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Lamivudine

Phase 4FDA approved

Chronic Hepatitis B | Small molecule | Infectious Disease |GSK plc|Trials Updated: Sep 24, 2021

Lamivudine development status

FDA approval on record Dec 8, 1998
Approval holderGlaxosmithkline
ApplicationNDA021003
Highest phase Phase 4 (NCT00354653)
Phase scored for GSKPhase 3
Registered trials 176 across 34 sponsors since Nov 1999

Lamivudine target and mechanism

Molecular targetHIV reverse transcriptase
ModalitySmall molecule

Also known as Lamivudine (3TC), Heptodin, LAM group, tenofovir, abacavir

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials10
Total Enrollment2,207

FDA Designations

No designations recorded

Lamivudine clinical trials

Lamivudine · 10 trials · 5 indications

Phase 3 6Phase 2 2Phase 1 2
NCT00440947Induction/Simplification With Atazanavir + Ritonavir + Abacavir/Lamivudine Fixed-Dose Combination In HIV-1 InfectionInfection, Human Immunodeficiency Virus I
COMPLETED515 Analytics
NCT00316719Adefovir Dipivoxil In Compensated Chronic Hepatitis B PatientsChronic Hepatitis B
COMPLETED105 Analytics
NCT00094367A Study Comparing Safety Of Abacavir And Lamivudine Administered Once-Daily As A Single Tablet Versus The Same Drugs Administered Twice-Daily As Separate Tablets (ALOHA Study)HIV Infection
COMPLETED900 Analytics
NCT00046176A HIV Study Of A Fixed-Dose Combination Tablet In Antiretroviral Experienced PatientsInfection, Human Immunodeficiency Virus I
COMPLETED240 Analytics
NCT00044577New Tablet Containing Two FDA Approved Anti-HIV Drugs For Antiretroviral Therapy Experienced HIV-1 Infected SubjectsInfection, Human Immunodeficiency Virus I
COMPLETED166 Analytics
NCT00140725Lamivudine Plus Interferon Versus Lamivudine For The Treatment Of HBeAg Positive Chronic Hepatitis B Virus (HBV)Chronic Hepatitis B
COMPLETED160 Analytics
PHASE3COMPLETED
Induction/Simplification With Atazanavir + Ritonavir + Abacavir/Lamivudine Fixed-Dose Combination In HIV-1 Infection
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
Adefovir Dipivoxil In Compensated Chronic Hepatitis B Patients
Chronic Hepatitis BUnlock trial analytics
PHASE3COMPLETED
A Study Comparing Safety Of Abacavir And Lamivudine Administered Once-Daily As A Single Tablet Versus The Same Drugs Administered Twice-Daily As Separate Tablets (ALOHA Study)
HIV InfectionUnlock trial analytics
PHASE3COMPLETED
A HIV Study Of A Fixed-Dose Combination Tablet In Antiretroviral Experienced Patients
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
New Tablet Containing Two FDA Approved Anti-HIV Drugs For Antiretroviral Therapy Experienced HIV-1 Infected Subjects
Infection, Human Immunodeficiency Virus IUnlock trial analytics
PHASE3COMPLETED
Lamivudine Plus Interferon Versus Lamivudine For The Treatment Of HBeAg Positive Chronic Hepatitis B Virus (HBV)
Chronic Hepatitis BUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants (PAR) Who Achieved Plasma HIV-1 RNA <50 Copies (c) /Milliliter (ml) at the Week 84 Visit
Week 84

The percentage of PAR with HIV-1 RNA virus \<50 c/ml determined from a blood sample drawn at Week 84 was tabulated by treatment arm with stratification by baseline HIV-1 RNA (\<100,000 c/ml and \>=100,000 c/ml). Per TLOVR algorithm, responders were PAR with confirmed viral load \<50 c/ml who had not met any non-responder criterion. Non-responders were PAR who never achieved confirmed HIV RNA \<50 c/ml, prematurely discontinued study or study medication for any reason, had confirmed rebound to at least 50 c/ml, or had an unconfirmed HIV RNA of at least 50 c/ml at last visit.

Mean Change From Baseline in Hepatitis B Virus (HBV) DNA at Week 52
Baseline and Week 52

Change from baseline was the difference of the HBV DNA copy numbers (log10) in serum collected by blood draw between baseline and Week 52

The occurrence of treatment-limiting adverse events after starting study drugs.
Proportion of non-virologic failures through Week 48. Treatment-limiting adverse events over 48 weeks.
48 weeks
HIV viral load response as measured by change from baseline in HIV-1 RNA over 24 and 48 weeks. Safety
48 weeks
Proportion of patients with HBeAg seroconversion to anti-HBe
Change in Short-term Virologic Response
49 days

Relative potencies of two monotherapy regimens (TDF alone vs. ABC alone) compared to the dual NRTI regimen of TDF+ABC as assessed by the short-term virologic response. (Change in HIV RNA copies/mL at baseline and day 7 for monotherapy, baseline and day 49 for dual therapy.)

Compare the Plasma Data of the Two Monotherapy Regimens to the Dual NRTI Regimen
49 days

At day 49 of Sequence 2 a 24-hour post dose plasma sample should be collected and processed. All 7 samples from the sparse PK (time 0, 30-min, 1-hr, 2-hr, 3-hr, 6-hr and 24-hr post dose) should be sent overnight to appropriate off-site lab for analysis. Since the patient is on dual therapy and the each drug is measured in separate labs each PBMC samples should be split at each time-point with half of the samples shipped to Gilead and half shipped to USC (two separate shipments). ALL plasma samples should be sent to USC. Since samples have to be split we will need to collect double the blood for the intracellular (PBMC) PK: Blood volume (PBMC-plasma): 40 mL - each draw Blood volume (plasma only): 3 mL - each draw Blood volume: 169 mL- over 2 days Plasma NRTI and intracellular ddNTP concentrations were measured 7 days after treatment with ABC or TDF alone and were compared to levels obtained after 7 days of treatment with both drugs

Compare the Intracellular Pharmacokinetic (PK) Data of the Two Monotherapy Regimens to the Dual NRTI Regimen
49 days

At day 49 of Sequence 2 a 24-hour post dose intracellular (PBMC) should be collected and processed. All 7 samples from the sparse PK (time 0, 30-min, 1-hr, 2-hr, 3-hr, 6-hr and 24-hr post dose) should be sent overnight to appropriate off-site lab for analysis. Since the patient is on dual therapy and the each drug is measured in separate labs each PBMC samples should be split at each time-point with half of the samples shipped to Gilead and half shipped to USC (two separate shipments). ALL intracellular (PBMC) samples should be sent to USC. Since samples have to be split we will need to collect double the blood for the intracellular (PBMC) PK: Blood volume (PBMC-plasma): 40 mL - each draw Blood volume (plasma only): 3 mL - each draw Blood volume: 169 mL- over 2 days Intracellular ddNTP concentrations were measured after 7 days on monotherapy and after 7 days on dual therapy

HBV DNA reduction at week 52
AUC of lamivudine
48 hours
Cmax of lamivudine
48 hours
AUC of adefovir dipivoxil
48 hours
Cmax of adefovir dipivoxil
48 hours
To assess the pharmacokinetics of intracellular CBV-TP at steady state following administration of 600 mg QD and 300 mg BID ABC-containing regimens in HIV infected adult subjects.
throughout the study

Secondary Endpoints

Mean Age at Baseline of Participants Randomized to Treatment for the 48-Week Randomized Phase
Baseline of Randomized Phase
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 36 Visit
Week 36
Percentage of Participants Who Achieved Plasma HIV-1 RNA <50 c/ml at the Week 84 Visit
Week 84
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SimplificationOTHERAtazanavir (ATV) 400 mg QD + abacavir (ABC) 600 mg/lamivudine (3TC) 300 mg fixed dose combination (FDC) QD for 48 weeks followed by optional treatment extension for 60 weeks on the same regimen.
ContinuationOTHERAtazanavir (ATV) 300 mg QD + ritonavir (/r) 100 mg QD + abacavir (ABC) 600mg/lamivuidine (3TC )300 mg FDC QD for 48 weeks followed by optional treatment extension for 60 weeks on the same regimen.
Adefovir Dipivoxil (ADV)EXPERIMENTAL -
Lamivudine (LAM)ACTIVE_COMPARATOR -
TenofovirACTIVE_COMPARATORAs part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone
AbacavirACTIVE_COMPARATORAs part of this study visit, you participants will be assigned by chance to receive either TDF alone or ABC alone
Lamivudine and Adefovir dipivoxilACTIVE_COMPARATOROne 100mg Lamivudine tablet and One 10mg Adefovir dipivoxil tablet
Fixed dose combinationEXPERIMENTALOne capsule (100mg lamivudine and 10mg adefovir dipivoxil)

Interventions

NameTypeDescription
Abacavir (ABC)/lamivudine (3TC) + atazanavir (ATV) + ritonavir (/r)DRUGAbacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV)+ ritoanvir (/r) for 36weeks followed by ABC/3TC + ATV + /r for 48wks followed by optional treatment extension for 60 weeks on the same regimen
Abacavir (ABC)/lamivudine (3TC) + atazanavir (ATV)DRUGAbacavir (ABC)/lamivudine (3TC) FDC + atazanavir (ATV) + ritonavir (/r) for 36 weeks followed by ABC/3TC + ATV for 48wks followed by optional treatment extension for 60 weeks on the same regimen
LAM groupDRUGSubjects took one LAM 100mg tablet orally once daily and one ADV placebo tablet orally once daily.
ADV groupDRUGSubjects took one ADV 10mg tablet orally once daily and one LAM placebo tablet orally once daily.
Abacavir/LamivudineDRUG -
abacavirDRUG -
lamivudineDRUG -
tenofovirDRUG -
Lamivudine plus Polyethylene glyco-interferon alfa-2bDRUG -
Pegylated InterferonDRUG -
Adefovir dipivoxilDRUG10mg tablet
Fixed dose combination (Lamivudine and Adefovir dipivoxil)DRUG100mg/10mg capsule
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites72

Inclusion criteria: * Subject is ≥ 18 years of age and has documented evidence of HIV-1 infection. (A female is eligible to enter and participate in this study if she is of: non child-bearing potential, child bearing potential with a negative pregnancy test and agrees to approved contraception meth...

Countries:United StatesCanadaPuerto RicoCosta RicaPanamaBelgiumFranceGermanyItalyPortugalSpainUnited KingdomHong KongChina
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Frequently asked questions about Lamivudine

What is Lamivudine used for in chronic hepatitis B?

Lamivudine is a small molecule antiviral developed by GSK plc for chronic hepatitis B. It has been studied both as monotherapy and in combination regimens, including with interferon and with adefovir dipivoxil, in patients with chronic hepatitis B virus infection. Its clinical program includes a Phase 3 trial in HBeAg positive chronic hepatitis B.

What does Lamivudine target?

Lamivudine targets HIV reverse transcriptase. It is a small molecule antiviral, and this enzyme target underlies its activity in the chronic hepatitis B program, where it has been evaluated in combination regimens such as lamivudine plus interferon and lamivudine plus adefovir dipivoxil.

Who makes Lamivudine?

Lamivudine is developed by GSK plc, which trades under the ticker GSK. The company is the sponsor associated with the clinical development program for lamivudine in chronic hepatitis B, including the Phase 3 study of lamivudine plus interferon versus lamivudine.

What phase is Lamivudine in?

Lamivudine has reached Phase 3 in chronic hepatitis B. Its program includes a Phase 3 trial, a Phase 2 trial of pegylated interferon and lamivudine combination therapy, and a Phase 1 study of a lamivudine and adefovir dipivoxil fixed dose combination. All three listed trials are completed.

What clinical trials is Lamivudine in?

Lamivudine has been studied in three registered trials in chronic hepatitis B: NCT00140725, a Phase 3 study of lamivudine plus interferon versus lamivudine in HBeAg positive chronic HBV; NCT00226447, a Phase 2 study of pegylated interferon and lamivudine combination regimens; and NCT01353742, a Phase 1 fixed dose combination study with adefovir dipivoxil.