablets orally once daily for up to 48 weeks + vesatolimod 4 mg tablet orally once a week (every 7 days) for 12 doses. Optional Treatment Extension Phase: At Week 48 participants had the option to continue TDF 300 mg tablets orally once daily up to Week 144.
Interventions
NameTypeDescription
TDFDRUG300 mg tablet administered orally once daily
ADVDRUG10 mg tablet administered orally once daily
TDF placeboDRUGTablet administered orally once daily
ADV placeboDRUGTablet administered orally once daily
FTC/TDFDRUG200/300 mg fixed-dose combination (FDC) tablet administered orally once daily
VesatolimodDRUGTablets administered orally once a week (every 7 days) for 12 doses
PlaceboDRUGPlacebo administered orally once a week (every 7 days) for 12 doses
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Eligibility Criteria
Age Range18 Years — 69 Years
SexALL
Healthy VolunteersNo
Study Sites87

Key Inclusion Criteria: A patient must meet all of the following inclusion criteria to be eligible for participation in this study: * Chronic hepatitis B virus (HBV) infection, defined as positive serum hepatitis B s-antigen (HBsAg) for more than 6 months * 18 through 69 years of age, inclusive * ...

Countries:United StatesAustraliaBulgariaCanadaCzechiaFranceGermanyGreeceItalyNetherlandsNew ZealandPolandSpainTurkey (Türkiye)United KingdomHong KongSouth KoreaTaiwan
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