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Tenofovir DF

Phase 3

Chronic Hepatitis B | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Jan 30, 2026

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 Enrollment322
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01651403Study to Evaluate the Antiviral Efficacy, Safety and Tolerability of Tenofovir Disoproxil Fumarate Versus Placebo in Pediatric Participants With Chronic Hepatitis B InfectionPHASE3 ACTIVE NOT_RECRUITING 90Dec 6, 2012Jul 1, 2027Jan 30, 202621 United States, India +3
NCT00507507A Study to Compare Tenofovir DF Versus the Combination of Emtricitabine Plus Tenofovir DF for the Treatment of Chronic Hepatitis B in Patients With Normal Alanine Aminotransferase (ALT)PHASE2 COMPLETED 126Sep 1, 2007Aug 1, 2012Jul 17, 201545 United States, Australia +9
NCT00307489Treatment of Persistent Viremia (Virus in Blood) in Chronic Hepatitis B Subjects Already Receiving Adefovir DipivoxilPHASE2 COMPLETED 106Mar 1, 2006Oct 1, 2010Nov 1, 201128 United States, France +2
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Study Endpoints
Primary Endpoints
Percentage of Participants With Serum HBV DNA < 400 Copies/mL (69 IU/mL) at Week 48 (Missing = Failure Approach)
Week 48
Percentage of Participants With Serum HBV DNA < 400 Copies/mL (69 IU/mL) at Week 48 (Missing = Excluded Approach)
Week 48
Percentage of Participants With HBV DNA < 400 Copies/mL at Week 192
Week 192

The percentage of participants with HBV DNA \< 400 copies/mL at Week 192 was analyzed. Participants with missing data were considered to have failed to achieve the criteria for evaluation.

Percentage of Participants With Plasma HBV DNA < 169 Copies/mL at Week 48
48 weeks
Percentage of Participants With Plasma HBV DNA < 400 Copies/mL at Week 48
48 Weeks
Secondary Endpoints
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion at Week 48
Week 48
Percentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48, Based on the American Association for the Study of Liver Diseases (AASLD) Normal Range
Week 48
Percentage of Participants With Normal ALT at Week 192, Based on the AASLD Normal Range
Week 192
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Tenofovir DF (Blinded Randomized Treatment)EXPERIMENTALParticipants will receive tenofovir disoproxil fumarate (tenofovir DF; TDF) for 72 weeks (protocol amendment 2) or 48 weeks (protocol amendment 3).
Placebo to match TDF (Blinded Randomized Treatment)PLACEBO_COMPARATORParticipants will receive TDF placebo for 72 weeks (protocol amendment 2) or 48 weeks (protocol amendment 3).
Tenofovir DF (Open-label Treatment)EXPERIMENTALFollowing 72 weeks (protocol amendment 2) or 48 weeks (protocol amendment 3) of blinded randomized treatment, participants will switch to open-label TDF treatment for an additional 120 weeks (protocol amendment 2) or 144 weeks (protocol amendment 3).
Tenofovir DF (Open-label Extension Phase)EXPERIMENTALFollowing the completion of study at Week 192, participants may have the option to receive open-label TDF until it is commercially available in that country for treatment of chronic HBV in participants of their age and weight.
Tenofovir DFEXPERIMENTALParticipants were randomized to receive tenofovir DF plus placebo to match FTC once daily.
FTC+Tenofovir DFEXPERIMENTALParticipants were randomized to receive FTC plus tenofovir DF once daily.
1EXPERIMENTALTDF
2EXPERIMENTALFTC/TDF
Interventions
NameTypeDescription
Tenofovir DFDRUG* Participants weighing ≥ 17 kg will receive TDF one tablet administered orally once daily (150, 200, 250 or 300 mg tablets based on body weight). * Participants weighing \< 17 kg or ≥ 17 kg who are unable to swallow a tablet will receive TDF oral powder in a dose of 8 mg/kg once daily up to a maximum dose of 300 mg.
TDF PlaceboDRUG* Participants weighing ≥ 17 kg will receive TDF placebo tablet administered orally once daily. * Participants weighing \< 17 kg or ≥ 17 kg who are unable to swallow a tablet will receive TDF placebo oral powder once daily.
FTCDRUGEmtricitabine (FTC) 200 mg capsule taken orally once daily
PlaceboDRUGPlacebo to match FTC taken once daily
emtricitabine /tenofovir DFDRUGemtricitabine 200 mg/tenofovir DF 300 mg once daily (combination tablet)
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Eligibility Criteria
Age Range2 Years — 11 Years
SexALL
Healthy VolunteersNo
Study Sites21

Key Inclusion Criteria: * Male or Female, 2 to \< 12 years of age * Weight ≥ 10 kg * Chronic HBV infection ≥ 6 months * Hepatitis B e antigen (HBeAg)-positive or HBeAg-negative * HBV Viral Load ≥ 100,000 copies/mL * Alanine aminotransferase (ALT) ≥ 1.5 x the upper limit of the normal range (ULN) at...

Countries:United StatesIndiaRomaniaSouth KoreaTaiwanAustraliaCanadaFranceGermanyHong KongNew ZealandPolandSingaporeUnited KingdomSpain
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT01651403primaryCompletionDate: changed
LOWMay 24, 2026NCT01651403studyFirstPostDate: changed